NURS 2207- Oncology Evolve Practice Exam Questions And 100% Accurate Answers.
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Course
NURS 2207
Institution
NURS 2207
A client diagnosed with invasive cancer of the bladder has brachytherapy scheduled. Which successful therapy outcome would the nurse expect with this client?
1. Decrease in urine output
2. Increase in pulse strength
3. Shrinkage of the tumor when scanned
4. Increase in the quantity of w...
NURS 2207- Oncology Evolve Practice
Exam Questions And 100% Accurate
Answers.
A client diagnosed with invasive cancer of the bladder has brachytherapy scheduled. Which successful
therapy outcome would the nurse expect with this client?
1. Decrease in urine output
2. Increase in pulse strength
3. Shrinkage of the tumor when scanned
4. Increase in the quantity of white blood cells (WBCs) - Answer ANS: 3
Shrinkage of the tumor when scanned
Rationale:
Brachytherapy involves implanting isotope seeds in, or next to, the tumor. The isotope seeds interfere
with cell multiplication, which should control the growth and metastasis of cancerous tumors. Radiation
affects healthy as well as abnormal cells; urinary output will increase with successful therapy. With
brachytherapy of the bladder, an increase in pulse strength is not a sign of success. The radioactive
isotope seeds may affect the client's bone marrow sites, resulting in a reduction of WBCs.
Which task can be safely delegated by the registered nurse (RN) to unlicensed assistive personnel (UAP)
for a client with thrombocytopenia?
Clients with thrombocytopenia are at risk of bleeding with slight bruising. Tasks that do not risk bruising
the client may be delegated to the UAP. The RN would shave the client and perform oral hygiene.
Intravenous infusions would not be administered by UAP to any client.
The registered nurse is teaching a nursing student about ways to minimize heat radiation. Which
statements made by the nursing student indicate effective learning? Select all that apply. One, some, or
all responses may be correct.
1. "I will apply an ice pack to the client."
2. "I will cover the client with dark clothes."
3. "I will instruct the client to remove extra clothes."
4. "I will instruct the client to lie in the fetal position."
5. "I will advise the client to wear sparsely woven clothes." - Answer ANS: 1, 2, 4
Rationale:
,Applying an ice pack will increase conductive heat loss, which results in minimizing heat radiation.
Wearing dark clothes and lying in the fetal position will minimize heat radiation. Removing extra clothes
will increase heat radiation. Wearing sparsely woven clothes will enhance heat radiation.
The nurse observes the student nurse caring for the skin of the client who recently underwent radiation
therapy. Which actions made by the student nurse would the nurse correct? Select all that apply. One,
some, or all responses may be correct.
1. Using a washcloth for cleaning the radiated site
2. Rinsing soap thoroughly from the skin of the client
3. Drying the irradiated area with rubbing motions
4. Telling the client to wear loose clothing over the skin at the radiation site
5. Removing the ink marks that identify the location of the focused beam of radiation - Answer ANS: 1,
3, 5
Rationale:
The nurse should use a hand rather than a washcloth when cleansing the radiated site. This is to provide
gentle care to the site. The irradiated area should be dried using patting motions rather than rubbing
motions. The ink marks present on the site exactly identify where the location of beam radiation is to be
focused. The nurse should take care not to remove these. The skin of the client should be thoroughly
rinsed using a mild soap as prescribed by the radiation oncology department. The client's clothing should
be loose over the radiation site.
Which instruction would the nurse provide to a client receiving brachytherapy for prostate cancer to
prevent injury?
1. "Use bleach when doing laundry."
, 2. "Wear a mask when around others."
3. "Flush the toilet several times after use."
4. "Refrain from close contact with others." - Answer ANS: 4
"Refrain from close contact with others."
Rationale:
Brachytherapy involves the implantation of radioactive isotopes near the tumor to destroy cancer cells.
Clients are radioactive while receiving treatment, making them potentially hazardous to others.
Therefore, the nurse will instruct clients to refrain from close contact with others. Using bleach with the
laundry and flushing the toilet several times are instructions for clients receiving chemotherapy. Clients
who are immunosuppressed will be instructed to wear a face mask to help prevent infections.
The nurse is caring for a client who underwent surgical resection of an oral cancerous tumor. Which
client problem is of highest priority to guide care?
1. Maintain airway.
2. Monitor vital signs.
3. Administer intravenous (IV) fluids.
4. Empty surgical drains. - Answer ANS: 1
Maintain airway.
Rationale:
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