AH- cancer ch 16

A patient develops neutropenia after receiving chemotherapy. Which information about ways to prevent infection will the nurse include in the teaching plan? (Select all that apply.) Cook food thoroughly before eating. Choose low fiber, low residue foods. Avoid public transportation such as buses. Use rectal suppositories if needed for constipation. Talk to the oncologist before having any dental work.

Cook food thoroughly before eating Avoid public transportation such as buses. Talk to the oncologist before having any dental work

After change-of-shift report on the oncology unit, which patient would the nurse assess first? Patient who has a platelet count of 82,000/uL after chemotherapy. Patient who has xerostomia (dry mouth) after receiving head and neck radiation. Patient who is neutropenic and has a temperature of 100.5°F (38.1°C). Patient who is worried about getting the prescribed long-acting opioid on time.

Patient who is neutropenic and has a temperature of 100.5°F (38.1°C)

A patient undergoing external radiation has developed a dry desquamation of the skin in the treatment area. The nurse teaches the patient about the management of the skin reaction. Which statement, if made by the patient, indicates the teaching was effective? "I can use ice packs to relieve itching." "I will scrub the area with warm water." "I can apply aloe vera gel after I bathe." "I will expose my skin to a sun lamp each day."

"I can apply aloe vera gel after I bathe."

A patient who is diagnosed with cervical cancer classified as Tis. NO. MO asks the nurse what the letters and numbers mean. Which response by the nurse is accurate? "The cancer involves only the cervix." "The cancer cells look like normal cells." "Further testing is needed to determine the spread of the cancer." "It is difficult to determine the original site of the cervical cancer."

"The cancer involves only the cervix.

A patient who is being treated for stage IV lung cancer tells the nurse about intense new-onset back pain. Which action would the nurse take first? Give the patient the prescribed PRN opioid. Assess for sensation and strength in the legs. Notify the health care provider about the symptoms. Teach the patient how to use relaxation to reduce pain.

Assess for sensation and strength in the legs.

A patient has inadequate nutrition due to painful oral ulcers. Which nursing action will be most effective in improving oral intake? Offer the patient frequent small snacks between meals. Assist the patient to choose favorite foods from the menu. Apply prescribed anesthetic gel to oral lesions before meals. Teach the patient about the importance of nutritional intake.

Apply prescribed anesthetic gel to oral lesions before meals.

Which food choice would the nurse suggest for a patient scheduled to receive external-beam radiation for abdominal cancer? Fruit salad Baked chicken Creamed broccoli Toasted wheat bread

Baked chicken

A patient smokes 2 packs of cigarettes/day. Which action by the nurse could help the patient reduce the risk of lung cancer? Teach the patient about the seven warning signs of cancer. Plan to monitor the patient's carcinoembryonic antigen (CEA) level. Teach the patient about annual chest x-rays for lung cancer screening. Discuss dangers associated with cigarettes during each patient encounter.

Discuss dangers associated with cigarettes during each patient encounter

The nurse at the clinic is interviewing a 64-yr-old woman who is 5 feet, 3 inches tall and weighs 125 lb (57 kg) - BMI between 18.5 and 24.9 . 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? (Select all that apply.) Pap testing Tobacco use Sunscreen use Mammography Colorectal screening

Pap testing Sunscreen use Mammography Colorectal screening

An older adult patient who has colorectal cancer is receiving IV fluids at 175 mL/hr in conjunction with the prescribed chemotherapy. Which finding by the nurse is most important to report to the health care provider? Patient reports having severe fatigue. Patient voids every hour during the day. Patient takes only 50% of meals and refuses snacks. Patient has crackles up to the midline posterior chest.

Patient has crackles up to the midline posterior chest.

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? Hematocrit 30% Platelets 95,000/uL Hemoglobin 10 g/L White blood cells (WBC) 2700/pL

White blood cells (WBC) 2700/pL

A patient with leukemia is considering whether to have hematopoietic stem cell transplantation (HSCT). Which information would the nurse include in the patient's teaching plan? Donor bone marrow is transplanted through a sternal or hip incision. Protective isolation is required for several weeks after the stem cell transplant. The transplant procedure takes place in a sterile operating room to decrease the risk for infection. Transplant of the donated cells can be very painful because of the nerves in the tissue lining the bone.

Protective isolation is required for several weeks after the stem cell transplant.

A patient receiving head and neck radiation for larynx cancer has ulcerations over the oral mucosa and tongue and thick, ropey saliva. Which instructions would the nurse give to this patient? Remove food debris from the teeth and oral mucosa with a stiff toothbrush. Use cotton-tipped applicators dipped in hydrogen peroxide to clean the teeth. Gargle and rinse the mouth several times a day with an antiseptic mouthwash. Rinse the mouth before and after each meal and at bedtime with a saline solution.

Rinse the mouth before and after each meal and at bedtime with a saline solution.

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? Hematocrit of 32% Pain with deep inspiration Serum sodium of 126 mEq/L Decreased breath sounds on left side

Serum sodium of 126 mEq/L

A hospitalized patient who has received chemotherapy for leukemia develops neutropenia. Which observation by the nurse indicates a need for further teaching? The patient requests a vegetarian diet. The patient ambulates around the hospital. The patient cleans with a warm washcloth after having a stool. The patient uses soap and shampoo to shower every other day.

