New Quiz 12
A patient with a fibrocystic breast condition has just undergone fine needle aspiration to drain the cyst fluid and reduce pressure and pain. When would the nurse prepare patient education material about breast biopsy? SATA A. If hormonal replacement therapy is prescribed B. If fluid is not aspirated C. If the mammogram shows suspicious findings D. If fluid buildup recurs E. If the mass remains palpable after aspiration F. If aspirated fluid reveals cancer cells
B. If fluid is not aspirated C. If the mammogram shows suspicious findings E. If the mass remains palpable after aspiration F. If aspirated fluid reveals cancer cells
Which instruction would the nurse be sure to give to the unlicensed assistive personnel (UAP) who will be assisting a patient with an esophageal tumor to eat? A. Feed the patient as fast as you can because there are three more patients who will need help B. Position the patient in a high Fowler's position before feedings C. Always suction the patient between bites to avoid aspiration D. Remind the patient to cough and deep-breathe between bites of food
B. Position the patient in a high Fowler's position before feedings
Cancer surveillance for high-risk woman is used to detect cancer in the early stages and is referred as what kind of prevention? A. Primary B. Secondary C. Tertiary D. Prophylactic
B. Secondary
Which are considered acute effects of radiation therapy? SATA A. Excessive drooling B. Stomatitis C. Herpes simplex D. Treatment-related mucositis E. Alteration in taste F. Xerostomia
B. Stomatitis D. Treatment-related mucositis E. Alteration in taste
The nurse is supervising a senior nursing student in the care of a patient after esophageal surgery. For which action by the student must the nurse intervene? A. Student secures the NG tube to prevent dislodgement B. Student prepares to irrigate NG tube C. Student provides mouth care every 2-4 hours D. Student elevates the head of the patient's bed
B. Student prepares to irrigate NG tube
After surgery, a female patient has been told her breast tumor contains estrogen receptors. What is the clinical significance of this information and how will this type of cancer be treated? A. This is a triple-negative breast cancer and additional surgery is the best option B. This type of cancer has a better prognosis and usually responds to hormonal therapy C. This tumor is localized; therefore radiation therapy should effectively eradicate the cancer D. There are metastases, so long-term survival rate is low; systemic therapy is the only option
B. This type of cancer has a better prognosis and usually responds to hormonal therapy
Which are manifestations of pancreatic cancer? SATA A. Light-colored urine and dark-colored stools B. Anorexia and weight loss C. Splenomegaly D. Ascites E. Leg or calf pain F. Weakness and fatigue
B. Anorexia and weight loss C. Splenomegaly D. Ascites E. Leg or calf pain F. Weakness and fatigue
Which sites are commonly affected by lung cancer metastasis? SATA A. Heart B. Bone C. Liver D. Colon E. Brain F. Adrenal glands
B. Bone C. Liver E. Brain F. Adrenal glands
The nurse is caring for a postoperative patient after esophageal surgery. On assessment, the nurse discovers that the patient's temperature is 101, heart rate is 120/minute, and respiratory rate is 32/minute. Lung sounds include bilateral crackles. What is the nurse's priority first action? A. Raise the head of the patient's bed B. Call the Rapid Response Team C. Apply oxygen at 2 L per nasal cannula D. Administer IV normal saline at 75 mL/hr
B. Call the Rapid Response Team
Which type of oral cavity tumor appears as a red, velvety lesion on the tongue, palate, floor of the mouth , or mandibular mucosa? A. Leukoplakia B. Erythroplakia C. Basal cell carcinoma D. Kaposi's sarcoma
B. Erythroplakia
Which procedure would the health care provider recommend for immediate relief of dysphagia? A. Photodynamic therapy B. Esophageal dilation C. Targeted therapy D. Chemoradiation therapy
B. Esophageal dilation
After an esophagectomy, what is the nurse's priority for patient care? A. Wound care B. Nutrition care C. Respiratory care D.Hydration care
