Oncology

A client who has stage II breast cancer asks the nurse about sites of metastasis for this cancer. Which of the following responses should the nurse make?

"Breast cancer tends to metastasize to the bones."

A nurse is reinforcing preoperative teaching with a client who has colorectal cancer and is scheduled to undergo placement of a colostomy with a perineal wound. Which of the following statements by the client indicates an understanding of the teaching?

"I can have only liquids for 2 days before the surgery."

A nurse is caring for a postoperative client whose surgeon informed him of a metastasizing malignant neoplasm in the colon. Which of the following statements indicates that the client understands this information?

"I have cancer of the colon that has begun to spread."

A nurse is reinforcing teaching with a client who has cancer and is undergoing external radiation treatment. Which of the following statements by the client indicates an understanding of the teaching?

"I should use my hand instead of a washcloth to wash the areas being radiated."

A hospice nurse is reinforcing teaching about palliative care to the partner of a client who has end-stage liver cancer. Which of the following statements by the partner indicates an understanding of teaching?

"I will continue to talk to him, even when he's sleeping."

A nurse is reinforcing discharge teaching with a client following open radical prostatectomy. The client is going home with an indwelling urinary catheter. Which of the following statements by the client indicates an understanding of the teaching?

"I will take acetaminophen if I have any pain."

A nurse is reinforcing postoperative discharge teaching with a client following a panhysterectomy for uterine cancer. Which of the following pieces of information should the nurse provide?

"You might experience manifestations of menopause."

A nurse on an oncology unit is reinforcing discharge teaching with an adolescent client who received a bone marrow transplant for leukemia. Which of the following pieces of information should the nurse include? (Select all that apply.)

"You should take your temperature at least once a day." "Examine your feet every day."

A nurse is contributing to the plan of care for a client who is receiving chemotherapy and has a protein deficiency. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

-Mix powdered skim milk into milk -Add a slice of cheese to hot vegetables -Mix yogurt into fresh fruit

A nurse is caring for a client who recently had chemotherapy and now has myelosuppression. Which of the following interventions should the nurse initiate? (Select all that apply.)

-Prohibit bringing fresh flowers and plants into the client's room -Ensure thorough cleaning of the client's room and bathroom daily -Use dedicated equipment items such as stethoscopes

A nurse is reinforcing teaching with a client about how to perform a breast self-examination (BSE). The nurse should identify which of the following findings as an indication of breast cancer?

A nontender, hard lump that is palpated in a breast

A nurse is reinforcing discharge teaching with a client who is postoperative following a right mastectomy for breast cancer. The client will be going home with 2 Jackson-Pratt drains. Which of the following pieces of information should the nurse include in the teaching?

Avoid wearing deodorant until the drains are removed and the incision heals.

A nurse is assisting with planning care for a client who is postoperative following a radical mastectomy. Which of the following interventions should the nurse include in the plan?

Begin exercises with the client 1 day after the procedure

A charge nurse is observing a newly licensed nurse provide care for a client. This client is receiving internal radiation therapy for the treatment of cervical cancer. Which of the following actions by the newly licensed nurse should prompt the charge nurse to intervene?

Borrowing a dosimeter film badge from another nurse before entering the client's room

A nurse is planning care for a client who is postoperative following a urinary diversion to treat bladder cancer. Which of the following interventions should the nurse include in the plan of care?

Change the collection pouch in the early morning

A nurse in an oncology clinic is collecting data from a client who has early stage Hodgkin's lymphoma. Which of the following findings should the nurse expect?

Enlarged lymph nodes

A nurse is caring for a client who has lung cancer that has metastasized. Which of the following findings indicates the client is developing superior vena cava syndrome?

Facial edema

A nurse is caring for a client who is receiving brachytherapy. Which of the following measures should the nurse contribute to the client's plan of care?

Keep the door to the client's room closed

A nurse is collecting a health history from a client who has skin cancer. Which of the following findings in the client's history is the highest risk factor for developing skin cancer?

Overexposure to sunlight

A nurse is caring for a client who has testicular cancer and is experiencing peripheral neuropathy as an adverse effect of chemotherapy. Which of the following client manifestations is an expected finding of peripheral neuropathy?

Tingling of the hands and feet

A nurse is collecting data from a client who has colorectal cancer. Which of the following manifestations should the nurse expect to find?

abdominal cramps

A nurse is contributing to the plan of care for a client who has thrombocytopenia due to chemotherapy. Which of the following interventions should the nurse include?

avoid IM injections

A nurse is collecting data from a female client who is undergoing screening for breast cancer. Which of the following factors places the client at an increased risk for developing breast cancer?

over 50 years of age

A nurse is planning a presentation in a community center about risk factors for cancer. Which of the following types of cancer should the nurse include when discussing familial clustering of specific types of cancer?

prostate

A nurse is collecting data from a client who has cancer and is receiving chemotherapy by peripheral IV infusion. The client reports pain at the insertion site, and the nurse notes fluid leaking around the catheter. Which of the following actions should the nurse take first?

stop the infusion