Cancer

Fever

A nurse is caring for a client several days following acute radiation exposure at the client's workplace. Which of the following findings should the nurse identify as an indication of bone marrow suppressants?

Spontaneous bleeding

A nurse is caring for a client who 9,000mm. For which of the following client complications should the nurse monitor?

Ecchymosis

A nurse is monitoring a client who is receiving chemotherapy and has a platelet count of 22,000 mm. Which of the following findings should the nurse identify as the priority?

Cancer is a group diseases. The cancer cells are different from the cells in the tissue of its origin in both the growth and spreading of abnormal cells.

Which statement best defines concepts to be included in a teaching plan for a patient with cancer?

Her own marrow

A patient is admitted to te unit for an autologous bone marrow transplant. During teaching, the nurse would tell the patient that the bone marrow for transplabt will come from:

Unilateral calf tenderness

A nurse is reinforcing teaching with a group of clients about common findings that don't indicate cancer. The nurse should instruct the clients to monitor for and report which of the following findings?

Apple pressure for 3-10 mins following venipunctures

A nurse is reviewing a clients admission labs. The client has thrombocytopenia with a platelet count of 34,000mm. Which of the following actions should the nurse take?

decreased platelet count Decreased WBC Decreased RBC

A nurse is reviewing the laboratory data of a client who has acute leukemia and received aggressive chemotherapy treatment 10 days ago. Which of the following abnormalities should the nurse expect to see? (SATA)

Overexposure to ultraviolet light Chronic skin irritation Genetic predisposition

A nurse is assisting in planning an educational session regarding for skin cancer to a group of clients. Which of the following information should the nurse plan to include in the session? (SATA)

Limit the number of health care workers entering the room

A nurse is assisting in the plan of care for a client who has immunosupression following chemotherapy. Which of the following interventions should the nurse include in the plan of care?

"What do you mean when you say you cannot ever return to work?"

A nurse is assisting with a group therapy session who are newly diagnosed with cancer. Which of following statements should the nurse make?

Wash with warm water daily

A nurse is caring for a client following external radiation treatment. The client reports dryness, redness and scaling within the radiation treatment markings. Which of the following instructions about site care should the nurse reinforce with the client?

"I am hoping this will help relieve my discomfort

A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts is prognosis?

"Tell me more about your concerns about chemotherapy"

A nurse is caring for a client who has cancer. The client states that she wants to try nontraditional treatments instead of chemotherapy recommended by provider. Which of the following responses should the nurse make?

Fresh Fruit basket

A nurse is caring for a client who has multiple myeloma and has a WBC count of 2,200mm . which of the following food items brought by the family should the nurse prohibit from being given to the client?

Hot flashes

A nurse is caring for a client who is to start taking tamoxifen as a treatment for breast cancer. The nurse should instruct the client to expect which of the following findings as an adverse effect of the medication?

Relief from constipation

A nurse is caring for an older adult client who has cancer and is receiving opioids for pain relief. The client has a new prescription for docusate PO Daily . when collecting data from the client. Which of the following therapeutic effects of docusate should the nurse expect

serve cooked fruit with meals

A nurse is contributing to the plan of care for an older client who has WBC of 2000mm after three rounds of chemotherapy. Which of the following interventions should the nurse include in the plan

Monitor oral mucosa daily

A nurse is contributing to the the plan of care for a client who has bone marrow suppression related to chemotherapy treatments. Which of the following interventions should the nurse include in the plan of care?

Close male relatives are at increased risk for the disease It typically occurs between ages 15-40

A nurse is reinforcing teaching with a client who has a new diagnosis of testicular cancer. Which of the following statements should the nurse include in the teaching. (SATA)

Provide small frequent feedings

A patient age 62 has been receiving external radiation and chemotherapy for oropharyngeal carcinoma. His mucosa is raw and swollen. He has uncerations over the inside of the cheeks and tongue. Which intervention does the nurse teach to the patient?

Are not recurrent or progressive

A patient has a biopsy of a lump in right breast that revealed a benign tumor. The nurse explains to her that a benign tumor differs from a malignant tumor in that benign tumors

Cytotoxic agents BRMs Hormones and hormone antagonists

Which of the following drug classifications are considered a type of antineoplastic drug? SATA

A sore that will not heal

A nurse explains that the seven warning signs of cancer written by the American Cancer Society (ACS) can be recilled by the acronym CAUTION what should the urse change to point out our that the A in the acronym represents?