C. Respiratory care
A patient is in the clinic for a non-healing sore on the lower left corner of her bottom lip and right side of her tongue. The lesions are red, raised, and have erosions. After taking a history, the nurse suspects the patient may have which type of oral cancer? A. Basal cell carcinoma B. Kaposi's sarcoma C. Squamous cell carcinoma D. Erythroplakia
C. Squamous cell carcinoma
Which intervention promotes comfort in dyspnea management for a patient with lung cancer? A. Administer morphine only when the patient requests it B. Place the patient in a supine position with a pillow under the knees and legs C. Encourage coughing and deep-breathing and independent ambulation D. Provide supplemental oxygen via cannula or mask
D. Provide supplemental oxygen via cannula or mask
A patient is receiving a chemotherapy agent for lung cancer. The nurse anticipates that the patient is likely to have which common side effect? A. Diarrhea B. Nausea C. Flatulence D. Constipation
B. Nausea
The nurse is caring for an older woman with hepatic cancer. UAP informs the nurse that the patient's level of consciousness is diminished compared to earlier in the shift. Prioritize the steps of assessment and intervention related to this patient's change in mental status. 1. Take vitals, include pulse, RR, BP, and temperature. 2. Check responsiveness and level of consciousness 3. Obtain a blood glucose reading; give glucose per protocol 4. Check electrolyte values 5. Check ammonia level 6. Check pulse oximeter readings and administer oxygen
2,6,1,3,4,5
A young woman is suspect of having invasive breast cancer. Based on the types and frequencies of breast cancer, what is the most likely diagnosis? A. Fibrocystic breast condition B. Infiltrating ductal carcinoma C. Lobular carcinoma in situ D. Ductal carcinoma in situ
B. Infiltrating ductal carcinoma
Which patient is at highest risk for development of skin cancer? A. Dark-skinned male who works as a lab technician B. Light-skinned female who works as a lifeguard every summer C. Older adult who enjoys gardening but wears a large hat D. Younger adult who works as a home health assistant
B. Light-skinned female who works as a lifeguard every summer
The patient with acute necrotizing pancreatitis experiences a temperature spike of 104. What does the nurse suspect? A. Pancreatic pseudocyst B. Pancreatic abscess C. Chronic pancreatitis D. Pancreatic cancer
B. Pancreatic abscess
Which therapy may be used as a cure for patients who have small localized tumors? A. Chemotherapy B. Photodynamic therapy C. Nutrition therapy D. Radiation therapy
B. Photodynamic therapy
Which factor makes mammogram a more sensitive screening tool than other tests? A. Higher compliance rate because it is done annually B. Less expensive than other tests that identify tumor markers C. Able to reveal masses too small to be palpated manually D. Able to differentiate between fluid and solid masses
C. Able to reveal masses too small to be palpated manually
A patient is having pain resulting for bone metastases caused by lung cancer. What is the most effective intervention for relieving the patient's pain? A. Support the patient through chemotherapy B. Handle and move the patient very gently C. Administer analgesics around the clock D. Reposition the patient, and use distraction
C. Administer analgesics around the clock
Which treatment offers the patient with liver cancer the possibility of long-term survival? A. Chemotherapy B. Selective internal radiation therapy C. Liver transplantation D. Hepatic arterial embolization
C. Liver transplantation
After a patient has undergone a radical neck dissection, what is the priority nursing intervention? A. Manage the patient's pain B. Maintain fluid and electrolyte balance C. Maintain the patient's airway D. Enhance the patient's ability to communicate
C. Maintain the patient's airway
Which oral cavity lesion is associated with progression of human immunodeficiency virus (HIV) to acquired immunodeficiency syndrome (AIDs)? A. Erythroplakia B. Squamous cell carcinoma C. Oral hairy leukoplakia D. Basal cell carcinoma
