Pn3 exam 1

A client asks the nurse why his colorectal cancer is being tested for genetic mutations even though no one else in the family has ever had cancer. What is the nurse's best response?

"Many tumors have one or more genetic differences that can help determine the most effective treatment options."

The nurse is concerned that a hospice client is approaching death when the following is assessed?

Restlessness, irritability, and anxiety

which client will the nurse assess most frequently for tumor lysis syndrome(TLS)?

34-YEAR old with hyperkalemia , elevations in blood urea nitrogen(BUN) and creatine levels, flank pain, and altered mental status

a hospice nurse is caring for a client at the end of life. Which of the following would the nurse identify as a death ritual with this religion?

A client is encouraged to receive the sacrament of the sick

Which patient scenario describes the best example of professional © collaboration?

A nurse and physician discuss the patient's muscle

· Patient on estrogen therapy for cancer- what supplement should NOT be used?

Black cohosh

Which activities are appropriate for a nurse to collaborate with a "patient?

Both are appropriate

a client's breast tumor has moderate dyphasia and moderately differentiated cells. it is a small tumor with many lymph nodes involved and has mestasized to the brain and liver. what is the best description if the tumor

Carcinoma, grade III , T1, N3,M2

· What type of patient therapy is done through counseling and helps patient with cancer deal with emotions/feeling?

Cognitive behavioral therapy

a female complains of a scab that just wont heal under her left breast. during your conversation , she also mentions chronic fatigue , loss of appitite, and slight cough, attributed to allergies. what are the nurse's next steps?

Continue to conduct a symptom analysis to better understand the patient's symptoms and concerns.b. End the appointment and tell the patient to use skin protection during sun exposure.

a client asks the nurse what they can do to prevent the onset of cancer. which of the following are modifiable risks that contribute to the development of cancer?(SATA)

Environmental exposure to carcinogens excessive alcohol consumption tabbacco use

A client with chemotherapy-induced nausea and vomiting (CINV) wants to know if there is an alternative to prescription medications. Which of the following would the nurse correctly identify to decrease nausea associated with CINV?

Ginger

Which is a priority for the nurse to monitor on a client who is taking a 5-HT3 receptor blocker for nausea?

Heart rate and rhythm

In caring for a patient following lobectomy for lung cancer, which of the B following should the nurse include in the plan of care?

Instruct the patient to cough and deep breathe.

A terminally ill client experiencing restlessness. Which complimentary alternative intervention can the nurse provide to comfort the client?

Play soothing music for the client

While planning care for a patient experiencing fatigue due to chemotherapy, which of the following is the most appropriate nursing intervention?

Prioritization and administration of nursing care throughout the day

While planning care for a patient experiencing fatigue due to chemotherapy, which of the following is the most appropriate nursing

Prioritization and administration of nursing throughout the day

A nurse is providing education on the benefits of massage. Which of the following should the nurse implement in the clients teaching on this complementary alternative therapy? (Select all that apply)

Promotes circulation Relaxes muscles Reduces cortisol levels and improves anxiety Reduces pain

The client complains of shortness of breath, has swollen neck veins and looks puffy around the eyes. The nurse suspects which oncologic emergency is occuring?

Superior vena cava syndrome

A nurse is caring for a client wno has chemotheraoy-induced perioneral neuropathy. the nurse should expect the client to report having experienced which of the following symptoms

Tingling feeling in the extremities

The nurse would incorporate which of the following into the plan of care as a primary prevention strategy for reduction of the risk for cancer?

Using skin protection during sun exposure while at the beach

A client that was diagnosed with stage III breast cancer seems to be overly anxious. What is nurses best action?

Validate the client's feelings and explore the idea of referral to a breast cancer group

The nurse and physician are explaining the home care that will be • needed by a patient after discharge. The patient's spouse states angrily that it will not be possible to provide the care recommended. What is the best response by the nurse?

