Oncology Nursing Practice)
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Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (Eds.). (2018). Cancer nursing: Principles and
practice (8th ed.). Burlington, MA: Jones and Bartlett, p. 1538.
Which of the following techniques is most likely to support healthy communication patterns
between the nurse and a patient?
Eliciting feedback about preferences and experiences
Establishing significant physical distance between
parties
Providing objective and factual information about the treatment plan
Limiting questions until after all information is presented - CORRECT ANSWER-Eliciting feedback
about preferences and experiences
,Answer: The nurse should obtain information from the patient about their understanding of
concepts and their reactions in order to best promote open and honest communication.
Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing advisor: A
comprehensive guide to clinical practice (2nd ed.). St. Louis, MO: Elsevier Mosby, p. 417(t).
Upon diagnosis of an invasive ductal adenocarcinoma of the pancreas, the disease will most
likely:
demonstrate spread to the liver.
display widespread fat necrosis.
metastasize to the bone.
remain confined to the primary site. - CORRECT ANSWER-demonstrate spread to the liver.
Answer: Invasive ductal adenocarcinoma of the pancreas has often metastasized at the time of
diagnosis. The most common site of metastasis is the liver.
Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (Eds.). (2018). Cancer nursing: Principles and
practice (8th ed.). Burlington, MA: Jones and Bartlett, p. 1856(f).
A patient has an implanted intrathecal pump for pain management. Which of the following
actions best exemplifies a safe practice?
Tracing the tubing from the patient to the pump
Using special tubing that has injection ports
Cleansing the Leur lock ports with alcohol before each use
, Arranging for the patient to have the pump refilled every eight months - CORRECT ANSWER-
Tracing the tubing from the patient to the pump
Answer: Ensuring that there are no dislodgements, kinks or issues with pump functionality by
tracing the line from the patient to the pump is the safest practice when caring for a patient
with an implanted intrathecal pump.
Reference: Camp-Sorrell, D., & Matey, L. (Eds.). (2017). Access device standards of practice for
oncology nursing. Pittsburgh, PA: Oncology Nursing Society, p. 124.
A 70-year-old patient reports weight loss, abdominal pain and diarrhea that often interrupts
sleep. The patient reports a brother has recently been diagnosed with prostate cancer. The
nurse suspects:
carcinoid syndrome.
systemic inflammatory response syndrome.
irritable bowel syndrome.
syndrome of inappropriate antidiuretic hormone. - CORRECT ANSWER-carcinoid syndrome.
Answer: Patients over the age of 66 who have a first degree relative with prostate cancer are at
higher risk for the development of neuroendocrine tumors and carcinoid syndrome. Symptoms
of carcinoid syndrome include pain, weight loss, and diarrhea that interrupts sleep.
Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing advisor: A
comprehensive guide to clinical practice (2nd ed.). St. Louis, MO: Elsevier Mosby, p. 139.
A patient newly diagnosed with Hodgkin lymphoma is determined to have an unfavorable
prognosis through which of the following clinical findings?