C. Oral hairy leukoplakia
The patient describes experiencing a dull and steady substernal pain, especially after drinking cold liquids. Which manifestation of esophageal cancer does the nurse recognize? A. Angina B. Aspiration C. Dysphagia D. Odynophagia
D. Odynophagia
For which patient is radiation therapy contraindicated? A. Patient with lung cancer B. Patient with esophageal tumor C. Patient with sliding hernia D. Patient with tracheoesophageal fistula
D. Patient with tracheoesophageal fistula
A primary nursing responsibility is the prevention lung cancer by assisting patients in cessation of smoking or other tobacco use. Which task would be appropriate to assign to an LPN? a. Develop a "quit" plan b. Explain how to apply a nicotine patch c. Discuss strategies to avoid relapse d. Suggest ways to deal with urges for tobacco
b. Explain how to apply a nicotine patch
A client is to have a parotidectomy to remove a cancerous lesion. For which post-operative complication that may be permanent should the nurse monitor? a. a tracheostomy b. frey syndrome an increase in salivation d. facial nerve dysfunction
d. facial nerve dysfunction
A client is diagnosed with cancer of the rectum and has surgery for an abdominoperineal resection and colostomy. Which nursing care should be implemented during the post-operative period? a. limiting fluid intake for several days b. withholding fluids for seventy-two hours c. having the client change the colostomy bag d. keeping the client's skin around the stoma clean
d. keeping the client's skin around the stoma clean
The nurse is teaching a patient with dumping syndrome. Which foods should the patient be instructed are permitted and encouraged? SATA A. White bread, rolls, and crackers B. Sweetened juice or fruit C. Cooked vegetables D. Carbonated drinks E. Fish, poultry, beef, or pork F. Butter and salad dressing
A. White bread, rolls, and crackers C. Cooked vegetables E. Fish, poultry, beef, or pork F. Butter and salad dressing
Which statements about pancreatic cancer are accurate? SATA A. Venous thromboembolism (VTE) is a common complication of pancreatic cancer B. Pancreatic cancer often presents in a slow and vague manner C. Severe pain is an early feature of this disease D. There are no specific blood tests to diagnose pancreatic cancer E. Chemotherapy is the treatment of choice for pancreatic cancer F. Chronic pancreatitis predisposes a patient to pancreatic cancer
A. Venous thromboembolism (VTE) is a common complication of pancreatic cancer B. Pancreatic cancer often presents in a slow and vague manner D. There are no specific blood tests to diagnose pancreatic cancer F. Chronic pancreatitis predisposes a patient to pancreatic cancer
Which question would the nurse be sure to ask a patient with suspected leukoplakia? A. "Do you smoke, dip, or chew tobacco products?" B. "How much alcohol do you drink each day?" C. "Do you eat a lot of fast food meals?" D. "How often do you have dental checkups?"
A. "Do you smoke, dip, or chew tobacco products?"
The nurse is providing discharge teaching for a patient after a gastrectomy. Which teaching points will the nurse include to help the patient minimize dumping syndrome? SATA A. "Eat small frequent meals" B. "Drink an 8-ounce glass of water with each meal" C. "Eliminate alcohol and caffeine from your diet" D. "Lie flat for a short time after eating" E. "Take B12 injections as prescribed by your healthcare provider" F. "Begin a smoking cessation program"
A. "Eat small frequent meals" C. "Eliminate alcohol and caffeine from your diet" D. "Lie flat for a short time after eating" E. "Take B12 injections as prescribed by your healthcare provider" F. "Begin a smoking cessation program"
During clinical breast exam, the examiner observes a small mass in the breast. What is the most important item to include in the documentation of this finding? A. "Face of the clock" location of the mass B. Amount of pressure required to detect the mass C. Patient's self-awareness of the location D. Method used to examine the breast
A. "Face of the clock" location of the mass
