15 Cancer 2
An older adult patient who has colorectal cancer is receiving IV fluids at 175 mL/hour in conjunction with the prescribed chemotherapy. Which finding by the nurse is most important to report to the health care provider?
Patient has audible crackles to the midline posterior chest.
The nurse is caring for a patient with colon cancer who is scheduled for external radiation therapy to the abdomen. Which information obtained by the nurse would indicate a need for patient teaching
The patient swims a mile 3 days a week.
A hospitalized patient who has received chemotherapy for leukemia develops neutropenia. Which observation by the nurse would indicate a need for further teaching
The patients visitors bring in some fresh peaches from home
Stage
Tumor location/s and size
A patient with a large stomach tumor that is attached to the liver is scheduled to have a debulking procedure. Which information should the nurse teach the patient about the outcome of this procedure
Tumor size will decrease and this will improve the effects of other therapy
The nurse reviews the laboratory results of a patient who is receiving chemotherapy. Which laboratory result is most important to report to the health care provider
White blood cell (WBC) count of 2700/L
(SATA) A patient develops neutropenia after receiving chemotherapy. Which information about ways to prevent infection will the nurse include in the teaching plan
-Cook food thoroughly before eating -Avoid public transportation such as buses -Talk to the oncologist before having any dental work done
(SATA) The nurse at the clinic is interviewing a 64-year-old woman who is 5 feet, 3 inches tall and weighs 125 pounds (57 kg). The patient has not seen a health care provider for 20 years. She walks 5 miles most days and has a glass of wine 2 or 3 times a week. Which topics will the nurse plan to include in patient teaching about cancer screening and decreasing cancer risk
-Pap testing -Sunscreen use -Mammography -Colorectal screening
A patient with metastatic cancer of the colon experiences severe vomiting following each administration of chemotherapy. Which action, if taken by the nurse, is most appropriate
Administer prescribed antiemetics 1 hour before the treatments
A patient who is being treated for stage IV lung cancer tells the nurse about new-onset back pain. Which action should the nurse take first
Assess for sensation and strength in the legs.
A patient who is scheduled for a right breast biopsy asks the nurse the difference between a benign tumor and a malignant tumor. Which answer by the nurse is correct
Malignant tumors may spread to other tissues or organs.
Grade
Cell appearance (poorly differentiated, undifferentiated)
External-beam radiation is planned for a patient with cervical cancer. What instructions should the nurse give to the patient to prevent complications from the effects of the radiation
Clean the perianal area carefully after every bowel movement
During a routine health examination, a 40-year-old patient tells the nurse about a family history of colon cancer. Which action should the nurse take next?
Obtain more information from the patient about the family history
The nurse is caring for a patient who smokes 2 packs/day. To reduce the patients risk of lung cancer, which action by the nurse is best?
Discuss the risks associated with cigarettes during every patient encounter
A patient undergoing external radiation has developed a dry desquamation of the skin in the treatment area. The nurse teaches the patient about management of the skin reaction. Which statement, if made by the patient, indicates the teaching was effective?
I can buy some aloe vera gel to use on the area
The nurse obtains information about a hospitalized patient who is receiving chemotherapy for colorectal cancer. Which information about the patient alerts the nurse to discuss a possible change in therapy with the health care provider
Increase in carcinoembryonic antigen (CEA)
After change-of-shift report on the oncology unit, which patient should the nurse assess first?
Patient who is neutropenic and has a temperature of 100.5 F (38.1 C)
The nurse should include which food choice when providing dietary teaching for a patient scheduled to receive external beam radiation for abdominal cancer?
Roasted chicken
The nurse is caring for a patient with left-sided lung cancer. Which finding would be most important for the nurse to report to the health care provider
Serum sodium 126 mEq/L
The nurse administers an IV vesicant chemotherapeutic agent to a patient. Which action ismost important for the nurse to take?
Stop the infusion if swelling is observed at the site.
When caring for a patient who is pancytopenic, which action by unlicensed assistive personnel (UAP) indicates a need for the nurse to intervene?
The UAP assists the patient to use dental floss after eating
The nurse supervises the care of a patient with a temporary radioactive cervical implant. Which action by unlicensed assistive personnel (UAP), if observed by the nurse, would require an intervention?
The UAP stands by the patients bed for 30 minutes talking with the patient
A patient who is diagnosed with cervical cancer that is classified as Tis, N0, M0 asks the nurse what the letters and numbers mean. Which response by the nurse is most appropriate?
The cancer involves only the cervix.
