Chapter 08: Care of Patients with Cancer deWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

MULTIPLE CHOICE 1. The 40-year-old female who was diagnosed with a benign growth in her colon is concerned about the growthspreading. Which explanation best allays the patient’s anxiety? a. “Benign growths arrest their growth on their own.” b. “Benign growths never interfere with normal structures or functions.” c. “Benign growths are easily controlled with radiation.” d. “Benign growths are surrounded by fibrous tissue that prevents spread.” ANS: D Benign neoplasms are encapsulated with a fibrous membrane that interferes with their spreading. They do not self-limit their growth andmay obstruct passages or impinge on an organ. They are not treated with radiation. PTS:1 DIF: Cognitive Level: Application REF: 145 OBJ:1 (theory) TOP: Physiology of Cancer KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 2. The 26-year-old patient with a malignant neoplasm has experienced a 10-pound weight loss in 3 weeks. To whichfactor is this patient’s rapid weight loss most likely related? a. Disinterest in eating food in general b. Changes in the nutritional content of the patient’s diet c. The malignancy’s high nutritional demand d. A self-imposed rigid diet regimen ANS: C Rapid cell growth of the malignancy robs nutrients from normal cells and results in weight loss. PTS:1 DIF: Cognitive Level: Comprehension REF: 146 OBJ:1 (theory) TOP: Physiology of Cancer KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 3. The nurse recognizes the staging T3, N2, M2 of the patient’s cancer. Which interpretation is correct? a. Small tumor with fewer than two lymph nodes involved. b. Large tumor that is localized. c. Small tumor with adjacent nodes involved. d. Large tumor with extensive lymph node involvement. ANS: D The staging means a large tumor (T3) with involvement in regional lymph nodes (N2) and metastasis to distant lymph nodes (M2). PTS:1 DIF: Cognitive Level: Analysis REF: 147 OBJ:1 (theory) TOP: TNM Staging KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance 4. The nurse assesses several patients in the outpatient clinic. Which patient has the greatest risk for developing cancer? a. 23-year-old car repairman who repaints cars b. 30-year-old overweight certified public accountant in New York who has smoked for 4 years and rarely exercises c. 45-year-old farmer from Texas who has worked on his family’s cotton farm since the age of 12 d. 60-year-old ski instructor in Colorado