NCLEX Oncology

The nurse is doing preoperative teaching with a client newly diagnosed with a stage I cervical cancer. Which statement by the client indicates that education was effective?

"I have cancer that is just in the cervix."

The home health care nurse is preparing to provide instructions to a client after a vulvectomy. Which instruction would the nurse provide to the client?

"Resume activities slowly, keeping in mind that walking is a beneficial activity."

The nurse is reviewing the discharge instructions for the client who had a skin biopsy of a suspected cancer lesion. Which statement, if made by the client, would indicate a need for further instruction?

"I will return tomorrow to have the sutures removed."

The nurse is providing instructions to the client who is receiving external radiation therapy to the breast for the treatment of cancer. Which statement, if made by the client, indicates the need for further instruction?

"I will use a washcloth to wash the affected area."

As part of chemotherapy education, the nurse teaches a client about the risk for bleeding and self-care during the period of greatest bone marrow suppression (the nadir). The nurse understands that further teaching is needed if the client makes which statement?

"I'm going to take aspirin for my headache as soon as I get home."

The nurse has provided discharge instructions to a client who underwent a right mastectomy with axillary lymph node dissection. Which statement made by the client indicates a need for further instruction regarding home care measures?

"It is all right to use a straight razor to shave under my arms."

The client reports to the nurse that while performing testicular self-examination, a lump the size and shape of a pea was found. Which statement is the most appropriate response to the client?

"That's important to report even though it might not be serious."

A client scheduled for a skin biopsy of a lesion suspected to be cancerous is concerned and asks the nurse how painful the procedure is. Which statement is the appropriate response by the nurse?

"The local anesthetic may cause a burning or stinging sensation."

The nurse is providing information to a client scheduled for a skin biopsy. The client asks the nurse how painful the procedure is. The nurse would plan to make which response to the client?

"The local anesthetic may cause a stinging sensation."

A client who is receiving chemotherapy for breast cancer develops myelosuppression. Which instructions would the nurse plan to include in the client's discharge teaching plan? Select all that apply.

1Avoid contact sports. 2Wash hands frequently. 4Avoid crowded places such as shopping malls. 6Avoid people who have received live attenuated vaccines.

The nurse is reviewing the record of a client admitted to the hospital with a diagnosis of Hodgkin's disease. Which assessment findings noted in the client's record are associated with this diagnosis? Select all that apply.

1Fever 2Weight loss 3Night sweats 5Enlarged, painless lymph nodes

The nurse is taking a history from a client suspected of having testicular cancer. Which data will be most helpful in determining the risk factors for this type of cancer?

Age and race

The nurse is teaching a client about the risk factors associated with colorectal cancer. The nurse determines that further teaching is necessary related to colorectal cancer if the client identifies which item as an associated risk factor?

Age younger than 50 years

The community health nurse conducts a health promotion program for community members regarding testicular cancer. The nurse determines that further information needs to be provided if a community member states that which is a sign of testicular cancer?

Alopecia

The nurse is performing a skin assessment on a client diagnosed with malignant melanoma. The nurse would expect to note which characteristic of this type of skin lesion?

An irregularly shaped lesion

The nurse is caring for a client diagnosed with breast cancer receiving combination chemotherapy. Which nursing intervention is the most appropriate?

Avoid giving agents with the same nadirs and toxicities at the same time.

The nurse is caring for a client with cancer of the prostate who has undergone a prostatectomy. Which action would the nurse plan to include in discharge instructions?

Avoid lifting objects heavier than 20 lb (9 kg) for at least 6 weeks.

The nurse is reviewing the laboratory test results for a client with a diagnosis of leukemia who is receiving chemotherapy. The nurse notes that the client's platelet count is 20,000 mm3 (200 × 109/L). The nurse would prepare to implement which action based on this finding?

Remove the rectal thermometer from the client's room.

The clinic nurse prepares instructions for a client diagnosed with leukemia who developed stomatitis after the administration of a course of antineoplastic medications. The nurse would provide the client with which instruction?

Rinse the mouth with a diluted solution of baking soda or saline.

