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MSN 277 EXAM 2-MSN 277 EXAM 2 ACTUAL EXAM WITH QUESTION AND ANSWERS ALREADY GRADED A+ EXAM 2024.
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MSN 277 EXAM 2-MSN 277 EXAM 2 ACTUAL EXAM WITH QUESTION AND ANSWERS ALREADY GRADED A+ EXAM 2024.
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MSN 277 EXAM 2-MSN 277 EXAM 2 ACTUALEXAM WITH QUESTION AND ANSWERS
ALREADY GRADED A+ EXAM 2024.
A patient is receiving intravesical bladder chemotherapy. The
nurse will monitor for
a.
nausea.
b.
alopecia.
c.
mucositis.
d.
hematuria. Correct Answer ANS: D
The adverse effects of intravesical chemotherapy are confined to
the bladder. The other adverse effects are associated with
systemic chemotherapy.
The nurse in the outpatient clinic is caring for a 50-year-old who
smokes heavily. To reduce the patients risk of dying from lung
cancer, which action will be best for the nurse to take?
a.
Educate the patient about the seven warning signs of cancer.
b.
Plan to monitor the patients carcinoembryonic antigen (CEA)
level.
c.
Discuss the risks associated with cigarettes during every patient
encounter.
d.
Teach the patient about the use of annual chest x-rays for lung
cancer screening. Correct Answer ANS: C
,Education about the risks associated with cigarette smoking is
recommended at every patient encounter, since cigarette smoking
is associated with multiple health problems. A tumor must be at
least 0.5 cm large before it is detectable by current screening
methods and may already have metastasized by that time.
Oncofetal antigens such as CEA may be used to monitor therapy
or detect tumor reoccurrence, but are not helpful in screening for
cancer. The seven warning signs of cancer are actually
associated with fairly advanced disease.
After the nurse has finished teaching a patient who is scheduled
to receive external beam radiation for abdominal cancer about
appropriate diet, which dietary selection by the patient indicates
that the teaching has been effective?
a.
Fresh fruit salad
b.
Roasted chicken
c.
Whole wheat toast
d.
Cream of potato soup Correct Answer ANS: B
To minimize the diarrhea that is commonly associated with bowel
radiation, the patient should avoid foods high in roughage, such
as fruits and whole grains. Lactose-intolerance may develop
secondary to radiation, so dairy products also should be avoided.
During a routine health examination, a 30-year-old patient tells the
nurse about a family history of colon cancer. Which action should
the nurse take next?
a.
Educate the patient about the need for a colonoscopy at age 50.
b.
Teach the patient how to do home testing for fecal occult blood.
,c.
Obtain more information from the patient about the family history.
d.
Schedule a sigmoidoscopy to provide baseline data about the
patient. Correct Answer ANS: C
The patient may be at increased risk for colon cancer, but the
nurses first action should be further assessment. The other
actions may be appropriate, depending on the information that is
obtained from the patient with further questioning.
When reviewing the chart for a patient with cervical cancer, the
nurse notes that the cancer is staged as Tis, N0, M0. The nurse
will teach the patient that
a.
the cancer is localized to the cervix.
b.
the cancer cells are well-differentiated.
c.
further testing is needed to determine the spread of the cancer.
d.
it is difficult to determine the original site of the cervical cancer.
Correct Answer ANS: A
Cancer in situ indicates that the cancer is localized to the cervix
and is not invasive at this time. Cell differentiation is not indicated
by clinical staging. Because the cancer is in situ, the origin is the
cervix. Further testing is not indicated given that the cancer has
not spread.
Which statement by a patient who is scheduled for a needle
biopsy of the prostate indicates that the nurses teaching about the
purpose of the biopsy has been effective?
a.
The biopsy will remove the cancer in my prostate gland.
b.
The biopsy will determine how much longer I have to live.
, c.
The biopsy will help decide the treatment for my enlarged
prostate.
d.
The biopsy will indicate whether the cancer has spread to other
organs. Correct Answer ANS: C
A biopsy is used to determine whether the prostate enlargement
is benign or malignant and determines the type of treatment that
will be needed. Biopsy does not give information about
metastasis, life expectancy, or the impact of cancer on the
patients life; the three remaining statements indicate a need for
patient teaching.
The nurse is teaching a postmenopausal patient with stage III
breast cancer about the expected outcomes of her cancer
treatment. Which patient statement indicates that the teaching
has been effective?
a.
After cancer has not recurred for 5 years, it is considered cured.
b.
The cancer will be cured if the entire tumor is surgically removed.
c.
Cancer is never considered cured, but the tumor can be
controlled with surgery, chemotherapy, and radiation.
d.
I will need to have follow-up examinations for many years after I
have treatment before I can be considered cured. Correct Answer
ANS: D
The risk of recurrence varies by the type of cancer. For breast
cancer in postmenopausal women the patient needs at least 20
disease-free years to be considered cured. Some cancers are
considered cured after a shorter time span, or after surgery, but
stage III breast cancer will require additional therapies and
ongoing follow-up.
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