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2024 NURSING 102 ONCOLOGY-GU EXAM 5 WITH CORRECT ANSWERS
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2024 NURSING 102 ONCOLOGY-GU EXAM 5 WITH CORRECT ANSWERS
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2024 NURSING 102 ONCOLOGY-GUEXAM 5 WITH CORRECT ANSWERS
A client newly diagnosed with cancer is scheduled to begin chemotherapy
treatment and the nurse is providing anticipatory guidance about potential
adverse effects. When addressing the most common adverse effect, what
should the nurse describe?
Pruritis (itching)
Nausea and vomiting
Altered glucose metabolism
Confusion - CORRECT-ANSWERSNausea and vomiting
A client is scheduled for a nerve-sparing prostatectomy. The emotional
spouse confides in the nurse that the client will not talk about the cancer
and/or upcoming surgery. Which nursing diagnosis will the nurse choose as
primary diagnosis for this client?
Sexual Dysfunction
Fear
Knowledge Deficit
Grieving - CORRECT-ANSWERSFear
The client is admitted to the hospital with a diagnosis of acute
pyelonephritis. Which clinical manifestations would the nurse expect to find?
Costovertebral angle tenderness
Suprapubic pain
Pain after voiding
Perineal pain - CORRECT-ANSWERSCostovertebral angle tenderness
The nurse is reviewing the medical record of a client who has been
diagnosed with prostate cancer. The nurse notes that the Gleason score was
used to grade the cancer. Which total score would the nurse interpret as
indicating a highly aggressive cancer?
3
5
7
9 - CORRECT-ANSWERS9
A 59-year-old African American man has opted for hormonal androgen
deprivation therapy (ADT) to treat his prostate cancer. Which surgical
procedures is the client most likely to undergo?
,Orchiectomy
Circumcision
Vasectomy
Hydrocelectomy - CORRECT-ANSWERSOrchiectomy
A nurse is working in an oncology treatment center. Which clinical
manifestation when reported by a client would the nurse know may be
related to metastasis from prostate cancer?
Frequent nighttime urination
Constant hip aching and discomfort
Weight gain of 3 pounds in 1 month
Large amounts of dilute urine when voiding - CORRECT-ANSWERSConstant
hip aching and discomfort
A health care provider prescribed a luteinizing hormone-releasing hormone
(LHRH) agonist to suppress testicular androgen and treat prostate cancer.
Which medication is the primary drug of choice?
Lupron
Eulexin
Casodex
Nilandron - CORRECT-ANSWERSLupron
The nurse is completing an admission assessment for a client receiving
interstitial implants for prostate cancer. The nurse documents this as
brachytherapy.
external beam radiation therapy.
systemic radiation.
a contact mold. - CORRECT-ANSWERSbrachytherapy.
The nurse is providing preoperative care to a client who is to undergo a
radical prostatectomy for prostate cancer. The client's plan of care includes
the nursing diagnosis of "anxiety related to surgery and its outcome." Which
of the following would be most appropriate for the nurse to do?
Tell the client that prostate cancer is very curable if caught early.
Inform the client that risk of recurrence is decreased with this type of
surgery.
Ensure privacy when discussing sensitive or embarrassing sexual issues.
Allow the client to assume a passive role in the preparation. - CORRECT-
ANSWERSEnsure privacy when discussing sensitive or embarrassing sexual
issues.
A client who is diagnosed with stage II prostate cancer asks the nurse if a
transurethral resection of the prostate (TURP) can be done for this disorder.
Which is the best response by the nurse?
"A TURP is a viable option. Let's talk to the surgeon."
"Stage II means the cancer has already spread from the prostate gland."
, "A TURP is a removal of only a portion of the prostate gland."
"You have the right to choose which ever surgery you feel is best for you." -
CORRECT-ANSWERS"A TURP is a removal of only a portion of the prostate
gland."
Cancer is the second leading cause of death in the United States, second
only to heart disease. Half of all men and one third of all women will develop
cancer during their lifetimes. Which types of cancer have the highest
prevalence among both men and women?
lung and colon
lung and skin
skin and brain
colon and skin - CORRECT-ANSWERSlung and colon
The nurse is performing a renal assessment on a client with prostate cancer.
Which clinical manifestation suggests prostate cancer? Select all that apply.
Palpitations
Hesitancy
Chills
Dyspnea
Nocturia - CORRECT-ANSWERSHesitancy
Nocturia
A man tells the nurse that his father died of prostate cancer and he is
concerned about his own risk of developing the disease, having heard that
prostate cancer has a genetic link. What aspect of the pathophysiology of
prostate cancer would underlie the nurse's response?
A number of studies have identified an association of BRCA-2 mutation with
an increased risk of prostate cancer.
HNPCC is a mutation of two genes that causes prostate cancer in men and it
is autosomal dominant.
Studies have shown that the presence of the TP53 gene strongly influences
the incidence of prostate cancer.
Recent research has demonstrated that prostate cancer is the result of
lifestyle factors and that genetics are unrelated. - CORRECT-ANSWERSA
number of studies have identified an association of BRCA-2 mutation with an
increased risk of prostate cancer.
A client has just been diagnosed with prostate cancer and is scheduled for
brachytherapy the following week. The client and his wife are unsure of
having the procedure because their daughter is 3 months pregnant. What is
the most appropriate teaching the nurse should provide to this family?
The client should not be in contact with the baby after delivery.
The client's treatment poses no risk to his daughter or her infant.
The client's brachytherapy may be contraindicated for safety reasons.
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