The nurse is caring for a client on the oncology unit who has developed stomatitis during chemotherapy for treatment of breast cancer. The nurse would plan which measure to treat this complication?

Rinse the mouth with diluted baking soda or saline.

The home health care nurse is visiting a client who has undergone a mastectomy. The nurse determines that the client demonstrates the greatest adjustment to the loss of the breast if which behavior is noted?

The client looks at the surgical site.

A client who has been receiving radiation therapy for bladder cancer states to the nurse, "I feel like I am urinating through my vagina." The nurse interprets that the client may be experiencing which condition?

The development of a vesicovaginal fistula

The oncology nurse specialist provides an educational session for nursing staff regarding the characteristics of Hodgkin's disease. The nurse determines that further teaching is needed if a nursing staff member states that which is a characteristic of the disease?

The disease occurs most often in those older than 75 years of age.

A client has undergone abdominal perineal resection for a bowel tumor. The nurse interprets that the client's colostomy is beginning to function if which sign is noted?

The passage of flatus

The nurse is assessing the colostomy of a client who has had an abdominal perineal resection for a bowel tumor. Which assessment finding indicates that the colostomy is beginning to function?

The passage of flatus

The nurse in the primary health care provider's office is performing a postoperative assessment of a client who underwent right mastectomy 2 weeks ago. The client tells the nurse that they are very concerned because they have numbness in the area of the surgery and along the inner side of the arm from the armpit to the elbow. The nurse would provide which information to the client about this concern?

These sensations dissipate over several months and usually resolve after 1 year.

The nurse in the ambulatory care unit is providing home care instructions to a client after cryotherapy for the treatment of malignant skin lesions. Which statement would be most appropriate for the nurse to include in the home care instructions for this client?

"Apply a warm, damp washcloth if discomfort occurs."

A clinic nurse prepares a teaching plan for a client receiving an antineoplastic medication to treat breast cancer. When implementing the plan, the nurse would make which statement to the client?

"You need to consult with the primary health care provider (PHCP) before receiving immunizations."

A clinic nurse prepares a teaching plan for a client receiving an antineoplastic medication. When implementing the plan, the nurse would make which statement to the client?

"You need to consult with the primary health care provider (PHCP) before receiving immunizations."

The nurse in the surgical care center will be assisting the primary health care provider to perform a punch biopsy of a client's skin lesion that is suspicious for skin cancer. Which interventions would be included in the preprocedure plan of care? Select all that apply.

-Obtain an informed consent -Prepare to apply direct pressure to the biopsy site after the procedure. -Tell the client that a small piece of tissue will be removed for examination

The nurse is reviewing a plan of care for a client with cancer of the cervix who is undergoing treatment with a cesium (radiation) implant. Which nursing interventions are most appropriate for this client? Select all that apply.

1Maintain the client on bed rest. 2Place the client on a low-fiber diet. 5Stand at the entrance of the room to communicate with the client when possible.

The nurse is conducting a history and monitoring laboratory values on a client with multiple myeloma. What assessment findings would the nurse expect to note? Select all that apply.

1Pathological fracture 2Urinalysis positive for Bence Jones protein 5Serum creatinine level of 2.0 mg/dL (176.6 mcmol/L)

A client is having a diagnostic workup for colorectal cancer. Which factors in the client's history place the client at increased risk for this type of cancer? Select all that apply.

2A diet high in fats 4A diet high in carbohydrates 5A history of inflammatory bowel disease

The community health nurse is creating a poster for an educational session for a group of community members and will be discussing the risk factors associated with breast cancer. Which risk factors for breast cancer would the nurse list on the poster? Select all that apply.

2Early menarche 4Family history of breast cancer 5High-dose radiation exposure to chest 6Previous cancer of the breast, uterus, or ovaries

The community health nurse is preparing an educational class on ovarian cancer for a group of clients. Which signs and symptoms would the nurse include in the presentation? Select all that apply.

