Chapter 11 cancer

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Questions and Answers

The nurse is caring for a patient with a new malignancy diagnosis. Which specialty will be consulted for treatment?

  • Oncology (correct)
  • Pulmonary
  • Neurology
  • Endocrinology

A patient is diagnosed with a tumor of the bone. Which term should the nurse consider when documenting this patient’s health problem?

  • Sarcoma (correct)
  • Lipoma
  • Fibroma
  • Carcinoma

A patient who has been treated for breast cancer is undergoing routine laboratory work that indicates an increased calcium level. What concerns should the nurse have?

  • Hypercalcemia is a sign of metastatic bone cancer. (correct)
  • Hypercalcemia is a sign of poor nutritional intake.
  • Hypercalcemia indicates the treatment is unsuccessful.
  • Hypercalcemia indicates an infection is present.

A patient at the clinic tells the nurse that the doctor wants to draw blood to check his prostate- specific antigen level because of an enlarged prostate gland. He then asks what the blood test checks for. How should the nurse respond?

<p>“A PSA level is a tumor marker that is elevated in patients with prostate cancer.” (A)</p> Signup and view all the answers

A patient recently diagnosed with breast cancer tells the nurse she was reading on the internet and learned that black women are more likely than white women to die from this type of cancer. She then asks the nurse why this occurs. How should the nurse reply?

<p>“People with less access to health care are less likely to be screened early.” (D)</p> Signup and view all the answers

The nurse is caring for a patient who is scheduled for a palliative surgery. During a pre-operative discussion, the patient states relief that the cancer will be removed with surgery. What patient teaching is needed about palliative surgery?

<p>Palliative surgery is done to increase the patient’s comfort when cure is not possible. (B)</p> Signup and view all the answers

The nurse is caring for a patient who is receiving chemotherapy for breast cancer and states she awakes at nighttime with a choking sensation from extreme mouth dryness. What should the nurse suggest?

<p>Try an over the counter saliva substitute (C)</p> Signup and view all the answers

A nurse is caring for a patient 10 days after chemotherapy, during the nadir period. What side effect should the nurse monitor for?

<p>Infection (A)</p> Signup and view all the answers

The nurse is caring for a patient with lung cancer who reports chest pain, dyspnea, facial redness, and swollen neck veins. Which condition should the nurse prepare for?

<p>Superior vena cava syndrome (C)</p> Signup and view all the answers

A nurse is perform research on the leading cause of cancer death in women. What will be found?

<p>Lung and bronchus (D)</p> Signup and view all the answers

The nurse is caring for a patient with alopecia. What concerns should the nurse include in the plan of care?

<p>Self-image (C)</p> Signup and view all the answers

When inspecting the IV site of a patient receiving a vesicant chemotherapy agent, the licensed practical/vocational nurse (LPN/LVN) notes a small area of swelling. What should the nurse do first?

<p>Discontinue the infusion and notify the registered nurse (RN). (C)</p> Signup and view all the answers

The nurse is reviewing the electronic health records for a patient with suspected cancer and sees that a carcinoembryonic antigen (CEA) has been ordered. Which type of cancer is the provider evaluating for with this tumor marker?

<p>Colon cancer (C)</p> Signup and view all the answers

A patient on chemotherapy after surgery develops thrombocytopenia. Which finding is the most concerning and needs to be reported?

<p>Tarry stools (B)</p> Signup and view all the answers

The nurse is reviewing the health history of a patient treated with doxorubicin (Adriamycin) for cancer. What complication should the nurse be aware of and monitor for?

<p>Heart damage (D)</p> Signup and view all the answers

The nurse is planning care for a patient with leukopenia caused by chemotherapy. Which action should the nurse take to provide a safe environment?

<p>Ensure that staff members practice good hand washing. (C)</p> Signup and view all the answers

A patient reports fatigue related to radiation therapy. What action should the nurse include when providing care?

<p>Prioritize activities around frequent rest periods. (D)</p> Signup and view all the answers

The nurse is providing education to a patient being started on tamoxifen (Nolvadex) for breast cancer. What should be included in the teaching?

<p>Tamoxifen prevents the cancer from reoccurring. (A)</p> Signup and view all the answers

The nurse is caring for a group of patients. Which patient Is the greatest concern?

<p>A patient with a white blood cell count of 2,000 cells/μL (C)</p> Signup and view all the answers

The nurse is providing teaching for a patient with thrombocytopenia. Which statement made by the patient indicates a need for further teaching?

<p>“I need to be sure and floss every day.” (D)</p> Signup and view all the answers

The nurse is providing education regarding skin care to a patient undergoing radiation therapy. Which statement made by the patient indicates a need for further teaching?

<p>“I should wear tight clothing to protect my skin.” (A)</p> Signup and view all the answers

The nurse is caring for a patient who is experiencing anorexia from chemotherapy treatments. What should the nurse include when planning care?

<p>Offer nutrient-dense foods every 2 hours (A)</p> Signup and view all the answers

The nurse is preparing an oral chemotherapeutic medication for a patient’s cancer treatment. What should the nurse do to ensure personal safety when preparing this medication?

<p>Wear gloves while preparing. (A)</p> Signup and view all the answers

The nurse is caring for a patient who is prescribed cyclophosphamide (Cytoxan). Which medication should the nurse expect to administer to protect the bladder?

<p>Mesna (Mesnex) (B)</p> Signup and view all the answers

The nurse is providing teaching to help a patient reduce the risk of cancer. Which lifestyle choices should be included? (Select all that apply.)

<p>Minimize use of tobacco. (B), Consume a Mediterranean diet (A), Avoid working conditions that expose you to toxins (C), Obtain immunizations for viruses (@), Avoid hormone replacement therapy (@)</p> Signup and view all the answers

The nurse is planning a teaching seminar for a community with people from a wide variety of cultures. What should the nurse include in this teaching? (Select all that apply.)

<p>Cultural beliefs will impact cancer perceptions. (A), People who lack health literacy are less likely to be screened for cancer. (C), Health disparities among a diverse community impact access to care. (D), People living in low income are less likely to obtain routine cancer screening. (@)</p> Signup and view all the answers

The nurse is preparing to deliver a colony-stimulating factor to a patient with a low white blood cell count. What medications may be given for this? (Select all that apply.)

<p>Filgrastim (Neupogen) (A), Pegfilgrastim (Neulasta) (B), Filgrastim-sndz (Zarxio) (@)</p> Signup and view all the answers

The nurse is caring for a patient at risk for developing sepsis. What findings indicate a concern? (Select all that apply)

<p>Temperature of 100.4°F (38.0°C) (B), Chills (C), Elevation of the WBC count (A), Urinary frequency (D), Dysuria (@)</p> Signup and view all the answers

A nurse is evaluating the breasts for a person at a high risk of breast cancer. Which findings indicate a concern? (Select all that apply)

<p>Change in the skin color (B), Skin dimpling (A), Change in the texture of the skin (C), Pulling in of the nipple (D)</p> Signup and view all the answers

Flashcards

法国的首都(示例闪卡)

巴黎

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