NUR1202 Test #2 Study QUESTIONS Oncology

A nurse is teaching a community program on nutritional guidelines for cancer prevention. Which of the following instructions should nurse include? Select all that apply 1. Eat foods high in vitamin A 2. Add cruciferous vegetables 3. Increase intake of red meats 4. Use saturated cooking oil 5. Consume refined grains

1 and 2

A nurse is reviewing the health record of a client who has suspected ovarian cancer. Which of the following findings support this diagnosis? Select all that apply 1. Previous treatment for endometriosis 2. Family history of colon cancer 3. First pregnancy at age 24 4. Report of scant menses 5. Use of oral contraceptives for 10 years

1 and 2 A first pregnancy after 30 years of age or nulliparity is a risk factor for ovarian cancer. Dysmenorrhea or heavy bleeding is a risk factor for ovarian cancer. Birth control offers protection against ovarian cancer.

A nurse is discussing analgesics and routes of administration with a nurse who is orienting to the oncology unit. Which of the following information should the nurse include? Select all that apply 1. Oral analgesics are the first choice for administration 2. Transdermal fentanyl has a duration of 8 to 12 hours 3. Rectal administration is preferred if the client has thrombocytopenia 4. Buccal analgesics are placed between the client's gum and cheek 5. Topical patches are placed at least 6 inches from the painful area

1 and 4 Transdermal fentanyl has a duration of 48 to 72 hours. The rectal route is contraindicated if the client has thrombocytopenia or neutropenia. Topical patches should be applied directly over or adjacent to the painful area.

A patient has demonstrated interest in obtaining a penile implant. What should the patient consider prior to making this decision? Select all that apply 1. Activities of daily living ADLs 2. Social activities 3. Expectations of the patient and partner 4. Financial status 5. Occupation

1, 2 and 3

A nurse is contributing to the plan of care for a patient who has malnutrition due to cancer. Which of the following interventions should the nurse include? Select all that apply 1. Advise the client to keep a food diary 2. Encourage the client to brush teeth before and after meals 3. Check the laboratory report of ferritin 4. Recommend that the client avoid foods with low nutritional value. 5. Instruct the client to limit daily intake of carbohydrates.

1, 2 and 3 A food diary helps monitor changes that occur in malnutrition. Oral hygiene promotes saliva and improves taste perception. Ferritin indicates iron and protein levels. If it is low, it can indicate malnutrition. The client should eat whatever is appealing regardless of nutritional value and they should eat a balance of all food groups.

A nurse is caring for a client who is receiving brachytherapy to treat cervical cancer. Which of the following actions should the nurse take? Select all that apply 1. Permit visitors to stay with the client 30 minutes at a time 2. Place the client on bed rest 3. Wear a dosimeter badge when in the client's room 4. Don a paper gown when providing care for the client 5. Inform pregnant visitors to stay 4 feet away from the client

1, 2 and 3 The nurse should wear a lead apron and lead gloves. Pregnant visitors are not permitted. Adult visitors should stay 6 feet away to minimize radiation exposure.

A nurse is caring for a patient that has lung cancer and is exhibiting manifestations of symptoms of inappropriate antidiuretic hormone (SIADH). Which of the following findings would the nurse report to the provider? Select all that apply 1. Behavioral changes 2. Client report of headache 3. Urine output of 40 mL/hr 4. Client report of nausea 5. Increased urine specific gravity

1, 2 and 4 These can all indicate cerebral edema.

A nurse is caring for a client who has chronic cancer pain and a permanent epidural catheter for administration of a fentanyl/bupivacaine solution. The nurse should monitor for which of the following adverse effects of epidural analgesics? Select all that apply 1. Respiratory depression 2. Hypotension 3. Sedation 4. Muscle spasticity 5. Incontinence

1, 2, 3 and 5 Muscle weakness, not spasticity is an adverse effect.

