Test 13

A client diagnosed with testicular cancer expresses concerns about fertility. But the couple desires to eventually have a family and the nurse discusses the option of sperm banking. The nurse should inform the couple that sperm banking would need to be performed. 1. Before treatment has started 2. Once the client is tolerating the treatment 3. Upon completion of treatment 4. When a tumor markers dropped to normal levels

1 because of the high risk of infertility with chemotherapy, pelvic irradiation, and retro peritoneal lymph node dissection from that may follow an orchiectomy, cryopreservation of sperm is completed before treatment is started and should be discussed with the client.

Age 21 year-old client undergoes bone marrow aspiration at the clinic to establish a diagnosis of possible lymphoma. Which statement made by the client demonstrates proper understanding of discharge teaching select all that apply 1. I will take Tylenol for pain 2. I do not need to inspect the puncture site 3. I will not be able to play basketball for the next two days 4. I will take aspirin if I have pain 5. I can apply an ice pack or a cold compress to the puncture site

1, 3, 5, Tylenol is a safer analgesic an in order to avoid bleeding. Contact sports or trauma at the site should be avoided. Cool compresses should limit swelling and bruising. The punch a site should be inspected every 2 hours for bleeding or bruising during the first 24 hours.

829 year old woman is concerned about her personal risk factors for malignant melanoma. She is upset because we're 49 year old sister was recently diagnosed with the disease after gathering information about the clients mystery of sun exposure, the nurse this past a response would be to explain that: 1. Some melanomas have a familial component. 2. Her personal risk is low because most melanomas occur at age 60 or later. 3. Our personal risk is low because melanoma does not have a familial component. 4. She should not worry because she did not experience severe sunburn as a child.

1. Malignant melanoma may have a familial basis, especially in families with dysplastic nevi syndrome. First degree relatives should be monitored closely. Malignant melanoma occurs most often in the 20 to 45 year old age group.

Cancer prevalence is defined as: 1. The likelihood cancer will occur in a lifetime 2. The number of persons with cancer at a given point in time 3. The number of new cancers in a year 4. I'll cancer cases more than five years old

2. The word prevalence in a statistical studying is defined as the number of cases of a disease present in a specified population at a given time

The nurse is preparing an educational program On breast cancer for women at in African-American community center . Why information is important for the nurse to consider For the discussion? 1. African American women have the lowest rate of breast cancer. 2. Most African-American women are diagnosed early in the disease process. 3 breast cancer concerns vary between socioeconomic levels of African American women. 4. African-American women believe breast cancer is inevitable.

3 a nurse needs to consider the beliefs and concerns for all socioeconomic levels of African American women when providing education and breast cancer. Access to screening in care may differ. African American women are more likely to develop breast cancer and be diagnosed leader in the disease process than Caucasian women. Not all African-American women believe that breast cancer is inevitable.

Which of the following clients is that highest risk for Colo rectal cancer? 1. The client who smokes 2. The client who eats a vegetarian diet 3. The client who has been treated for crohn's disease for 20 years 4. The client who has a family history of lung cancer.

3 clients over age 50 who have a history of inflammatory bowel disease are at risk for colon cancer. The client and smokes is at high risk for lung cancer. While the exact cause is not always known, other risk factors for colon cancer rr a diet high in animal fats. Including large amounts of red meat and fatty foods with low fiber. And the presence of colon cancer in a first generation relative.

Which of the following groups would benefit most from education regarding potential risk factors for melanoma? 1. Adults older than age 35 2. Senior citizens who had been repeatedly exposed to the effects of ultraviolet A and alter violent B rays. 3. Parents with children 4.. Employees of a Chemical Factory

3. Sun damage is a cumulative process. Parents should be taught to apply sunscreen and teach their children to use sunscreen at an early age Although preventive education is always valuable, serious sunburns in childhood are associated with an increased risk of melanoma. Adults and senior citizens have already been exposed to the harmful effects of the sun and, although they, too, should use sunscreen, they are not the group that will most benefit from intervention. exposure to chemicals is not a risk factor for melanoma.

A nurse is conducting a cancer risk screening program. Which of the following clients is at greatest risk for skin cancer? 1. 45 year old Physician 2. 15 year old high school student 3. 30 year butcher 4. 60 year-old mountain biker

4 basil cell carcinoma occurs most commonly inside and exposed areas of the body. The incidence of skin cancer is highest in the older people who live in the mountains or spend out to our leisure time at high altitudes

A nurse is providing education in a community setting about general measures to avoid excessive sun exposure. Which of the following recommendations is appropriate? 1. Apply sunscreen only after going into the water 2. Avoid peak exposure hours from 9:00 AM to 1:00 PM 3. Where loosely wild and clothing for added ventilation 4. Apply sunscreen with a sun protection factor of 15 or more before sun exposure.

4. A sunscreen with an SPF of 15 or higher should be worn on all sun exposed skin surfaces. It should be applied before sun exposure and reapplied after being in the water. Peak sun exposure usually occurs from 10:00 AM to 2:00 PM. Tightly woven clothing, protective hats, and sunglasses are recommended to decrease sun exposure. Sun tanning parlors should be avoided.