Clients With Cancer

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Question 1
Free
Multiple Choice

The nurse is reviewing the American Cancer Society (ACS) recommendations for breast cancer screening with a 50-year-old female client. The nurse should emphasize the recommendation for

Choose correct answer/s
A

breast examination by a health care professional semi-annually.

B

breast self-examination (BSE) monthly.

C

chest x-ray study yearly when the client is over age 40.

D

mammography when a lump is detected.

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Question 2
Free
Multiple Choice

The recommendation the nurse should share with a 22-year-old sexually active client who is seeking information on the prevention of cervical cancer is that a Pap smear

Choose correct answer/s
A

is needed annually by all women over age 18.

B

should be done annually until two tests are negative, then once every 2-3 years, in women over 30.

C

should be done biannually for clients who have been sexually active for 3 years but not later than age 21.

D

should be performed twice a year for all sexually active women over age 18.

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Question 3
Free
Multiple Choice

After a client has a series of diagnostic tests, the studies confirm the presence of rectal cancer. The nurse's primary intervention should be to

Choose correct answer/s
A

assess the meaning and effect of cancer as perceived by the client.

B

determine if the client is emotionally ready to deal with the diagnosis of cancer.

C

reassure the client that many treatment modalities are available.

D

support the physician when the client is informed of the diagnosis.

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Question 4
Free
Multiple Choice

The nurse caring for a client with cancer of the thyroid gland has a tumor classified as T2, N1, M0. The nurse explains that the "T" in this classification schema represents

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A

number of years the tumor has been present.

B

site of the tumor.

C

size of the tumor.

D

virulence of malignancy.

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Question 5
Free
Multiple Choice

A 32-year-old client who has a history of familial polyposis but no manifestations still wants to explore the possibility of preventive surgery. The most appropriate response the nurse can make is

Choose correct answer/s
A

"Cancer is not always hereditary, and you should change risk factors in your life."

B

"It is an overreaction to seek radical treatment before you develop symptoms."

C

"Monthly rectal smears may allay your anxiety without surgery."

D

"Subtotal colectomy is a procedure you might seek further information about."

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Question 6
Multiple Choice

Yesterday a 28-year-old client was diagnosed with rectal cancer. The nurse has made the nursing diagnosis of Anxiety Related to Fear of the Unknown, as manifested by anger. The best approach for the nurse to take in relation to the client's need for information is to

Choose correct answer/s
A
offer suggestions to modify the client's expressions of anger.
B
provide the client with a detailed plan for future interventions.
C
provide the client with simple explanations of proposed treatments.
D
specifically discuss the scientific facts related to rectal cancer.
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Question 7
Multiple Choice

The nurse is administering medication in phase III trials to a client with lung cancer. Assessments made in this phase of the drug investigation involve

Choose correct answer/s
A
determination of the maximum tolerated dose.
B
evaluation of the drug's general effectiveness.
C
explanation of how the drug compares with standard treatments.
D
description of the type and severity of side effects.
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Question 8
Multiple Choice

The client is receiving a drug in a phase I clinical trial. Regarding the type of malignancy for which the client is being treated, the nurse makes the assumption that the cancer

Choose correct answer/s
A
and its treatment are not covered by the client's insurance.
B
is limited in size and virulence.
C
is not following the expected disease course.
D
will not respond to other known treatments for cancer.
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Question 9
Multiple Choice

The nurse caring for a client who has an implanted radiation source should reduce self-exposure by incorporating the strategy of

Choose correct answer/s
A
limiting the time spent close to the client to 30 minutes per 8-hour shift.
B
remaining 6 feet away from the client except for essential care.
C
wearing a lead-shielded apron whenever entering the client's room.
D
wearing a radiation meter or film badge to measure exposure.
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Question 10
Multiple Choice

The nursing action that has the highest priority for a 32-year-old client with an implanted radiation source should focus on

Choose correct answer/s
A
assessing the client's reaction to the diagnosis and treatment.
B
preventing skin problems related to radiation.
C
promoting regular activity while confined to the room.
D
safeguarding the client and others from unnecessary radiation exposure.
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Question 11
Multiple Choice

A client is receiving interleukin-2 (IL-2) as part of the therapeutic plan to manage malignant melanoma. The nurse should emphasize the ability of this agent to

Choose correct answer/s
A
increase oxygenation to cells that are not malignant.
B
physically dissolve the tumor mass.
C
replace damaged and diseased cells from bone marrow.
D
strengthen the client's immune response.
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Question 12
Multiple Choice

The nurse administering granulocyte colony-stimulating factor (G-CSF; Neupogen) to a client who is also receiving chemotherapy should assess the client for

Choose correct answer/s
A
a rash.
B
bone pain.
C
fatigue.
D
muscle aches.
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Question 13
Multiple Choice

When there is extravasation of vincristine (Oncovin), the nurse should initially

Choose correct answer/s
A
apply cold compresses to the site.
B
apply manual pressure to delay further circulation.
C
call the physician immediately.
D
leave the cannula in place and aspirate.
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Question 14
Multiple Choice

When the client questions why the chemotherapeutic drug is being administered by intracavitary instillation, the nurse could best answer by explaining that this approach is a

Choose correct answer/s
A
cost-effective and more rapidly-acting method of treatment.
B
diffuse method of systemic administration that avoids side effects.
C
means to allow high concentrations of drugs to be directed at the tumor.
D
non-invasive method of administration.
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Question 15
Multiple Choice

When a client undergoing systemic chemotherapy reaches the nadir of treatment, priority care by the nurse should be directed toward

Choose correct answer/s
A
assisting the client to eat an adequate amount of food to maintain nutrition.
B
enhancing the effects of chemotherapy by encouraging mild activity.
C
improving the mental state of the client by using mental imagery.
D
protecting the client from infection and bleeding.
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Question 16
Multiple Choice

Before the specially trained nurse gives the prescribed dose of a chemotherapeutic agent, the nurse should

Choose correct answer/s
A
collect an extra syringe and needle in case of contamination.
B
cover the client with a water-resistant shield.
C
explain the expected side effects of the drug to the client.
D
verify dose, drug, and schedule with another nurse.
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Question 17
Multiple Choice

The nurse can best avoid catheter occlusion in a client with a recently inserted venous access device (VAD) by

Choose correct answer/s
A
administering medications in small volumes.
B
flushing the catheter per agency protocol.
C
instructing the client to keep the arm extended during administration.
D
using the catheter only for vesicant drugs.
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Question 18
Multiple Choice

The specially prepared nurse administering chemotherapeutic drugs should

Choose correct answer/s
A
administer intravenous medications only through VADs.
B
apply ice to the area after an intramuscular injection of chemotherapy.
C
wear a mask during administration of the agent.
D
wear gloves and a gown during preparation and administration of the drugs.
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Question 19
Multiple Choice

The nurse should closely assess a client undergoing chemotherapy for a tumor that is responding to the therapy for any indication of tumor lysis syndrome, which is marked by

Choose correct answer/s
A
hypercalcemia.
B
hyperkalemia.
C
increase in antidiuretic hormone (ADH).
D
platelet count below 20,000/mm3.
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Question 20
Multiple Choice

The nurse has assigned the nursing diagnosis Imbalanced Nutrition: Less than Body Requirements, Related to Anorexia for a client with colon cancer. Nursing goals include the maintenance of present body weight. To achieve this goal, the nurse should suggest a diet that is high in

Choose correct answer/s
A
calories and low in cholesterol.
B
fat and calories.
C
fat and low in bulk.
D
protein and calories.
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