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ATI Nursing Med Surg Fundamentals of Nursing, 9th Edition by Patricia A. Potter, Anne G. Perry, Patricia A. Stockert, Amy Hall (TEST BANK INCLUDED)

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ATI Nursing Med Surg Fundamentals of Nursing, 9th Edition by Patricia A. Potter, Anne G. Perry, Patricia A. Stockert, Amy Hall (TEST BANK INCLUDED)

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FUNDAMENTALS OF NURSING 9TH EDITION POTTER TEST BANK

Prime yourself for your Tests – Study Questions



Chapter 08: Caring for the Cancer Survivor

Fundamentals of Nursing, 9th Edition

MULTIPLE CHOICE

1. 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?

a. Been cancer free for 5 years after diagnosis
b. Been cancer free for 3 years after diagnosis
c. Had cancer and is declared cancer free




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d. Had cancer and extends until death




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ANS: D




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Cancer survivorship begins at the time of cancer diagnosis, includes treatment, and extends to the
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rest of the person’s life. Being cancer free for any length of time does not relate to the definition
of a cancer survivor put forth by the National Coalition for Cancer Survivorship.
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aC s
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2. 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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a. Cancer
b. Infection
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c. Weight gain
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d. Low blood pressure

ANS: A

Cancer survivors are at increased risk for cancer (either a recurrence of the cancer for which they
were treated or a second cancer). The increased risk for developing a second cancer is the result
of cancer treatment, genetic factors or other susceptibility, or an interaction between treatment
and susceptibility. Infection, weight gain, and low blood pressure are not common conditions for
cancer survivors.




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, FUNDAMENTALS OF NURSING 9TH EDITION POTTER TEST BANK

Prime yourself for your Tests – Study Questions



3. A nurse is assessing a cancer survivor for chemotherapy-induced peripheral neurotoxicity
(CPIN). Which assessment finding is consistent with CPIN?

a. Hearing loss
b. Devastating depression
c. Extreme loss of motor functioning
d. Numbness and tingling in hands and feet

ANS: D

Chemotherapy-induced peripheral neurotoxicity (CPIN) refers to peripheral nerve damage




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resulting from the effects of certain chemotherapeutic agents. Damage to large sensory nerves




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causes feelings of numbness and tingling in the hands and feet. Motor function may also be




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affected, but usually to a lesser degree than sensory function. Hearing loss and depression are not




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signs and symptoms of CPIN.




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4. A cancer survivor is in the intensive care unit (ICU). Some of the patient’s family is from out
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of town and would like to see the patient even though it is not “official” visiting hours. The
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patient is anxious to see family members. The nurse allows the family to visit. What is the
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rationale for the nurse’s actions?

a. The nurse disagrees with the established time for visiting.
ed d
ar stu




b. The nurse realizes that the patient is dying.
c. The nurse feels there is no real reason to have limited visiting hours.
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d. The nurse believes that the visit will help relieve psychological stress.
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ANS: D

Survivors who have social and emotional support systems are likely to have less psychological
distress. Relationships are critical for cancer survivors. The nurse does not necessarily have
problems with the standard visiting hours. Not enough information is provided to indicate that
the patient is near death, and not all patients in the ICU are dying.




https://www.coursehero.com/file/65118688/Chapter-08pdf/


NURSINGTB.COM

, FUNDAMENTALS OF NURSING 9TH EDITION POTTER TEST BANK

Prime yourself for your Tests – Study Questions



5. A nurse is taking a history on a patient with cancer. Which assessment is priority?

a. Fatigue
b. Vision
c. Dehydration
d. Blood pressure

ANS: A

Cancer-related fatigue (CRF) and associated sleep disturbances are among the most frequent and
distressing complaints of people with cancer. Vision, dehydration, and blood pressure are not




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frequent side effects of cancer.




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6. A breast cancer survivor has chemotherapy-related cognitive impairment. Which area should
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the nurse assess? NURSINGTB.COM
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a. Pain
b. Grief
ed d




c. Nightmares
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d. Short-term memory

ANS: D
sh is




Breast cancer survivors report having difficulty with short-term memory, focusing, working,
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reading with comprehension, and driving with chemotherapy-related cognitive impairment
(CRCI). Pain occurs with other long-term effects of cancer survival but does not occur with
CRCI. Grief and nightmares occur with post-traumatic stress disorder.




https://www.coursehero.com/file/65118688/Chapter-08pdf/


NURSINGTB.COM

, FUNDAMENTALS OF NURSING 9TH EDITION POTTER TEST BANK

Prime yourself for your Tests – Study Questions



7. 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?

a. Help find or develop an educational program for the patient and spouse.
b. Encourage the patient to agree with the spouse.
c. Support the spouse, and explain that the spouse knows what is best.
d. Take the children away and recommend foster care.

ANS: A

It is a nurse’s responsibility to educate (develop an educational program) cancer survivors and




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their families about the effects of cancer and cancer treatment. Spouses often do not know what




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to do to support the survivor, and they struggle with how to help; therefore, agreeing even if




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disagreeing does not help and the spouse does not always know what is best. Foster care is not




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necessary at this time.

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8. The nurse is caring for a patient who is undergoing chemotherapy and radiation for cancer.
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The patient asks the nurse about the value of cancer screening when therapy is over. What is the
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nurse’s best response?

a. “It should be done on an ongoing schedule.”
ed d
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b. “It is not something that should be discussed right now.”
c. “It probably will not be needed since the cancer has been cured.”
sh is




d. “It usually is not done but can be done if the patient wants peace of mind.”
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ANS: A

Because survivors are at increased risk for developing a second cancer and/or chronic illness, it
is important to educate them about lifestyle behaviors and the importance of participating in
ongoing cancer screening and early detection practices. Lifelong cancer screening provides the
opportunity to identify new cancers in early stages. Cancer screening should be discussed and
should be done even if the cancer is cured.




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