2Having urinary urgency or frequency 3Experiencing pelvic or abdominal swelling

The nurse is preparing a list of home care instructions regarding stoma and laryngectomy care for a client with laryngeal cancer who had a laryngectomy. Which instructions would be included in the list? Select all that apply.

2Obtain a MedicAlert bracelet. 4Prevent debris from entering the stoma. 5Avoid exposure to people with infections. 6Avoid swimming and use care when showering.

Which interventions are the most appropriate for a client who is experiencing thrombocytopenia? Select all that apply.

3Check secretions for frank or occult blood. 5Encourage fluid intake to avoid constipation. 6Provide oral sponges or a soft toothbrush for oral care.

A 67-year-old client is receiving outpatient radiation treatments for carcinoma of the oropharynx and has developed dysphagia. The nurse develops a teaching plan regarding dysphagia and includes which interventions in the plan? Select all that apply.

4Teach the client to examine the oral mucosa daily. 5Encourage the client to use artificial saliva to manage dryness.

The nurse is caring for a client with prostate cancer who is being treated with a hormone therapy. What would the nurse monitor for in order to evaluate the effect of this treatment?

A decline in the amount of circulating androgens

During the admission assessment of a client with advanced ovarian cancer, the nurse recognizes which manifestation as typical of the disease?

Abdominal distention

A cervical radiation implant is placed in a client who is undergoing treatment of cervical cancer. The nurse would initiate which activity prescription as the most appropriate for this client?

Bed rest

The nurse is caring for a client who the physician suspects could have leukemia. The nurse anticipates that the physician will prescribe which of the following to confirm the diagnosis?

Bone marrow biopsy

The nurse is caring for a chemotherapy client with a low platelet aggregation level. Which likely caused this decreased platelet production?

Bone marrow suppression

The nurse has conducted a cancer prevention seminar for clients in an ambulatory setting. The nurse determines that teaching was effective if the clients select which food item on the menu?

Broccoli, baked fish, mashed potato

The nurse is reviewing the laboratory test results for a client with bladder cancer with bone metastasis. The nurse would contact the primary health care provider (PHCP) if which finding is noted?

Calcium level of 15 mg/dL (3.75 mmol/L)

The nurse is caring for a client after intravesical instillation of an alkylating chemotherapeutic agent for the treatment of bladder cancer. What would the nurse instruct the client to do after the instillation?

Change position every 15 minutes.

The nurse is assessing the perineal wound in a client who has returned from the operating room following an abdominal perineal resection and notes serosanguineous drainage from the wound. Which nursing action is most appropriate?

Change the dressing as prescribed.

The nurse is admitting a client with laryngeal cancer to the nursing unit. What would the nurse assess for as the most common risk factor for this type of cancer?

Cigarette smoking

A client is admitted to the nursing unit after undergoing radical prostatectomy for cancer. The nurse anticipates that which problem would be of most concern to the client in the immediate postoperative period?

Concern about the outcome of surgery

The nurse is caring for the client who is suspected of having lung cancer. The nurse would assess the client for which most frequent early symptom of lung cancer?

Cough

The nurse is performing an admission assessment of a client with a possible right colon tumor. Which sign or symptom would the nurse anticipate the client may report?

Dull abdominal pain exacerbated by walking

The nurse manager is teaching the nursing staff about signs and symptoms related to hypercalcemia in a client with metastatic prostate cancer and tells the staff that which is a late sign or symptom of this oncological emergency?

Electrocardiographic changes

The nurse has admitted a client to the clinical nursing unit after undergoing a right mastectomy. The nurse would plan to place the right arm in which position?

Elevated on a pillow

The nurse is caring for a client after a mastectomy. Which nursing intervention would assist in preventing lymphedema of the affected arm?

Elevating the affected arm on a pillow above heart level

A client is receiving intravesical chemotherapy for cancer of the bladder. The nurse would plan to take which action after the completion of each treatment?

Encourage increased intake of oral fluids.

The nurse is creating a plan of care for the client with multiple myeloma and includes which priority intervention in the plan?

Encouraging fluids

A client is admitted to the hospital with a suspected diagnosis of Hodgkin's disease. Which assessment finding would the nurse expect to note specifically in the client?

