Question 1 See full question
A client with stage II ovarian cancer undergoes a total abdominal hysterectomy and bilateral salpingo-oophorectomy with
... [Show More] tumor resection, omentectomy, appendectomy, and lymphadenectomy. During the second postoperative day, which assessment finding requires immediate intervention?
Question 2 See full question
A client has just begun treatment with busulfan, 4 mg by mouth daily, for chronic myelogenous leukemia. The client receives busulfan until his white blood cell (WBC) count falls to between 10,000/mm3 and 25,000/mm3. Then the drug is stopped. When should treatment resume?
Question 3 See full question
A client with metastatic brain cancer is admitted to the oncology floor. According to the Self-Determination Act of 1991 concerning the execution of an advance directive, the hospital is required to:
Question 4 See full question
Which nursing goal is appropriate for a client with multiple myeloma?
Question 5 See full question
A 56-year-old woman is admitted for a modified radical mastectomy. The client appears anxious and asks many questions. The nurse's best course of action is to:
Question 6 See full question
A nurse is teaching an older adult who has had a left modified radical mastectomy with axillary node dissection about lymphedema. The nurse should tell the client that lymphedema occurs:
Question 7 See full question
A client is newly diagnosed with cancer and is beginning a treatment plan. Which action by the nurse will be most effective in helping the client cope?
Question 8 See full question
A client with cancer is uncertain about how to cope with all the issues that will arise. The nurse can best support the coping behaviors of a client with cancer by:
Question 9 See full question
A terminally ill client’s husband tells the nurse, “I wish we had taken that trip to Europe last year. We just kept putting it off, and now I am furious that we did not go.” The nurse interprets the husband’s statement as indicating which stage of adaptation to dying?
Question 10 See full question
A 70-year-old client asks the nurse if she needs to have a mammogram. Which is the nurse's bestresponse?
Question 11 See full question
The primary reason that a herpes simplex virus (HSV) infection is a serious concern to a client with human immunodeficiency virus (HIV) infection is that it:
Question 12 See full question
A woman tells the nurse, “There has been a lot of cancer in my family.” The nurse should instruct the client to report which possible sign of cervical cancer?
Question 13 See full question
A right orchiectomy is performed on a client with a testicular malignancy. The client expresses concerns regarding his sexuality. The nurse should base the response on the knowledge that the client:
Question 14 See full question
After surgery for gastric cancer, a client is scheduled to undergo radiation therapy. The nurse should include which information in the teaching plan?
Question 15 See full question
A client states, "I do not want any more tests. Who cares what kind of leukemia I have? I just want to be treated now." Which is the nurse's best response?
Question 16 See full question
In assessing a client in the early stage of chronic lymphocytic leukemia (CLL), the nurse should determine if the client has:
Question 17 See full question
When the client who has had a modified radical mastectomy returns from the operating room to the recovery room, what should the nurse do first?
Question 18 See full question
A client with testicular cancer is scheduled for a right orchiectomy. The day before surgery, the client tells the nurse that he is concerned about the effect that losing a testicle will have on his manhood. Which information about orchiectomy should form the basis for the nurse’s response?
Question 19 See full question
The nurse notes that a placebo has been prescribed when a client requests pain medication. Which statement is most accurate about the use of placebos in the client’s plan of care?
Remediation:
Question 20 See full question
A client complains of sporadic epigastric pain, yellow skin, nausea, vomiting, weight loss, and fatigue. Suspecting gallbladder disease, the physician orders a diagnostic workup, which reveals gallbladder cancer. Which nursing diagnosis is appropriate for this client?
Question 21 See full question
During a breast examination, which finding most strongly suggests that a client has breast cancer?
Question 22 See full question
During chemotherapy, an oncology client has a nursing diagnosis of Impaired oral mucous membrane related to decreased nutrition and immunosuppression secondary to the cytotoxic effects of chemotherapy. Which nursing intervention is most likely to decrease the pain of stomatitis?
Question 23 See full question
A client is receiving chemotherapy to treat breast cancer. Which assessment finding indicates a chemotherapy-induced complication?
Question 24 See full question
A client receiving chemotherapy has a nursing diagnosis of Deficient diversional activity related to decreased energy. Which client statement indicates an accurate understanding of appropriate ways to deal with this deficit?
Question 25 See full question
A nurse is speaking to a group of women about early detection of breast cancer. The average age of the women in the group is 47. Following the American Cancer Society (Canadian Cancer Society) guidelines, the nurse should recommend that the women:
Question 26 See full question
A nurse is caring for a client who has just had a modified radical mastectomy with immediate reconstruction. She's in her 30s and has two young children. Although she's worried about her future, she seems to be adjusting well to her diagnosis. What should the nurse do to support her coping?
