Exam 5 Tutoring Questions
Stem cell theory includes which of the following factors?
b. initiation stage, promotion, progression
Used to classify breast cancer...
TMN classification system (T-4 inflammatory cancer)
A patient is scheduled for a port-a-cath placement asked why a procedure is indicated over using his IV. Which of the following is the best explanation the nurse can offer?
c. Your medication can be corrosive to your small IV-accessible veins. The port-a-cath is placed into stronger veins that can handle your medication and prevent complications.
Which action does a nurse delegate to a UAP?
d. reporting any bleeding noted when catheter care is given to a client with a history of thormbocytopenia
Which of the following are s/s of cancer? a. night sweats b. polydipsia c. recent weight gain d. nausea/anorexia e. fatigue
a. night sweats d. nausea/anorexia e. fatigue
Which needle would be used for port access?
a. non-coring Huber needle
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)? a. Cook food thoroughly before eating. b. Choose low fiber, low residue foods. c. Avoid public transportation such as buses. d. Use rectal suppositories if needed for constipation. e. Talk to the oncologist before having any dental work.
A, C, E
Which statement made by the client allows the nurse to recognize whether the client receiving brachytherapy for ovarian cancer understands the treatment plan?
c. I will have a radioactive device in my body for a short time
A patient with leukemia has neutropenia. Which of the following functions must be frequently assessed?
c. breath sounds
What are the normal lab values of hemoglobin and hematocrit?
Males: 14-18 Hgb, 41-53 Hct Females: 12-16 Hgb, 34-36 Hct (decreased: anemia)
Which of the following are risk factors of cancer? a. age b. BMI c. genetics d. sexual lifestyle e. exposure to toxins, viruses, and bacteria f. diet high in fiber g. chronic fatigue
a. age c. genetics d. sexual lifestyle e. exposure to toxins, viruses, and bacteria
Cancerous tumors are capable of what? a. encapsulation b. angiogenesis c. metastasis d. rare recurrence e. undifferentiation
b. angiogenesis c. metastasis e. undifferentiation
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). The patient has not seen a health care provider for 20 years. She walks 5 miles most days and has a glass of wine two or three 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)? a. Pap testing b. Tobacco use c. Sunscreen use d. Mammography e. Colorectal screening
A, C, D, E
What are the normal lab values of WBCs and platelets?
WBC: 5,000-10,000 (decreased: risk of infection/immunocompromised, increased: infection) Platelets: 150,000-450,000 (decreased: bleeding)
A male client with a nagging cough makes an appointment to see the physician after reading this is a symptom of cancer. What is another warning sign of cancer?
b. indigestion CAUTION acronym: I = indigestion/dysphagia
A clinical instructor is conducting a lecture about chemotherapy. Which of the following statements is correct about the rate of cell growth in relation to chemo?
a. faster growing cells are more susceptible to chemotherapy
What would be correct nursing interventions for a patient going through chemo?
a. preform mouth care before and after meals c. provide prophylactic anti-enemics before treatments e. monitor calcium intake f. provide an electric razor for the patient
The nurse notices their peripheral IV chemotherapy infusion has infiltrated upon her hourly rounding. Which is her priority action to prevent further tissue damage?
b. stop the medication infusion