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2024 ONCOLOGY NCLEX EXAM WITH CORRECT ANSWERS
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2024 ONCOLOGY NCLEX EXAM WITH CORRECT ANSWERS
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2024 ONCOLOGY NCLEX EXAMWITH CORRECT ANSWERS
The patient is receiving an IV vesicant chemotherapy drug. The nurse notices
swelling and redness at the site. What should the nurse do first?
A. Ask the patient if the site hurts.
B. Turn off the chemotherapy infusion.
C. Call the ordering health care provider.
D. Administer sterile saline to the reddened area. - CORRECT-ANSWERSB.
Turn off the chemotherapy infusion.
Because extravasation of vesicants may cause severe local tissue breakdown
and necrosis, with any sign of extravasation the infusion should first be
stopped. Then the protocol for the drug-specific extravasation procedures
should be followed to minimize further tissue damage. The site of
extravasation usually hurts, but it may not. It is more important to stop the
infusion immediately. The health care provider may be notified by another
nurse while the patient's nurse starts the drug-specific extravasation
procedures, which may or may not include sterile saline.
The patient was told that he would have intraperitoneal chemotherapy. He
asks the nurse when the IV will be started for the chemotherapy. What
should the nurse teach the patient about this type of chemotherapy
delivery?
A. It is delivered via an Ommaya reservoir and extension catheter.
B. It is instilled in the bladder via a urinary catheter and retained for 1 to 3
hours.
C. A Silastic catheter will be percutaneously placed into the peritoneal cavity
for chemotherapy administration.
D. The arteries supplying the tumor are accessed with surgical placement of
a catheter connected to an infusion pump. - CORRECT-ANSWERSC. A Silastic
catheter will be percutaneously placed into the peritoneal cavity for
chemotherapy administration.
Intraperitoneal chemotherapy is delivered to the peritoneal cavity via a
temporary percutaneously inserted Silastic catheter and drained from this
catheter after the dwell time in the peritoneum. The Ommaya reservoir is
used for intraventricular chemotherapy. Intravesical bladder chemotherapy
is delivered via a urinary catheter. Intraarterial chemotherapy is delivered
, via a surgically placed catheter that delivers chemotherapy via an external
or internal infusion pump.
The patient is being treated with brachytherapy for cervical cancer. What
factors must the nurse be aware of to protect herself when caring for this
patient?
A. The medications the patient is taking
B. The nutritional supplements that will help the patient
C. How much time is needed to provide the patient's care
D. The time the nurse spends at what distance from the patient - CORRECT-
ANSWERSD. The time the nurse spends at what distance from the patient
The principles of ALARA (as low as reasonably achievable) and time,
distance, and shielding are essential to maintain the nurse's safety when the
patient is a source of internal radiation. The patient's medications, nutritional
supplements, and time needed to complete care will not protect the nurse
caring for a patient with brachytherapy for cervical cancer.
The patient has osteosarcoma of the right leg. The unlicensed assistive
personnel (UAP) reports that the patient's vital signs are normal, but the
patient says he still has pain in his leg and it is getting worse. What
assessment question should the nurse ask the patient to determine
treatment measures for this patient's pain?
A. "Where is the pain?"
B. "Is the pain getting worse?"
C. "What does the pain feel like?"
D. "Do you use medications to relieve the pain?" - CORRECT-ANSWERSC.
"What does the pain feel like?"
The unlicensed assistive personnel (UAP) told the nurse the location of the
patient's pain and the worsening of pain (pattern). Asking about the quality
of the pain will help in planning further treatment. The nurse should already
know if the patient is using medication to relieve the pain or can check the
patient's medication administration record to see if analgesics have been
administered. The intensity of pain using a pain scale should also be
assessed.
What can the nurse do to facilitate cancer prevention for the patient in the
promotion stage of cancer development?
A. Teach the patient to exercise daily.
B. Teach the patient promoting factors to avoid.
C. Tell the patient to have the cancer surgically removed now.
D. Teach the patient which vitamins will improve the immune system.
Incorrect - CORRECT-ANSWERSB. Teach the patient promoting factors to
avoid.
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