Chapter 21 cancer development.

Chapter 21 cancer development. 1. The nurse is giving a group presentation on cancer prevention and recognition. Which statement by an older adult client indicates understanding of the nurse's instructions? A "Cigarette smoking always causes lung cancer." B "Taking multivitamins will prevent me from developing cancer." C "If I have only one shot of whiskey a day, I probably will not develop cancer." D "I need to report the pain going down my legs to my health care provider." 2. The nurse is teaching a 47-year-old woman about recommended screening practices for breast cancer. Which statement by the client indicates understanding of the nurse's instructions? A "My mother and grandmother had breast cancer, so I am at risk." B "I get a mammogram every 2 years since I turned 30." C "A clinical breast examination is performed every month since I turned 40." D "A computed tomography (CT) scan will be done every year after I turn 50." 3. A 72-year-old client recovering from lung cancer surgery asks the nurse to explain how she developed cancer when she has never smoked. Which factor may explain the possible cause? A A diagnosis of diabetes treated with insulin and diet B An exercise regimen of jogging 3 miles four times a week C A history of cardiac disease D Advancing age 4. The nurse reviews the chart of a client admitted with a diagnosis of glioblastoma with a T1NXM0 classification. Which explanation does the nurse offer when the client asks what the terminology means? A "Two lymph nodes are involved in this tumor of the glial cells, and another tumor is present." B "The brain tumor measures about 1 to 2 cm and shows no regional lymph nodes and no distant metastasis." C "This type of tumor in the brain is small with some lymph node involvement; another tumor is present somewhere else in your body." D "Glioma means this tumor is benign, so I will have to ask your health care provider the reason for the chemotherapy and radiation." 5. The nurse manager in a long-term care facility is developing a plan for primary and secondary prevention of colorectal cancer. Which tasks associated with the screening plan will be delegated to nursing assistants within the facility? A Testing of stool specimens for occult blood B Teaching about the importance of dietary fiber C Referring clients for colonoscopy procedures D Giving vitamin and mineral supplements 6. The nurse presents a cancer prevention program to teens. Which instruction will have the greatest impact in cancer prevention? A Avoid asbestos. B Wear sunscreen. C Get the human papilloma virus (HPV) vaccine. D Do not smoke cigarettes. 7. The nurse suspects metastasis from left breast cancer to the thoracic spine when the client has which symptom? A Vomiting B Back pain C Frequent urination D Cyanosis of the toes 8. The nurse explains to a client that which risk factor of those listed most likely contributed to the client's primary liver carcinoma? A Infection with hepatitis B virus B Consuming a diet high in animal fat C Exposure to radon