The nurse is caring for a client who is receiving cisplatin. Which adverse effects are associated with this medication? Select all that apply 1. Tinnitus 2. Ototoxicity 3. Hyperkalemia 4. Hypercalcemia 5. Nephrotoxicity 6. Hypomagnesium

1, 2, 5 and 6 Cisplatin is an alkylating agent and kidney damage is a major adverse effect.

Nurse is teaching a client who has cancer about ways to increase protein and calories in foods. Which of the following actions should the nurse include? Select all that apply 1. Use peanut butter as a spread on crackers 2. Add water in place of milk in soups 3. Top fruit with yogurt 4. Dip chicken in eggs before cooking 5. Sprinkle cheese on a baked potato

1, 3, 4 and 5

A nurse is contributing to the plan of care for a client who has cancer and is scheduled to undergo cryoanalgesia. Which of the following interventions should the nurse recommend? Select all that apply 1. Monitor blood pressure following the procedure 2. Instruct the client to apply heat to the insertion site 3. Check for skin irritation following the procedure 4. Evaluate bladder control after the procedure 5. Instruct the client to continue to use pain medication PRN.

1, 3, 4 and 5 Hypotension can occur after the procedure as a manifestation of bleeding. Cold should be applied, not heat. Loss of bladder and bowel control can be an adverse effect of cryoanalgesia.

A nurse is caring for a client who is scheduled to undergo a neurolytic ablation. The client asks the nurse the reason for this procedure. Which of the following responses should the nurse make? 1. "It attempts to provide long-term pain relief." 2. "It treats adverse effects of pain medication." 3. "It treats decreases in immunity." 4. "It treats decreases in cells that stop bleeding."

1. "It attempts to provide long-term pain relief." #3 describes myelosuppression. #4 describes thrombocytopenia. Neurolytic ablation causes destruction of the nerves that transmit pain from a specific area and is a last resort. It can provide relief for several months until the nerve fibers regenerate.

The nurse is demonstrating the technique for performing a testicular self examination to a group of men for a company health fair. One of the men asks the nurse at what age a man should begin performing TSE. What is the best answer by the nurse? 1. "It should begin in adolescence" 2. "It should begin in men over age 50" 3. "It should be performed in high-risk males over age 30" 4. "It should begin at age 40"

1. "It should begin in adolescence"

A nurse is caring for a client who has cancer and a prescription for transcutaneous electrical nerve stimulation (TENS) for pain management. Which of the following actions should the nurse take? 1. Apply a conductive gel before applying the electrodes from the TENS unit on the skin. 2. Apply alcohol to the skin before attaching the electrodes from the TENS unit. 3. Attach the electrodes from the TENS unit over painful incisions or skin damage. 4. Avoid other pain medications when using the TENS unit.

1. Apply a conductive gel before applying the electrodes from the TENS unit on the skin.

A nurse is reviewing the plan of care for a client who has a platelet count of 10,000 per millimeter cubed. Which of the following interventions should the nurse expect to implement? 1. Apply prolonged pressure to puncture site after blood sampling 2. Administer epoetin alfa 3. Place the client in a private room 4. Have the client use an oral topical anesthetic before meals

1. Apply prolonged pressure to puncture site after blood sampling epoetin alfa is for anemia, a private room is for neutropenia, a topical oral anesthetic is for mucositis

A nurse in the clinic is caring for a client who has suspected uterine cancer. Which of the following assessment techniques should the nurse anticipate the provider performing? 1. Bimanual pelvic examination 2. Pap test with cultures 3. Digital rectal examination 4. Percussion of upper abdominal quadrants for tympany

1. Bimanual pelvic examination Pap tests are for cervical cancer. Rectal exam is for Prostate or rectal cancer. Percussion of the upper abdominal is for detecting abdominal masses.