Enlarged lymph nodes

A community health nurse is providing an educational session on cancer of the cervix for women living in the community. The nurse informs the community residents that which is an early sign of this type of cancer?

Irregular vaginal bleeding or spotting

A client has just been told by the primary health care provider about a diagnosis of breast cancer. The client responds, "Oh, no! Does this mean I'm going to die?" The nurse interprets the client's initial reaction as which response?

Fear

The nurse is providing home care instructions to the client who just had surgery for squamous cell carcinoma. The nurse provides follow-up teaching and explains to the client to watch for which characteristics of this type of skin carcinoma?

Firm, nodular lesion topped with a crust or with a central area of ulceration

The nurse is reviewing the history of a client with bladder cancer. The nurse expects to note documentation of which most common sign or symptom of this type of cancer?

Hematuria

A client is admitted to the hospital with suspected bladder cancer. The nurse assesses the client for which early signs and symptoms of the disease?

Hematuria and absence of pain

A client with leukemia is receiving busulfan and allopurinol. The nurse would plan to tell the client that the purpose of the allopurinol is to prevent which problem?

High uric acid levels

The nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which would the nurse expect to note specifically in this disorder?

Increased calcium level

The nurse is analyzing the laboratory results of a client with leukemia who has received a regimen of chemotherapy. Which laboratory value would the nurse specifically note as a result of the massive cell destruction that occurred from the chemotherapy?

Increased uric acid level

A client seeks treatment in an ambulatory clinic for a complaint of hoarseness that has lasted for 6 weeks. On the basis of this symptom, the nurse would consider developing a plan of care for which possible medical diagnosis?

Laryngeal cancer

The nurse is monitoring a client with chronic lymphocytic leukemia (CLL). Which sign would the nurse specifically monitor for and report to the primary health care provider?

Lymphadenopathy

The nurse is providing care to a client who has undergone modified right mastectomy for the treatment of breast cancer. Which activity would the nurse incorporate into the plan of care?

Maintain head of the bed elevation at 30 degrees with the right arm elevated on a pillow.

Chemotherapy dosage is frequently based on total body surface area (BSA), so it is important for the nurse to perform which assessment before administering chemotherapy?

Measure the client's current weight and height.

The nurse is caring for a client with metastatic breast cancer. The client describes a new and sudden sharp pain in the back. Based on this assessment finding, which is the priority nursing intervention?

Notify the primary health care provider (PHCP).

The nurse is reviewing laboratory test results for the client with liver cancer and notes that the client's albumin level is low. Which nursing action is focused on the consequence of low albumin levels?

Palpating for peripheral edema

The client has undergone mastectomy. The nurse determines that the client is making the best adjustment to the loss of the breast if which behavior is observed?

Participating in the care of the surgical drain

The home care nurse visits a client who has just returned home from the hospital after a mastectomy with a suction drain in place. Which observed client behavior requires a need for further teaching?

Performs full range-of-motion exercises to the upper arm

The nurse caring for a client with lung cancer assesses for which early sign of vena cava syndrome?

Periorbital edema

The nurse is monitoring a client for signs and symptoms related to superior vena cava syndrome. Which is an early sign of this oncological emergency?

Periorbital edema

A client is receiving external radiation to the neck for cancer of the larynx. Which is the most likely expected effect?

Sore throat

A client with liver cancer who is receiving chemotherapy tells the nurse that some foods taste bitter. The nurse would try to limit which food that is most likely to cause this bitter taste for the client?

Steak

The nurse is preparing to care for a client with a diagnosis of gastric cancer and metastasis to the liver. The nurse notes documentation in the client's chart that the client is experiencing cachexia. Which would the nurse expect to note on assessment of the client?

Sunken eyes and a hollow-cheeked appearance

A cystectomy is performed for a client with a diagnosis of bladder cancer, and a Kock pouch is created for urinary diversion. In creating a discharge teaching plan for the client, the nurse would include which instruction in the plan?