When assessing a patient with a salivary gland tumor, the nurse pays particular attention to the facial nerve. Which requests by the nurse are likely to determine if the tumor has affected the facial nerve? SATA A. "Puff out your cheeks" B. "Wrinkle your nose" C. "Cough" D. "Raise your eyebrows" E. "Turn your head back and forth" F. "Pucker your lips"
A. "Puff out your cheeks" B. "Wrinkle your nose" D. "Raise your eyebrows" F. "Pucker your lips"
The nurse has completed a community presentation about lung cancer. Which statement from a participant demonstrates an understanding of the information presented? A. "The primary prevention for reducing the risk of lung cancer is to stop smoking and avoid secondhand smoke" B. "The overall 5-year survival rate for all patients with lung cancer is 85%" C. "The death rate for lung cancer is less than prostate, breast, and colon cancer combined" D. "Cures are most likely for patients who undergo treatment for stage III disease"
A. "The primary prevention for reducing the risk of lung cancer is to stop smoking and avoid secondhand smoke"
Which is a key feature of pancreatic cancer? A. Anorexia B. Weight gain C. Pale urine D. Dark-colored stools
A. Anorexia
Which are the most common signs of colorectal cancer (CRC)? SATA A. Change in stool consistency B. Absent bowel sounds C. Abdominal cramping D. Anemia E. Rectal bleeding F. Gas pains
A. Change in stool consistency D. Anemia E. Rectal bleeding
The nurse is caring for a patient with esophageal cancer who is scheduled to undergo an esophagogastrostomy with a section of the jejunum to replace the esophagus. Which procedure does the nurse expect to perform preoperatively? A. Complete bowel preparation B. Abdominal shave C. Urinary catheter placement D. Nasogastric tube placement for feeding
A. Complete bowel preparation
Which of the following may be warning signs of lung cancer? SATA A. Dyspnea B. Dark yellow-colored sputum C. Persistent cough or change in cough D. Abdominal pain and frequent stools E. Use of accessory muscles for breathing F. Labored or painful breathing
A. Dyspnea C. Persistent cough or change in cough E. Use of accessory muscles for breathing F. Labored or painful breathing
Which factor is the incidence of breast cancer most closely related to? A. Lifestyle choices B. Aging C. Ethnic background D. Socioeconomic status
B. Aging
Regarding the diagnosis and treatment of breast cancer, what are important considerations for young women? SATA A. Genetic predisposition is a stronger risk factor for young women compared to older women B. Young women frequently have more aggressive forms of the disease C. Prognosis is usually better for young women because they have fewer chronic conditions D. Screening tools can be less effective because young women have dense breast tissue E. Young women are less likely to be concerned about cancer, so they delay seeking treatment F. Early menopause, infertility, and sexual dysfunction are concerns for young women
A. Genetic predisposition is a stronger risk factor for young women compared to older women B. Young women frequently have more aggressive forms of the disease D. Screening tools can be less effective because young women have dense breast tissue F. Early menopause, infertility, and sexual dysfunction are concerns for young women
Which patients are at higher risk for development of oral cavity disorders? SATA A. Homeless veteran B. Overweight adult with type 2 diabetes C. Older adult living in a long-term care facility D. Middle-aged smoker who is alcoholic E. Underweight teen with anorexia F. Middle-aged adult with history of working outdoors for over 20 years
A. Homeless veteran C. Older adult living in a long-term care facility D. Middle-aged smoker who is alcoholic F. Middle-aged adult with history of working outdoors for over 20 years
What is the priority focus in caring for a patient with advanced liver cancer? A. Hospice and end-of-life care B. Getting placed on the liver transplant list C. Hepatic arterial infusion of chemotherapy D. Cryotherapy to freeze and destroy liver tumors
A. Hospice and end-of-life care
