MED 2053 Oncology Quiz #1 – Flashcards
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Observing for signs of Infection
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A nurse is collecting data from an older client who has received radiation therapy to treat lung cancer. Based on an understanding of the effets of radiation therapy, the nurse should focus the data collection on
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I need to catheterize the stoma several times a day.
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A nurse is providing teaching to a client who has an ileal conduit following bladder cancer. Which of the following statements by the client should indicate to the nurse a need for further teaching?
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The client has developed a tolerance to the medication.
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A nurse visiting a client who has end-stage liver cancer and is homebound. The client tells the nurse that she has not been taking morphine sulphate (Duramorph) for pain relief because it does not seem to be working. The nurse understands that this is due to which of the following?
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Abnormal Vaginal Bleeding
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A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following findings should the nurse expect the client report?
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Gently roll the testicles to feel for abnormalities.
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A nurse is creating a brochure on testicular cancer. Which of the following information should the nurse include?
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Refusing to look at the dressing or surgical incision.
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A nurse is caring for a client who is 1 day postoperative following a left radical mastectomy for breast cancer. Which of the following behaviors should alert the nurse to the possibility that the client is having difficulty adjusting to the loss of her breast?
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Sun Exposure
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A nurse is reinforcing health teaching regarding skin cancer to a group of clients. Which of the following should the nurse identify as the leading cause of skin cancer?
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A chest tube
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A nurse is assisting with the care of a client who has lung cancer and is scheduled for a lobectomy. The nurse prepares the client to expect which of the the following postoperatively?
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What is it about the side effects that worry you?
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A nurse is caring for a client who just learned that she has invasive breast cancer and must start chemotherapy. She tells the nurse she is worried about the side effects of the treatment. Which of the following is an appropriate nursing response?
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Using the palm of your hand, feel for lumps using a circular motion.
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A nurse has developed a pamphlet about breast cancer awareness for a local health fair. Which of the following information provided by the nurse needs to be corrected?
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Tell me more about your concerns about taking chemotherapy.
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A provider diagnoses a client with cancer and advises immediate chemotherapy. The client tells the nurse that she wants to try nontraditional treatments first. Which of the following is an appropriate nursing response?
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Hoarseness
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A nurse is collecting data from a client who has a history of smoking and might have laryngeal cancer. The nurse should anticipate that the client will report which of the following early manifestations of laryngeal cancer?
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African American Men
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A nurse is providing an education program on prostate cancer screening. Based on the level of risk, which of the following groups should the nurse educate first?
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I am hoping this will limit my discomfort.
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A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements by the client indicates they understand and accept their prognosis?
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Fresh Berries
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A nurse is reinforcing teaching for a client regarding cancer prevention and plans to address the importance of foods high in antioxidants. Which of the following foods should the nurse include in the discussion?
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A biopsy of tumor tissue
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A nurse is caring for a client who is scheduled for several diagnostic tests for gastrointestinal cancer. When reinforcing teaching about these tests, the nurse should emphasize that the one used to confirm a malignancy is
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Light-skinned races
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A nurse is assisting with the development of an education program about the skin cancer. The nurse should include that the incidence of skin cancer is highest among which of the following groups?
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May expect to have swelling of the legs.
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A nurse is educating a client who is being treated for metastatic colorectal cancer with bevacizumab (Avastin). Which of the following information should the nurse include?
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Discuss a referral to home health and hospice care with the client and family.
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A client who has metastatic bone cancer tells the nurse he wants to "go home to die". The family is concerned about meeting the client's care needs at home. Which of the following is an appropriate action for the nurse to take?
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Poor
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A client is receiving treatment for Stage IV ovarian cancer and asks the nurse to discuss the prognosis. What would the prognosis be at this stage with aggressive surgical, radiation, and chemotherapy treatment?
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The doctor says I only have a few months to live, but I know he is exaggerating to get me to take my medication.
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A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following client responses is an indication the client is in the denial phase of the grief process?
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It's okay to feel afraid. Let's talk about what you are afraid of.
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A client who is about to undergo a left lobectomy to treat lung cancer tells the nurse that she is scared and wishes she had never smoked. Which of the following is an appropriate nurse response?
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I'm hearing that you are concerned that it might turn out that you have cancer.
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A nurse is assisting with the admission of a client who is about to undergo surgery for benign prostatic hypertrophy (BPH). The client states, "I don't know what I will do if they find I have cancer." Which of the following is an appropriate nursing response?
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Explain that the doctor will see him and determine a course of action.
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A client comes to the clinic reporting bilateral knee pain after hiking this past weekend in the mountains on rough ground. He says he is concerned because his cousin died from bone cancer recently. Which of the following is an appropriate nursing response?
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Denial
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A nurse is caring for a newly diagnosed with ovarian cancer. Which of the following reactions from the client should the nurse initially expect?