Technique of catheterization

The community health nurse is preparing an educational session for a group of clients and will be discussing the primary prevention strategies and treatment measures for breast cancer. What information would the nurse include in the educational session?

Treatment decisions are based on a individual's overall health.

The nurse has instructed the client in the correct technique for breast self-examination (BSE). For a portion of the examination, the client will lie down. The nurse would teach the client to put the pillow in which location for self-examination of the right breast?

Under the right shoulder

The nurse is providing discharge instructions to a client who has undergone treatment of cervical cancer with a radiation (cesium) implant. Which instruction would the nurse plan to provide to the client?

Use a vaginal dilator 3 times a week.

A client has been hospitalized for removal of a cervical radiation implant used to treat cancer. The implant is removed, and the nurse provides home care instructions to the client. Which statement made by the client indicates a need for further instruction?

"Foul-smelling vaginal discharge is a sign of an infection."

The nurse is teaching a client who has had a laryngectomy for laryngeal cancer how to use an artificial larynx. Which statement would the nurse include in the teaching?

"Hold the device alongside the neck."

The community health nurse has conducted a teaching session for community members about the risk factors for laryngeal cancer. Which statement by a person attending the session indicates that teaching was effective?

"Exposure to airborne carcinogens can cause this type of cancer."

The nurse has provided discharge instructions to the client who has had a pneumonectomy for lung cancer. Which statement, if made by the client, indicates an understanding of appropriate home care measures?

"I need to perform arm exercises 2 or 3 times a day."

The nurse teaches skin care to a client receiving external radiation therapy. Which client statement indicates the need for further instruction?

"I will limit sun exposure to 1 hour daily."

The ambulatory care nurse is providing discharge instructions to a client who underwent cryosurgery with laser therapy because of a positive Papanicolaou test. Which statement by the client indicates an understanding of the instructions?

"I would expect the vaginal discharge to be clear and watery."

The nurse provides instructions to a client after a total laryngectomy for the treatment of laryngeal cancer. Which statement by the client indicates a need for further instruction?

"I would use diluted alcohol on the stoma to clean it."

A client has received an unsealed radioactive isotope for treatment of thyroid cancer. Which instruction is essential for the nurse to provide the client?

"Flush the toilet at least 3 times after use."

The oncology nurse is providing a teaching session for a group of nursing students regarding the risks and causes of bladder cancer. Which statement by a student would indicate a need for further teaching?

"Bladder cancer most often occurs in women."

The nurse is caring for a 25-year-old client who will undergo bilateral orchidectomy for testicular cancer. Which statement by the nurse would be helpful in exploring the client's concerns about loss of reproductive ability?

"Can you share with me any concerns about how this surgery will affect you in the future?"

The nurse is counseling a client about decreasing the risk for cervical cancer. Which statement by the client indicates a need for further counseling?

"Condoms are needed only if I do not trust a new partner."

Which are warning signs of head and neck cancer? Select all that apply.

1 Difficulty swallowing 3Lump in the mouth, neck, or throat 4Persistent or unexplained oral bleeding

The nurse has provided instructions to a client receiving external radiation therapy. Which client statement would indicate a need for further instruction regarding self-care related to the radiation therapy to treat lung cancer?

"I need to apply pressure on the irritated area by wearing snug clothing to prevent bleeding."

The nurse has provided teaching for an adult client about screening for colon cancer. Which statement by the client indicates that education was effective?

"I need to have an annual fecal occult blood test."

A client calls the ambulatory care clinic and tells the nurse that they found an area that looks like the peel of an orange when performing breast self-examination (BSE) but found no other changes. What is the nurse's best response to this client?

"I am glad you called to report this finding. Can you come to the clinic to see your primary health care provider tomorrow?"

The nurse is providing teaching to a client with breast cancer who will undergo chemotherapy for cancer, and alopecia is expected from the chemotherapeutic agent. Which statement made by the client indicates a need for further teaching?

"I can't believe my hair loss is going to be permanent."

The nurse is assessing a client who has a new ureterostomy. Which statement by the client indicates the need for more education about urinary stoma care?