The nurse has taught a patient with acute sialadenitis to use sialagogues to stimulate saliva. The patient demonstrates teaching has been effective when the patient states he will eat which food? A. Lemon slices B. Apple slices C. Bananas D. Bread
A. Lemon slices
The nurse is providing teaching about ways to reduce the risk for colorectal cancer. Which dietary suggestions will the nurse be sure to include in the teaching? SATA A. Low fat B. Low protein C. High fiber D. High in red meat E. Low in refined carbohydrates F. High is brassica vegetables
A. Low fat C. High fiber E. Low in refined carbohydrates F. High is brassica vegetables
Which are recommended prevention strategies for oral cancer? SATA A. Minimize sun exposure B. Stop using tobacco C. Avoid intake of fatty foods D. Decrease alcohol intake E. Exercise 3-5 days per week F. Avoid using tanning beds
A. Minimize sun exposure B. Stop using tobacco D. Decrease alcohol intake F. Avoid using tanning beds
Which patient is describing an ominous sign associated with inflammatory breast cancer, which is a highly aggressive invasive breast cancer? A. Patient reports breast pain and a rapidly growing breast lump B. Patient notices numerous small tender lumps before menses C. Patient says her breasts feel similar to when she breastfed D. Patient reports noticing a change in the color of her nipple
A. Patient reports breast pain and a rapidly growing breast lump
Based on risk factors and personal history, which woman has the greatest risk of developing breast cancer? A. Physician, age 50, who had her first child at age 38 B. Ballet dancer, age 25 who has a 5-year-old son C. Radiation technician, age 24, who had her menarche at age 13 D. Housewife, age 42, who had breast reduction surgery at age 26
A. Physician, age 50, who had her first child at age 38
After receiving implantation of radioactive substances (brachytherapy) in the floor of the mouth, the nurse will place the patient on radiation transmission precautions that include which of the following key elements? SATA A. Place the patient in a private room with lead-lined walls B. Visitors may stay only less than 30 minutes a day C. Pregnant women and children can visit for only 10 minutes a day D. Anything that goes into the patient's room may not come out E. A tracheostomy may be needed for edema and increased secretions F. The patient will be expected to consume foods high in iron content
A. Place the patient in a private room with lead-lined walls B. Visitors may stay only less than 30 minutes a day E. A tracheostomy may be needed for edema and increased secretions
A patient has a Kaposi's sarcoma lesion on his hard palate. How is the lesion described? SATA A. Small raised lesion B. Dark-yellow nodule C. Painful lesion D. Purplish-brown nodule E. Usually not painful F. Appears off-white and raised
A. Small raised lesion D. Purplish-brown nodule E. Usually not painful
The nurse is teaching a patient who will have a radical neck dissection. The nurse will teach the patient that what structures will be removed during this procedure? SATA A. Sternocleidomastoid muscle B. Removal of the jaw C. Excision of cervical lymph nodes on the affected side D. Cranial nerve XI E. Excision of the tongue F. Internal jugular vein
A. Sternocleidomastoid muscle C. Excision of cervical lymph nodes on the affected side D. Cranial nerve XI F. Internal jugular vein
Nonsurgical treatment options for cancer of the esophagus can include which therapies? SATA A. Swallowing therapy B. Chemoradiation C. Targeted therapies D. Smoking cessation programs E. Photodynamic therapy F. Endoscopic therapies
A. Swallowing therapy B. Chemoradiation C. Targeted therapies E. Photodynamic therapy F. Endoscopic therapies
The patient with esophageal cancer has an excess of HER2 protein on the cell surface. What therapy does the nurse expect will be ordered for this patient? A. Targeted therapy with IV trastuzumab B. Chemoradiation with chemotherapy during the first and fifth weeks C. Radiation therapy alone to shrink the tumor D. Nutrition and swallowing therapy to prevent malnutrition ordered for this patient?
