69 Questions
What is the most appropriate determination of the client's pain needs during a pain assessment?
The client's pain rating
Before administering clear liquids to a postoperative client, what should the nurse prioritize checking?
Bowel sounds
What assessment finding would be most specific to a client suspected of having Hodgkin's disease?
Enlarged lymph nodes
Which manifestation is typical of advanced ovarian cancer in a client during admission assessment?
Abdominal distention
In a client with lung cancer and bone metastasis, what signs and symptoms indicate a possible oncological emergency?
Chest pain and coughing up blood
What nursing action should be prioritized when caring for a client with cancer experiencing acute pain?
Engaging the client in deep breathing exercises
What is the most important assessment to perform before feeding a client who has been NPO?
Assess for signs of bowel function
In the context described, when are clear fluids typically given to a client?
When signs of bowel function return
How long is peristalsis usually expected to return in a client who has been NPO?
4 to 6 days
What is the initial diet advancement strategy if no distention occurs when clear fluids are given to the client?
Advance the diet as tolerated
Which health concept is most closely associated with assessing bowel sounds before feeding a client?
Gastrointestinal function
What action should be taken if there are no signs of bowel function returning in a client?
Continue monitoring and consult healthcare provider
What might be the potential cause of the client's numbness and tingling of the lower extremities?
Hypokalemia
Why is it concerning that the client experiences facial edema in the morning?
Indicative of heart failure
Which electrolyte imbalance is likely contributing to the client's altered serum calcium level?
Hypernatremia
What might be a consequence of the development of a vesicovaginal fistula in a client undergoing radiation therapy for bladder cancer?
Increased risk of infection
Why is it crucial for the client to perform testicular self-examinations (TSEs)?
To detect early signs of testicular cancer
What is a significant assessment finding that is characteristic of multiple myeloma?
Elevated calcium levels
What are common clinical manifestations of ovarian cancer?
Abdominal distention and urinary urgency
Which condition is characterized by abnormal bleeding often associated with uterine cancer?
Hypermenorrhea
What is a common sign of ascites in ovarian cancer patients?
Dyspnea
Which of the following can be considered an oncological emergency?
Tumor lysis syndrome
What is a common complication associated with ovarian cancer affecting the respiratory system?
Pleural effusion
Which of the following is a risk factor for superior vena cava syndrome?
History of smoking
What results can be expected in clients with iron-deficiency anemia?
Decreased hemoglobin levels and microcytic red blood cells
What is the relationship between iron-deficiency anemia and red blood cells?
Normal reticulocyte count
In iron-deficiency anemia, what happens to iron stores?
They are depleted, reducing hemoglobin manufacture
What laboratory findings are characteristic of iron-deficiency anemia?
Decreased hemoglobin levels and hypochromic red blood cells
What is the expected reticulocyte count in clients with iron-deficiency anemia?
Normal or slightly elevated count
Why would one eliminate options 1 and 3 from laboratory findings of iron-deficiency anemia?
Based on decreased hemoglobin levels
What is the greatest implication for the development of cancer in a 75-year-old female patient?
Advancing age
Which gender typically has a higher lifetime risk of cancer?
Males
What is not directly correlated with the development of cancer?
Family history of hypertension
Which symptom is expected in a patient admitted with lung cancer?
Weight loss compared to last admission
What is a common sign/symptom of lung cancer?
Chest pain
Which assessment finding would be atypical for a patient with lung cancer?
Clear sputum
What can be expected in terms of breathing patterns in a patient with lung cancer?
Use of accessory muscles during respirations
What might be the cause of the client's facial edema in the morning?
Hypoproteinemia due to kidney dysfunction
Which finding is most concerning in a client receiving radiation therapy for bladder cancer?
Feeling like urinating through the vagina
What instruction would the nurse provide regarding testicular self-examination (TSE)?
Perform the examination before showering
Why is a hemoglobin level of 15.5 g/dL a notable finding in a client with multiple myeloma?
It could be due to polycythemia vera
What might be a common manifestation of severe hypercalcemia in a client with multiple myeloma?
Tetany and muscle spasms
Why should a client be educated about performing regular TSEs?
To monitor for testicular cancer development
What might be the implication of a serum potassium level of 3.4 mg/dL in the context provided?
Increased risk of cardiac arrhythmias
What nursing action is most appropriate for a client experiencing altered perineal sensation as a side effect of radiation therapy?
Encouraging frequent perineal hygiene to alleviate discomfort
Which is a risk factor for colorectal cancer in adults?
Age younger than 50 years
In the context of colorectal cancer, what is a priority concept to consider for patient education?
Cellular regulation
What is a key characteristic of colorectal cancer risk factors?
Presence of colorectal polyps
What is a common manifestation of advanced colorectal cancer during assessment?
Weight loss
Which priority concept is associated with health promotion in patients with colorectal cancer?
Nutritional status
What is an important patient education consideration for those at risk for colorectal cancer?
Screening for polyps regularly
Which action is crucial for the prevention of colorectal cancer in high-risk individuals?
Regular colonoscopy screenings
What is a common error to avoid when educating about colorectal cancer prevention?
"Wait and see" approach to symptoms
What is the most appropriate nursing action when a nurse notes bloody drainage from the nasogastric tube in a client who had a gastrectomy?
Continue to monitor the drainage
Which assessment finding indicates that a colostomy is beginning to function in a client who underwent an abdominal perineal resection for a bowel tumor?
The passage of flatus
What is the most appropriate nursing action when assessing serosanguineous drainage from a perineal wound post abdominal perineal resection?
Change the dressing as prescribed
What indicates that further teaching is necessary regarding risk factors for colorectal cancer in a client?
Age younger than 50 years
The nurse is reviewing the history of a client with bladder cancer, what is an important aspect to assess in this situation?
Family medical history
Which action is essential when assessing a client's perineal wound following an abdominal perineal resection?
Checking for crepitus around the wound
Which finding during assessment of a client postoperatively from an abdominal perineal resection requires immediate nursing action?
"Crackling" sensation under the skin around the wound
"A nurse is caring for a client who has had an abdominal perineal resection for rectal cancer. Which postoperative finding requires immediate intervention?"
"Stoma is dusky in color"
What is the priority nursing action to prevent lymphedema in a client following mastectomy?
Encourage simple arm exercises.
What intervention should the nurse avoid when caring for a client at risk for lymphedema post-mastectomy?
Applying warm compresses to the affected arm.
What should the nurse prioritize when assessing a client for potential lymphedema post-mastectomy?
Inspecting for arm swelling or tightness.
Which activity should the nurse encourage in a client post-mastectomy to promote circulation and prevent lymphedema?
Performing gentle arm exercises.
What is a crucial principle to follow when caring for a client with potential lymphedema post-mastectomy?
Encouraging active range of motion exercises for the arm.
What would be an inappropriate nursing action for a client recovering from a mastectomy to prevent lymphedema?
Encouraging wearing tight jewelry on the affected arm.
What is a recommended intervention to reduce the risk of lymphedema in a client post-mastectomy?
Engaging in light resistance training with the affected arm.
Which nursing action could potentially increase the risk of developing lymphedema in a client after mastectomy?
Applying firm pressure while measuring blood pressure.
Test your knowledge on clinical manifestations of ovarian and uterine cancer. Identify key symptoms such as abdominal distention, urinary frequency, abnormal bleeding, and more. Enhance your understanding of these types of cancers.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
