ATI Oncology – Flashcards

A nurse anticipates that a client who is receiving antineoplastic medications may manifest what side effects? a. gingival hyperplasia b. hirsutism c. aplastic anemia d. weight gain

A nurse is caring for a client who has just begun chemo for acute lymphoma. The plan of care indicates that signs of tumor lysis syndrome should be part of the nursing assessment. What asssessment finding is consistent with tumor lysis syndrome? a. polyuria b. muscle weakness c. flank pain d. hypotension

A sibling of a client recently diagnosed with colon cancer questions the nurse in regard to the CEA blood test. Info the nurse should include: "The CEA test is: a. most helpful in monitoring progress of the disease in clients already being treated for colon cancer. b. an effective screening test and is indicated because of family history c. recommended by the american cancer association to be performed yearly starting at age 50 d. used to confirm the diagnosis if a client has symptoms consistent with colon or rectal cancer

A client is receiving external radiation therapy. What statement indicates to the nurse that the client understands the discharge teaching plan? a. I need to protect the area from sunlight b. I'm going to apply skin cream every day to the area c. I'll massage the area once a day d. I'll wash the markings off after each therapy treatment

A client is admitting to the hospital after being treated with vincristine for cancer. The client report being diagnosed with peripheral neuropathy due to chemo. When assessing the client, the nurse should expect to see which symptom in the client's extremities? a. edema b. tingling c. ataxia d. spasms

A client receiving chemo every few weeks is told by the provider what his nadir was at his last treatment. When asked by the client what nadir is, An appropriate answer by the nurse would be that the nadir is the- a. lowest point your blood count reached after treatment b. highest point your blood count reaches after treatment c. point at which the next dose of chemo can be given again d. point at which chemo is determined to be effective

A client who has a suspected ovarian tumor is scheduled to have a pelvic ultrasound. In preping the client for the procedure, the nurse instructs the client to- a, drink 4 to 6 glasses of water and do not void b. have nothing to eat or drink after midnight c. self-administer an enema the night before the procedure d. abstain from sexual inercourse the night before

4 weeks after a bone marrow transplant, a client develops a fever and a rash on the hands and feet. Based on theses findings, the nurse should suspect that the client is experiencing what condition? a. allergic response to medication b. side effects of radiation therapy c. veno-occlusive disease of liver d. graft-verses-host disease

A client with multiple myeloma is admitted to the unit with WBC of 2200. What foods should the nurse prohibit family members from bringing to the client? a. fried chicken from a fast food shop b. a gift basket of bagels c. factory-sealed box of chocolates d. a fresh fruit basket

A nurse is developing a care plan for a client immediately following a bone marrow transplant. What post transplant concerns should be the nurse's highest priority? a. pain b. social isolation c. risk for infection d. graft-versus- host disease

A client is being evaluated in an oncology clinic after referral by the client's provider for suspicion of Hodgkin's disease. Secondary to this possible diagnosis, the nurse should focus on assessing for what? a. bone and joint pain b. enlarged lymph nodes c. difficulty swallowing d. patchy alopecia

A client with leukemia suffers a relapse, and the provider recommends a bone marrow transplant. After the provider leaves, the client asks the nurse, "Do they put the marrow back in me the same way they took it out for a biopsy?" What response should the nurse make? a. no, it's transfused just like any other blood component into your central IV line b. yes, it's replaced directly into the bone like a biopsy, but it requires several sites c. yes, however, you will not feel it because they will do it in the operating room under anesthesia d. I'll get the dr back in here to answer the rest of your questions.

A client with uterine cancer is receiving chemo and develops thrombocytopenia. Due to this side effect, the nurse should plan to give the greatest consideration to-- a. monitoring visitors for signs of infection b. reminding the client to use an electric razor c. encouraging frequent rest periods d. instruct client to vigorously brush and floss teeth

A nurse is preping to discharge a client who had a right radical mastectomy 2 days ago and will be going home with drains still in the incision. When developing a discharge plan of care for this client, what should the nurse include?- a. empty the reservoir bulb attached to the drain once a day b. void exercises that raise the right arm over the head for 6 weeks c. take your BP on the left arm d. report numbness of the inner right arm to the provider

A client with breast cancer is receiving a combo of chemo agents. The nurse IDs the rationale for this combined treatment modality is that the- a. risk of renal toxicity is lessened b. agents act at different stages of cellular mitosis c. length of treatment will be shorter d. potential for bone marrow suppression is eliminated

An adolescent female client who had a successful bone marrow transplant is being discharged. What info should the nurse include as a part of the discharge plan? (select all that apply) a. take your temp BID b. you may return to school if you feel strong enough c. it is important to always wear shoes d. clean your toothbrush weekly with isopropyl alcohol e. avoid tampons

A nurse in an oncology clinic is conducting an assessment on a client with multiple myeloma. In relation to lab findings commonly associated with this diagnosis, the nurse should carefully assess the client for manifestations related to which of the following? a. hypocalcemia b. thrombocytopenia c. leukocytosis d. polycythemia

A nurse is developing a plan of care for a client with metastatic lung cancer who is at risk for the development of superior vena cava syndrome. The nurse includes in the plan to assess the client frequently for early manifestations of the superior vena cava syndrome including- a. irregular cardiac rhythm b. change in the level of consciousness c. wasting of the arms d. facial edema

A nurse is caring for a client who has been diagnosed with cancer in situ. The client asks the nurse what type of cancer this is. The nurse should respond that cancer in situ is when abnormal cell production-- a. has spread to a distant site b. has infiltrated the lymph nodes c. has invaded surrounding tissue d. has developed within a localized area

A client with bladder cancer is being treated with intravesical administration of immunotherapy. During treatment, the nurse should- a. maintain the client in the Trendelenburg position for at least 2 hr b. tell client to get up to urinate when he feels the urge c. assist the client with changing positions ever 15 mins for 2 hr d. have a gown and mask ready for removal of the fluid from the bladder