CANCER

the nurse reviews the lab results of a patient who is receiving chemo. which lab result is most important to report to the health care provider

white blood cells 2700

a patient who is scheduled for a breast biopsy asks the nurse the difference between a benign tumor and a malignant tumor. which answer by the nurse is accurate?

malignant tumor may spread to other tissues or organs

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 of 126

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

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."

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.

A chemotherapy drug that causes alopecia is prescribed for a patient. Which action should the nurse take to maintain the patient's self-esteem?

Encourage the patient to purchase a wig or hat and wear it once hair loss begins.

A patient with Hodgkin's lymphoma who is undergoing external radiation therapy tells the nurse, "I am so tired I can hardly get out of bed in the morning." Which intervention should the nurse add to the plan of care?

Establish time to take a short walk almost every day.

A patient receiving head and neck radiation for larynx cancer has ulcerations over the oral mucosa and tongue and thick, ropey saliva. Which instructions should the nurse give to this patient?

Gargle and rinse the mouth several times a day with an antiseptic mouthwash.

A patient with leukemia is considering whether to have hematopoietic stem cell transplantation (HSCT). The nurse will include which information in the patient's teaching plan?

Hospitalization will be required for several weeks after the stem cell transplant procedure is performed.

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 rarely have the energy to get out of bed

The nurse teaches a postmenopausal patient with stage III breast cancer about the expected outcomes of cancer treatment. Which patient statement indicates that the teaching has been effective?

I will need follow up exams for many years after treatment before I can considered to be cured

Interleukin-2 (IL-2) is used as adjuvant therapy for a patient with metastatic renal cell carcinoma. Which information should the nurse include when explaining the purpose of this therapy to the patient?

IL-2 enhances the immunologic response to tumor cells.

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 administers an IV vesicant chemotherapeutic agent to a patient. Which action is most important for the nurse to take? a. Infuse the medication over a short period of time.

Stop the infusion if swelling is observed at the site.

A hospitalized patient who has received chemotherapy for leukemia develops neutropenia. Which observation by the nurse would indicate a need for further teaching?

The patient's visitors bring in some fresh peaches from home.

the nurse should suggest which food choice for a patient scheduled to receive external beam radiation for abdominal cancer?

baked chicken

the nurse is caring for a patient diagnosed with stage 1 colon cancer. when assessing the need for psychologic support, which question by the nurse will provide the most information?

can you tell me what has been helpful when coping with past stressful events?

during a routine health exam, a 40 year old patient tells the nurse about family history of colon cancer. which action should the nurse take?

obtain more information about the patients relatives

when caring for a patient who is pancytopenia, which action by the unlicensed personnel indicates the need for a nurse to intervene

the UAP assists the patient to use dental floss after eating

a widowed mother of 4 school age children is hospitalized with metastatic ovarian cancer. the patient is crying and tells the nurse that she does not know what will happen to her children when she dies. what response by the nurse is most appropriate?

would you like to talk about options for the care of your children

a patient has inadequate nutrition due to painful oral ulcers. which nursing action will be most effective in improving oral intake?

apply prescribed anesthetic gel to oral lesions before meals

a patient with mestastic colon cancer has severe vomiting after each administration of chemotherapy. which action by the nurse is appropriate?

administer prescribed antiemetic one hour before the treatments

During the teaching session for a patient who has a new diagnosis of acute leukemia the patient is restless and is looking away, never making eye contact. After teaching about the complications associated with chemotherapy, the patient asks the nurse to repeat all of the information. Based on this assessment, which patient problem should the nurse identify?

anxiety

the nurse teaches a patient with liver cancer about high protein, high calorie diet choices. which snack choice by the patient indicates teaching has been successful?

blueberry yogurt

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?

decreasing the tumor size will improve the effects of other therapies

a patient who has ovarian cancer is crying and tells the nurse "my husband rarely visits. He just doesn't care". the husband tells the nurse that he does not know what to say to his wife. which problem is appropriate for the nurse to address in the plan of care?

difficulty coping

the nurse is caring for a patient who smokes 2 packs a day. which action by the nurse could help reduce the patients risk of lung cancer

discuss risks associated with cigarettes during each patient encounter

the nurse is caring for a patient receiving intravesical bladder chemotherapy. the nurse should monitor for which adverse effect?

hematuria

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. avoid public transportation such as buses. talk to the oncologist before having any dental work done

the nurse supervises the care of a patient with a temporary radioactive cervical implant. which action by the unlicensed assistive personnel, if observed by the nurse, would require an intervention?

the UAP stands by the patients bed for 30 mins talking to the patient

the nurse teaches a patient who is scheduled for a prostate needle biopsy about the procedure. which statement by the patient indicates that teaching was effective

the biopsy will help decide the treatment for my enlarged prostate

a patient who is diagnosed with cervical cancer classified as Tis, NO, MO asks the nurse what the letters and numbers mean. What response by the nurse is accurate?

the cancer involves only the cervix

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 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)

the nurse assesses a patient who is receiving interleukin-2. which finding should the nurse report immediately to the health care provider?

crackles at the lung bases

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 (select all that apply)?

pap testing, sunscreen, mammography and colorectal screening

which actions should the nurse take when caring for a patient who is receiving chemo and reports problems with concentration?

suggest use of a daily planner and encourage adequate sleep

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 several days each week

The nurse receives change-of-shift report on the oncology unit. Which patient should the nurse assess first?

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

a patient who is being treated for stage 3 lung cancer tells the nurse about new onset of backpain. which action should the nurse take first?

assess the sensation and strength of the legs

a patient with cancer is eating very little due to altered taste sensation. which nursing action would address the cause of the patient's problem

avoid getting the patient foods that are strongly disliked

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 magement has been effective?

the patient takes opioids around the clock on a regular schedule and uses additional doses when breath through pain occurs