Cellular Regulation PrepU- CC3

To combat the most common adverse effects of chemotherapy, a nurse should administer an: a. antimetabolite. b. anticoagulant. c. antiemetic. d. antibiotic.

c. Antiemetic

A client is diagnosed with a terminal illness and has been given less than 6 months to live. What type of referral should the nurse make to assist this patient and family at home? a. Physical therapy b. Adult day care c. A rehabilitation center d. Hospice

d. Hospice

You are a nurse working on a bone marrow transplant (BMT) unit. Your patient is scheduled to receive a bone marrow transplant. What information will you provide to the patient's visitors? a. Do not visit if they've had a recent infection. b. Take the patient to the cafeteria for meals. c. Wear hospital scrubs when entering the patient's room. d. Bring plants to improve air quality.

a. Do not visit if they've had a recent infection.

The nurse is teaching a client about carcinogens. What carcinogens does the nurse include in the teaching? Select all that apply. a. hormone replacement therapy b. environmental factors c. viruses d. dietary substances e. chemical agents f. defective genes

a. hormone replacement therapy b. environmental factors c. viruses d. dietary substances e. chemical agents f. defective genes

Cancer has many characteristics. What is one of the most discouraging characteristics of cancer? a. Carcinogenesis b. Metastasis c. Large size tumors d. Slow growth

b. Metastasis

A client calls the oncology office nurse and reports nausea and vomiting one week after receiving chemotherapy. What action should the nurse recommend? a. Practicing relaxation techniques b. Taking prescribed ondansetron c. Obtaining acupressure treatments d. Using imagery techniques

b. Taking prescribed Ondansetron

A client with advanced cancer makes the following comment to the nurse: "Why are you bathing me? I am going to die no matter what." What is the most appropriate response of the nurse? a. "A bath will make you feel better." b. "Do you want to skip the bath today?" c. "Would you like to talk about what you are feeling?" d. "I can give you some medicine to make you feel better."

c. "Would you like to talk about what you are feeling?"

A client diagnosed with cancer has the tumor staged and graded based on what? a. How the tumor spreads and differentiates b. How the tumor differentiates the cell type c. How the tumor tends to grow and the cell type d. How the tumor spreads and tends to grow

c. How the tumor tends to grow and the cell type

The patient diagnosed with thrombocytopenia is at risk for which of the following adverse effects: a. Bleeding b. Headache c. Stomatitis d. Diminished reflexes

a. Bleeding

A client received chemotherapy 24 hours ago. Which precautions are necessary when caring for the client? a. Provide a urinal or bedpan to decrease the likelihood of soiling linens. b. Wear sterile gloves. c. Place incontinence pads in the regular trash container. d. Wear personal protective equipment when handling blood, body fluids, and feces.

d. Wear personal protective equipment when handling blood, body fluids, and feces.

During unplanned, spontaneous moments, dying clients usually discuss fears or concerns that nurses should not ignore or rush. What is the nurse's best response in such situations? a. Call the client's family members and ask them to sit next to the client to listen. b. Change the subject and talk about other things to distract the dying client. c. Communicate interest and a willingness to listen by sitting down, leaning forward in the client's direction, and making direct eye contact. d. Offer the client a sedative to help the them rest more easily.

c. Communicate interest and a willingness to listen by sitting down, leaning forward in the client's direction, and making direct eye contact.

Which of the following is the single largest preventable cause of cancer? a. Arsenic b. Pesticides c. Tobacco d. Asbestos

c. Tobacco

A client returns to the surgeon's office for a report on a diagnostic procedure to determine the cell composition of the client's abdominal neoplasm. Which term is significant to indicate the likelihood of the tumor spreading? a. neoplasm b. primary site c. lesion d. benign

d. Benign

A 60-year-old patient with a diagnosis of prostate cancer is scheduled to have an interstitial implant for high-dose radiation (HDR). What safety measure should the nurse include in this patient's subsequent plan of care? a. Assign male nurses to the patient's care whenever possible. b. Teach the patient to perform all aspects of basic care independently. c. Limit the time that visitors spend at the patient's bedside. d. Situate the patient in a shared room with other patients receiving brachytherapy.

c. Limit the time that visitors spend at the patient's bedside.

You are doing client teaching in the oncology clinic. One of your clients will undergo sealed radiation therapy. What should you teach this client and their family? a. Clients must isolate themselves when the radiation is most active. b. Clients must maintain a vegetarian diet. c. Clients may interact with other people freely. d. Clients must avoid contact with other people for at least 2 months after the implant.

d. Clients must avoid contact with other people for at least 2 months after the implant.

The nurse is caring for an adult client who has developed a mild oral yeast infection following chemotherapy. What actions should the nurse encourage the client to perform? Select all that apply. a. Use a lip lubricant. b. Scrub the tongue with a firm-bristled toothbrush. c. Eat spicy food to aid in eradicating the yeast. d. Use dental floss every 24 hours. e. Rinse the mouth with normal saline.

a. Use a lip lubricant d. Use dental floss every 24 hours e. Rinse the mouth with normal saline

A 60-year-old client who has been fighting cancer for more than 20 years has just been diagnosed with metastases to the brain. The client finds it difficult to get out of bed in the morning, has no interest in eating, and no longer finds fulfillment in favorite hobbies. Within which emotional reaction is the client functioning? a. anger b. bargaining c. denial d. depression

d. Depression

A patient newly diagnosed with cancer is scheduled to begin chemotherapy treatment and the nurse is providing anticipatory guidance about potential adverse effects. When addressing the most common adverse effect, what should the nurse describe? a. Altered glucose metabolism b. Confusion c. Pruritis (itching) d. Nausea and vomiting

d. Nausea and vomiting

You are admitting a client to your unit. While assessing the client, you find out that the client has had hoarseness of approximately 4 months duration. Why would you report this to the attending physician? a. The client may have chronic laryngitis. b. The client is a smoker and has denied it. c. Persistent hoarseness means the client talks to much. d. Persistent hoarseness is a warning sign of cancer.

d. Persistent hoarseness is a warning sign of cancer.

Palliation refers to a. hair loss. b. the spread of cancer cells from the primary tumor to distant sites. c. the lowest point of white blood cell depression after therapy that has toxic effects on bone marrow. d. relief of symptoms of disease and promotion of comfort and quality of life.

d. Relief of symptoms of disease and promotion of comfort and quality of life.