Protective environment

A nurse is assisting the admission of client who has leukemia. Which of the following transmission-based precaution should the nurse implement

'My children can make changes to my living will if I am incapacitated"

A nurse is reinforcing teaching about advance directive with a client admitted to the hospital and is scheduled for surgery? Which of the following statements made by the client?

A lubricate lips with water-soluble ointment Brush teeth with a soft toothbrush Blow nose gently

A nurse is reinforcing teaching for a client who has thrombocytopenia. Which of the following instructions should the nurse include? (SATA)

"I will continue my low-dose aspirin therapy reigmen"

A nurse is reinforcing teaching to a client about how to perform fecal occult blood testing for screening of colorectal cancer. Which of the following statements by the client indicates a need for further teaching?

"I will need to have a mammogram"

A nurse is reinforcing teaching with a 40 yr old client about preventive health screenings. Which of the following statements by the client indicates an understanding of the teaching?

Instruct client to use a soft toothbrush and rinse with normal saline

A client has been receiving external radiation and chemotherapy for oropharyngeal carcinoma. His oral mucosa has uncerations and stomatitis. Which intervention is the most appropriate to teach the patient?

Pick up implant with long handled forceps and place into a lead container

A client is hospitalized for the insertion of an internal cervical radiation implant. While giving care, the nurse finds the radiation on the bed. The nurse immediately:

Gently roll the testicles to feel for abnormalities

A nurse at community health clinic is assisting with creating a brochure about testicular cancer. Which of the following information should the nurse include?

Control nausea, vomiting and taste disorders caused by the therapy

A nurse explain that drugs such as cannabinoids. Benadryl and Vistaril are frequently ordered for patients with cancer who are taking chemotherapy. What do these types of drugs accomplish?

"You seem worried. Let's talk about how you are feeling"

A nurse in an outpatient clinic is caring for a client who reports bilateral knee pain after a hike in the the mountains this past weekend. He tells the nurse that he is worried because his cousin died from bone cancer recently. Which of the following responses should the nurse make?

Do not force the client to stay awake Position the client on her side Perform mouth care with moist swabs

A nurse is providing palliative care to a client who is receiving hospice care and is approaching death. Which of the following actions should the nurse take? (SATA)

M1 indicates tumor metastasis to single site

A nurse is reinforcing teaching about TNM staging with a client who has cancer. Which of the following information should the nurse include in the teaching?

Avoid crowded places

A nurse is reinforcing teaching with a client who has neutropenia. Which of the following instructions should the nurse include?

Pinpoint red rash Increase in menstrual flow Coffee ground emesis

What signs and symptoms assessed by the nurse would indicate thrombocytopenia? (SATA)

Breast

What is the most common site of cancer in adult women?

Shedding of skin

A nurse is reinforcing teaching with a client who is to begin external radiation treatment for a lower leg tumor. The nurse should instruct the client to monitor for which of the following adverse effects?

"I will season foods with dried spices before cooking"

A nurse is reinforcing teaching with a client who has stomatitis. Which of the following statements by the client indicates a need for further teaching?

Serve cooked fruit with meals

A nurse is contributing to the plan of care for an older client who has WBC of 2000mm after three rounds of chemotherapy. Which of the following interventions should the nurse include in the plan?

Discuss a referral to home health and hospice care with the client and family

A client who has metastatic bone cancer tells the nurse "I want to go home to die" the clients family is cencerned about meeting the clients care needs at home. Which of the following actions should the nurse take?

Cottage cheese Milkshake Egg and ham omelet

A nurse is reinforcing teaching with a client who has cancer about foods that prevent protein -energy malnutrition. Which of the following should the nurse include in the teaching? (SATA)

Protection against infection

A female client has been receiving chemotherapy for breast cancer treatment and has a WBC of 1600mm.Which nursing intervention is priority for this client?

"My spring dance is only 3 weeks away. Do you think I could find a wig to cover my head where the hair fell out from the chemo?"

A female college students has had a melanoma of the forehead surgically removed and given a course of chemotherapy. Which comment demonstrates an understanding of the treatments and prognosis?

Increase fluid by drinking bottled water

A nurse is reinforcing teaching with a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. Which of the following interventions should the nurse include in teaching?

Hoarness

A nurse is assisting with teaching a client who has a history of smoking about early manifestations of laryngeal cancer. The nurse should instruct the client to monitor and report which of the following manifestation of laryngeal cancer?

Monitor level of consciousness every 4 hrs

A nurse is assisting with the plan of care for a client who has thrombocytopenia. Which of the following intervention should include in the plan of care?

Both may press on nearby surrounding tissues, such as nerves and blood vessels causing pain

Which is true about both malignant tumors and benign tumors?