Exam (elaborations)

Brunner Suddarth Test Bank Chapter 15 Study Guide Rated A

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CHEM 110

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Brunner & Suddarth: Test Bank (Chapter 15) Study Guide Rated A+ 1). The public health nurse is presenting a health-promotion class to a group at a local community center. Which intervention most directly addresses the leading cause of cancer deaths in North America? A) Monthly self-breast exams...

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Brunner & Suddarth: Test Bank (Chapter 15)
Study Guide Rated A+

1). 1). the public health nurse is presenting a health-promotion class to a group at a local
community center. which intervention most directly addresses the leading cause of cancer
deaths in north america?

a) monthly self-breast exams
b) smoking cessation
c) annual colonoscopies
d) monthly testicular exams

 Ans: B) Smoking Cessation

Feedback:
Cancer is second only to cardiovascular disease as a leading cause of death in the United
States. Although the numbers of cancer deaths have decreased slightly, more than
570,000 Americans were expected to die from a malignant process in 2011. The leading
causes of cancer death in the United States, in order of frequency, are lung, prostate, and
colorectal cancer in men and lung, breast, and colorectal cancer in women, so smoking
cessation is the health promotion initiative directly related to lung cancer.

2). 2). a nurse who works in an oncology clinic is assessing a patient who has arrived for a 2-
month follow-up appointment following chemotherapy. the nurse notes that the patient's
skin appears yellow. which blood tests should be done to further explore this clinical sign?

a) liver function tests (lfts)
b) complete blood count (cbc)
c) platelet count
d) blood urea nitrogen and creatinine

 Ans: A) Liver function tests (LFTs)

Feedback:
Yellow skin is a sign of jaundice and the liver is a common organ affected by metastatic
disease. An LFT should be done to determine if the liver is functioning. A CBC, platelet
count and tests of renal function would not directly assess for liver disease.

3). 3). the school nurse is teaching a nutrition class in the local high school. one student states
that he has heard that certain foods can increase the incidence of cancer. the nurse

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, responds, "research has shown that certain foods indeed appear to increase the risk of
cancer." which of the following menu selections would be the best choice for potentially
reducing the risks of cancer?

a) smoked salmon and green beans
b) pork chops and fried green tomatoes
c) baked apricot chicken and steamed broccoli
d) liver, onions, and steamed peas

 Ans: C) Baked apricot chicken and steamed broccoli

Feedback:
Fruits and vegetables appear to reduce cancer risk. Salt-cured foods, such as ham and
processed meats, as well as red meats, should be limited.

4). 4). traditionally, nurses have been involved with tertiary cancer prevention. however, an
increasing emphasis is being placed on both primary and secondary prevention. what would
be an example of primary prevention?

a) yearly pap tests
b) testicular self-examination
c) teaching patients to wear sunscreen
d) screening mammograms

 Ans: C) Teaching patients to wear sunscreen

Feedback:
Primary prevention is concerned with reducing the risks of cancer in healthy people
through practices such as use of sunscreen. Secondary prevention involves detection and
screening to achieve early diagnosis, as demonstrated by Pap tests, mammograms, and
testicular exams.

5). 5). the nurse is caring for a 39-year-old woman with a family history of breast cancer. she
requested a breast tumor marking test and the results have come back positive. as a result,
the patient is requesting a bilateral mastectomy. this surgery is an example of what type of
oncologic surgery?

a) salvage surgery
b) palliative surgery
c) prophylactic surgery
d) reconstructive surgery

 Ans: C) Prophylactic surgery

Feedback:

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, Prophylactic surgery is used when there is an extensive family history and nonvital tissues
are removed. Salvage surgery is an additional treatment option that uses an extensive
surgical approach to treat the local recurrence of a cancer after the use of a less
extensive primary approach. Palliative surgery is performed in an attempt to relieve
complications of cancer, such as ulceration, obstruction, hemorrhage, pain, and malignant
effusion. Reconstructive surgery may follow curative or radical surgery in an attempt to
improve function or obtain a more desirable cosmetic effect.

6). 6). the nurse is caring for a patient who is to begin receiving external radiation for a
malignant tumor of the neck. while providing patient education, what potential adverse
effects should the nurse discuss with the patient?

a) impaired nutritional status
b) cognitive changes
c) diarrhea
d) alopecia

 Ans: A) Impaired nutritional status

Feedback:
Alterations in oral mucosa, change and loss of taste, pain, and dysphasia often occur as a
result of radiotherapy to the head and neck. The patient is at an increased risk of impaired
nutritional status. Radiotherapy does not cause cognitive changes. Diarrhea is not a likely
concern for this patient. Radiation only results in alopecia when targeted at the whole
brain; radiation of other parts of the body does not lead to hair loss.

7). 7). while a patient is receiving iv doxorubicin hydrochloride for the treatment of cancer, the
nurse observes swelling and pain at the iv site. the nurse should prioritize what action?

a) stopping the administration of the drug immediately
b) notifying the patient's physician
c) continuing the infusion but decreasing the rate
d) applying a warm compress to the infusion site

 Ans: A) Stopping the administration of the drug immediately

Feedback:
Doxorubicin hydrochloride is a chemotherapeutic vesicant that can cause severe tissue
damage. The nurse should stop the administration of the drug immediately and then
notify the patient's physician. Ice can be applied to the site once the drug therapy has
stopped.

8). 8). a patient newly diagnosed with cancer is scheduled to begin chemotherapy treatment
and the nurse is providing anticipatory guidance about potential adverse effects. when

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