A patient experiences hypotension, lethargy and muscle spasms while receiving bladder irrigations after a Transurethral Resection of the Prostate TURP. What is the first action the nurse should take? 1. Discontinue the irrigation 2. Increase the rate of the IV fluids 3. Administer a unit of packed red blood cells 4. Prepare the patient for an ECG

1. Discontinue the irrigation

A nurse is assisting with the plan of care for a client who is to undergo genetic testing for suspected cancer. Which of the following interventions should the nurse include? 1. Ensure the client signs an informed consent form 2. Withhold all medications prior to the procedure 3. Verify the prescription for a tumor marker assay 4. Place the client in a recovery position after testing

1. Ensure the client signs an informed consent form

A patient comes to the clinic reporting an inability to sustain an erection and is prescribed a PDE-5 inhibitor, sildenafil. What medication should the nurse caution the patient about taking with this medication? 1. Isosorbide 2. Lisinopril 3. Diphenhydramine 4. Levothyroxine

1. Isosorbide

A patient informs the nurse that his father died of prostate cancer so he wants to know ways in which to reduce his risk factors for developing it. What education can the nurse give to the patient to decrease modifiable risk factors? 1. Limit red meat and dairy products high in fat 2. Quit smoking 3. Avoid wearing tight pants and underwear 4. Monitor blood pressure

1. Limit red meat and dairy products high in fat

The nurse is caring for a client who is receiving an IV infusion of an anti-neoplastic medication. During the infusion, the client complains of pain at the insertion site. During an inspection of the site, the nurse notes redness and swelling. The nurse should take what appropriate action? 1. Notify the registered nurse 2. Administer pain medication to reduce the discomfort 3. Apply ice and maintain the infusion rate as prescribed 4. Elevate the extremity of the IV site and slow the infusion

1. Notify the registered nurse

The nurse is caring for a client with an internal radiation implant. The nurse should observe which principle? 1. Pregnant women are not allowed in the client's room 2. Limit the time with the client to 1 hour in an 8 hour shift 3. Remove the dosimeter badge when entering the client's room 4. Individuals less than 16 years old are allowed in the room if the stay 6 feet away from the client.

1. Pregnant women are not allowed in the client's room

A patient comes to the emergency department and tells the nurse, "I took a pill to help me perform sexually and then passed out." The nurse is assessing the patient and finds a nitroglycerin patch on his back. What is the first intervention the nurse must perform? 1. Take the patient's blood pressure 2. Ask the patient to obtain a urine specimen 3. Start an IV 4. Administer atropine 0.5 mg

1. Take the patient's blood pressure

A nurse is reviewing the health record of a client who had surgery to stage ovarian cancer. The client's pathology report states a finding of T1-N3-MX. Which of the following explanations best explains the pathology report? 1. The ovarian tumor is present and involves lymph nodes 2. No lymph nodes contain cancer cells 3. The tumor is receptive to current medication therapy 4. The cancer has metastasized to other areas in the body

1. The ovarian tumor is present and involves lymph nodes Using a TNM staging system, T1 indicates a tumor is present, N3 confirms lymph node involvement. MX indicates the inability to evaluate for distant metastasis.

A nurse is collecting data from a client who has suspected cancer. Which of the following findings should the nurse expect? Select all that apply 1. Temperature of 102°F (38.9 C) for more than 48 hours 2. Presence of a sore that does not heal 3. Difficulty swallowing 4. Unusual discharge 5. Weight gain of 4 pounds in two weeks

2, 3 and 4 Fever and weight gain are not warning signs for cancer. Weight-loss is more likely.

A nurse is contributing to the plan of care for a client who is undergoing chemotherapy and is on neutropenic precautions. Which of the following interventions should the nurse recommend? Select all that apply 1. Encourage high-fiber diet 2. Remove plants from the room 3. Have a client wear a mask when leaving the room 4. Have client specific equipment remain in the room 5. Eliminate raw foods from the client's diet

2, 3, 4 and 5

A nurse is teaching a client who is undergoing cancer treatment interventions to manage stomatitis. Which of the following statements by the client indicates an understanding of the teaching? 1. "I will try chewing larger pieces of food." 2. "I will avoid toasting my bread." 3. "I will consume more food in the morning." 4. " I will add more citrus foods to my diet. "

2. "I will avoid toasting my bread."

