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Cancer

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Question 1
Free
Multiple Choice

The nurse is preparing a client for a biopsy of a lump in the right breast and the client asks the nurse about the difference between a benign tumour and a malignant tumour. Which of the following responses by the nurse is correct?

Choose correct answer/s
A

"Benign tumours do not cause damage to other tissues."

B

"Benign tumours are likely to recur in the same location."

C

"Malignant tumours may spread to other tissues or organs."

D

"Malignant cells reproduce more rapidly than normal cells."

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Question 2
Free
Multiple Choice

The nurse is caring for a client who is receiving intravesical bladder chemotherapy. Which of the following adverse effects should the nurse monitor for in this client?

Choose correct answer/s
A

Nausea

B

Alopecia

C

Mucositis

D

Hematuria

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Question 3
Free
Multiple Choice

The nurse in the outpatient clinic is caring for a client who smokes heavily. To reduce the client's risk of dying from lung cancer, which of the following actions will be best for the nurse to take?

Choose correct answer/s
A

Educate the client about the seven warning signs of cancer.

B

Plan to monitor the client's carcinoembryonic antigen (CEA) level.

C

Discuss the risks associated with cigarettes during every client encounter.

D

Teach the client about the use of annual chest x-rays for lung cancer screening.

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Question 4
Free
Multiple Choice

After the nurse has finished teaching a client who is scheduled to receive external beam radiation for abdominal cancer about appropriate diet, which dietary selection by the client indicates that the teaching has been effective?

Choose correct answer/s
A

Fresh fruit salad

B

Roasted chicken

C

Whole wheat toast

D

Cream of potato soup

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Question 5
Free
Multiple Choice

During a routine health examination, a client tells the nurse about a family history of colon cancer. Which of the following actions should the nurse take next?

Choose correct answer/s
A

Educate the client about the need for a colonoscopy at age 50.

B

Teach the client how to do home testing for fecal occult blood.

C

Obtain more information from the client about the family history.

D

Schedule a sigmoidoscopy to provide baseline data about the client.

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Question 6
Multiple Choice

When reviewing the chart for a client with cervical cancer, the nurse notes that the cancer is staged as Tis, N0, M0. Which of the following statements is accurate related to this staging?

Choose correct answer/s
A
The cancer is localized to the cervix.
B
The cancer cells are well differentiated.
C
Further testing is needed to determine the spread of the cancer.
D
It is difficult to determine the original site of the cervical cancer.
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Question 7
Multiple Choice

Which statement by a client who is scheduled for a needle biopsy of the prostate indicates that the nurse's teaching about the purpose of the biopsy has been effective?

Choose correct answer/s
A
"The biopsy will remove the cancer in my prostate gland."
B
"The biopsy will determine how much longer I have to live."
C
"The biopsy will help decide the treatment for my enlarged prostate."
D
"The biopsy will indicate whether the cancer has spread to other organs."
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Question 8
Multiple Choice

The nurse is teaching a client who is postmenopausal and has stage III breast cancer about the expected outcomes of her cancer treatment. Which client statement indicates that the teaching has been effective?

Choose correct answer/s
A
"After cancer has not recurred for 5 years, it is considered cured."
B
"The cancer will be cured if the entire tumour is surgically removed."
C
"Cancer is never considered cured, but the tumour can be controlled with surgery, chemotherapy, and radiation."
D
"I will need to have follow-up examinations for many years after I have treatment before I can be considered cured."
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Question 9
Multiple Choice

Aclient with a large stomach tumour that is attached to the liver is scheduled to have a debulking procedure. When teaching the client, which of the following is the expected outcome of this surgery?

Choose correct answer/s
A
Relief of pain by cutting sensory nerves in the stomach
B
Control of the tumour growth by removal of malignant tissue
C
Decrease in tumour size to improve the effects of other therapy
D
Promotion of better nutrition by relieving the pressure in the stomach
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Question 10
Multiple Choice

External-beam radiation is planned for a client with endometrial cancer. The nurse teaches the client which of the following important measures to help prevent complications from the effects of the radiation?

Choose correct answer/s
A
Test all stools for the presence of blood.
B
Maintain a high-residue, high-fibre diet.
C
Clean the perianal area carefully after every bowel movement.
D
Inspect the mouth and throat daily for the appearance of thrush.
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Question 11
Multiple Choice

The nurse is caring for a client with Hodgkin's lymphoma who is undergoing external radiation therapy and tells the nurse, "I am so tired I can hardly get out of bed in the morning." Which of the following interventions should the nurse implement?

