Course point unit 8 2300
Consuming a diet high in which of the following has been found to increase the risk for prostate cancer?
red meats
The public health nurse is presenting a health promotion class to a group at a local community center. Which intervention most directly addresses the leading cause of cancer deaths in North America?
smoking cessation
A nurse is caring for a 29-year-old female client, who was diagnosed with acute lymphocytic leukemia. The client is preparing for an allogeneic bone marrow transplant. Which statement by the client demonstrates she understands the informed consent she gave about the diagnosis and treatment?
"I'll only need chemotherapy treatment before receiving my bone marrow transplant."
A client recovering from the removal of a gastric tumor asks why radiation therapy is needed. Which response will the nurse provide?
"It is to kill any remaining cancer cells."
A client with cancer has just been told that the disease is now terminal. The client tearfully states, "I can't believe I am going to die. Why me?" What is the nurse's best response to elicit more information from the client?
"Tell me more about how you feel about this news."
A 50-year-old is diagnosed with stage II prostate cancer. The client is upset and verbalizes that he would rather die than have any surgery. Which is the best response by the nurse?
"What concerns you most about having surgery?"
The nurse is providing shift report related to a client newly received back to the unit from the post anesthesia care unit (PACU). The nurse is stating that the client had breast tissue removed with 7 of 14 lymph nodes, the lining of the chest muscles and pectoralis major and minor muscles removed. The oncoming nurse documents which procedure completed?
A radical mastectomy
A nurse is caring for a client who has been diagnosed with leukemia. The nurse's most recent assessment reveals the presence of ecchymoses on the client's sacral area and petechiae on the forearms. In addition to informing the client's primary care provider, the nurse should perform what action?
Check the client's most recent platelet level.
After a breast biopsy, a client is diagnosed with lobular carcinoma in situ. Which information about treatment will the nurse prepare for this client? Select all that apply.
Chemoprevention strategies Frequency of mammograms
Which is the primary preventable cause of skin cancer?
Exposure to UV radiation
Which component of client teaching helps the nurse assist a client following treatment for cancer of the prostate gland to manage and minimize the possibility of a recurrence of the primary cancer or metastasis?
Have regular prostate-specific antigen (PSA) levels tested and repeat lymph node biopsies.
The health care provider recommends that parents have their daughter vaccinated with HPV vaccine. What is this vaccine for?
Help prevent cervical cancer
A client diagnosed with acute myeloid leukemia has just been admitted to the oncology unit. When writing this client's care plan, which potential complication should the nurse address?
Hemorrhage
A client with chronic lymphocytic leukemia (CLL) wants to have treatment for the condition. Which medication will the nurse question for this client?
Heparin
A patient with acute myeloid leukemia (AML) has a neutrophil count that persists at less than 100/mm3. What should the nurse cautiously monitor this patient for?
Infection
A nurse is caring for a client who has a diagnosis of acute myelocytic leukemia (AML). Assessment of which factor most directly addresses the most common cause of death among clients with leukemia?
Infection status
While completing an admission assessment, the client reports a family history of breast cancer among a maternal grandmother, aunt, and sister. The nurse knows that these cancers are most likely associated with what etiology?
Inherited gene mutation
An elderly client is hospitalized for treatment related to leukemia. Family members want to visit with a toddler who has a cold. It would be best for the nurse to
Instruct the family to remove the toddler from the room for the protection of the client.
Cancer has many characteristics. What is one of the most discouraging characteristics of cancer?
Metastasis
The nurse is caring for a client with the diagnosis of colon cancer with metastasis to the liver. Which statement made by the client indicates an understanding of the diagnosis?
My cancer has now spread to my liver."
A nursing student is caring for a client diagnosed with acute myeloid leukemia who is preparing to undergo induction therapy. In preparing a plan of care for this client, the student should assign the highest priority to which of the following?
Risk for infection
A client receiving treatment for leukemia is experiencing stomatitis. Which interventions will the nurse implement to improve the client's nutritional status? Select all that apply.
Suggest foods that are soft in texture. Provide mouth care before and after meals. Administer pain medication before meals. Encourage small frequent meals.
A nurse is providing teaching to a client who will undergo chemotherapy and radiation prior to hematopoietic stem cell transplantation (HSCT) for acute myeloid leukemia (AML). What statement will the nurse use to describe the purpose of the chemotherapy and radiation?
These therapies destroy the ability of your body to produce blood cells inside your bone marrow."