A nurse is reinforcing teaching with a client who is to have nuclear imaging for suspected cancer. Which of the following statements should the nurse make? 1. " The test will identify the presence of liver enzymes." 2. "You will be given an injection of a radioactive substance during the testing." 3. "Insertion of an endoscope through your mouth will occur during the test." 4. "Aspiration of the tumor will be part of the imaging test."

2. "You will be given an injection of a radioactive substance during the testing."

The nurse is caring for a client after a mastectomy. Which finding would indicate that the client is experiencing a complication related to the surgery? 1. Mild pain at the incision site 2. Arm edema at the operative site 3. Sanguinous drainage in the drainage tube 4. Complains of decreased sensation near the operative site

2. Arm edema at the operative site

A nurse is caring for a client 24 hours following a liver lobectomy for hepatocellular carcinoma. Which of the following laboratory reports should the nurse monitor? 1. Urine specific gravity 2. Blood glucose 3. Serum amylase 4. D-dimer

2. Blood glucose Stress to the liver from surgery requires monitoring for the first 24 to 48 hours for decreased gluconeogenesis.

The client with metastatic breast cancer is receiving tamoxifen. The nurse specially monitors which laboratory value while the client is taking this medication? 1. Glucose level 2. Calcium level 3. Potassium level 4. Prothrombin time

2. Calcium level Tamoxifen is known to elevate calcium levels.

The nurse provides skin care instructions to the client who is receiving external beam radiation therapy. Which statement by the client indicates the need for further teaching? 1. "I will handle the area gently." 2. "I will wear loose fitting clothes." 3. "I will avoid the use of deodorants." 4. "I will limit sun exposure to 1 hour daily."

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

A patient is planning to use a negative pressure vacuum device to maintain and sustain an erection. What should the nurse caution the patient about with the use of this device? 1. Do not use the device while taking nitrates 2. Do not leave the constricting band in place for longer than one hour to avoid penile injury 3. Watch for erosion of the prosthesis through the skin 4. Watch for the development of infection

2. Do not leave the constricting band in place for longer than one hour to avoid penile injury

Patient is having a digital rectal exam in the healthcare providers office and the nurse is to assist in the examination. What can the nurse instruct the client to do to decrease the discomfort from the exam? 1. Take a deep breath and hold it when the healthcare provider inserts a gloved finger into the rectum 2. Take a deep breath and exhale when the healthcare provider inserts a gloved finger into the rectum 3. When bending over the examining table, point the feet outward to decrease the discomfort 4. Inform the patient that the examination is not uncomfortable and will be over in a short period of time

2. Take a deep breath and exhale when the healthcare provider inserts a gloved finger into the rectum

What does the nurse tell the patient is the best way to decrease the risk of developing penile cancer? 1. Avoid sexual intercourse with multiple partners 2. Use good genitalia hygiene 3. Use a condom when having sexual intercourse 4. Keep your wiener in your pants

2. Use good genitalia hygiene

A nurse in an oncology clinic is caring for a client who is undergoing treatment for cancer and reports difficulty eating due to an inability to taste food. Which of the following interventions should the nurse recommend? 1. Avoid citrus juices 2. Use plastic utensils to eat 3. Eat foods that are warm 4. Increase foods high in pectin

2. Use plastic utensils to eat

A nurse is caring for a client who has multiple types of skin lesions. Which of the following skin lesions are indicative of a malignant melanoma? Select all that apply 1. Diffuse vesicles 2. Uniformly colored papule 3. Area with asymmetric borders 4. Rough, scaly patch 5. Irregular colored mole

3 and 5 Diffuse vesicles are consistent with an allergic reaction. A uniformly colored papule is usually a birthmark or skin injury. A rough scaly patch is consistent with squamous cell skin cancer.

