ATI Tutorial: Oncology – Flashcards
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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
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Reminding the client to use an electric razor
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An adolescent female client who had a successful bone marrow transplant is being discharged. What information should the nurse include as a part of the discharge plan? (select all that apply)
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Take your temp BID It is important to always wear shoes Avoid tampons
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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?
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Risk for infection
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A client with breast cancer is receiving a combination of chemotherapy agents. The nurse understands that the rationale for this combined treatment modality is that the
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Agents act a different stages of cellular mitosis
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A nurse is preparing 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 assisting in the development of a discharge plan of care for this client, which of the following is appropriate to include?
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Take your blood pressure on the left arm
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A client is being evaluated in an oncology clinic after referral by the client's provider for suspicion of Hodgkin's disease. The nurse should anticipate that the client will exhibit which of the following?
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Enlarged lymph nodes
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Four weeks after a bone marrow transplant, a client develops a fever and a rash on the hands and feet. Based on these findings, the nurse should suspect that the client is experiencing which of the following conditions?
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Graft-versus-host disease
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A nurse is caring for a client who has been diagnosed with cancer in situ. The clients asks the nurse what type of cancer this is. An appropriate response by the nurse would be that cancer in situ is when abnormal cell production
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Has developed within a localized area
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A nurse in an oncology clinic is collecting data from a client who has multiple myeloma. In relation to laboratory findings commonly associated with this diagnosis, the nurse should carefully observe the client for manifestations related to which of the following?
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Thrombocytopenia
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A client with multiple myeloma is admitted to the unit with a whiteblood cell count of 2,200/mm3. Which of the following foods should the nurse prohibit family members from bringing to the client?
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A fresh fruit basket
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A nurse is caring for a client following a right modified radical mastectomy. Which of the following actions by an assistive personnel (AP) should indicate to the nurse that further teaching is needed?
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Taking blood pressure on the right arm
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A client who has a suspected ovarian tumor is scheduled to have a pelvic ultrasound. In preparing the client for the procedure, the nurse should reinforce to the client to
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Drink 4-6 glasses of water and do not void
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A client who has leukemia has 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?" Which of the following is an appropriate response by the nurse?
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No, it's transfused just like any other blood component into your central IV line
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A client is admitted to the hospital after being treated with vincristine for cancer. The client reports being diagnosed with peripheral neuropathy due to chemotherapy. When collecting data from the client, the nurse should expect to see which of the following clinical manifestations in the client's extremities?
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Tingling
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A nurse anticipates that a client who is receiving antineoplastic medications may manifest which of the following side effects?
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Aplastic anemia
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A client is receiving external radiation therapy. Which of the following statements indicates to the nurse that the client understands the discharge teaching plan?
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I need to protect the area from sunlight
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A nurse is caring for a client who is to receive brachytherapy via a cervical implant. Which of the following statements by the client should indicate to the nurse that further teaching is necessary?
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My children will only be allowed to visit for 20 minutes
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A client who is receiving external radiation asks the nurse, "Am I radioactive?" Which of the following is an appropriate response by the nurse?
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No, you are not radioactive
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A nurse is admitting a client who has been diagnosed as having squamous cell carcinoma of the lung. When completing the history and physical, the nurse should ask the client about a history of which of the following?
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Hemoptysis
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A nurse is helping to develop 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 superior vena cava syndrome including
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Facial edema