A. Targeted therapy with IV trastuzumab
The unlicensed assistive personnel (UAP) is providing oral care for a patient after resection of an oral tumor. Which would the nurse instruct the UAP to report immediately? A. There was unusual odor from the patient's mouth B. Oral care was provided every 4 hours C. The suture site appears to be intact D. The patient's secretions were thick before oral care was given
A. There was unusual odor from the patient's mouth
The nurse is assessing a patient's mouth for lesions. Which actions will the nurse implement? SATA A. Wear clean gloves B. Assure adequate lighting with a penlight C. Ask the patient to say "ahh" D. Use a tongue blade E. Instruct the patient to perform the Valsalva maneuver F. Assess for lesions, coating, and cracking
A. Wear clean gloves B. Assure adequate lighting with a penlight D. Use a tongue blade F. Assess for lesions, coating, and cracking
According to the American Cancer Society, what are the recommendations for early detection by screening for breast masses? A. Women aged 45-54 should have an annual mammogram, then every 2 years at age 55 and older B. High-risk women should have biannual mammograms and magnetic resonance imaging C. High-risk women should be screened for breast cancer annually starting at age 21 D. Women aged 60 years and older should have a mammogram every 10 years
A. Women aged 45-54 should have an annual mammogram, then every 2 years at age 55 and older
A patient is scheduled for multiple tests to evaluate an oral tumor. The patient asks the nurse which of the tests is best to determine if the tumor is cancerous. What is the nurse's best response? A. "All of the tests need to be looked at together because no single test can tell if you have cancer" B. "Magnetic resonance imaging is the only diagnostic test that will need to be done" C. "Biopsy is the definitive method for diagnosing oral cancer" D. "An aqueous solution of toluidine blue 1% can be applied to oral lesion. If the lesion is malignant it will not absorb the solution"
C. "Biopsy is the definitive method for diagnosing oral cancer"
A patient has just been informed by the healthcare provider that she has specific BRCA1 and BRCA2 gene mutations. Which brochure would the nurse prepare for the patient? A. "Role of Nutrition Therapy in Reproductive Health" B. "Risk Factors and Treatments for Infertility" C. "Risk Factors and Treatments for Breast Cancer" D. "Colposcopy and Other Tests for Cervical Cancer"
C. "Risk Factors and Treatments for Breast Cancer"
A patient is fearful that she might develop lung cancer because her father and grandfather died of cancer. She seeks advice about how to modify lifestyle factors that contribute to cancer. How does the nurse advise this patient? A. Not to worry about air pollution unless there is hydrocarbon exposure B. Quit her job if she has continuous exposure to lead or other heavy metals C. Avoid situations where she would be exposed to "secondhand" smoke D. Not to be concerned because there are no genetic factors associated with lung cancer
C. Avoid situations where she would be exposed to "secondhand" smoke
Which oral cavity tumor appears as a raised scab, primarily on the lips, and evolves to an ulcer with a raised pearly border? A. Leukoplakia B. Erythroplakia C. Basal cell carcinoma D. Kaposi's sarcoma
C. Basal cell carcinoma
Which test is definitive for the diagnosis of colorectal cancer (CRC)? A. Carcinoembryonic antigen (CEA) B. Barium swallow C. Colonoscopy with biopsy D. Fecal occult blood test (FOBT)
C. Colonoscopy with biopsy
What is the most common symptom of esophageal cancer reported by patients? A. Productive cough B. Reflux especially at night C. Difficulty with swallowing D. Shortness of breath
C. Difficulty with swallowing
The definitive diagnosis for esophageal cancer is made with which procedure? A. Barium swallow B. Esophageal manometry C. Esophageal ultrasound with fine needle aspiration D. Esophagogastroduodenoscopy (EGD)
C. Esophageal ultrasound with fine needle aspiration
How is xerostomia characterized? A. Reduction of taste sensation B. Inflammation of a salivary gland C. Excessive mouth dryness D. Inflammation of the mouth
C. Excessive mouth dryness
According to the American Cancer Society guidelines, annual screening mammograms are not recommended for women less than 40 years old. What is the underlying rationale for this recommendation? A. Breast tumors are not very common among women under the age of 40 years B. Amount of radiation exposure outweighs the benefit for women of childbearing age C. In younger women, there is little difference in the density of normal tissue and malignant tumors D. In younger women, the tumors are likely to be too small to be detected by mammography
C. In younger women, there is little difference in the density of normal tissue and malignant tumors
Which statement is true about radiation therapy for lung cancer patients? A. It is given daily in "cycles" over the course of several months B. It causes hair loss, nausea, and vomiting for the duration of treatment C. It causes dry skin at the radiation site, fatigue, and changes in appetite with nausea D. It is the best method of treatment for systemic metastatic disease
C. It causes dry skin at the radiation site, fatigue, and changes in appetite with nausea
The nurse is taking a report on a patient who had a pneumonectomy 4 days ago. Which question is best to ask during the shift report? A. "Does the physician want us to continue encouraging use of the spirometer?" B. "How much drainage did you see in the Pleur-evac during your shift?" C. "Do we have a request to 'milk' the patient's chest tube?" D. "Does the surgeon want the patient placed on the operative or nonoperative side?"