What concerns do you have about the prescribed care?"

a client is experiencing dyspnea in their last moments of life. which intervention will the nurse complete first?

administer an intravenous (iv) opioid

a client receiving chemotherapy for cancer has a hemoglobin level of 8.7 g/dL. which of the following should the nurse anticipate as a treatment for this client?

administer the epoetin alfa as prescibed

While the nurse is obtaining the health history of a 75-year-old female patient, which of the following has the greatest implication for the development of cancer?

advancing age

the nurse is being trained in hospice care. which is most compatiable with the goals surrounding end-of-life care?

allow a client with chronic obstructive pulmonary disease to have a cigarette

a nurse is completing education about advanced directives with a client on admission. which of the following statements evaluates that the client understands the purpose and procedure for advanced directives?

an advanced directive will specify what , if any extraordinary actions that i would want when i am no longer able to make decisions about personal health care

A hospice nurse plans care for a client who is experiencing pain. Which complementary therapies should the nurse incorporate in this client's pain management plan? (Select all that apply.)

aromatherapy music therapy therapeutic touch massage

a client is anxious about havinf radiation therapy. which statement indicates that the nurse is promoting appropriate complementary therapy

as we being the next radiation therapy. I want you to think of a beautiful, calm place where you feel happy and peaceful

a nurse is working with clients who are experiencing alopecia. which of the following is the best method when helping clients manage the psychosocial impact of this condition?

assisting the client pre-plan for this event and reassure alopecia is temporary

a client diagnosed with metastatic cancer. the family asks the nurse. what is the difference between hospice and palliative care? the nurse correctly responds with which statement?

palliative care is for clients in any stage of a serious illness

a nurse is teaching a health fair about the early warning signs of cancer. which of the following would the nurse include as early warning signs?(SATA)

change in blasser and bowel habits unusual bleeding or discharge a sore throat that does not heal nagging cough obvious changes in mole

a client ask the nurse how does chemotherapy work? how does the nurse respond to this client?

chemotherapy kills cancer cells and disrupts their cellular regulation

The nurse would incorporate which of the following into the plan of care as a secondary prevention strategy for a client to reduce their risk for cancer?

colonoscopy at the age of 50 and then every 10 years

the nurse is caring for an end-of-life terminally ill client experiencing very shallow and rapid breathing with periods of apnea. after evaluating the client , which action by the nurse would be the most appropriate?

elevate the clients head of the bed

the nurse is teaching a client with myelosuppression and neutropenia about health promoting activities. which important activity to teach?

handwashing

While collecting a health history on a patient admitted for colon cancer, which of the following questions would be a priority to ask this patient?

have you had any blood in your stool

a nurse has conducted an admission review of the medication record with a client to an oncology unit. which of the following complimentary alternative therapies is the nurse priority to address

herbal preparation to treat hypertension

a nurse is caring for a client who has named a person to serve as a health care proxy. which statement made by the client indicates a need for further teaching

i have to choose a family member as my health care proxy

which instruction will the nurse emphasize to the nursing student about the care of a client receiving brachytherapy

limit the time in the clients room , keep distance from the client and use protective clothing

a client on the medical surgical unit has a platelet count of less than 50,000/mm3. which of the following is the most important to include in the clients education?

notify the healthcare provider of injuries with persistent bleeding

a client with a generic mutation of BRCA1 and a family history of breast cancer has arrived at the surgery preparation unit for a bilateral simple mastectomy. what is the reason for this procedure?

prevent the development of breast cancer

For a client newly diagnosed with radiation-induced thrombocytopenia, which intervention is the most important when providing discharge education to the client and family?

report any signs and symptoms of bleeding or bruising to the healthcare provider

a hospitalized client has a living will that states he doesn't want any life saving measures. The client is currently receiving enteral feedings through NG tube. During bolus feeding the client vomits and begins choking. Which action is most appropriate for the nurse to take?

stop the feeding and clear the clients airway

a nurse is developing a teaching plan for a client who has just been diagnosed with breast cancer?the nurse anticipates including information about which medication for hormone receptor positive breast cancer?

tamoxifen

a client diagnosed with a terminal illness has become comatose. an activated health care proxy has made decisions about the client's care. the client regains consciousness a few days later, the nurse consults which of the following regarding the client's ongoing care decisions?

the client

a client recieving radiation treatment by teletherapy. which of the following is a correct statement of external radiation teletherapy?

the client is not radioactive and there are no hazards

Cancer cells go through stages of development. What accurately describes the stage of promotion

the stage is characterized by increased growth rate and metastasis