Exam (elaborations)
Chapter 15: Oncology Nursing – Questions With Complete Solutions
- Course
- NURSING ONCOLOGY
- Institution
- NURSING ONCOLOGY
Chapter 15: Oncology Nursing – Questions With Complete Solutions
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Chapter 15: Oncology Nursing – Questions WithComplete Solutions
A client complains of sporadic epigastric pain, yellow skin, nausea, vomiting,
weight loss, and fatigue. Suspecting gallbladder disease, the physician orders a
diagnostic workup, which reveals gallbladder cancer. Which nursing diagnosis
is appropriate for this client? ✔️Ans - Anticipatory grieving
A client has been receiving chemotherapy to treat cancer. Which assessment
finding suggests that the client has developed stomatitis? ✔️Ans - Red, open
sores on the oral mucosa
After cancer chemotherapy, a client experiences nausea and vomiting. The
nurse should assign highest priority to which intervention? ✔️Ans -
Administering metoclopramide and dexamethasone as ordered
A client is receiving the cell cycle-nonspecific alkylating agent thiotepa
(Thioplex), 60 mg weekly for 4 weeks by bladder instillation as part of
chemotherapy regimen to treat bladder cancer. The client asks the nurse how
the drug works. How does thiotepa exert its therapeutic effects? ✔️Ans - It
interferes with DNA replication and RNA transcription.
A nurse is caring for a client who is receiving chemotherapy and has a platelet
count of 30,000/mm3. Which statement by the client indicates a need for
additional teaching? ✔️Ans - "I floss my teeth every morning."
Which of the following is a growth-based classification of tumors? ✔️Ans -
Malignant
Which type of vaccine uses the patient's own cancer cells, which are prepared
for injection, back into the patient? ✔️Ans - Autologous
According to the TNM classification system, T0 means there is ✔️Ans - no
evidence of primary tumor.
A nurse is administering a chemotherapeutic medication to a client, who
reports generalized itching and then chest tightness and shortness of breath.
The nurse immediately ✔️Ans - Stops the chemotherapeutic infusion
,You are a clinic nurse. One of your clients has found she is at high risk for
breast cancer. She asks you what can be done to reduce her risk. What is a
means of reducing the risk for breast cancer? ✔️Ans - Prophylactic surgery
Which of the following would be inconsistent as a common side effect of
chemotherapy? ✔️Ans - Weight gain
During a client's examination and consultation, the physician keeps telling the
client,"You have an abdominal neoplasm." Which of the following statements
accurately paraphrases the physician's statement? Select all that apply.
✔️Ans - "You have a new growth of abnormal tissue in your abdomen."
While doing a health history, a client tells you that her mother, grandmother,
and sister died of cancer. The client wants to know what she can do to keep
from getting cancer. What would be your best response? ✔️Ans - "You can't
prevent cancer, but you can have your blood analyzed for tumor markers to
see what your risk level is."
A cancer client makes the following statement to the nurse: "I guess I will tell
my doctor to forego the chemotherapy. I do not want to be throwing up all the
time. I would rather die."Which of the following facts supports the use of
chemotherapy for this client? ✔️Ans - Chemotherapy treatment can be
adjusted to optimize effects while limiting adverse effects.
Which of the following does a nurse thoroughly evaluate before a
hematopoietic stem cell transplant (HSCT) procedure? ✔️Ans - Blood
studies
A decrease in circulating white blood cells (WBC) is referred to as which of the
following? ✔️Ans - Leukopenia
The physician is attending to a 72-year-old patient with a malignant brain
tumor. The physician recommends immediate radiation therapy. Which of the
following is a reason for the physician's recommendation? ✔️Ans - To
prevent the formation of new cancer cells
The nurse is conducting a community education program using the American
Cancer Society's colorectal screening and prevention guidelines. The nurse
, determines that the participants understand the teaching when they identify
that people over the age of 50 should have which of the following screening
tests every 10 years? ✔️Ans - Colonoscopy
A patient with uterine cancer is being treated with internal radiation therapy.
What would the nurse's priority responsibility be for this patient? ✔️Ans -
Explain to the patient that she will continue to emit radiation while the
implant is in place.
An important nursing function is monitoring factors that may indicate that
bleeding is occurring. One serum indicator is a (an): ✔️Ans - Platelet count
of 60,000/mm3.
A client undergoes a biopsy of a suspicious lesion. The biopsy report classifies
the lesion according to the TNM staging system as follows: TIS, N0, M0. What
does this classification mean? ✔️Ans - Carcinoma in situ, no abnormal
regional lymph nodes, and no evidence of distant metastasis
During chemotherapy, an oncology client has a nursing diagnosis of Impaired
oral mucous membrane related to decreased nutrition and
immunosuppression secondary to the cytotoxic effects of chemotherapy.
Which nursing intervention is most likely to decrease the pain of stomatitis?
✔️Ans - Providing a solution of viscous lidocaine for use as a mouth rinse
A nurse is caring for a client receiving chemotherapy. Which assessment
finding places the client at the greatest risk for an infection? ✔️Ans - Stage 3
pressure ulcer on the left heel
A nurse is administering daunorubicin through a peripheral I.V. line when the
client complains of burning at the insertion site. The nurse notes no blood
return from the catheter and redness at the I.V. site. The client is most likely
experiencing which complication? ✔️Ans - Extravasation
The nurse evaluates teaching as effective when a female client states that she
will ✔️Ans - Use sunscreen when outdoors.
The nurse is evaluating the client's risk for cancer and recommends changes
when the client states she ✔️Ans - eats red meat such as steaks or
hamburgers every day
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