D. "Does the surgeon want the patient placed on the operative or nonoperative side?"
Which operative procedure includes excision of a segment of the mandible with the oral lesion, and a radical neck dissection? A. Oropharyngeal resection B. Glossectomy C. Mandibulectomy D. Commando procedure
D. Commando procedure
The nurse is counseling a woman who was recently diagnosed with breast cancer. Which factor has the most influence on the choice for treatment? A. Age at time of diagnosis B. Overall health status C. Personal choice and self-care capacity D. Extent and location of metastases
D. Extent and location of metastases
In males who have breast cancer, what is the most typical presenting sign/symptom? A. Nipple discharge with gross blood B. Localized red and painful lump C. Dimpling or orange peel appearance D. Hard, painless, subareolar mass
D. Hard, painless, subareolar mass
What test result is the tumor marker for cancers of the liver? A. Decreased alkaline phosphatase B. Increased serum ammonia C. Decreased serum total bilirubin D. Increased alpha-fetoprotein (AFP)
D. Increased alpha-fetoprotein (AFP)
The nurse is teaching a 24-year-old patient about breast self-examination (BSE). What does the nurse tell the patient about the best time to perform BSE? A. Day before her menstrual flow is due B. Third day after menstrual flow starts C. Whenever ovulation occurs D. One week after the menstrual period
D. One week after the menstrual period
During an assessment of a patient with an oral tumor, the nurse notes that the patient develops stridor. What functional assessment is the least important for the nurse to complete at this time? A. Ability to speak B. Gag reflex C. Quality of respirations D. Pain rating
D. Pain rating
Which is a key feature in advanced gastric cancer? A. Feeling of fullness B. Indigestion C. Epigastric, back, or retrosternal pain D. Progressive weight loss
D. Progressive weight loss
The postoperative patient who had esophageal surgery has an NG tube in place. What intervention should the nurse delegate to the unlicensed assistive personnel (UAP)? A. Check the NG tube for proper placement B. Teach the patient about the purpose of the NG tube C. Assess the patient's lungs for the presence of abnormal breath sounds D. Provide the patient with thorough mouth and nasal care every 2-4 hours
D. Provide the patient with thorough mouth and nasal care every 2-4 hours
The nurse is monitoring a patient who is at risk for spinal cord compression related to tumor growth. Which patient statement is most likely to suggest an early manifestation? a. "Last night my back really hurt, and I had trouble sleeping." b. "My leg has been giving out when I try to stand." c. "My bowels are just not moving like they usually do." d. "When I try to pass urine, I have difficulty starting the stream."
a. "Last night my back really hurt, and I had trouble sleeping."
The nurse is interviewing a patient who was treated several months ago for breast cancer. The patient reports taking NSAIDs for back pain. Which patient comment is cause for greatest concern? a. "The NSAIDs are really not relieving the back pain." b. "The NSAID tablets are too large and they are hard to swallow." c. "I gained weight because I eat a lot before taking NSAIDs." d. "The NSAIDs are upsetting my stomach in the morning."
a. "The NSAIDs are really not relieving the back pain."
