SAUNDERS NCLEX ONCOLOGY

A client who is receiving chemotherapy for breast cancer develops myelosuppression. Which instructions should the nurse include in the client's discharge teaching plan? Select all that apply. 1.Avoid contact sports. 2.Wash hands frequently. 3.Increase in/-*take of fresh fruits and vegetables. 4.Avoid crowded places such as shopping malls. 5.Treat a sore throat with over-the-counter products. 6.Avoid people who have received live attenuated vaccines.

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

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

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 should prepare to implement which action based on this finding?

Remove the rectal thermometer from the client's room.

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

Sunken eyes and a hollow cheek appearance

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.

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

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

The client is preparing for discharge from the hospital after radical vulvectomy. The nurse should include which activity as appropriate for the client immediately after discharge?

Walking

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.

"I have to avoid excessive exposure to sunlight." "I am at higher risk for skin cancer because my mother had one."

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

"Hold the device alongside the neck."

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

Personal history of ulcerative colitis or gastrointestinal polyps

As part of chemotherapy education, the nurse teaches a female 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."

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

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

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. 1.A high-fiber diet 2.A diet high in fats 3.Minimal alcohol intake 4.A diet high in carbohydrates 5.A history of inflammatory bowel disease 6.A maternal grandfather who had a history of heart disease

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

A client is diagnosed as having a bowel tumor. The nurse should monitor the client for which complications of this type of tumor? Select all that apply. 1.Flatulence 2.Peritonitis 3.Hemorrhage 4.Fistula formation 5.Bowel perforation 6.Lactose intolerance

2.Peritonitis 3.Hemorrhage 4.Fistula formation 5.Bowel perforation

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. 1.Facial edema in the morning 2.Weight loss of 20 lb (9 kg) in 1 month 3.Serum calcium level of 12 mg/dL (3.0 mmol/L) 4.Serum sodium level of 136 mg/dL (136 mmol/L) 5.Serum potassium level of 3.4 mg/dL (3.4 mmol/L) 6.Numbness and tingling of the lower extremities

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

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

Encourage increased intake of oral fluids.

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

Positron emission topography (PET) scan

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

Cigarette smoking

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?1. "Apply ice to the site to prevent swelling."2. "Clean the site with alcohol three times daily."3. "Apply a warm, damp washcloth if discomfort occurs."4. "Avoid showering or taking baths until seen by the health care provider in 1 week."

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

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."

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 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 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 intervention is most appropriate?

Change the dressing as prescribed.

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

Cough

A client receiving chemotherapy is experiencing mucositis. The nurse should advise the client to use which item as the best substance to rinse the mouth?

Weak salt and bicarbonate mouth rinse

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

Lymphadenopathy

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 should be included in the instructions? Select all that apply. 1.Protect the stoma from water. 2.Use a humidifier if dryness is a problem. 3.Keep powders and sprays away from the stoma site. 4.Use an air conditioner to provide cool air to assist in breathing. 5.Apply a thin layer of non-oil-based ointment to the skin around the stoma to prevent cracking.

1.Protect the stoma from water. 2.Use a humidifier if dryness is a problem. 3.Keep powders and sprays away from the stoma site. Apply 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. 1.Radiation 2.Chemotherapy 3.Increased fluid intake 4.Decreased oral sodium intake 5.Serum sodium level determination 6.Medication that is antagonistic to antidiuretic hormone

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

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 should the nurse include in discharge instructions?

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

The nurse is caring for a client with leukemia. In assessing the client for signs of leukemia, the nurse determines that what should be monitored?

Bone marrow biopsy

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 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

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 monitoring an oncological client assesses for which early sign of vena cava syndrome?

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

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 reviewing the record of a client who was admitted to the hospital with a diagnosis of ovarian cancer. 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 nurse is providing teaching to a client 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 will be permanent.

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 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 carcinoma that is just in the cervix."

The nurse is conducting a history and monitoring laboratory values on a client with multiple myeloma. What assessment findings should the nurse expect to note? Select all that apply. 1.Pathological fracture 2.Urinalysis positive for nitrites 3.Hemoglobin level of 15.5 g/dL (155 mmol/L) 4.Calcium level of 8.6 mg/dL (2.15 mmol/L) 5.Serum creatinine level of 2.0 mg/dL (176.6 mcmol/L)

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

A 67-year-old man 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. 1.Teach the man to speak slowly. 2.Teach the man to enunciate clearly. 3.Encourage the man to drink only thin liquids. 4.Teach the man to examine his oral mucosa daily. 5.Encourage the man to use artificial saliva to manage dryness.

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

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

An irregularly shaped lesion

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

Dull abdominal pain exacerbated by walking

The community health nurse is creating a poster for an educational session for a group of women and will be discussing the risk factors associated with breast cancer. Which risk factors for breast cancer should the nurse list on the poster? Select all that apply. 1.Multiparity 2.Early menarche 3.Early menopause 4.Family history of breast cancer 5.High-dose radiation exposure to chest 6.Previous cancer of the breast, uterus, or ovaries

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

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

Which interventions are the most appropriate for a client who is experiencing thrombocytopenia? Select all that apply. 1.Use a straight-edge razor for shaving. 2.Obtain a rectal temperature every 8 hours. 3.Check secretions for frank or occult blood. 4.Give vitamin K by the intramuscular route. 5.Encourage fluid intake to avoid constipation. 6.Provide oral sponges or a soft toothbrush for oral care.