A nurse is assisting with teaching about colon cancer to a group of female clients. Which of the following statements should the nurse include in the teaching? 1. "Colonoscopies for individuals with no family history of cancer should begin at age 40." 2. "A sigmoidoscopy is recommended every five years beginning at age 60." 3. "Fecal occult blood test should be done annually beginning at age 50." 4. "An endoscopy provides a definitive diagnosis of colon cancer."

3. "Fecal occult blood test should be done annually beginning at age 50." A colonoscopy should be done every 10 years beginning at age 50. A sigmoidoscopy is recommended every five years beginning at age 50. A biopsy performed during in endoscopic procedure will confirm a diagnosis.

A nurse is reinforcing teaching about screening for cancer. Which of the following statements by the client indicates understanding? 1. "I will need to have a mammogram every 2 years beginning at age 45." 2. "I should have a colonoscopy every 15 years beginning at age 60." 3. "I will need to have a Pap test every 5 years beginning at age 30." 4. "I should have fecal occult test done every 3 years."

3. "I will need to have a Pap test every 5 years beginning at age 30."

A nurse is caring for a client who is undergoing chemotherapy and reports severe nausea. Which of the following statements should the nurse make? 1. "Your nausea will lessen with each course of chemotherapy." 2. "Hot food is better tolerated due to the aroma." 3. "Try eating several small meals throughout the day." 4. "Increase your intake of red meat."

3. "Try eating several small meals throughout the day."

The nurse is educating a patient about performing testicular self examination. The nurse informs the patient that the best time to perform the exam is when? 1. In the morning when arising 2. After exercise 3. After a warm bath or shower 4. At bedtime

3. After a warm bath or shower

A nurse is caring for a client who is receiving chemotherapy and has mucositis. Which of the following actions should the nurse take? 1. Use a glycerin soap or swab to clean the client's teeth 2. Encourage increased intake of citrus fruit juices 3. Obtain a culture of the lesions 4. Provide an alcohol-based mouthwash for oral hygiene

3. Obtain a culture of the lesions Glycerin, acidic foods and alcohol should all be avoided with mucositis.

A patient with an indwelling catheter after a radical prostatectomy is having bladder spasms. What medication prescribed by the physician can the nurse administer to help alleviate the discomfort? 1. Cephalexin 2. Phenazopyridine 3. Oxybutynin 4. Tadalafil

3. Oxybutynin

A patient is suspected of having prostate cancer related to observed clinical symptoms. What definitive test can the nurse assist with to confirm a diagnosis of prostate cancer? 1. DRE 2. PSA 3. Prostate biopsy 4. Cytoscopy

3. Prostate biopsy

A nurse is collecting data from a client who has suspected HIV-associated muscle wasting. Which of the following findings supports this diagnosis? 1. BMI 26 2. Fecal impaction 3. Report of fever for 30 days 4. Report of high alcohol consumption

3. Report of fever for 30 days

The nurse is assisting with developing a plan of care for a client who is experiencing hematological toxicity as a result of chemotherapy. The nurse should suggest including which in the plan of care? 1. Restricting all visitors 2. Restricting fluid intake 3. Restricting fresh fruits and vegetables in the diet 4. Inserting an indwelling urinary catheter to prevent skin breakdown

3. Restricting fresh fruits and vegetables in the diet

The client is receiving external radiation to the neck for cancer of the larynx. The nurse monitors the client knowing that which is the most likely side/adverse effect of the external radiation? 1. Dyspnea 2. Diarrhea 3. Sore throat 4. Constipation

3. Sore throat

What is the single greatest greatest factor for contracting a sexually-transmitted infection? 1. The type of contraception used 2. The number of times the person has contact with a partner 3. The number of sexual partners 4. Where the patient lives

3. The number of sexual partners

A nurse is reinforcing teaching with a client who is to have a shave biopsy for suspected cancer. Which of the following statements by the client indicates understanding? 1. "This is a test to check my bone marrow." 2. "This examination will require the removal of a lymph node." 3. "This procedure will include a needle insertion into the mass." 4. "This test will involve removing a small skin sample."

