NRSG 332 Kaplan Oncology – Flashcards
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The nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which would the nurse expect to note specifically in this disorder? a. increased calcium level b. increased WBCs c. decreased BUN level d. decreased number of plasma cells in the bone marrow
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a. increased calcium level
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the nurse is developing a plan of care for the client with multiple myeloma and includes which priority intervention in the plan? a. encourage fluids b. providing frequent oral care c. coughing and deep breathing d. monitoring the RBC count
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a. encourage fluids
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the nurse is caring for a client with an internal radiation implant. When caring for the client, the nurrse should observe which principle? a. limit the time with the client to 1 hour per shift b. do not allow pregnant women into the clients room c. remove the dosimeter film badge when entering the client's room d. individuals younger than 16y/o may be allowed to go in the room as long as they are 6 feet away from the client
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b. do not allow pregnant women into the clients room
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the client is hospitalized for insertion of an internal cervical radiation implant. While giving care, the nurse finds the radiation implant in the bed. The initial cation by the nurse is to: a. call the physician b. reinsert the implant into the vagina immediately c. pick up the implant with gloved hands and flush it down the toilet d. pick up the implant with long-handled forceps and place it in a lead container
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d. pick up the implant with long-handled forceps and place it in a lead container
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The nurse is caring for a client experiencing neutropenia as a result of chemotherapy and develops a plan of care for the client. The nurse plans to: a. restrict all visitors b. restrict fluid intake c. teach the client and family about the need for hand hygeine d. insert an indwelling urinary catheter to prevent skin breakdown
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c. teach the client and family about the need for hand hygeine
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the home health care nurse is caring for a client with cancer and the client is complaining of acute pain. The most appropriate nursing assessment of the client's pain would include which of the following? a. the clients pain rating b. nonverbal cues from the client c. the nurse's impression of the client's pain d. pain relief after appropriate nursing intervention
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a. the clients pain rating
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The nurse is caring for a client who is postoperative following a pelvic exenteration and the physician changes the client's diet from NPO status to clear liquids. the nurse makes which priority assessment before administering the diet? a. bowel sounds b. ability to ambulate c. incision appearance d. urine specific gravity
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a. bowel sounds
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the client is admitted to the hospital with a suspected diagnosis of hodgkin's disease. Which assessment finding would the nurse expect to note specifically in the client? a. fatigue b. weakness c. weight gain d. enlarged lymph nodes
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d. enlarged lymph nodes
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the nurse recognizes which of the following signs indicate cancer of the larynx? a. increased drooling b. blood-streaked sputum c. difficulty swallowing d. jaundice
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c. difficulty swallowing
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a female pt diagnosed with acute myelogenous leukemia (AML) begins menstruating. Which of the following actions should the nurse take FIRST? a. instruct the pt to report any increased dizziness and weakness b. contact the physician c. weigh the pt's pads and tampons before and after use d. ask the pt if she had heavy periods in the past
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c. weigh the pt's pads and tampons before and after use
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the nurse cares for a pt w/ stomatitis due to the chemotherapy. Which of the following actions is most important for the nurse to include in the pt's plan of care? a. examine the pt's mouth for blisters, sores, or drainage b. encourage the pt to use a commercially prepared mouthwash twice daily c. instruct the pt to use a soft-bristled toothbrush d. offer mouth care morning and night
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a. examine the pt's mouth for blisters, sores, or drainage
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the nurse performs postoperative care for a pt after a Whipple procedure for tx of pancreatic cancer. the nurse is MOST concerned if which of the following is observed? a. there is a clear, colorless, bile-tinged drainage from the NG tube b. the NG tube is connected to a low continuous suction c. the pt is lying in a semi-fowlers position d. the nurse instills air to open the drainage lumen of the NG tube
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a. there is a clear, colorless, bile-tinged drainage from the NG tube
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the nurse performs a home care visit for a client receiving chemotherapy for tx of cancer. The client's white blood cell count is 3,500mm^3. Which of the following observations; if made by the nurse, requires an intervention? a. the client cleans the toothbrush daily by washing it in the dishwater b. the client eats peeled fruits and cooked vegetables c. the client takes and records the oral temp each day d. the client pulls weeds in the garden every day