Question 27 See full question
A client tells the nurse that she has found a painless lump in her right breast during her monthly self-examination. Which assessment finding would strongly suggest that this client's lump is cancerous?
Question 28 See full question
A nurse is interviewing a client about his past medical history. Which preexisting condition may lead the nurse to suspect that a client has colorectal cancer?
Question 29 See full question
What should a male client older than age 50 do to help ensure early identification of prostate cancer?
Question 30 See full question
On discharge, a client who underwent left modified radical mastectomy expresses relief that "the cancer" has been treated. When discussing this issue with the client, the nurse should stress that she:
Question 31 See full question
A 30-year-old client whose mother died of breast cancer at age 44 and whose sister has ovarian cancer, is concerned about developing cancer. As a member of the oncology multidisciplinary team, the nurse should suggest that the client ask the physician about which topic?
Question 32 See full question
Which statement indicates that the client needs further teaching about taking medication to control cancer pain?
Question 33 See full question
The nurse is conducting an initial nursing history of a client who is experiencing pain related to bone cancer. The most important information to gather in this initial assessment is the:
Question 34 See full question
A nurse is checking the laboratory results of an adult client with colon cancer admitted for further chemotherapy. The client has lost 30 lb (13.6 kg) since initiation of the treatment. Which laboratory result should be reported to the health care provider (HCP)?
Question 35 See full question
A client diagnosed with cancer is receiving chemotherapy. The nurses should assess which diagnostic value while the client is receiving chemotherapy?
Question 36 See full question
A client who is in the end-stages of cancer is increasingly upset about receiving chemotherapy. Which approach by the nurse would likely be most helpful in gaining the client's cooperation?
Question 37 See full question
A 42-year-old female is interested in making dietary changes to reduce her risk of colon cancer. What dietary selections should the nurse suggest?
Question 38 See full question
The nurse is collaborating with the physician to develop a care plan to help control chronic pain in a client with cancer who is receiving hospice home care. Which of the following plans would be most appropriate for managing the client's pain?
Question 39 See full question
A client has been receiving chemotherapy for cancer treatment. The client is competent and has been actively involved in decisions regarding care; however, the client has now decided to refuse treatment. What should the nurse do when the client refuses the next dose of chemotherapy?
Question 40 See full question
A nurse is reviewing the medical record of an adult man with cancer. The health care provider (HCP) has prescribed filgrastim 400 mcg, subcutaneously once daily. The nurse reviews the laboratory report (shown) and determines treatment has been effective when:
Question 41 See full question
A nurse is teaching a community class about how to decrease the risk of cancer. What is the best food for the nurse to recommend?
Question 42 See full question
A client diagnosed with terminal lung cancer tells the nurse that he would like to seek spiritual advice. Which intervention by the nurse best provides spiritual support for this client?
Question 43 See full question
Which action, displayed by a grieving partner over his dying wife, should cause the nurse to suggest counseling?
Question 44 See full question
A client with stage IV pancreatic cancer is admitted to hospice. The spouse breaks down crying, stating “I just don’t know what I will do if he dies!” Which is the best response by the nurse?
Question 45 See full question
A nurse is caring for a client who is receiving chemotherapy for lung cancer. During the hand-off report, the nurse from the previous shift states that the client has been placed on neutropenic precautions. Which laboratory value supports this nursing action?
Question 46 See full question
A nurse is planning a program about cancer for a woman’s club. Which of the following should the nurse include in the discussion of risk factors for ovarian cancer?
Question 47 See full question
A client is ordered a dose of epoetin alfa to treat anemia related to chemotherapy. The recommended dose is 150 units/kg. The client weighs 60 kg. The vial is labeled 10,000 units/ml. How many milliliters of epoetin alfa would the nurse administer? Record your answer using one decimal place.
Question 48 See full question
The nurse is working at the local family planning clinic completing family education. When devising a teaching plan, in which client group would the nurse stress the importance of an annual Papanicolaou test?
Question 49 See full question
The nurse is developing a care plan for a client with cancer receiving hospice home care. Which would be the most appropriate action for managing the client’s chronic pain?
Question 50 See full question
The nurse is teaching the family of a client diagnosed with leukemia about ways to prevent infection. Which instruction has the most impact?
Question 1 See full question
On the night before a 58-year-old wife and mother is to have a lobectomy for lung cancer, she remarks to the nurse, “I am so scared of this cancer. I should have quit smoking years ago. Now I have brought all this fear and sadness on myself and now my family.” The nurse should tell the client:
Question 2 See full question
Which action is most important when the nurse is planning pain management for a client after a lobectomy for lung cancer?
Question 3 See full question
A client who is undergoing radiation therapy develops mucositis. Which action should be included in the client’s plan of care?
