ATI Med Surg Oncology Dynamic
Quizzes
A fee nurse is looking at a newly licensed nurse offer care for a patron. This purchaser is
receiving internal radiation remedy for the treatment of cervical most cancers. Which of the
following moves by means of the newly licensed nurse ought to spark off the fee nurse to
intrude? - ANS-Borrowing a dosimeter movie badge from another nurse earlier than entering
the customer's room A nurse ought to by no means borrow a dosimeter movie badge from
another staff member. Nurses who are being concerned for the consumer must every have a
personal badge. The badge should be worn any time the nurse is inside the patron's room to
measure the radiation exposure that the nurse is receiving. Each film badge will suggest the
nurse's cumulative radiation publicity.
Incorrect Answers:
A. The nurse ought to keep all dressings and linens inside the purchaser's room until after
the radiation has been discontinued.
B. The nurse should coach traffic to limit their time with the patron to half-hour per day and to
stay 2 m (6 toes) faraway from the purchaser.
D. Equipment can be eliminated from the client's room at any time with out unique
precautions. The gadget does not pose a chance to other people as it isn't always emitting
radiation. Items that ought to be given special consideration prior to elimination are soiled
dressings or linens.
A purchaser who has level II breast cancer asks the nurse about sites of metastasis for this
cancer. Which of the subsequent responses should the nurse make? - ANS-"Breast cancer
has a tendency to metastasize to the bones." Common web sites of breast most cancers
metastasis are the bones, lungs, mind, and liver.
Incorrect Answers:
A. ""It's too soon to worry approximately some thing that may not occur."" This response is
nontherapeutic as it dismisses the purchaser's difficulty by way of no longer answering her
query and offers her fake reassurance.
B. Breast cancer does not commonly metastasize to the belly. Common sites of metastasis
encompass the lungs, brain, and liver.
C. ""Breast cancer tends to metastasize to the bones."" This reaction is nontherapeutic as it
dismisses the consumer's subject by using no longer answering her question and gives her
false reassurance.
A hospice nurse is reinforcing teaching about palliative care to the accomplice of a customer
who has quit-degree liver most cancers. Which of the following statements by way of the
companion suggests an know-how of coaching? - ANS-"I will hold to speak to him, even
when he is drowsing."
, Hearing is thought to be the ultimate experience misplaced within the death method;
therefore, the partner should continue to talk with the client.
Incorrect Answers: A. Clients who are approaching death frequently refuse nourishment and
have to no longer be compelled to consume or drink.
B. Clients who're drawing near loss of life ought to be positioned with the top expanded or on
a aspect.
C. Clients should be covered with a non-electric powered blanket to preserve the extremities
warm.
A nurse in an oncology health center is collecting records from a client who has early degree
Hodgkin's lymphoma. Which of the subsequent findings need to the nurse expect? -
ANS-Enlarged lymph nodes Hodgkin's lymphoma is a malignancy of lymphoid tissue
determined in the lymph nodes, spleen, liver, and bone marrow. The first manifestation of
this cancer is regularly an enlarged painless lymph node, or nodes, which seem with out a
regarded reason. Other early manifestations include night time sweats, unexplained weight
loss, a fever, and pruritus. The disorder can unfold to adjoining lymph nodes and then
outside the lymph nodes to the lungs, liver, bones, or bone marrow. The spread of Hodgkin's
lymphoma is normally in an ordered pattern.
Incorrect Answers:
A. Bone pain may be a past due manifestation sign of metastasis. Bone and joint ache are
early manifestations of leukemia and more than one myeloma, not Hodgkin's lymphoma.
C. Intermittent blood within the urine might be an indication of bladder most cancers.
D. A nonproductive cough may additionally occur due to narrowed airways from swollen
lymph glands. A productive cough can be an illustration of lung most cancers.
A nurse is supporting in planning take care of a consumer who has cancer and has
developed thrombocytopenia following chemotherapy. Which of the following precautions
ought to the nurse provide to reduce the damaging outcomes of thrombocytopenia? -
ANS-Remind the consumer to use an electric powered razor Thrombocytopenia is a
decrease in the consumer's blood platelet matter, which places the purchaser at an
expanded risk of bleeding because of the blood's incapability to clot. Therefore, the nurse
ought to institute bleeding precautions, which includes using an electric powered razor.
Incorrect Answers:
A. "Monitor site visitors for manifestations of infection" This customer has thrombocytopenia,
now not neutropenia (a decreased WBC count number). Neutropenia locations a consumer
at danger for infection, so traffic who might be unwell ought to be prohibited. C. "Encourage
common relaxation periods" The purchaser has thrombocytopenia, now not iron-deficiency
anemia. Iron-deficiency anemia necessitates the encouragement of common rest durations
secondary to fatigue.
D. "Instruct the client to rinse the mouth each day with regular saline" Stomatitis, an infection
of the mucous membranes of the mouth, is not a manifestation of thrombocytopenia. A
consumer who has stomatitis should use bland rinses and avoid business mouthwashes that
include alcohol, which may reason further breakdown of the oral tissue.
