oncology ati practice

A nurse is admitting a child who has leukemia. Which of the following clients should the nurse place in the same room with this child? A child who has nephrotic syndrome A child recovering from a ruptured appendix A child who has rheumatic fever A child who has cystic fibrosis

A child who has nephrotic syndrome

The nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which activity should the nurse anticipate as being the most difficult at this time? a. buttoning her blouse b. eating her breakfast c. combing her hair d. brushing her teeth

c. combing her hair (think, it requires her to lift her arm the highest)

A nurse is caring for a client following the surgical placement of a colostomy. Which of the following statements indicates the client understands the dietary teaching?

​"Eating yogurt can help decrease the amount of gas that I have."-​The client who has a colostomy can include yogurt into his diet to help reduce odors and intestinal gas.

A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer. Which of the following adverse effects should the nurse include in the teaching? A. Hot flashes B. Urinary retention C. Constipation D. Bradycardia

Hot flashes

A nurse is preparing a client who is to receive chemotherapy for treatment of ovarian cancer. Which of the following actions should the nurse plan to take?- Tell the client to expect dark stools following chemotherapy.- Have the client floss 4 times daily.- Have the client swish with commercial mouthwash before therapy.- Administer an antiemetic prior to the procedure.

- Administer an antiemetic prior to the procedure.The nurse can help prevent nausea and vomiting by administering an antiemetic prior to chemotherapy, and to tell the client to continue taking medication until nausea and vomiting resolve.

A nurse is reviewing the laboratory results of a client who has acute leukemia and received an aggressive chemotherapy treatment 10 days ago. Which of the following hematologic laboratory values should the nurse expect? (Select all that apply.)A) Decreased platelet countB) Increased hemoglobin countC) Decreased leukocyte countD) Increased platelet countE) Decreased erythrocyte count

A) Decreased platelet count Yes, suppressed bone marrow C) Decreased leukocyte count Yes E) Decreased erythrocyte count Yes

A nurse is teaching a newly licensed nurse about the purpose pf a CA125 test. Which of the following statements would the nurse include in the teaching? A. A CA 125 is used to confirm a diagnosis of cancer B. A CA 125 is used to monitor the clients progress during treatment C. A CA 125 is used to identify the cell differentiation D. A CA 125 is used to measure the amount of cancer

B. A CA 125 is used to monitor the clients progress during treatment

A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was A. dysphagia B. hoarseness C. dyspnea D. weight loss

B. hoarseness

A nurse is planning an educational program about basal cell carcinoma. Which of the following information shouldthe nurse plan to include?

Basal cell carcinoma has a low incidence of metastasis.

A nurse is planning care for a client with an absolute neutrophil count less than 1000/mm3. Which of the following interventions should the nurse include in the plan of care?A. Take the cleint's rectal tempB. Increase raw produce in the client's dietC. Limit visitors to healthy adultsD. Instruct the client to floss teeth daily

C (The patient is at risk for catching an infection. So reducing the amount of people coming into contact with the client (i.e., only healthy adults should visit)

A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. After several treatments, the client reports fatigue. Which of the following actions should the nurse take?

Check the results of the client's most recent CBC.Rationale:The client might have anemia as a result of myelosuppression (bone marrow suppression) from the chemotherapy. If so, she might require treatment for the anemia (transfusion, medication) and the provider might have to delay further chemotherapy until her blood counts are higher.

A nurse is reinforcing teaching with a client who has a new diagnosis of testicular cancer. Which of the following statements should the nurse include in the teaching?

Close male relatives are at increased risk for the diseaseIt typically occurs between ages 15 to 40

A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums? a. Explain to the client that this is an expected adverse effect. b. Check the value of the client's current platelet count. c. Instruct the client to use an electric toothbrush. d. Have the client make an appointment to see the dentist.

a. Explain to the client that this is an expected adverse effect. Rationale: The nurse should recognize that the bleeding is likely due to the adverse effect of the chemotherapy and needs to be evaluated further. Bleeding gums is a sign of thrombocytopenia(decreased platelet count) secondary to bone marrow suppression, which can be life-threatening in a client who is receiving chemotherapy.

A nurse is teaching a client about the side effects of chemotherapy medication. Which of the following nursing statements should the nurse include in the teaching?a. "Most clients do not experience nausea."b. "Hair loss is common and includes eyebrows and eyelashes."c. "Most clients start to gain weight during their treatment."d. "Clients lose their hair, but it usually grows back nice and thick."

b. "Hair loss is common and includes eyebrows and eyelashes."

A nurse is planning care for a client who has leukemia and a platelet count of 130,000/mm³. Which of the following interventions should the nurse include in the plan of care? a. Check the IV site for bleeding every 8hr b. Limit IM injections c. Obtain a rectal temperature every 8hr d. Check the client for proteinuria

b. Limit IM injections

A nurse is caring for an older adult client who has a WBC count of 2000/mm³ after three rounds of chemotherapy. Which of the following actions should the nurse take?a. Humidify the client's roomb. Serve cooked fruit with mealsc. Clean dentures in a denture cupd. Replace the water in flower vases with fresh water daily.

b. Serve cooked fruit with meals

A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy-induced nausea. For which of the following adverse effects should then nurse monitor? headache dependent edema polyuria photosensitivity

headache Rationale: analgesic relief is often required