Oncology student questions

Which statement made by the client allows the nurse to recognize whether the client who is receiving brachytherapy for ovarian cancer understands the treatment plan?

"I will have a radioactive device in my body for a short time."

The male client diagnosed with a brain tumor is scheduled for an MRI scan in the morning. The client tells the nurse that he is scared. Which response by the nurse is the appropriate therapeutic response?

"You're scared. Tell me about what is scaring you?"

You're providing an in-service on skin cancer prevention to a local group of parents and grandparents. One topic you discuss is the identification of melanoma. Select all the characteristics of this type of skin cancer you will educate the participants about:

B)Red, purple, and black color C) Dissimilar borders E) Increase in size, shape, color

The client diagnosed with a brain tumor was admitted to the ICU with decorticate posturing. Which indicates that the client's condition is getting worse?

: (D) The client has become flaccid and does not appear to respond to stimuli.

The nurse correctly comprehends the pathophysiology of Prostate cancer when the nurse states clinical symptoms of prostate cancer include.(Select all that apply)

A. Difficulty in initiating urination B. Blood in urine or semen C. Prostate gland appears stony hard

A home health nurse is visiting a patient who underwent left-sided mastectomy with lymph node removal. The client is concerned about swelling in her arm on the affected side. Which instructions should the nurse discuss with the patient? Select all that apply

A. Elevate the arm above the head B. Use an intermittent pneumatic compression sleeve D. Avoid receiving vaccinations in the affected arm E. Perform isometric exercises

What is a common symptom of bladder cancer?

Back pain

Which diagnostic test is commonly used to diagnose bladder cancer?

Cystoscopy

A patient who has been given a lung cancer diagnosis has been informed that the illness has spread to the brain. Which course of action should the nurse take?

Discuss implementing an advance directive

A nurse is caring for a client 1 day after right-sided mastectomy with lymph node dissection. Which nursing intervention is priority in caring for this client?

Elevate the affected arm on a pillow

Which of the following is a common risk factor for bladder cancer?

Family history of bladder cancer

A SCLC patient's social history is being obtained by the nurse. What information is most relevant for this illness?

Has smoked three packs of cigarettes per day for 15 years

A 60-year-old African American man comes to the clinic for a routine check-up. His father and grandfather both had prostate cancer. Which of the following statements regarding his risk for prostate cancer is true?

His risk is higher than the general population due to his age, ethnicity and family history.

The nurse is admitting a patient who underwent a mastectomy 5 months ago and is scheduled for elective surgery. During the physical assessment, the nurse notices a palpable, 0.5-cm, mobile, soft, and nontender lymph node in the upper arm. What action should the nurse take

Inform the patient that it is an expected finding

A nurse is caring for a patient who has cervical cancer and is scheduled for brachytherapy. Which of the following actions should the nurse take? Select all that apply

a) Permit visitors to stay with patient 30 min at a time c) Wear a dosimeter when in the patient's room

A 29 year old woman is concerned about her personal risk factors for malignant melanoma. She is upset because her 49 year old sister was recently diagnosed with the disease. After gathering information about the client's history of sun exposure, the nurse best response would be to explain:

a) Some melanomas have a familial component and she should seek medical advice

1.A nurse is reviewing the medical record of a client who has suspected ovarian cancer. Which of the following findings should the nurse identify as a risk factor for ovarian cancer? Select all that apply

a) previous treatment for endometriosis b) family history of colon cancer

A patient with colon cancer is scheduled to undergo a colon resection surgery. What should the nurse include in their teaching plan? Select all that apply.

a. Teach the patient to perform deep breathing exercises to prevent pneumonia. b. Instruct the patient to avoid eating or drinking anything for 24 hours before surgery. c.Discuss the importance of ambulating as soon as possible after surgery.