Choose correct answer/s
A
Minimize activity until the treatment is completed.
B
Exercise vigorously when fatigue is not as noticeable.
C
Establish a time to take a short walk almost every day.
D
Consult with a psychiatrist for treatment of depression.
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Question 12
Multiple Choice

Which of the following information obtained by the nurse about a client with colon cancer who is scheduled for external radiation therapy to the abdomen indicates a need for client teaching?

Choose correct answer/s
A
The client swims in a pool 5 days a week.
B
The client has a history of dental caries.
C
The client eats frequently during the day.
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Question 13
Multiple Choice

The nurse is caring for a client undergoing external radiation and has developed a dry desquamation of the skin in the treatment area. Which of the following client statements indicates that the nurse's teaching about management of the skin reaction hasbeeneffective?

Choose correct answer/s
A
"I can buy some aloe gel to use on the area."
B
"I will expose the treatment area to a sun lamp daily."
C
"I can use ice packs to relieve itching in the treatment area."
D
"I will scrub the area with warm water to remove the scales."
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Question 14
Multiple Choice

A client with metastatic cancer of the colon experiences severe vomiting following each administration of chemotherapy. Which of the following interventions should the nurse implement?

Choose correct answer/s
A
Teach about the importance of nutrition during treatment.
B
Have the client eat large meals when nausea is not present.
C
Offer dry crackers and carbonated fluids during chemotherapy.
D
Administer prescribed antiemetics 1 hour before the treatments.
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Question 15
Multiple Choice

The nurse is caring for a client who is receiving a vesicant chemotherapeutic agent intravenously. Which of the following actions is most important?

Choose correct answer/s
A
Infuse the medication over a short period of time.
B
Stop the infusion if swelling is observed at the site.
C
Administer the chemotherapy through small-bore catheter.
D
Hold the medication unless a central venous line is available.
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Question 16
Multiple Choice

A chemotherapeutic agent known to cause alopecia is prescribed for a client. Which of the following actions should the nurse plan to implement to help maintain the client's

Choose correct answer/s
A
Suggest that the client limit social contacts until regrowth of the hair occurs.
B
Encourage the client to purchase a wig or hat and wear it once hair loss begins.
C
Have the client wash the hair gently with a mild shampoo to minimize hair loss.
D
Inform the client that the hair will grow back once the chemotherapy is complete.
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Question 17
Multiple Choice

The nurse is caring for a client with ovarian cancer who is distressed because her husband rarely visits and tells the nurse, "He just doesn't care." The husband indicates to the nurse that "I never know what to say to help her." Which of the followingnursing diagnoses is most appropriate?

Choose correct answer/s
A
Disabled family coping related to chronically unexpressed feelings by support person
B
Impaired home maintenance related to insufficient support system
C
Risk for caregiver role strain as evidenced by increase in care needs
D
Dysfunctional family processes related to insufficient problem-solving skills
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Question 18
Multiple Choice

A client receiving head and neck radiation has ulcerations over the oral mucosa and tongue and thick, ropey saliva. Which of the following actions should the nurse teach the client to complete?

Choose correct answer/s
A
Remove food debris from the teeth and oral mucosa with a stiff toothbrush.
B
Use cotton-tipped applicators dipped in hydrogen peroxide to clean the teeth.
C
Gargle and rinse the mouth several times a day with an antiseptic mouthwash.
D
Rinse the mouth before and after each meal and at bedtime with a saline solution.
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Question 19
Multiple Choice

Which of the following nursing actions will be most effective in improving oral intake for a client with the nursing diagnosis of imbalanced nutrition: less than body requirements related to painful oral ulcers?

Choose correct answer/s
A
Offer the client frequent small snacks between meals.
B
Assist the client to choose favourite foods from the menu.
C
Provide education about the importance of nutritional intake.
D
Apply the ordered anaesthetic gel to oral lesions before meals.
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Question 20
Multiple Choice

The nurse is caring for a client who is a single mother of four school-age children and is hospitalized with metastatic ovarian cancer. The nurse finds the client crying, and she tells the nurse that she does not know what will happen to her children whenshedies. Which of the following is the most appropriate response?

Choose correct answer/s
A
"Why don't we talk about the options you have for the care of your children?"
B
"Perhaps the children's father will take care of them when you aren't able to."
C
"For now you need to concentrate on getting well, not worry about your children."
D
"Many clients with cancer live for a long time, so there is time to plan for your children."
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