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Questions and Answers
Which action should the nurse avoid while caring for the client?
What preprocedure instruction should the nurse give Mina before her pelvic ultrasound?
Which diagnostic test will definitively confirm the diagnosis of malignancy in a client with a bowel tumor?
What describes the disorder of multiple myeloma that the nurse should communicate to the client?
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Which laboratory finding is specifically expected in a client diagnosed with multiple myeloma?
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What statement indicates a community member needs further information on signs of testicular cancer?
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What is the most likely side effect for a client receiving external radiation to the neck for laryngeal cancer?
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Which principle should the nurse observe when caring for a client with an internal radiation implant?
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Which side effect is NOT typically expected from chemotherapeutic drug use?
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What order should Nurse Janet question for a client undergoing radiation therapy?
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Which action should NOT be taken to promote skin integrity during radiation therapy?
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Which drug is effective in preventing nausea and vomiting in chemotherapy patients?
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What is the recommended distance a nurse should maintain from a client during radiation therapy when not performing procedures?
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Which guideline regarding radiation therapy teaching is untrue?
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For how many minutes should contact with a client on radiation therapy be limited?
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What is a serious side effect of Cyclophosphamide (Cytoxan) that nurses should monitor?
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What should the nurse do first if the cervical radiation implant is found in the bed?
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Which activity is most appropriate for a client with a cervical radiation implant?
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What should be included in the care plan for a neutropenic client undergoing chemotherapy?
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What is the priority assessment before a nurse administers clear liquids to a postoperative client after pelvic exenteration?
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Which symptom would the nurse expect to find in a client with suspected Hodgkin’s disease?
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What is an appropriate nursing assessment for a male client with cancer complaining of acute pain?
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What restriction should be applied to individuals visiting a pregnant woman in a client's room?
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Which symptom is typical of advanced ovarian cancer during an admission assessment?
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Which of the following is NOT a clinical manifestation of ovarian cancer?
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What is a potential complication of the conization procedure?
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What type of tumors originate from connective tissues such as bone and muscle?
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Which stage of grief is characterized by bargaining behavior?
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Which complication may occur following a mastectomy?
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What is the most common risk factor associated with laryngeal cancer?
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What characterizes a vesicovaginal fistula?
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What is the primary action of allopurinol in the body?
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What is the maximum degree the head of the bed should be elevated for client comfort?
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What should be used to pick up a dislodged implant during internal radiation therapy?
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What is a critical component in assessing a client’s pain?
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What should be avoided to prevent infections in a neutropenic client?
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When should a client be kept NPO after surgery?
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Which sign is characteristic of Hodgkin’s disease?
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What is the most appropriate action when assessing bowel function before feeding the client?
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Which of the following is true about visitor restrictions for a neutropenic client?
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Study Notes
Nursing Care Considerations
- During client care, avoid elevating the knee gatch on the bed to prevent complications.
- Range-of-motion leg exercises should be assisted to maintain circulation and mobility.
- Antiembolism stockings should be removed twice daily for proper skin care and assessment.
- Always check the placement of pneumatic compression boots to ensure effective prevention of DVT.
Diagnostic Procedures
- For a pelvic ultrasound, clients should maintain NPO status beforehand.
- To confirm a bowel tumor diagnosis, a biopsy is required to determine malignancy.
Multiple Myeloma Insights
- Multiple myeloma is characterized by the malignant proliferation of plasma cells within the bone.
- Laboratory results in multiple myeloma often reveal increased calcium levels due to bone resorption.
Testicular Cancer Awareness
- Common signs of testicular cancer include painless testicular swelling and heavy sensation in the scrotum.
- Symptoms like alopecia and back pain are not specifically indicative of testicular cancer.
Effects of Radiation Therapy
- Common side effects of external radiation to the neck for laryngeal cancer include a sore throat.
- Internal radiation requires precautions, such as limiting time spent with the client to mitigate exposure.
Nursing Actions for Radiation Implants
- If a cervical radiation implant is displaced, pick it up with long-handled forceps and place it in a lead container to ensure safety.
- Bed rest is the most appropriate activity for clients with a cervical radiation implant.
Neutropenia Management
- Clients with neutropenia should be educated on the importance of hand hygiene to prevent infections.
- Visitors are not completely restricted, allowing for support while protecting the client from known infections.
Pain Assessment
- Accurate pain assessment should include the client’s self-report and pain rating, emphasizing the importance of their description.
Postoperative Care
- For clients post-pelvic exenteration, assess bowel sounds as a priority before resuming a clear liquid diet.
Hodgkin’s Disease Identification
- Key assessment findings in Hodgkin’s disease include fatigue, weight loss, weakness, and notably enlarged lymph nodes.
Symptoms of Ovarian Cancer
- Typical symptoms include abdominal distention, urinary frequency, and pain from pressure caused by tumor growth.
Chemotherapy Side Effects
- Nausea and vomiting following chemotherapy can be mitigated with the administration of antiemetic drugs, like metoclopramide.
- Cyclophosphamide carries the risk of hemorrhagic cystitis as a potentially fatal side effect.
Patient Safety During Radiation Therapy
- Maintain a minimum distance of 6 feet from clients undergoing radiation therapy when not providing care.
- Limit contact with clients in radiation therapy to not exceed 30 minutes to protect staff.
Understanding Cancer Treatment
- Sarcomas arise from connective tissues such as bone and muscle, differentiating them from carcinomas.
- Stages of grief experienced by individuals facing life-threatening illnesses include denial, bargaining, anger, depression, and acceptance.
Additional Considerations
- Lymphedema can occur following a mastectomy as a potential complication, requiring ongoing monitoring and management.
- Cigarette smoking is the most significant risk factor for laryngeal cancer, often exacerbated by heavy alcohol use and environmental pollutants.
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Description
Test your knowledge on proper nursing care procedures, including interventions related to client care and preprocedure instructions. This quiz will challenge you to identify appropriate actions for various nursing scenarios, ensuring you are well-prepared in your nursing practice.