The patient ambulates around the hospital.

The nurse is caring for a patient with colon cancer. Which information indicates a need for specific patient teaching before the patient begins external radiation therapy to the abdomen? The patient has a history of dental caries. The patient swims several days each week. The patient snacks frequently during the day. The patient showers each day with mild soap.

The patient swims several days each week.

A patient who has severe pain with terminal pancreatic cancer is being cared for at home by family members. Which finding by the nurse indicates that teaching about pain management has been effective? The patient uses the ordered opioid pain medication whenever the pain is greater than 5 (0 to 10 scale). The patient agrees to take the medications by the IV route to improve analgesic effectiveness. The patient takes opioids around the clock on a regular schedule and uses additional doses when breakthrough pain occurs. The patient states that nonopioid analgesics may be used if the maximal dose of the opioid is reached without adequate pain relief.

The patient takes opioids around the clock on a regular schedule and uses additional doses when breakthrough pain occurs.

the nurse is caring for a patient receiving intravesical bladder chemotherapy. The nurse would monitor for which adverse effect? nausea alopecia hematuria xerostomia

hematuria

the home health nurse is caring for a patient who has been receiving interferon therapy for treatment of cancer. which statement by the patient indicates a need for further assessment? i have frequent muscle aches and pains i rarely have the energy to get out of bed i experience chills after I inject the interferon i take acetaminophen (tylenol) every 4 hours

i rarely have the energy to get out of bed

a patient who is scheduled for breast biopsy asks the nurse the difference between a benign tumor and a malignant tumor. which answer by the nurse is accurate? "Benign tumors do not cause damage to other tissues." "Benign tumors are likely to recur in the same location." "Malignant tumors may spread to other tissues or organs." "Malignant cells reproduce more rapidly than normal cells."

malignant tumors may spread to other tissues or organs

The nurse teaches a postmenopausal patient with stage Ill breast cancer about the expected outcomes of cancer treatment. Which patient statement indicates that the teaching has been effective? "After cancer has not recurred for 5 years, it is considered cured." "The cancer will be cured if the entire tumor is surgically removed." "I will need follow-up examinations for many years after treatment before I can be considered cured." "Cancer is never cured, but the tumor can be controlled with surgery, chemotherapy, and radiation."

→ "I will need follow-up examinations for many years after treatment before I can be considered cured."

A chemotherapy drug that causes alopecia is prescribed for a patient. Which action would the nurse take to support the patient's self-esteem? Suggest that the patient limit social contacts until hair regrowth occurs. Encourage the patient to purchase a wig or hat to wear when hair loss begins. Teach the patient to wash hair gently with mild shampoo to minimize hair loss. Inform the patient that hair usually grows back once chemotherapy is complete.

→ Encourage the patient to purchase a wig or hat to wear when hair loss begins

The nurse assesses a patient with non-Hodgkin's lymphoma who is receiving an infusion of rituximab (Rituxan). Which assessment finding would require the most rapid action by the nurse? Shortness of breath Shivering and chills Muscle aches and pains Temperature of 100.2°F (37.9°C)

Shortness of breath

An IV vesicant chemotherapeutic agent is prescribed for a patient. Which action is would the nurse plan to take? Infuse the medication over a short period of time. Stop the infusion if swelling is observed at the site. Administer the medication through a small-bore catheter. Hold the medication until a central venous line is available.

Stop the infusion if swelling is observed at the site.

The nurse receives change-of-shift handoff report on the oncology unit. Which patient would the nurse assess first? A 35-yr-old patient who has wet desquamation associated with abdominal radiation A 42-yr-old patient who is sobbing after receiving a new diagnosis of ovarian cancer A 24-yr-old patient who received neck radiation and has blood oozing from the neck A 56-yr-old patient who developed a new pericardial friction rub after chest radiation

A 24-yr-old patient who received neck radiation and has blood oozing from the neck

External-beam radiation is planned for a patient with cervical cancer. What instructions would the nurse give the patient to prevent complications from the effects of the radiation? Test all stools for the presence of blood. Maintain a high-residue, high-fiber diet. Clean the perianal area carefully after each bowel movement. Inspect the mouth and throat daily for the appearance of thrush.

Clean the perianal area carefully after each bowel movement.

Which action would the nurse take when caring for a patient who is receiving chemotherapy and reports problems with concentration? Suggest use of a daily planner and encourage adequate sleep. Teach the patient to rest the brain by avoiding new activities. Teach that "chemo-brain" is a short-term effect of chemotherapy. Report patient symptoms immediately to the health care provider.

Suggest use of a daily planner and encourage adequate sleep.

Which action by assistive personnel (AP) caring for a patient who is pancytopenia indicates a need for the nurse to intervene? The AP assists the patient to use dental floss after eating. The AP adds baking soda to the patient's saline oral rinses. The AP puts fluoride toothpaste on the patient's toothbrush. The AP has the patient rinse after meals with a saline solution.

The AP 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 assistive personnel (AP), if observed by the nurse, would require an intervention? The AP flushes the toilet once after emptying the patient's bedpan. The AP stands by the patient's bed for 30 minutes talking with the patient. The AP places the patient's bedding in the laundry container in the hallway. x The AP gives the patient an alcohol-containing mouthwash to use for oral care.

The AP stands by the patient's bed for 30 minutes talking with the patient.