nur 240 final cell reg

The nurse is orienting a new nurse to the care of a client who has an internal radiation implant. The nurse includes which instructions in discussions with the new nurse? Pregnant women are not allowed in the client's room.

Pregnant women are not allowed in the client's room.

The nurse is caring for a 39-year-old woman with a family history of breast cancer. She requested a breast tumor marking test and the results have come back positive. As a result, the patient is requesting a bilateral mastectomy. This surgery is an example of what type of oncologic surgery?

Prophylactic

You are caring for a child with Wilms tumor who received doxorubicin, teach about what?

RED URINE

The nurse is assisting with developing a plan of care for a client who is experiencing hematological toxicity as a result of chemotherapy. The nurse should suggest including which in the plan of care?

Restricting fresh fruits and vegetables in the diet

The TNM method is used for staging cancer tumors includes the following. Select all

-EXTENT OF THE PRIMARY TUMOR -EXTENT OF METASTASIS -LYMPH NODE INVOLVEMENT

A nurse is conducting a cancer risk screening program. Which client is at greatest risk for skin cancer?

60-year-old mountain biker

Lifestyle influences that are considered risk factors for colorectal cancer include?

A HIGH FAT, LOW FIBER DIET

The action of the drug Tamoxifen is to act as?

A HORMONE MODULATOR

The action of the drug Methotrexate is to act as?

AN ANTIMETABOLITE

Which term describes process that occurs when cells lose their differentiation and organization?

ANAPLASIA

The nurse has obtained a unit of PRBCs from the blood bank and has checked the bag properly with another nurse. Before beginning the transfusion the nurse should first?

ASSESS VITAL SIGNS

A 50-year-old man diagnosed with leukemia will begin chemotherapy. What would the nurse do to combat the most common adverse effects of chemotherapy?

Administer an antiemetic.

which specific agents or factors are associated with the etiology of cancer

All of the above ( dietary and genetic factors, hormonal and chemical agents, viruses

Antineoplastic drugs destroy human cells. They are most likely to cause cell death among healthy cells that:

Are rapidly turning over

An oncology nurse is caring for a patient who has developed erythema following radiation therapy. What should the nurse instruct the patient to do?

Avoid using soap on the treatment area.

A client is diagnosed as having a bowel tumor, and several diagnostic tests are prescribed. The nurse understands that which test will confirm the diagnosis of malignancy?

Biopsy of the tumor

Cancer treatment usually occurs in several different treatment phases. In assessing the appropriateness of another round of chemotherapy for a particular patient, the nurse would evaluate which of the following as most important?

Bone marrow depression

Cancer can be a difficult disease to treat because?

CELLS REMAIN DORMANT, EMERGING MONTHS TO YEARS LATER

the client nurse is reviewing a teaching plan for a client receiving an antineoplastic medication. When implementing the plan, the nurse tells the client to:

Consult with healthcare providers before receiving immunizations

The nurse is orienting a new nurse to the oncology unit. When reviewing the safe administration of antineoplastic agents, what action should the nurse emphasize?

Dispose of the antineoplastic wastes in the hazardous waste receptacle.

A client is undergoing a left modified radical mastectomy for breast cancer. Postop BP obtained from right arm and clients left arm and hand should be elevated as much as possible to prevent?

LYMPHEDEMA

PRBCs have been ordered for a client with a low hemoglobin and hematocrit. The nurse takes the clients temp before hanging the blood transfusion and records 100.6 orally, which is most appropriate action?

DELAY HANGING THE BLOOD AND NOTIFY THE MD

The nurse is caring for a patient has just been given a 6-month prognosis following a diagnosis of extensive stage small-cell lung cancer. The patient states that he would like to die at home, but the team believes that the patient's care needs are unable to be met in a home environment. What might you suggest as an alternative?

Discuss a referral for hospice care.

A nurse provides care on a bone marrow transplant unit and is preparing a female patient for a hematopoietic stem cell transplantation (HSCT) the following day. What information should the nurse emphasize to the patient's family and friends?

Do not visit if you've had a recent infection.

Carcinomas are tumors that originate in?

EPITHELIAL CELLS

The nurse is assisting with developing a plan of care for the client with multiple myeloma. Which is a priority nursing intervention for this client?