4. "This test will involve removing a small skin sample." One and three are types of needle biopsy. Number two is sentinel node biopsy which involves the excision of a lymph node.

The nurse is reinforcing instructions to a client receiving external beam radiation therapy. The nurse determines the client needs further teaching if the client states an intention to take what action? 1. Eat a high protein diet 2. Avoid exposure to the sun 3. Wash the skin with mild soap and water and pat dry 4. Apply pressure on the radiated area to prevent bleeding

4. Apply pressure on the radiated area to prevent bleeding

A patient is being treated for prostatitis and the nurse is providing education about the treatment. What should the nurse include in the education of this patient? 1. Force fluids to prevent urine from backing up and distending the bladder 2. Take several cool baths during the day to alleviate discomfort 3. Be sure to take the three day course of antifungal medication 4. Avoid foods and liquids with diuretic action or that increase prostatic secretions

4. Avoid foods and liquids with diuretic action or that increase prostatic secretions

The client with ovarian cancer is being treated with vincristine. The nurse monitors the client, knowing that which adverse effect is specific to this medication? 1. Diarrhea 2. Hair loss 3. Chest pain 4. Extremity numbness

4. Extremity numbness Vincristine is a mitotic spindle inhibitor that causes peripheral neuropathy.

A nurse is caring for a client who has leukemia and has developed thrombocytopenia. Which of the following actions should the nurse take first? 1. Plan for the client to take rest periods throughout the day. 2. Encourage the client to cough, turn, and deep breathe every two hours. 3. Measure temperature every four hours. 4. Monitor platelet counts.

4. Monitor platelet counts.

The client is hospitalized for the insertion of an internal cervical radiation implant. While giving care, the nurse finds the radiation implant in the bed. Which is the immediate nursing action? 1. Call the healthcare provider 2. Reinsert the implant into the vagina 3. Pick up the implant with gloved hand and flush it down the toilet 4. Pick up the implant with long handled forceps and place it into a lead container

4. Pick up the implant with long handled forceps and place it into a lead container

The client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. The nurse caring for the client anticipates that which diagnostic study will be prescribed? 1. Echo cardiogram 2. Electrocardiography 3. Cervical radiography 4. Pulmonary function studies

4. Pulmonary function studies Bleomycin can cause pulmonary fibrosis

A client with breast cancer is receiving a combo of chemo agents. The nurse IDs the rationale for this combined treatment modality is that the- a. risk of renal toxicity is lessened b. agents act at different stages of cellular mitosis c. length of treatment will be shorter d. potential for bone marrow suppression is eliminated

Agents act at different stages of cellular mitosis.

A nurse anticipates that a client who is receiving antineoplastic medications may manifest what side effects? a. Gingival hyperplasia b. Hirsutism c. Aplastic anemia d. Weight gain

C. Aplastic Anemia: it is a sign of bone marrow suppression, which is a common side effect of chemotherapeutic agents. Aplastic anemia results in pancytopenia, a decrease in white blood cells, red blood cells, and platelet count.

A nurse in an oncology clinic is conducting an assessment on a client with multiple myeloma. In relation to lab findings commonly associated with this diagnosis, the nurse should carefully assess the client for manifestations related to which of the following? a. hypocalcemia b. thrombocytopenia c. leukocytosis d. polycythemia

Thrombocytopenia

A client who has a suspected ovarian tumor is scheduled to have a pelvic ultrasound. In prepping the client for the procedure, the nurse instructs the client to a. drink 4 to 6 glasses of water and do not void b. have nothing to eat or drink after midnight c. self-administer an enema the night before the procedure d. abstain from sexual intercourse the night before

a. Drink 4 to 6 glasses of water and do not void. A pelvic ultrasound requires a full bladder to better visualize and identify the organs and structures in the pelvis.

