Learning System 3.0 - PN Oncology

A nurse is reinforcing teaching with a client about how to perform a breast self-examination (BSE). The nurse should d identify which fo the following finding as an indication fo breast cancer?

A contender, hard lamb that is palpated in a breast

A nurse is collecting data form a client who has colorectal caner. Which of the following manifestations should the nurse expect to find?

Abdominal cramps

A nurse is contributing to the plan of care for a client who has thrombocytopenia sure to chemotherapy. Which of the following interventions should the nurse include?

Avoid IM injections

A nurse is talking with a group of women at a community center about the current recommendations for early detection of breast cancer. The nurse should recommend which of the following strategies?

Begin annual mammograms at age 40

A nurse is assisting with planning care for a client who is postoperative following a radial mastectomy. Which of the following interventions should the nurse include in the plan?

Begin exercises with the client 1 day after the procedure.

A charge nurse is observing a newly licensed nurse produce care for a client. This client is receiving internal radiation therapy for the treatment of cervical cancer. Which of the following actions by the newly licensed nurse should prompt the charge nurse to intervene?

Borrowing a dosimeter film badge from another nurse before entering the client's room.

A client who has stage II breast cancer asks the nurse about sites of metastasis for this cancer. Which of the following responses should the nurse make?

Breast cancer tends to metastasize to the bones.

A nurse is caring for a postoperative client whose surgeon informed him of a metastasizing malignant neoplasm in the colon. Which of the following statements indicates that the client understands this information?

I have cancer of the colon that has begun to spread

A nurse is reinforcing teaching with a client who has cancer is undergoing external radiation treatment. Which of the following statements by the client indicates an understanding of the teaching?

I should use my hand instead of a washcloth to wash the areas being radiated.

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

I will cleanse my mouth after meals with an alcohol-based mouthwash.

A nurse is caring for a postmenopausal client who is concerned that she might have a higher-than-average risk of breast cancer. After collecting data from the client, the nurse should identify which of the following factors as increasing her breast-cancer risk?( Select all that apply)

Increased breast density BMI 32 Hormonal replacement therapy for 10 years

A nurse is contributing to the plan of care for a client who is postoperative following a modified radical mastectomy. Which of the following invasive devices should the nurse expect the client to have?

Jackson-Pratt drain

A nurse is caring for a client who is receiving brachytherapy. Which of the following measures should the nurse contribute to the client's plan of care?

Keep the door to the client's room closed

A nurse is collecting data from a female client who is undergoing screening for breast cancer. Which of the following factors place the client at an increased risk for developing breast cancer?

Over 50 years of age

A nurse is contributing to the plan of care for a client who has cancer and is scheduled to receive internal radiant therapy. Which of the following actions should the nurse recommend?

Place the client in a private room

A nurse is caring for a client who recently had chemotherapy and now has myelosuppression. Which of the following interventions should the nurse initiate?

Prohibit bring fresh flowers and plants into client's room Ensure thorough cleaning of the client's room and bathroom daily Use dedicated equipment items such as stethoscopes

A nurse is planning a presentation in a community center about risk factors fro cancer. Which fo the following types of cancer should the nurse include when discussing familial clustering of specific types of cancer?

Prostate

A nurse is caring for a client who will receive brachytherapy to treat uterine cancer. The nurse should ensure the client understand that she will receive which of the following interventions?

Radioactive infusion or insertion into or near the tumor.

A nurse is caring for a client who is receiving radiation therapy for mouth cancer and reports a dry mouth. Which of the following dietary recommendations should the nurse provide?

Use gravers or sauces to soften food

A nurse is planning a presentation for a group of older adults at a senior community center about risk factors for cancer. Which of the following factors increases the risk of developing cancer after age 60?

Weakened immune responses

A nurse on an oncology unit is reinforcing discharge teaching with an adolescent client who received a bone marrow transplant for leukemia. Which of the following pieces of information should the nurse include? (Select all that apply)

You should take your temperature at least once a day Examine your feet every day

A nurse is contributing to the plan of care for a client who is receiving chemotherapy and has a protein deficiency. Which of the following interventions should the nurse include in the plan of care? (Select all the apply)

Mix powdered skim milk into milk Add a slice fo cheese to hot vegetables Mix yogurt into fresh fruit

A nurse is caring for a client who is receiving radiation therapy for breast cancer and reports a metallic test in the mouth. Which of the following dietary recommendations should the nurse relay?

Offer mints