Question 4 See full question
After a lobectomy for lung cancer, the nurse instructs the client to perform deep-breathing exercises to:
Question 5 See full question
An woman with a history of a left radical mastectomy is being admitted for abdominal surgery. The woman has a swollen left arm. The nurse should:
Question 6 See full question
Lifestyle influences that are considered risk factors for colorectal cancer include:
Question 7 See full question
Doxorubicin is prescribed for a female client with breast cancer. The client is distressed about hair loss. What should the nurse do?
Question 8 See full question
When explaining the long-term toxic effects of cancer treatments on the immune system, what should the nurse tell the client?
Question 9 See full question
A client with ovarian cancer asks the nurse, "What is the cause of this cancer?" Which is the mostaccurate response by the nurse?
Question 10 See full question
What is an instruction the nurse can give to help people prevent lung cancer?
Question 11 See full question
A client's bone marrow report reveals normal stem cells and precursors of platelets (megakaryocytes) in the presence of decreased circulating platelets. The nurse recognizes a knowledge deficit when the client says:
Question 12 See full question
The client with Hodgkin's disease undergoes an excisional cervical lymph node biopsy under local anesthesia. After the procedure, what does the nurse assess first?
Question 13 See full question
A nurse is caring for a terminally ill cancer client who is being transferred to hospice care. Which information regarding hospice care would the nurse include in the teaching plan? Select all that apply.
Question 14 See full question
After a mastectomy for breast cancer, the nurse teaches the client how to avoid the development of lymphedema. The nurse should teach the client to:
Question 15 See full question
During a routine checkup, a nurse assesses a client with acquired immunodeficiency syndrome (AIDS) for signs and symptoms of cancer. What is the most common AIDS-related cancer?
Question 16 See full question
A nurse is assessing a client with a family history of cancer. Which finding requires immediate follow-up?
Question 17 See full question
A client seeks care for hoarseness that has lasted for 1 month. To elicit the most appropriate
information about this problem, the nurse should ask which question?
Question 18 See full question
A nurse is developing a care plan for bone marrow suppression, the major dose-limiting adverse reaction to floxuridine (FUDR). How long after drug administration does bone marrow suppression become noticeable?
Question 19 See full question
A client asks the nurse what PSA is. The nurse should reply that it stands for:
Question 20 See full question
A nurse is assessing a client with multiple myeloma. The nurse should keep in mind that clients with multiple myeloma are at risk for:
Question 21 See full question
A nurse is caring for a client who is receiving chemotherapy and has a platelet count of 30,000/mm3. Which statement by the client indicates a need for additional teaching?
Question 22 See full question
After lobectomy for lung cancer, a client receives a chest tube connected to a disposable chest drainage system. The nurse observes that the drainage system is functioning correctly when she notes tidal movements or fluctuations in which compartment of the system as the client breathes?
Question 23 See full question
After receiving chemotherapy for lung cancer, a client's platelet count falls to 98,000/?l. What term should the nurse use to describe this low platelet count?
Question 24 See full question
Which statement by a client undergoing external radiation therapy indicates the need for further
teaching?
Question 25 See full question
A nurse is performing a home visit for a client who received chemotherapy within the past 24 hours. The nurse observes a small child playing in the bathroom, where the toilet lid has been left up. Based on these observations, the nurse modifies the client's teaching plan to include:
Question 26 See full question
A 62-year-old female is taking long-acting morphine 120 mg every 12 hours for pain from metastatic breast cancer. She can have 20 mg of immediate-release morphine every 3 to 4 hours as needed for breakthrough pain. The health care provider (HCP) should be notified if the client uses more than how many breakthrough doses of morphine in 24 hours?
Question 27 See full question
Which statement indicates that the client needs further teaching about taking medication to control cancer pain?
Question 28 See full question
At what age is an individual most at risk for acquiring acute lymphocytic leukemia (ALL)?
Question 29 See full question
The nurse should teach a client that a normal local tissue response to radiation following surgery for breast cancer is:
Question 30 See full question
A client with a diagnosis of cancer is frequently disruptive and challenges the nurse. This behavior may be caused by:
Remediation:
Question 31 See full question
The nurse is reviewing the lab report for a client in hospice care with breast cancer and brain metastasis. According to the information in the chart, what should the nurse do next?
Question 32 See full question
A client diagnosed with testicular cancer expresses concerns about fertility. The client and his spouse desire to eventually have a family, and the nurse discusses the option of sperm banking. The nurse should inform the couple that sperm banking would need to be performed:
Question 33 See full question
A middle-aged woman who is receiving radiation therapy tells the nurse that she feels inadequate as a wife and mother because she can no longer carry out her usual duties with the same energy as before. What recommendations should the nurse make to help the client cope with this situation? [Show Less]