The nurse at a genetics clinic is reviewing the health and genetic history of a woman whose mother died of breast cancer. Which of the following is the most important factor documented in the client's genetic history?
Three generations of information about the family
Which of the following is the single largest preventable cause of cancer?
Tobacco
Breast cancers are usually found in which area of the breast?
Upper outer quadrant
A client with the diagnosis of ovarian cancer confides in the nurse that they practice holistic medicine. The client believes a cure exists through a macrobiotic diet, rather than what surgery or medical treatment can achieve. Which statement by the nurse is most appropriate?
We can talk to your provider about adding this diet as a complementary therapy.
Which options are available to women who have an increased risk of developing breast cancer? Select all that apply.
annual mammogram and MRI bilateral prophylactic mastectomy chemoprevention with tamoxifen
A suspicious breast lump is noted on a mammogram. The client asks the nurse which diagnostic test confirms if the lump is cancerous or benign. Which response by the nurse is most correct?
biopsy
The nurse is assessing a 73-year-old client who was diagnosed with metastatic prostate cancer. The nurse notes that the client is exhibiting signs of loss, grief, and intense sadness. Based on this assessment data, the nurse will document that the client is most likely in what stage of death and dying?
depression
A nurse is instructing a premenopausal client about breast self-examination. The nurse should tell the client to do their self-examination:
immediately after her menses.
A nurse is teaching a community class about how to decrease the risk of cancer. Which food should the nurse recommend?
oranges
A nurse is caring for a client with prostate cancer and assesses bleeding gums and hematuria. What serum indicator should the nurse relate the bleeding?
platelet count of 60,000/mm3
A client asks the nurse what PSA is. The nurse should reply that it stands for:
prostate-specific antigen, which is used to screen for prostate cancer.
A patient with an advanced laryngeal tumor is to have radiation therapy. The patient tells the nurse, "If I am going to have radiation, I won't need surgery." What is the best response by the nurse?
radiation is used to shrink the tumor before surgery, it's an adjunct to surgery.
A client is undergoing chemotherapy treatment for prostate cancer and has lost considerable weight due to nausea and vomiting. Which nursing intervention is appropriate for the client?
Adjusting the client's meal plan before and after chemotherapy
A client diagnosed with leukemia will begin chemotherapy. What classification of medication would the nurse plan to administer to manage the most common adverse effect of chemotherapy?
An antiemetic.
Which of the following would the nurse expect to be done to assess the size of the prostate?
Digital rectal examination
Which nursing intervention should be incorporated into the plan of care to manage the delayed clotting process due to thrombocytopenia in a client with leukemia?
Applying prolonged pressure to needle sites or other sources of external bleeding
The nurse is evaluating bloodwork results of a client with cancer who is receiving chemotherapy. The client's platelet count is 60,000/mm3. Which is an appropriate nursing action?
Avoiding the use of products containing aspirin
A client with leukemia has developed a cough and increased fatigue. What is the primary nursing intervention?
Evaluate the client for potential infection.
An older client underwent a lumpectomy for a breast lesion that was determined to be malignant. Which factors increase the risk for breast cancer? Select all that apply.
Daily alcohol intake Nulliparity Increased age Obesity
The client is scheduled for a biopsy for suspected cancer of the prostate. The nurse recognizes the purpose of this surgical procedure is:
Diagnostic
A client is not dealing well with the diagnosis of cancer. She feels she is "so alone." Which intervention would be most appropriate for this client?
Educate the client on the availability of support groups for clients with cancer.
Which nursing interventions related to a client with breast cancer are appropriate for a nurse working in a community-based setting and a hospital-based nurse? Select all that apply.
Promotion of a positive body image Intravenous (IV) therapy Patient education
Which nursing intervention(s) are related to a client with breast cancer? Select all that apply.
Promotion of positive body image Management of complications Relieving fear Client education and preparation for treatment
Which laboratory test results indicate to the nurse that the client is experiencing symptoms of acute lymphocytic leukemia (ALL)? Select all that apply.
Platelet count of 20,000 Erythrocyte count 2.5 Granulocyte count 0.8
The nurse recognizes the clinical assessment of a patient with acute myeloid leukemia (AML) includes observing for signs of infection early. What nursing action will most likely help prevent infection?
Practice vigilant handwashing.
A client seeks medical attention for a painless lump located in the upper right area of the right breast. Which additional finding indicates to the nurse that the client has advanced breast disease? Select all that apply.
Tissue dimpling Nipple retraction
