CHAPTER 19 CANCER DEVELOPMENT | ATI MED SURG ONCOLOGY| COMPLETE SOLUTION RATED A+
6 views 0 purchase
Course
Oncology
Institution
Oncology
CHAPTER 19 CANCER DEVELOPMENT | ATI MED SURG ONCOLOGY| COMPLETE SOLUTION RATED A+
The 33-year-old client diagnosed with Stage IV Hodgkin's lymphoma is at the five (5)-year remission mark. Which information should the nurse teach the client?
1. Instruct the client to continue s...
The 33-year-old client diagnosed with Stage IV Hodgkin's lymphoma is at the five (5)-
year remission mark. Which information should the nurse teach the client?
1. Instruct the client to continue scheduled screenings for cancer.
2. Discuss the need for follow-up appointments every five (5) years.
3. Teach the client that the cancer risk is the same as for the general population.
4. Have the client talk with the family about funeral arrangements. - ✅1. The five (5)-
year mark is a time for cel- ebration for clients diagnosed with cancer, but the therapies
can cause secondary malignancies and there may be a genetic predisposition for the
client to develop cancer. The client should continue to be tested regularly.
2. Follow-up appointments should be at least yearly.
3. The client's risk for developing cancer has in- creased as a result of the therapies
undergone for the lymphoma.
4. This client is in remission, and death is not imminent.
TEST-TAKING HINT: The test taker should look at the time frames in the answer op-
tions. It would be unusual for a client to be told to have a checkup every five (5) years.
Option "4" can be eliminated by the stem, which clearly indicates the client is progress-
ing well at the five (5)-year remission mark. Content - Medical: Integrated Nursing
Process - Planning: Client Needs - Health Promotion and Maintenance: Cognitive Level
- Synthesis:
Concept - Nursing Roles
Lymphoma Hematological 5 Disorders. Davis success
,23. The nurse and an unlicensed assistive personnel (UAP) are caring for clients in a
bone marrow transplantation unit. Which nursing task should the nurse delegate?
1. Take the hourly vital signs on a client receiving blood transfusions.
2. Monitor the infusion of antineoplastic medications.
3. Transcribe the HCP's orders onto the medication administration record (MAR).
4. Determine the client's response to the therapy. - ✅1. After the first 15 minutes during
which the client tolerates the blood transfusion, it is appropriate to ask the UAP to take
the vital signs as long as the UAP has been given specific parameters for the vital signs.
Any vital sign outside the normal parameters must have an intervention by the nurse.
2. Antineoplastic medication infusions must be monitored by a chemotherapy-certified,
com- petent nurse.
3. This is the responsibility of the ward secre- tary or the nurse, not the unlicensed
assistive personnel.
4. This represents the evaluation portion of the nursing process and cannot be
delegated.
Lymphoma Hematological 5 Disorders. Davis success
22. Which clinical manifestation of Stage I non- Hodgkin's lymphoma would the nurse
expect to find when assessing the client?
1. Enlarged lymph tissue anywhere in the body.
2. Tender left upper quadrant.
3. No symptom in this stage.
4. Elevated B-cell lymphocytes on the CBC. - 1. Enlarged lymph tissue would occur in
Stage III or IV Hodgkin's lymphoma.
2. A tender left upper quadrant would indicate spleen infiltration and occurs at a later
stage.
✅3. Stage I lymphoma presents with no symptoms; for this reason, clients are usually
not diagnosed until the later stages of lymphoma.
4. B-cell lymphocytes are the usual lymphocytes involved in the development of
lymphoma, but a serum blood test must be done specifi- cally to detect B cells. They are
not tested on a CBC.
Lymphoma Hematological 5 Disorders. Davis success
21. Which information about reproduction should be taught to the 27-year-old female
client diagnosed with Hodgkin's disease?
,1. The client's reproductive ability will be the
same after treatment is completed.
2. The client should practice birth control for at
least two (2) years following therapy.
3. All clients become sterile from the therapy
and should plan to adopt.
4. The therapy will temporarily interfere with
the client's menstrual cycle. - 1. This is a false promise. Many clients undergo
premature menopause as a result of the can- cer therapy.
✅2. The client should be taught to practice birth control during treatment and for
at least two (2) years after treatment has ceased. The therapies used to treat the can-
cer can cause cancer. Antineoplastic medica- tions are carcinogenic, and radiation
therapy has proved to be a precursor to leukemia. A developing fetus would be
subjected to the internal conditions of the mother.
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Mboffin. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