Encourage fluids

A 3 yr old child receiving chemotherapy after surgery for Wilms tumor develops neutropenia. Parents encourage child to eat, what food is not appropriate?

FRESH STRAWBERRIES

What should male client older than 50 do to help ensure early identification of prostate CA?

HAVE A DIGITAL RECTAL EXAM AND AND PSA TEST DONE YEARLY

when assessing the laboratory results of the client with bladder cancer and bone metastasis, the nurse notes a calcium level of 12 mg/dl. The nurse recognizes that this is consistent with which oncological emergency.

Hypercalcemia

The nurse teaches skin care to a client receiving external radiation therapy. Which of the following statements, if made by the client, would indicated the need for further instruction?

I will limit sun exposure to 1 hour daily

As part of chemotherapy education, the nurse teaches a female client about the risk of bleeding and self-care during the period of the greatest bone marrow suppression (nadir). The nurse understands that further teaching is needed when the client states:

I'm going to take aspirin for my headache as soon as I get home

. A client with cancer who is receiving radiation therapy develops thrombocytopenia, priority goal is to prevent what?

INJURY R/T DECREASED PLATELET COUNT

SIADH can be seen in what type of cancer?

LUNG CANCER

The nurse is reviewing the laboratory results of a client who is receiving chemotherapy and notes that the platelet count is 10,000 cells/mm3. On the basis of this laboratory value, the nurse should collect which data as a priority?

Level of consciousness

A patient newly diagnosed with cancer is scheduled to begin chemotherapy treatment and the nurse is providing anticipatory guidance about potential adverse effects. When addressing the most common adverse effect, what should the nurse describe?

Nausea and vomiting

The nurse is reviewing the laboratory results of a client with bladder cancer and bone metastasis and notes that the calcium level is 15 mg/dL. The nurse should take which appropriate action?

Notify the health care provider

It is important to explain to women that chemotherapeutic agents should not be used during pregnancy because: `

Of potential serious adverse effects on the rapidly multiplying cells of the fetus.

A client asks the nurse what PSA is, the nurse should reply it stands for?

PROSTATE SPECIFIC ANTIGEN, WHICH IS USED TO SCREEN FOR PROSTATE CANCER

The client is hospitalized for the insertion of an internal cervical radiation implant. While giving care, the nurse finds the radiation implant in the bed. Which is the immediate nursing action?

Pick up the implant with long-handled forceps and place into a lead container.

The nurse is describing some of the major characteristics of cancer to a patient who has recently received a diagnosis of malignant melanoma. When differentiating between benign and malignant cancer cells, the nurse should explain differences in which of the following aspects? Select all that apply.

Size of cells Ability to cause death Ability to spread

The public health nurse is presenting a health-promotion class to a group at a local community center. Which intervention most directly addresses the leading cause of cancer deaths in North America?

Smoking cessation

While a patient is receiving IV doxorubicin hydrochloride for the treatment of cancer, the nurse observes swelling and pain at the IV site. The nurse should prioritize what action?

Stopping the administration of the drug immediately

After receiving chemotherapy for lung CA, clients platelet count drops to 50,000, nurse describes low platelet count as?

THROMBOCYTOPENIA

Traditionally, nurses have been involved with tertiary cancer prevention. However, an increasing emphasis is being placed on both primary and secondary prevention. What would be an example of primary prevention?

Teaching patients to wear sunscreen

A client experiences bone marrow depression as a result of chemotherapy. Which of the following would you expect to find.

Temperature of 102 F

A client has undergone abdominal perineal resection for a bowel tumor. The nurse interprets that the client's colostomy is beginning to function if which sign is noted?

The passage of flatus

A client receiving chemotherapy is experiencing mucositis. The nurse should advise the client to use which item as the best substance to rinse the mouth?

Weak salt and bicarbonate mouth rinse

The nurse is assisting with conducting a health-promotion program to community members regarding testicular cancer. The nurse determines the need for further teaching if a community member states that which is a sign/symptom of testicular cancer?

alopecia

The hospice nurse visits a client who is dying of ovarian cancer. During the visit, the client says "if I can just live long enough to attend my daughters graduation, i'll be ready to die". Which of the following phases of coping is the client experiencing?

bargaining

at a public health fair, a nurse teaches a group of women about breast cancer, early signs of breast cancer include.

nipple discharge