"I empty the urinary collection bag when it is two-thirds full."

The nurse is assessing a client with bladder cancer who had a cystectomy and creation of a ureterostomy. Which statement by the client indicates the need for more education about urinary stoma care?

"I empty the urinary collection bag when it is two-thirds full."

The nurse has provided instructions to a client regarding testicular self-examination (TSE). Which client statement indicates the need for further teaching regarding TSE?

"I examine myself every 2 months."

The nurse conducted discharge teaching for the client diagnosed with melanoma. Which statement by a client indicates that education was effective?

"It is highly metastatic."

The nurse is reviewing the preoperative prescriptions for a client with a colon tumor who is scheduled for abdominal perineal resection and notes that the primary health care provider has prescribed neomycin for the client. After discussing a prescription for neomycin with the nursing student who is caring for the client, the nurse determines that the student understands the rationale for administration if which statement is made?

"It will help to decrease the bacteria in the bowel."

Which statement made by a client who will undergo cytoreductive (debulking) surgery for ovarian cancer indicates that teaching by the nurse was effective?

"The surgery will help to reduce the size of the tumor."

The nurse is teaching the client about risk factors for skin cancer. Which statements by the client indicate that teaching was successful? Select all that apply.

1 "I have to avoid excessive exposure to sunlight." 3"I am at higher risk for skin cancer because my parent had it."

A client with bladder cancer has undergone surgical removal of the bladder with creation of an ileal conduit. Which assessment findings indicate that the client is developing complications? Select all that apply.

1 Dusky appearance of the stoma 2Stoma protrusion from the skin 3Sharp abdominal pain with rigidity

The nurse has conducted an educational session about risk factors for bladder cancer with clients in the ambulatory care center. Which statements by the clients indicate that teaching was effective? Select all that apply.

1"Quitting smoking will help to reduce my risk." 2"I have to consider natural alternatives to dye my hair." 5"I have to consult with my primary health care provider about long-term use of cyclophosphamide medications."

The nurse is caring for a client who has undergone a radical neck dissection and creation of a tracheostomy because of laryngeal cancer and is providing discharge instructions to the client. Which would be included in the instructions? Select all that apply.

1Protect the stoma from water 2Use a humidifier if dryness is a problem. 3Keep powders and sprays away from the stoma site. 5Apply a thin layer of non-oil-based ointment to the skin around the stoma to prevent cracking.

A client with carcinoma of the lung develops syndrome of inappropriate antidiuretic hormone (SIADH) as a complication of the cancer. The nurse anticipates that the primary health care provider will request which prescriptions? Select all that apply.

1Radiation 2Chemotherapy 5Serum sodium level determination 6Medication that is antagonistic to antidiuretic hormone

A client is returning from surgery after a pulmonary lobectomy to treat lung cancer. Which pieces of equipment would the nurse have at the bedside? Select all that apply.

1Clamp 4Vaseline gauze 6Suction equipment

The nurse is caring for a client with lung cancer and bone metastasis. What signs and symptoms would the nurse recognize as indications of a possible oncological emergency? Select all that apply.

1Facial edema in the morning 3Serum calcium level of 12 mg/dL (3.0 mmol/L) 6Numbness and tingling of the lower extremities

A client with a medical diagnosis of breast cancer is undergoing chemotherapy. The client complains to the nurse about hair loss and severe fatigue from the treatment. Which interventions would the nurse plan to implement for this client? Select all that apply.

1Review side effects of chemotherapy and treatment with the client. 3Teach the client to pace activities with rest so as to maintain strength. 4Offer information on available counseling services and support groups.5Tell the client about some other clients who have had breast cancer treatment.6Inquire how the cancer diagnosis and treatment affect the client's normal routine.

The community nurse is planning to conduct a health promotion program at a local school to discuss the risk factors associated with cervical cancer. Which are risk factors for cervical cancer? Select all that apply.

