RN1720 Med-Surg: Oncology – Flashcards
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Flank pain
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A nurse is caring for a client who has just began chemotherapy for acute lymphoma. The plan of care indicates that signs of tumor lysis syndrome should be part of the nursing assessment. Which of the following assessment findings are consistent with tumor lysis syndrome?
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"...most helpful in monitoring the progress of the disease in clients already being treated for colon cancer."
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A sibling of a client recently diagnosed with colon cancer questions the nurse in regard to the carcinoembryonic antigen (CEA) blood test. Appropriate information from the nurse should include the CEA test is...
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"I need to protect the area from sunlight."
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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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Tingling
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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 assessing the client, the nurse should expect to see which of the following clinical manifestations in the clients extremities?
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...lowest point your blood count reached after treatment.
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A client receiving chemotherapy every few weeks is told by the provider what his nadir was at his last treatment. When asked by the client what a nadir is, an appropriate answer by the nurse would be which of the following? The nadir is the ...
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Drink 4 to 6 glasses of water and do not void.
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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 instruct the client to...
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Graft versus host disease
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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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A fresh fruit basket
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A client with multiple myeloma is admitted to the unit with a white blood cell count of 2200 mm3. Which of the following foods should the nurse prohibit family members from bringing to the patient?
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Risk for infection
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A nurse is developing a care plan for a client immediately following a bone marrow transplant. Which of the following post transplant concerns should be the nurses highest priority?
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Enlarged lymph nodes
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A client is being evaluated in an oncology clinic after referral by the clients provider for suspicion of Hodgkin's disease. Secondary to this possible diagnosis, the nurse should focus on assessing for which of the following?
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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 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?" Which of the following responses should the nurse make?
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Reminding the client to use an electric razor
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A client with uterine cancer is receiving chemotherapy and develops thrombocytopenia. Due to this side effect, the nurse should plan to give the greatest consideration to which of the following?
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Take your blood pressure on the left arm
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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 developing a discharge plan of care for this client, which of the following is appropriate for the nurse to include?
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Agents act at different stages of cellular mitosis
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A client with breast cancer is receiving a combination of chemotherapy agents. The nurse identifies the rationale for this combined treatment modality is that the...
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Take your temperature twice a day. It is important to always wear shoes. Avoid using tampons.
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An adolescent female client who had a successful bone marrow transplant is being discharged. Which of the following information should the nurse include as a part of the discharge plan? (Select all that apply.)
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Thrombocytopenia
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A nurse in an oncology clinic is conducting an assessment on a client with multiple myeloma. In relation to laboratory findings commonly associated with this diagnosis, the nurse should carefully assess the client for manifestations related to which of the following?
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Facial edema
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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 superior vena cava syndrome including...
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Has developed within a localized area
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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. An appropriate response by the nurse would be that cancer in situ is when abnormal cell production...
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Assist the client with changing positions every 15 minutes for 2 hours.
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A client with bladder cancer is being treated with intravesical administration of immunotherapy. During the treatment, the nurse should do which of the following?
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Aplastic anemia
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A nurse anticipates that a client who is receiving antineoplastic medications may manifest which of the following side effects?
