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CANCER TEST BANK EXAM QUESTIONS WITH LATEST UPDATE
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A 55-yr-old woman diagnosed with endometrial cancer is receiving brachytherapy. The nurse is most concerned if what is observed? 1. Foul-smelling vaginal discharge 2. 5 to 8 liquid stools over a period of 24 hours 3. Use of a bedpan instead of a bedside commode or toilet. 4. Request for a nursi...

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  • October 18, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • cancer test bank exam questions with latest update
  • a 55 yr old woman diagnosed with endometrial cance

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CANCER TEST BANK EXAM
QUESTIONS WITH LATEST UPDATE
A 55-yr-old woman diagnosed with endometrial cancer is receiving brachytherapy. The
nurse is most concerned if what is observed?
1. Foul-smelling vaginal discharge
2. 5 to 8 liquid stools over a period of 24 hours
3. Use of a bedpan instead of a bedside commode or toilet.
4. Request for a nursing assistant to stay in the room for company - Answer-D
Brachytherapy is internal radiation applied directly to the tumor. Health care providers
should limit close contact with the patient to less than 30 minutes per day. Internal
radiation causes the destruction of cells and results in a foul-smelling vaginal discharge.
Internal radiation may cause systemic reactions such as nausea, vomiting, diarrhea,
and malaise. The patient receiving brachytherapy is placed in a lead-lined private room
and on absolute bed rest.

A 64-yr-old male patient who is receiving radiation to the head and neck as treatment
for an invasive malignant tumor complains of mouth sores and pain. Which intervention
should the nurse add to the plan of care?
a Provide ice chips to soothe the irritation.
b Weigh the patient every month to monitor for weight loss.
c Cleanse the mouth every 2 to 4 hours with hydrogen peroxide.
d. Provide high-protein and high-calorie, soft foods every 2 hours - Answer-D
A patient with stomatitis should have soft, nonirritating foods offered frequently. The diet
should be high in protein and high in calories to aid healing. Extremes of temperature
are to be avoided. Saline or water should be used to cleanse the mouth (not hydrogen
peroxide). Patients should be weighed at least twice each week to monitor for weight
loss.

A 70-yr-old man who has end-stage lung cancer is admitted to the hospital with
confusion and oliguria for 2 days. Which finding would the nurse report immediately to
the health care provider?
a Weight gain of 6 lb
b Nausea and vomiting
c Urine specific gravity of 1.004
d Serum sodium level of 118 mEq/L - Answer-D
Lung cancer cells are able to manufacture and release antidiuretic hormone (ADH) with
resultant water retention and hyponatremia. Hyponatremia (serum sodium levels less
than 135 mEq/L) may lead to central nervous system symptoms such as confusion,
seizures, coma, and death. The other options listed are also symptoms of hyponatremia
but are not as critical to report to the health care provider.

A patient with breast cancer is having teletherapy radiation treatments after her surgery.
What should the nurse teach the patient about the care of her skin?

, A. Use Dial soap to feel clean and fresh.
B. Scented lotion can be used on the area.
C. Avoid heat and cold to the treatment area.
D. Wear the new bra to comfort and support the area. - Answer-C
Avoiding heat and cold in the treatment area will protect it. Only mild soap and
unscented, nonmedicated lotions may be used to prevent skin damage. The patient will
want to avoid wearing tight-fitting clothing such as a bra over the treatment field and will
want to expose the area to air as often as possible.

The patient is receiving immunotherapy and targeted therapy for ovarian cancer. What
medication should the nurse expect to administer before therapy to combat the most
common side effects of these medications?
A Morphine sulfate
B Ibuprofen (Advil)
C Ondansetron (Zofran)
D Acetaminophen (Tylenol) - Answer-D
Acetaminophen is administered before therapy and every 4 hours to prevent or
decrease the intensity of the severe flu-like symptoms, especially with interferon which
is frequently used for ovarian cancer. Morphine sulfate and ibuprofen will not decrease
flu-like symptoms. Ondansetron is an antiemetic but is not used first to combat flu-like
symptoms of headache, fever, chills, myalgias, and so on.

The patient is receiving an IV vesicant chemotherapy drug. The nurse notices swelling
and redness at the site. What should the nurse do first?
a. Ask the patient if the site hurts. Incorrect
b Turn off the chemotherapy infusion.
c Call the ordering health care provider.
d Administer sterile saline to the reddened area. - Answer-b
Because extravasation of vesicants may cause severe local tissue breakdown and
necrosis, with any sign of extravasation, the infusion should first be stopped. Then the
protocol for the drug-specific extravasation procedures should be followed to minimize
further tissue damage. The site of extravasation usually hurts, but it may not. It is more
important to stop the infusion immediately. The health care provider may be notified by
another nurse while the patient's nurse starts the drug-specific extravasation
procedures, which may or may not include sterile saline.

The patient is being treated with brachytherapy for cervical cancer. What factors must
the nurse be aware of to protect herself when caring for this patient?
a. The medications the patient is taking
b. The nutritional supplements that will help the patient
c How much time is needed to provide the patient's care
d The time the nurse spends at what distance from the patient - Answer-D
The principles of ALARA (as low as reasonably achievable) and time, distance, and
shielding are essential to maintain the nurse's safety when the patient is a source of
internal radiation. The patient's medications, nutritional supplements, and time needed

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