1Smoking 2Chlamydia infection 3Human papillomavirus infection 4Having a family history of cervical cancer

The nurse is monitoring the intravenous (IV) infusion of an antineoplastic medication to treat breast cancer. During the infusion, the client complains of pain at the insertion site. On inspection of the site, the nurse notes redness and swelling and that the infusion of the medication has slowed in rate. The nurse suspects extravasation and would take which actions? Select all that apply.

1Stop the infusion. 2Prepare to apply ice or heat to the site. 3Notify the primary health care provider (PHCP). 5Prepare to administer a prescribed antidote into the site.

The nurse would include which intervention in the care of a client who has undergone a vaginal hysterectomy for the treatment of cancer? Select all that apply.

2 Encourage ambulation as prescribed. 3Remove antiembolism stockings twice daily. 4Assist with range-of-motion (ROM) leg exercises. 5Check placement of pneumatic compression boots.

The nurse has provided discharge instructions to a client who has had cryosurgery to remove a malignant skin lesion. The nurse determines that the client understands the instructions if the client makes which statements? Select all that apply.

2"I need to clean the site as prescribed to prevent infection." 4"I need to expect some swelling and tenderness in the affected area."

A client is diagnosed as having a bowel tumor. The nurse would monitor the client for which complications of this type of tumor? Select all that apply.

2Peritonitis 3Hemorrhage 4Fistula formation 5Bowel perforation

A client is diagnosed as having a intestinal tumor. The nurse would monitor the client for which complications of this type of tumor? Select all that apply.

2Peritonitis 3Hemorrhage 4Fistula formation 5Bowel perforation

The nurse is reviewing the laboratory test results for a client with leukemia receiving chemotherapy. The nurse notes that the white blood cell and neutrophil counts are extremely low and places the client on neutropenic precautions. Which interventions are components of these types of precautions? Select all that apply.

2Removing fresh-cut flowers from the client's room 4nstructing family members on the proper technique for hand washing 5Instructing family members to wear a mask when entering the client's room

The nurse is teaching a group of adults about the warning signs of cancer. Which signs and symptoms would the nurse mention to the group? Select all that apply.

2Sores that do not heal 3Nagging cough or hoarseness 4Indigestion or difficulty swallowing 5Change in bowel or bladder habits

A client with laryngeal cancer has undergone laryngectomy and is now receiving external radiation therapy to the head and neck. The nurse would monitor the client for which side and adverse effects of external radiation? Select all that apply.

2Stomatitis 3Dysgeusia 5Xerostomia

The community nurse is conducting a health promotion program, and the topic of the discussion relates to the risk factors for gastric cancer. Which item, if identified as a risk factor by a client, indicates a need for further discussion?

A low-fat diet

The clinic nurse has conducted a health screening clinic to identify clients who are at risk for cervical cancer. The nurse is reviewing the assessment findings in the records of the clients who attended the clinic. Which client is at lowest risk for developing this type of cancer?

A single white client

The nurse is reviewing the postprocedure plan of care formulated by a nursing student for a client with prostate cancer who is scheduled for a bone biopsy to assess a bone tumor. The nurse determines that the student needs additional teaching about postprocedure care if which inaccurate intervention is documented?

Administering opioid analgesics intramuscularly

The nurse is participating in a health screening clinic and is preparing teaching materials about colorectal cancer. Which risk factor for colorectal cancer would the nurse include?

Personal history of ulcerative colitis or gastrointestinal polyps

The nurse is caring for a client with leukemia who is receiving intravenous chemotherapy. The nurse reviews the laboratory results and notes that the white blood cell count is 2000 mm3 (2 × 109/L), the platelet count is 150,000 mm3 (150 × 109/L), the clotting time is 10 minutes, and the ammonia level is 20 mcg/dL (12 mcmol/L). Which nursing action would be appropriate?

Place the client on neutropenic precautions.

The nurse would be prepared to institute bleeding precautions in the client receiving antineoplastic medication if which result was reported from the laboratory?

Platelet count 50,000 mm3 (50 × 109/L)

The nurse is reviewing the medical record for a client who has been diagnosed with Hodgkin's disease. The nurse would check which diagnostic test noted in the client's record to determine the stage of the disease?

Positron emission topography (PET) scan