The nurse is providing end of life care for a patient with terminal liver cancer. The patient is weak and restless. Her skin is cool and mottled. Dyspnea develops, and the patient appears anxious and frightened. What should the nurse do first? a. Administer a PRN of morphine elixir b. Alert the rapid response team and call the healthcare provider c. Deliver breaths at 20 breaths per minute with a bag valve mask and prepare for intubation d. Sit quietly with the patient and offer emotional support and comfort
a. Administer a PRN of morphine elixir
Which patient is at greatest risk for pancreatic cancer? a. An older African-American man who smokes b. A young white obese woman with gallbladder disease c. A young African-American man with type one diabetes d. An elderly white woman who has pancreatitis
a. An older African-American man who smokes
The nurse is caring for a patient with esophageal cancer. Which task could be delegated to the UAP? a. Assisting the patient with oral hygiene b. Observing the patient's response to feeding c. Facilitating expressions of grief or anxiety d. Initiating daily weights
a. Assisting the patient with oral hygiene
The nurse is talking to a group of older women about breast cancer. Based off the most recent guidelines from the American Cancer society and the American Society of Clinical Oncology, what will the nurse tell the group about the current recommendations for breast cancer screenings? a. For older women in good general health and a life expectancy of 10 or more years, biennial or annual mammography screening is recommended b. For women older than the age of 55 years with average risk for breast cancer, mammography screening is recommended every 3-5 years c. For women older than 70 with average risk for breast cancer, annual screening mammography is not recommended d. Starting at age 40, all women with average risk for breast cancer should have an annual clinical breast exam and mammography screening
a. For older women in good general health and a life expectancy of 10 or more years, biennial or annual mammography screening is recommended
Before discharge, a client who had a colostomy for colorectal cancer questions the nurse about resuming activity. What should the nurse teach the client about activity? a. with guidance, a near-normal lifestyle, including complete sexual function, is possible b. activities of daily living should be resumed as quickly as possible so you avoid being depressed c. most sports activities, except for swimming, can be resumed based on your overall physical condition d. after surgery, changes in activities must be made to accommodate for a physiologic changes caused by the operation
a. with guidance, a near-normal lifestyle, including complete sexual function, is possible
When care assignments are being made for patients with alterations related to gastrointestinal (GI) cancer, which patient would be the most appropriate to assign to an LPN under the supervision of a team leader RN? a. A patient with severe anemia secondary to GI bleeding b. A patient who needs enemas and antibiotics to control GI bacteria c. A patient who needs preoperative teaching for bowel resection surgery d. A patient who needs central line insertion for chemotherapy
b. A patient who needs enemas and antibiotics to control GI bacteria
A patient with lung cancer develops syndrome of inappropriate antidiuretic hormone secretion (SIADH). After reporting symptoms of weight gain, weakness, and N/V to the healthcare provider, the nurse would anticipate which initial treatment for this patient? a. A fluid bolus b. Fluid restrictions c. Urinalysis d. Sodium-restricted diet
b. Fluid restrictions
A postmenopausal woman who has cancer of the breast decides to have a lumpectomy followed by chemotherapy. After receiving chemotherapy for several weeks, she saw to a nurse at the clinic, "I don't feel well." The nurse reviews the chemotherapeutic medications the client is receiving, checks the laboratory results, and obtains the client's vital signs. Based on this information, what does the nurse conclude is the clients priority needs? a. promoting rest b. preventing infection c. avoiding bodily harm d. maintaining fluid balance
b. preventing infection
For care of a patient who has oral cancer, which task would be appropriate to assign to an LPN? a. Assisting the patient to perform oral cares b. Explaining when brushing and flossing are contraindicated c. Giving antacids and sucralfate suspension as ordered d. Recommending saliva substitutes
c. Giving antacids and sucralfate suspension as ordered
After recovery from a modified neck dissection for oropharyngeal cancer, the client receives external radiation to the operative site. For which most critical reaction to the radiation should the nurse assess the client? a. dry mouth b. skin reactions c. mucosal edema d. bone marrow suppression
c. mucosal edema
A client in a debilitated state is admitted for palliative treatment of cancer of the liver. Which objective information collected by the nurse is most helpful for future monitoring of the client's condition? a. diet history b. bowel sounds c. present weight d. pain description
c. present weight
A 56-year-old patient comes to the walk-in clinic reporting scant rectal bleeding and intermittent diarrhea and constipation for the past several months. There is a history of polyps and a family history of colorectal cancer. While the nurse is trying to teach about colonoscopy, the patient becomes angry and threatens to leave. What is the priority nursing concept to consider in responding to this patient? a. Elimination b. Patient education c. Cellular regulation d. Anxiety
d. Anxiety
What clinical indicator does the nurse expect to identify when assessing a client with a brain tumor in the occipital lobe? a. hemiparesis b. receptive aphasia c. personality changes d. visual hallucinations
d. visual hallucinations