Quizzes
A fee nurse is looking at a newly licensed nurse offer care for a patron. This purchaser is
receiving internal radiation remedy for the treatment of cervical most cancers. Which of the
following moves by means of the newly licensed nurse ought to spark off the fee nurse to
intrude? - ANS-Borrowing a dosimeter movie badge from another nurse earlier than entering
the customer's room A nurse ought to by no means borrow a dosimeter movie badge from
another staff member. Nurses who are being concerned for the consumer must every have a
personal badge. The badge should be worn any time the nurse is inside the patron's room to
measure the radiation exposure that the nurse is receiving. Each film badge will suggest the
nurse's cumulative radiation publicity.
Incorrect Answers:
A. The nurse ought to keep all dressings and linens inside the purchaser's room until after
the radiation has been discontinued.
B. The nurse should coach traffic to limit their time with the patron to half-hour per day and to
stay 2 m (6 toes) faraway from the purchaser.
D. Equipment can be eliminated from the client's room at any time with out unique
precautions. The gadget does not pose a chance to other people as it isn't always emitting
radiation. Items that ought to be given special consideration prior to elimination are soiled
dressings or linens.
A purchaser who has level II breast cancer asks the nurse about sites of metastasis for this
cancer. Which of the subsequent responses should the nurse make? - ANS-"Breast cancer
has a tendency to metastasize to the bones." Common web sites of breast most cancers
metastasis are the bones, lungs, mind, and liver.
Incorrect Answers:
A. ""It's too soon to worry approximately some thing that may not occur."" This response is
nontherapeutic as it dismisses the purchaser's difficulty by way of no longer answering her
query and offers her fake reassurance.
B. Breast cancer does not commonly metastasize to the belly. Common sites of metastasis
encompass the lungs, brain, and liver.
C. ""Breast cancer tends to metastasize to the bones."" This reaction is nontherapeutic as it
dismisses the consumer's subject by using no longer answering her question and gives her
false reassurance.
A hospice nurse is reinforcing teaching about palliative care to the accomplice of a customer
who has quit-degree liver most cancers. Which of the following statements by way of the
companion suggests an know-how of coaching? - ANS-"I will hold to speak to him, even
when he is drowsing."
, Hearing is thought to be the ultimate experience misplaced within the death method;
therefore, the partner should continue to talk with the client.
Incorrect Answers: A. Clients who are approaching death frequently refuse nourishment and
have to no longer be compelled to consume or drink.
B. Clients who're drawing near loss of life ought to be positioned with the top expanded or on
a aspect.
C. Clients should be covered with a non-electric powered blanket to preserve the extremities
warm.
A nurse in an oncology health center is collecting records from a client who has early degree
Hodgkin's lymphoma. Which of the subsequent findings need to the nurse expect? -
ANS-Enlarged lymph nodes Hodgkin's lymphoma is a malignancy of lymphoid tissue
determined in the lymph nodes, spleen, liver, and bone marrow. The first manifestation of
this cancer is regularly an enlarged painless lymph node, or nodes, which seem with out a
regarded reason. Other early manifestations include night time sweats, unexplained weight
loss, a fever, and pruritus. The disorder can unfold to adjoining lymph nodes and then
outside the lymph nodes to the lungs, liver, bones, or bone marrow. The spread of Hodgkin's
lymphoma is normally in an ordered pattern.
Incorrect Answers:
A. Bone pain may be a past due manifestation sign of metastasis. Bone and joint ache are
early manifestations of leukemia and more than one myeloma, not Hodgkin's lymphoma.
C. Intermittent blood within the urine might be an indication of bladder most cancers.
D. A nonproductive cough may additionally occur due to narrowed airways from swollen
lymph glands. A productive cough can be an illustration of lung most cancers.
A nurse is supporting in planning take care of a consumer who has cancer and has
developed thrombocytopenia following chemotherapy. Which of the following precautions
ought to the nurse provide to reduce the damaging outcomes of thrombocytopenia? -
ANS-Remind the consumer to use an electric powered razor Thrombocytopenia is a
decrease in the consumer's blood platelet matter, which places the purchaser at an
expanded risk of bleeding because of the blood's incapability to clot. Therefore, the nurse
ought to institute bleeding precautions, which includes using an electric powered razor.
Incorrect Answers:
A. "Monitor site visitors for manifestations of infection" This customer has thrombocytopenia,
now not neutropenia (a decreased WBC count number). Neutropenia locations a consumer
at danger for infection, so traffic who might be unwell ought to be prohibited. C. "Encourage
common relaxation periods" The purchaser has thrombocytopenia, now not iron-deficiency
anemia. Iron-deficiency anemia necessitates the encouragement of common rest durations
secondary to fatigue.
D. "Instruct the client to rinse the mouth each day with regular saline" Stomatitis, an infection
of the mucous membranes of the mouth, is not a manifestation of thrombocytopenia. A
consumer who has stomatitis should use bland rinses and avoid business mouthwashes that
include alcohol, which may reason further breakdown of the oral tissue.