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d. the client pulls weeds in the garden every day
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a young woman receiving chemotherapy for a brain tumor suddenly becomes angry and irritable with the staff. when the nurse tries to administer the pt's medications, the pt throws a tray across the room and curses. Which of the following actions by the nurse is most appropriate? a. ask another nurse to administer the medication b. leave the room, promising to return when the pt gains control c. remain with the pt and call for help d. restrain the pt and call for help
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c. remain with the pt and call for help
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Ondansetron HCI (Zofran) 6mg PO q 6hr is ordered for a pt. The nurse knows that the most appropriate time to administer this medication is: a. 1hr after chemotherapy b. 30 min prior to start of chemotherapy c. 2hr after chemotherapy d. after the pt complains of nausea
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b. 30 min prior to start of chemotherapy
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The nurse recognizes which of the following is an early symptom of gastric cancer? a. occult blood in stool b. vomiting c. iron deficiency anemia d. abdominal discomfort relieved w/ antacids
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d. abdominal discomfort relieved w/ antacids
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the nurse instructs a group of pts about dietary habits to reduce the risk of cancer. which of the following statements, if made by a pt to the nurse, indicates further teaching is necessary? a. "eating polyunsaturated fats will decrease my chances of developing cancer" b. "I should increase my intake of foods high in fiber" c. "I should eat apricots, carrots, leafy vegetables, and citrus fruits" d. "i should eat turkey on my sandwich rather than bologna
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a. "eating polyunsaturated fats will decrease my chances of developing cancer"
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Prior to insertion of a cervical radioactive implant, enemas are prescribed for the pt. The nurse understands enemas are prescribed for which of the following reasons? a. make more space for the implant b. decrease the chance of the implant becoming dislodged c. prevent constipation due to altered activity level during tx d. enhance tissue susceptibility to the effect of radiation
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b. decrease the chance of the implant becoming dislodged
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the nurse makes a home visit to a client receiving chemotherapy for the tx of cancer. the nurse instructs the client about ways to avoid injury due to bone marrow suppression. The nurse should intervene if which of the following is observed? a. the client takes Alka-Seltzer for indigestion b. the client uses an electric razor to shave c. the client blows his nose gently d. after bumping his leg, the client applies ice for an hour
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a. the client takes Alka-Seltzer for indigestion
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a patient is scheduled for a total laryngectomy. he tells the nurse, "I am worried about my operation. I just can't help it." Which of the following responses by the nurse is BEST? a. have you discussed your worries with your doctor? b. i hear your concerns about having the operation c. you have a really fine doctor so there seems to be little need to worry d. everyone worries about surgery, especially when it is a first-time experience
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b. i hear your concerns about having the operation
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which of the following nursing interventions is MOST effective in promoting adequate nutrition for patients undergoing radiation and chemotherapy? a. include pts when making meal and snack selection b. ensure meals are served hot c. offer salty snacks every 2 hours d. serve additional portions of food at mealtime
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a. include pts when making meal and snack selection
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the nurse knows which of the following is the MOST life-threatening side effect of chemotherapy? a. alopecia b. bone marrow suppression c. vomiting d. mucositis
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b. bone marrow suppression
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the nurse instructs staff members about care of pt diagnosed with cancer of the cervix. the pt has internal radiation in place. the nurse should intervene if a staff member makes which of the following statements? a. i should allow the pt to bathe herself b. i should not stand at the foot of the bed c. i should place all linens in a special, lead-lined hamper d. i should wear a dosimeter while i am in the pt's room
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c. i should place all linens in a special, lead-lined hamper
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on the evening before a scheduled lung biopsy, a pt says to the nurse, "Do you think i have cancer?" Which of the following responses by the nurse is MOST appropriate? a. it is not for me to say; you'll know after tomorrow b. you know that you have been taking a chance smoking cigarettes all these years c. several tests will have to be done to confirm that diagnosis d. you sound worried about what they might find tomorrow
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d. you sound worried about what they might find tomorrow
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the nurse cares for a pt diagnosed with immunosuppression due to chemotherapy. the nurse determines care is appropriate if which of the following is observed? a. the nurse obtains the pt's vital signs q 8hrs b. the pt is placed in a room with a pt admitted with ulcerative colitis c. the nursing assistant washes hands prior to changing the pt's bed linens d. the staff brings in blood pressure equipment to be obtained the pt's blood pressure