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

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

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.

Enlarged, painless lymph nodes Fever Weight loss Night sweats

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

Fear

The nurse is reviewing the laboratory test results for a client receiving chemotherapy. The nurse notes that the white blood cell count is extremely low and places the client on neutropenic precautions. Which interventions are components of these types of precautions? Select all that apply. Allowing only fresh fruits in the client's room Removing fresh-cut flowers from the client's room .Encouraging the client to eat any types of fresh vegetables Instructing family members on the proper technique for hand washing Instructing family members to wear a mask when entering the client's room

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

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 should consider developing a plan of care for which possible medical diagnosis?

Laryngeal cancer

The nurse is providing care to a client who has undergone modified right mastectomy for the treatment of breast cancer. Which activity should 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.

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. Facial edema in the morning 2.Weight loss of 20 lb (9 kg) in 1 month 3.Serum calcium level of 12 mg/dL (3.0 mmol/L) 4.Serum sodium level of 136 mg/dL (136 mmol/L) 5.Serum potassium level of 3.4 mg/dL (3.4 mmol/L) 6.Numbness and tingling of the lower extremities

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

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

Rinse the mouth with diluted baking soda or saline.

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

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

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 should teach the client to put the pillow in which location for self-examination of the right breast?

Under the right shoulder

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

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

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."

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

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

A client scheduled for a skin biopsy 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 should make which response to the client?

"The local anesthetic may cause a stinging sensation."

The nurse is caring for a client with prostate cancer who is being treated with a hormone therapy. What should 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

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

Change position every 15 minutes.

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 community health nurse is creating a poster for an educational session for a group of women and will be discussing the risk factors associated with breast cancer. Which risk factors for breast cancer should the nurse list on the poster? Select all that apply. 1. Multiparity 2. Early menarche 3.Early menopause 4.Family history of breast cancer 5.High-dose radiation exposure to chest 6.Previous cancer of the breast, uterus, or ovaries

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

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

Elevating the affected arm on a pillow above heart level

The health education nurse provides instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which instructions should the nurse provide? Select all that apply. Sunscreen should be applied every 8 hours. .Use sunscreen when participating in outdoor activities. Wear a hat, opaque clothing, and sunglasses when in the sun. Avoid sun exposure in the late afternoon and early evening hours. 5.Examine your body monthly for any lesions that may be suspicious.

Examine your body monthly for any lesions that may be suspicious. Use sunscreen when participating in outdoor activities. \Wear a hat, opaque clothing, and sunglasses when in the sun.

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

Having urinary urgency or frequency Experiencing pelvic or abdominal swelling

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

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 should be included in the list? Select all that apply. 1.Restrict fluid intake. 2.Obtain a MedicAlert bracelet. 3.Keep the humidity in the home low. 4.Prevent debris from entering the stoma. 5.Avoid exposure to people with infections. 6.Avoid swimming and use care when showering.

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

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. Which interventions should be included in the preprocedure plan of care? Select all that apply. Obtain an informed consent. Clean the area of the lesion with water. 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. Teach the client about the need to cleanse the site postprocedure with hydrogen peroxide and a topical corticosteroid every 4 hours.

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 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 who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing which condition?

The development of a vesicovaginal fistula

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 ambulatory care nurse is providing discharge instructions to a female 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 should expect the vaginal discharge to be clear and watery."

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

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

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.

1.Maintain the client on bed rest. 2.Place the client on a low-fiber diet. 3.Keep the head of the bed flat at all times. 4.Restrict visitors to visiting for 60 minutes per day. 5.Stand at the entrance of the room to communicate with the client when possible.

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 should take which actions? Select all that apply. 1.Stop the infusion. 2.Prepare to apply ice or heat to the site. 3.Notify the primary health care provider (PHCP). 4.Restart the IV at a distal part of the same vein. 5.Prepare to administer a prescribed antidote into the site. 6.Increase the flow rate of the solution to flush the skin and subcutaneous tissue.

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

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

Bed rest

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.

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

The nurse should include which intervention in the care of a client who has undergone a vaginal hysterectomy for the treatment of cancer? Select all that apply. 1.Elevate the knee gatch on the bed. 2.Encourage ambulation as prescribed. 3.Remove antiembolism stockings twice daily. 4.Assist with range-of-motion (ROM) leg exercises. 5.Check placement of pneumatic compression boots.

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

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 should be included in the list? Select all that apply. 1.Restrict fluid intake. 2.Obtain a MedicAlert bracelet. 3.Keep the humidity in the home low. 4.Prevent debris from entering the stoma. 5.Avoid exposure to people with infections. 6.Avoid swimming and use care when showering.

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

A client with a medical diagnosis of breast cancer is undergoing chemotherapy. The client complains to the nurse about losing her hair and severe fatigue from the treatment. Which interventions should the nurse implement for this client? Select all that apply. 1.Review side effects of chemotherapy and treatment with the client. 2.Teach the client how to resolve specific concerns of her personal life. 3.Teach the client to pace activities with rest so as to maintain strength. 4.Offer information on available counseling services and support groups. 5.Tell the client about some other clients who have had breast cancer treatment. 6.Inquire how the cancer diagnosis and treatment affect the client's normal routine.

Review side effects of chemotherapy and treatment with the client. Teach the client to pace activities with rest so as to maintain strength. Offer information on available counseling services and support groups. Inquire how the cancer diagnosis and treatment affect the client's normal routine.