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NursingFundamentals NursingFundamentals of NursingPractice Set 9
NursingFundamentals NursingFundamentals of NursingPractice Set 9Caring For The Cancer Survivor
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- Nursing TodayThe Health Care Delivery SystemCommunity-Based Nursing PracticeTheoretical Foundations of Nursing PracticeEvidence-Based PracticeHealth and WellnessCaring in Nursing PracticeCaring for the Cancer SurvivorCultural AwarenessCaring for FamiliesDevelopmental TheoriesConception Through AdolescenceYoung and Middle AdultsOlder AdultCritical Thinking in Nursing PracticeNursing AssessmentNursing DiagnosisPlanning Nursing CareImplementing Nursing CareEvaluationManaging Patient CareEthics and ValuesLegal Implications in Nursing PracticeCommunicationPatient EducationDocumentation and InformaticsPatient Safety and QualityImmobilityInfection Prevention and ControlVital SignsHealth Assessment and Physical ExaminationMedication AdministrationComplementary and Alternative TherapiesSelf-ConceptSexualitySpiritual HealthThe Experience of Loss, Death, and GriefStress and CopingActivity and ExerciseHygieneOxygenationFluid, Electrolyte, and Acid-Base BalanceSleepPain ManagementNutritionUrinary EliminationBowel EliminationSkin Integrity and Wound CareSensory AlterationsCare of Surgical Patients
Question 1
Free
Multiple Choice
A nurse is working on a cancer unit. The unit uses the National Coalition for Cancer Survivorship definition for a cancer survivor. Which definition will the nurse use?
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Been cancer free for 5 years after diagnosis
Been cancer free for 3 years after diagnosis
Had cancer and is declared cancer free
Had cancer and extends until death
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Question 2
Free
Multiple Choice
A nurse is providing follow-up care for cancer survivors. Which condition should the nurse most monitor for in these patients?
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Cancer
Infection
Weight gain
Low blood pressure
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Question 3
Free
Multiple Choice
A nurse is assessing a cancer survivor for chemotherapy-induced peripheral neurotoxicity (CPIN). Which assessment finding is consistent with CPIN?
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Hearing loss
Devastating depression
Extreme loss of motor functioning
Numbness and tingling in hands and feet
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Question 4
Free
Multiple Choice
A cancer survivor is in the intensive care unit (ICU). Some of the patient's family is from out of town and would like to see the patient even though it is not "official" visiting hours. The patient is anxious to see family members. The nurse allows the family to visit. What is the rationale for the nurse's actions?
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The nurse disagrees with the established time for visiting.
The nurse realizes that the patient is dying.
The nurse feels there is no real reason to have limited visiting hours.
The nurse believes that the visit will help relieve psychological stress.
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Question 5
Free
Multiple Choice
A nurse is taking a history on a patient with cancer. Which assessment is priority?
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Fatigue
Vision
Dehydration
Blood pressure
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Question 6
Multiple Choice
A breast cancer survivor has chemotherapy-related cognitive impairment. Which area should the nurse assess?
Choose correct answer/s
Pain
Grief
Nightmares
Short-term memory
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Question 7
Multiple Choice
The nurse is caring for a young woman with breast cancer. The stress between the woman and spouse is obvious, as is anxiety among the children. What is the nurse's best action in this situation?
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Help find or develop an educational program for the patient and spouse.
Encourage the patient to agree with the spouse.
Support the spouse, and explain that the spouse knows what is best.
Take the children away and recommend foster care.
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Question 8
Multiple Choice
The nurse is caring for a patient who is undergoing chemotherapy and radiation for cancer. The patient asks the nurse about the value of cancer screening when therapy is over. What is the nurse's best response?
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"It should be done on an ongoing schedule."
"It is not something that should be discussed right now."
"It probably will not be needed since the cancer has been cured."
"It usually is not done but can be done if the patient wants peace of mind."
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Question 9
Multiple Choice
The nurse is caring for a patient diagnosed with cancer. The family of the patient asks the nurse for resources about the cancer. What should the nurse do?
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Refer family members to the health care provider.
Inform them that few options are available.
Maintain confidentiality by keeping silent.
Provide the family with the information.
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Question 10
Multiple Choice
The nurse is caring for a patient with known coronary artery disease who has recently been diagnosed with lung cancer. What should the nurse do?
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Focus the assessment solely on the cancer diagnosis since it is the newer diagnosis.
Ask questions about cardiac symptoms and their relationship to the cancer.
Ignore symptom management and focus on palliative care.
Say nothing because cancer survivors dislike prying.
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Question 11
Multiple Choice
The patient has lung cancer and voices concerns about cancer treatments affecting sexuality. What is the nurse's best reply?
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"That is something to ask the health care provider."
"Chemotherapy will work in the lungs and should have no effect on sexuality."
"How cancer treatment affects sexuality depends on how active you are and your age."
"Sexual changes are common with cancer therapy. Let me get someone who can answer your questions."
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Question 12
Multiple Choice
The nurse is caring for a patient who has successfully undergone cancer therapy and will be discharged home soon. The patient is concerned about going home and not knowing what to do. Which information is the most valuable for the nurse to share with the patient?
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The nurse will develop a plan of care that will tell exactly what needs to be done.
If any issues arise, call the health care provider and follow the instructions.
Proper cancer treatment has been provided, and nothing else is required.
There is a team that will provide support and care that may be needed.
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Question 13
Multiple Choice
When planning for cancer survivor care needs, which information should the nurse consider?
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Survivorship care plans are reviewed with the patient at home.
All health care agencies provide survivorship care plans.
Some survivors are discharged with no survivor plan.
The plan does not deal with future cancer screenings.
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Question 14
Multiple Choice
A cancer survivor patient has anxiety and depression. Which therapies should the nurse include in the plan of care? (Select all that apply.)
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Keep information to a minimum with health care providers.
Teach the use of problem-oriented coping processes.
Encourage the use of social support systems.
Use cognitive behavioral interventions.
Schedule exercise when convenient.
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Question 15
Multiple Choice
A nurse is working in a cancer facility that follows the Institute of Medicine's (IOM) recommendations for essential components of survivorship care. Which recommendations will be the nurse's focus? (Select all that apply.)
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Cessation of noncancer follow-up and care
Prevention and detection of new and recurrent cancers
Intervention for consequences of cancer and its treatment
Coordination between specialists and primary care providers
Surveillance for cancer spread, recurrence, or second cancers
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