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c. the nursing assistant washes hands prior to changing the pt's bed linens
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after 2 weeks of chemotherapy txs, a pt's WBC count is 2,000/mm^3. The nurse knows that this finding is most likely due to which of the following? a. infection b. bone marrow depression c. weight loss d. polycythemia
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b. bone marrow depression
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the nurse cares for a pt diagnosed with cancer receiving chemotherapy. the pt shares with the nurse how upset she is that she is losing her hair. which of the following statements by the nurse is BEST? a. im sure that your daughter will help you find a wig you like b. i would not want to lose my hair! c. your hair will grow back about one month after chemotherapy is complete d. there are many attractive hats and scarves that will look very good on you
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c. your hair will grow back about one month after chemotherapy is complete
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a client experiences numbness and decreased sensation in both lower extremities during the course of tx with vinblastine (Velban). The nurse instructs the pt to take which of the following actions? a. soak both legs in hot water four times/day b. increase walking to three times a week for 30min c. ambulate carefully with broad-based gait d. elevate legs while sitting
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c. ambulate carefully with broad-based gait
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the nurse performs discharge teaching for a pt after a right mastectomy. the nurse determines that teaching is effective if the pt makes which of the following statements? a. i should eat a full liquid diet for 3-4days b. i can take a shower as soon as i get home c. i should empty the drain reservoir twice a day d. i should eat with my left hand until the stitches are removed
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c. i should empty the drain reservoir twice a day
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the nurse assesses a pt w/ a diagnosis of colorectal cancer. the nurse understands that eating which of the following foods may contribute to the pt developing colon cancer? a. broccoli and cabbage b. fried red meat c. water d. oranges and grapefruit
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b. fried red meat
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the nurse understands which of the following is the MOST significant risk factor for developing cancer? a. advancing age b. smoking tobacco c. drinking alcohol d. family hx of cancer
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a. advancing age
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the home care nurse monitors a client diagnosed with cancer of the lung. the client complains about awakening with a severe headache several mornings during the past week. the client also admits to becoming suddenly nauseated, has vomiting, and notices drooling. which of the following actions by the nurse is BEST? a. administer the prescribed antiemetic b. reassure the client that this is expected c. assess the status of the client's lungs d. contact the physician
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d. contact the physician
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the nurse leads adult women in a wellness class. the nurse instructs the class about risk factors for developing breast cancer. the nurse should intervene if one of the women makes which of the following statements? a. women over the age of 40 have a greater chance of developing breast cancer b. women with a history of benign breast disease have a greater risk of developing breast cancer c. women who have a mother or sister with breast cancer are at a higher risk of developing breast cancer d. women who have never had children have a higher risk of developing breast cancer
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b. women with a history of benign breast disease have a greater risk of developing breast cancer
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the nurse is leading a smoking cessation class. which of the following instructions should the nurse give FIRST? a. remove ashtrays and lighters from view b. go to places that tempt the client to smoke to test the resolve c. make a list of all of the reasons to quit smoking d. drink at least 8 glasses of water per day
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c. make a list of all of the reasons to quit smoking
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the home care nurse visits a client undergoing ecternal radiation for tx of lung cancer. it is MOST important for the nurse to include which of the following intervenrions in the client's plan of care? a. use a washcloth to gently cleanse the irradiated area b. apply cream to the irradiated area daily c. apply sunscreen to the irradiated area if exposed to the sun d. use a patting motion to dry the irradiated area
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d. use a patting motion to dry the irradiated area
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the nurse performs health screening on a group of people. the nurse identifies which of the following individuals is at GREATEST risk for developing skin cancer? a. a 15 y/o male with dark skin works as a lifeguard at the local pool b. a 30 y/o female w/ light skin works as a cashier at the local store c. 47y/o female w/ dark skin swims daily at a health club d. 62y/o male w light skin worked as a roofer for 40 years
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d. 62y/o male w light skin worked as a roofer for 40 years
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the home nurse cares for a client diagnosed with acute myelogenous leukemia(AML). the clients temp is 101F. which of the following actions should the nurse take FIRST? a. notify the physician b. offer the client oral fluids c. administer an antipyretic d. encourage the client to cough and deep breathe
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a. notify the physician
