Oncology questions – Flashcards
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The nurse is reviewing the laboratory results of a client who is receiving chemotherapy and notes that the platelet count is 10,000 cells/mm3. On the basis of this laboratory value, the nurse should collect which data as a priority?
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Level of consciousness
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The nurse discusses the risk factors associated with gastric cancer as part of a health promotion program. The nurse determines that there is a need for further teaching if a member attending the program states that which factor is a risk?
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High meat and carbohydrate consumption
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A client with endometrial cancer is receiving doxorubicin (Adriamycin), an antineoplastic agent. The nurse should specifically collect data about which criterion?
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Hematological laboratory values
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The nurse is assisting in planning care for a client with Hodgkin's disease who is neutropenic as a result of radiation and chemotherapy. Which actions would be included in the client's plan of care? Select all that apply.
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Monitor white blood cell counts daily. Ensure meticulous hand washing before caring for the client. Ask visitors with respiratory infection symptoms to not visit the client.
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The nurse is reviewing the laboratory results of a client with leukemia who has received a regimen of chemotherapy. Which laboratory finding would provide information about the massive cell destruction that occurs with the chemotherapy?
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Increased uric acid level
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A client is tentatively diagnosed with ovarian cancer. The nurse gathers data about which late symptom of this disease?
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Pelvic pain, anemia, and ascites
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The nurse should monitor for which laboratory result as indicating an adverse reaction in the client with endometrial cancer who is receiving chemotherapy?
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Platelet count 20,000 cells/mm3
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The nurse is collecting data from a client suspected of having ovarian cancer. Which question should the nurse ask the client to elicit information specifically related to this disorder?
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"Does your abdomen feel as though it is swollen?"
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The nurse is reinforcing instructions to a group of female clients about breast self-examination (BSE). When should the nurse instruct the client to perform this examination?
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One week after menstruation begins
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The nurse is caring for a client after a mastectomy. Which finding would indicate that the client is experiencing a complication related to the surgery?
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Arm edema on the operative side
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The client is admitted to the hospital with a diagnosis of suspected Hodgkin's disease. Which finding should the nurse most likely expect to find documented in the client's record?
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enlarged lymph nodes
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The nurse is assisting with developing a plan of care for the client with multiple myeloma. Which is a priority nursing intervention for this client?
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encouraging fluids
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The nurse is collecting data from a client with a history of bladder cancer. Which sign/symptom is the client most likely to report?
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Hematuria
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The nurse is reinforcing instructions to a client receiving external radiation therapy. The nurse determines that the client needs further teaching if the client states an intention to take which action?
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Apply pressure on the radiated area to prevent bleeding.
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The nurse is assisting with conducting a health-promotion program at a local school. The nurse determines that there is a need for further teaching if a student identifies which as a risk factor associated with cancer?
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Low-fat and high-fiber diets
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The nurse is assisting with developing a plan of care for a client who is experiencing hematological toxicity as a result of chemotherapy. The nurse should suggest including which in the plan of care?
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Restricting fresh fruits and vegetables in the diet
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The nurse is assisting with conducting a health-promotion program to community members regarding testicular cancer. The nurse determines the need for further teaching if a community member states that which is a sign/symptom of testicular cancer?
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Alopecia
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The client is receiving external radiation to the neck for cancer of the larynx. The nurse monitors the client knowing that which is the most likely side/adverse effect of the external radiation?
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Sore throat
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The nurse is caring for a client with an internal radiation implant. The nurse should observe which principle?
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Pregnant women are not allowed into the clients room
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The nurse provides skin care instructions to the client who is receiving external radiation therapy. Which statement by the client indicates the need for further teaching?
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I will limit sun exposure to 1 hour daily
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The client is hospitalized for the insertion of an internal cervical radiation implant. While giving care, the nurse finds the radiation implant in the bed. Which is the immediate nursing action?
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Pick up the implant with long-handled forceps and place into a lead container
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The client with carcinoma of the lung develops the syndrome of inappropriate antidiuretic hormone (SIADH) as a complication of the cancer. The nurse anticipates that which may be prescribed to treat this complication? Select all that apply.
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Radiation, Chemotherapy, serum and med
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The nurse is caring for a client with metastatic lung cancer. The client was medicated 2 hours ago and now reports a new and sudden sharp pain in the back. The nurse appropriately interprets this finding as possibly indicating which complication?
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Spinal cord compression