A client is receiving external radiation therapy. What statement indicates to the nurse that the client understands the discharge teaching plan? a. I need to protect the area from sunlight b. I'm going to apply skin cream every day to the area c. I'll massage the area once a day d. I'll wash the markings off after each therapy treatment

a. I need to protect the area from sunlight.

A sibling of a client recently diagnosed with colon cancer questions the nurse in regard to the CEA blood test. Info the nurse should include: "The CEA test is: a. most helpful in monitoring progress of the disease in clients already being treated for colon cancer. b. an effective screening test and is indicated because of family history c. recommended by the american cancer association to be performed yearly starting at age 50 d. used to confirm the diagnosis if a client has symptoms consistent with colon or rectal cancer

a. Most helpful in monitoring progress of the disease in clients already being treated for colon cancer. CEA (carcinoembryonic antigen) is a substance produced by the cells of most colon and rectal cancers and released into the blood stream. CEA levels should return to normal following successful treatment. It is not used as a screening test for colon cancer in clients who have not been diagnosed with cancer and appear to be healthy.

An adolescent female client who had a successful bone marrow transplant is being discharged. What info should the nurse include as a part of the discharge plan? (select all that apply) a. take your temp BID b. you may return to school if you feel strong enough c. it is important to always wear shoes d. clean your toothbrush weekly with isopropyl alcohol e. avoid tampons

a. Take your temperature twice a day. a temperature > than 101 should be reported. c. Important to always wear shoes to prevent injury and infection. e. Avoid tampons - they can support the growth of bacteria if left in too long.

A client receiving chemo every few weeks is told by the provider what his nadir was at his last treatment. When asked by the client what nadir is, an appropriate answer by the nurse would be that the nadir is the- a. lowest point your blood count reached after treatment b. highest point your blood count reaches after treatment c. point at which the next dose of chemo can be given again d. point at which chemo is determined to be effective

a. lowest point your blood count reached after treatment. this occurs approximately 10 days after an antineoplastic treatment.

A client with leukemia suffers a relapse, and the provider recommends a bone marrow transplant. After the provider leaves, the client asks the nurse, "Do they put the marrow back in me the same way they took it out for a biopsy?" What response should the nurse make? a. no, it's transfused just like any other blood component into your central IV line b. yes, it's replaced directly into the bone like a biopsy, but it requires several sites c. yes, however, you will not feel it because they will do it in the operating room under anesthesia d. I'll get the dr back in here to answer the rest of your questions.

a. no, it's transfused just like any other blood component into your central IV line.

A client is being evaluated in an oncology clinic after referral by the client's provider for suspicion of Hodgkin's disease. Secondary to this possible diagnosis, the nurse should focus on assessing for what? a. bone and joint pain b. enlarged lymph nodes c. difficulty swallowing d. patchy alopecia

b. enlarged lymph nodes. Hodgkins disease is a malignancy of lymphoid tissue found in the lymph nodes, spleen, liver, and bone marrow.

A client with uterine cancer is receiving chemo and develops thrombocytopenia. Due to this side effect, the nurse should plan to give the greatest consideration to-- a. monitoring visitors for signs of infection b. reminding the client to use an electric razor c. encouraging frequent rest periods d. instruct client to vigorously brush and floss teeth

b. reminding the client to use an electric razor. Thrombocytopenia is a decrease in the client's platelet count, which places the client at an increased risk of bleeding due to an inability to clot.