The nurse learns that a client is being considered for a total abdominal hysterectomy. Which health problem should the nurse suspect this client is experiencing? Select all that apply

b) ovarian cancer c) cervical cancer

Which of the following groups would benefit most from education regarding potential risk factors for melanoma?

c) Parents with children

A nurse is providing education in a community setting about general measures to avoid excessive sun exposure. Which of the following recommendations is appropriate?

d) Apply sunscreen with SPF of 15 or more before sun exposure

A middle aged client has had two lesions diagnosed as basal cell carcinoma removed. Which discharge instruction should the nurse include?

d) Demonstrate care of the surgical site

A nurse cares for a client newly diagnosed with colon cancer who has become withdrawn from family members. Which action should the nurse take?

Ask family and friends to visit the client and provide emotional support.

The patient is diagnosed with a brain tumor in the cerebellum. Which signs and symptoms would the nurse expect the patient to exhibit?

B. Ataxia and nystagmus.

You are caring for a patient with an ileostomy bag 24 hours after an ileal conduit. After assessing the stoma, you observe the stoma to appear dark blue. The priority nursing action is to:

Notify the surgeon immediately

A 50-year-old man is concerned about his risk of developing prostate cancer. Which of the following measures would be most effective in reducing his risk of prostate cancer?

Smoking cessation

The patient is diagnosed with a brain tumor. Which option is the correct understanding of the preferred treatment?

(A) Surgical removal is preferred, even if the tumor is not malignant.

A nurse is caring for a client who has a benign brain tumor. The client asks the nurse if he can expect this same type of tumor to occur in other areas of his body. Which of the following is an appropriate response by the nurse?

(C) It is limited to brain tissue

The nurse is caring for a patient who is scheduled for a biopsy of a suspicious mass in the breast. The client is crying and is tachycardic and tachypneic. Based on this assessment​ data, which problem is a​ priority?

Anxiety

While performing a monthly self-breast exam, the nurse understands to report which symptoms of the breast? Select all that apply

A. Reddened warmth area to the breast B. Hard, painless, immobile lump D.Small indented areas of the breast

Which of the following clients are at a high risk of developing colon cancer? Select all that apply.

A.Client diagnosed with diverticulosis 4 years ago. B.Client with a BMI of 40. C.A client who smokes a pack of cigarettes a day. D.A client whose mother had colon cancer 10 years ago.

A 65 year old patient is in his primary care physicians office for his annual visit. He states "One of my buddies just got diagnosed with Prostate Cancer and we are all a little shaken up. He is around my age. What should I do to help reduce the risk of getting it?" The best response by the nurse should be... (SATA)

A.Get an annual physical at your primary care office C.Report any urinary symptoms such as frequency or incomplete emptying D.Get a colon cancer screening annually until 75 years of age

A patient recently stopped smoking and asks his healthcare provider if he is still at risk to develop lung cancer. The healthcare provider's best response to the patient's question is:

A.In 15 years your risk of developing cancer will be the same as a non-smoker.

A patient who has been diagnosed with lung cancer is being discharged. Which of the client's statements suggests that more teaching is required?

A.It doesn't matter if I smoke now. I already have cancer.

The community nurse is discussing cancer statistics with a group. Which statistics about death rates from lung cancer is most accurate?

A.Lung Cancer is the number 1 cause of cancer deaths in both men and women.

A 20 year old man comes into the clinic for a well visit. During his check up he mentions to his doctor that his 56 year old father recently passed away from prostate cancer. When is an appropriate age for this patient to begin screening?

A.The patient should begin screening at 40

The patient is receiving immunotherapy and targeted therapy for ovarian cancer. What medication should the nurse expect to administer before therapy to combat the most common side effects of these medications?

Acetaminophen (Tylenol)

A nurse teaches a client who is at risk for colon cancer. Which dietary recommendation should the nurse teach this client?

Add vegetables such as broccoli and cauliflower to your new diet.

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

Age younger than 50 years

Your patient with a neobladder is experiencing urinary incontinence. Which of the following interventions would best help your patient with this problem?

Kegel exercises