Cancer NCLEX Questions and Answers with Rationales New 2022/2023

Cancer NCLEX Questions and Answers with Rationales New 2022/2023 Which of these does the nurse recognize as the goal of palliative surgery for the client with cancer? A. Cure of the cancer B. Relief of symptoms or improved quality of life C. Allowing other therapies to be more effective D. Prolonging the client's survival time Correct Answer B. Relief of symptoms or improved quality of life Rationale A. Curative surgery removes all cancer cells, visible and microscopic. B. The focus of palliative surgery is to improve quality of life during the survival time. C. Debulking is a procedure that removes some cancerous tissue, allowing other therapies to be more effective. D. Many therapies such as surgery, chemotherapy, and biotherapy increase the client's chance of cure and survival. Palliation improves quality of life. Which statement made by the client allows the nurse to recognize whether the client who is receiving brachytherapy for ovarian cancer understands the treatment plan? A. "I may lose my hair during this treatment." B. "I must be positioned in the same way during each treatment." C. "I will have a radioactive device in my body for a short time." D. "I will be placed in a semiprivate room for company." Correct Answer C. "I will have a radioactive device in my body for a short time." Rationale A. Side effects of radiation therapy are site specific. B. The client undergoing teletherapy (external beam radiation) must be positioned precisely in the same position each time. C. Brachytherapy refers to short-term insertion of a radiation source. D. The client who is receiving brachytherapy must be in a private room. Which potential side effects should be included in the teaching plan for a client undergoing radiation therapy for laryngeal cancer? A. Fatigue B. Changes in color of hair C. Change in taste D. Changes in skin of the neck E. Difficulty swallowing Correct Answer A. Fatigue C. Change in taste D. Changes in skin of the neck E. Difficulty swallowing Rationale Chemotherapy, which causes alopecia, may cause changes in the color or texture of hair. The client receiving chemotherapy will experience the lowest level of bone marrow activity and neutropenia during which period? A. Peak B. Trough C. Nadir D. Adjuvant Correct Answer C. Nadir Rationale A. The peak of bone marrow function occurs when the client's blood levels are at their highest. B. Trough, which means low, is typically used in reference to drug levels. C. The lowest point of bone marrow function is referred to as the nadir. D. Adjuvant refers to use of radiation therapy or surgery along with chemotherapy in cancer treatment.