A client is admitting to the hospital after being treated with vincristine for cancer. The client report being diagnosed with peripheral neuropathy due to chemo. When assessing the client, the nurse should expect to see which symptom in the client's extremities? a. edema b. tingling c. ataxia d. spasms

b. tingling

A nurse is caring for a client who has just begun chemo for acute lymphoma. The plan of care indicates that signs of tumor lysis syndrome should be part of the nursing assessment. What asssessment finding is consistent with tumor lysis syndrome? a. Polyuria b. Muscle weakness c. Flank pain d. Hypotension

c. Flank pain Tumor lysis syndrome is caused by the sudden, rapid death of cells, particularly cancer cells in clients with leukemia or lymphoma. Lab results will show high potassium, uric acid, and phosphorous levels and low calcium levels. Progression of the syndrome may cause acute kidney failure, cardiac arrhythmias, seizures, loss of muscle control, and death. Flank pain is a symptom of tumor lysis syndrome secondary to the strain placed on the kidneys to excrete large amounts of intracellular metabolites.

A client with bladder cancer is being treated with intravesical administration of immunotherapy. During treatment, the nurse should- a. maintain the client in the Trendelenburg position for at least 2 hr b. tell client to get up to urinate when he feels the urge c. assist the client with changing positions ever 15 mins for 2 hr d. have a gown and mask ready for removal of the fluid from the bladder

c. assist the client with changing positions every 15 minutes for 2 hours.

A nurse is developing a care plan for a client immediately following a bone marrow transplant. What post transplant concerns should be the nurse's highest priority? a. pain b. social isolation c. risk for infection d. graft-versus-host disease

c. risk for infection The major cause of death in the first week to 10 days following a bone marrow transplant is infection. Priority concern should be maintaining a microorganism free environment. Graft-versus-host disease occurs 10 - 100 days after the procedure

A nurse is preparing to discharge a client who had a right radical mastectomy 2 days ago and will be going home with drains still in the incision. When developing a discharge plan of care for this client, what should the nurse include? a. empty the reservoir bulb attached to the drain once a day b. avoid exercises that raise the right arm over the head for 6 weeks c. take your BP on the left arm d. report numbness of the inner right arm to the provider

c. take your BP on the left arm

Four weeks after a bone marrow transplant, a client develops a fever and a rash on the hands and feet. Based on theses findings, the nurse should suspect that the client is experiencing what condition? a. allergic response to medication b. side effects of radiation therapy c. veno-occlusive disease of liver d. graft-verses-host disease

d. Graft-versus-host disease. Usually occurs between 10 and 100 days following the transplant. In GVHD, T-cells from the donor bone marrow attack and destroy vulnerable host cells. glucocorticoids and cyclosporine may be used to treat the condition.

A client with multiple myeloma is admitted to the unit with WBC of 2200. What foods should the nurse prohibit family members from bringing to the client? a. fried chicken from a fast food shop b. a gift basket of bagels c. factory-sealed box of chocolates d. a fresh fruit basket

d. a fresh fruit basket. Raw fruits and vegetables are contraindicated for this client since the skin may harbor bacteria that can cause an infection in this client. these foods should not be brought into the clients room or consumed by the client.

A nurse is developing a plan of care for a client with metastatic lung cancer who is at risk for the development of superior vena cava syndrome. The nurse includes in the plan to assess the client frequently for early manifestations of the superior vena cava syndrome including- a. irregular cardiac rhythm b. change in the level of consciousness c. wasting of the arms d. facial edema

d. facial edema. superior vena cava syndrome is a partial occlusion of the superior vena cava. lower than normal blood flow through this major vein which causes facial and upper extremity edema.

A nurse is caring for a client who has been diagnosed with cancer in situ. The client asks the nurse what type of cancer this is. The nurse should respond that cancer in situ is when abnormal cell production-- a. has spread to a distant site b. has infiltrated the lymph nodes c. has invaded surrounding tissue d. has developed within a localized area

d. has developed within a localized area. cancer-in-situ is an early stage of cancer that is limited to the site of origin.