NURS 202 Exam #2

A nurse is assessing a client with a family history of cancer. Which finding requires immediate follow up? - The client reports a feeling of a lump in the throat. A client, age 42, visits the gynaecologist. After examining the client, the healthcare provider suspects cervical cancer. What will be most important for the nurse to include in assessing the clients health history? - History of human papilloma virus infection. A client who is receiving chemotherapy express his concern at the thought of losing hair on their head. The nurses best response is: - "Your hair loss will be temporary. Would you like to tell me about your concerns?" A client with a modified radical mastectomy has been discharged. The client has been very reluctant to discuss the surgery or her situation. The nurse making assignments should delegate the clients care to the: - Same nurse who has cared for her the past three days, for continuity of care. Which outcome is expected of a nursing referral to a cancer support group? The client can: - Cope with cancer. The family of an older adult with terminal cancer asks about having hospice services. What should the nurse tell the family? Hospice care: - Focuses on supportive care for the client and family. The nurse teaches the client with chronic cancer pain about optimal pain control. Which recommendation is most effective for pain control? - Take prescribed analgesics on an around-the-clock schedule to prevent recurrent pain.Which strategy would be most effective in improving trans cultural communications with oncology clients and their families? - Establish a rapport and listen to their concerns. The nurse is teaching a client who is receiving chemotherapy and the family how to manage possible nausea and vomiting at home. What information should the nurse include in the teaching plan? - Eating small frequent meals A client with chronic cancer pain has been receiving opiates for four months. She rated the pain as an eight on a 10 point scale before starting the opioid medication. Following a thorough examination, there is no new evidence of increased disease, yet the pain is close to eight again. What is the most likely explanation for the increasing pain? - Tolerance to the opioid A nurse is conducting a cancer risk screening program. Which client is at greatest risk for skin cancer? - 60 year old mountain biker The client with brown hair is concerned about losing hair as a result of chemotherapy. What should the nurse tell the client? - "The hair loss is temporary. " The nurse is witnessing the client signature on the inform the surgical consent for an abdominal hysterectomy. The nurse should be certain the client understands that what will be the outcome of the surgery? - Infertility The client with stage to ovarian cancer undergoes a total abdominal hysterectomy and bilateral salpingo-oophorectomy with tumor resection, omentectomt, appendectomy, and Lymphadenectomy. During the second postoperative day, which assessment finding requires immediate intervention? - Shallow breathing and increasing lethargyA client ask the nurse with PSA is. The nurse should reply that it stands for: - Prostate-specific antigen, which is used to screen for prostate cancer A client is undergoing a left modified radical mastectomy for breast cancer. Postoperatively, blood pressure should be a clean from the right arm, and the clients left arm and hand should be elevated as much as possible to prevent: - Lymphedema