NEW SAUNDERS-
ONCOLOGY MEDICAL
SURGICAL NURSING II
2024 QUESTIONS WITH
ANSWERS VERIFIED
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SAUNDERS: Oncology
1. The nurse is assisting with developing a plan of care for the
client with multiple myeloma. Which nursing intervention should be
included to prevent renal failure for this client? Select all that apply.
*Encouraging fluids, *Monitoring serum calcium and uric acid levels
2. The nurse is assisting with conducting a health-promotion
program to community members regarding testicular cancer. The
nurse determines that further teaching is needed if a community
member states that which is a sign/symptom of testicular cancer?
Select all that apply.
*Alopecia, *Elevation in prostate specific antigen (PSA) levels
3. The nurse is reviewing the laboratory results of a client with
leukemia who has received a regimen of chemotherapy. Which
laboratory finding is indicative of the massive cell destruction that
occurs with the chemotherapy?
*Increased uric acid level
4. The client is receiving external radiation to the neck for cancer of
the larynx. The nurse monitors the client knowing that which are
side/adverse effects of the external radiation? Select all that apply.
*Sore throat, *Red and dry skin over neck
5. The nurse is reinforcing instructions to a client receiving external
radiation therapy. The nurse determines that the client needs further
teaching if the client states an intention to take which action? Select
all that apply.
*Apply pressure on the radiated area to prevent bleeding, *Avoid
standing within 6 feet of persons under the age of 18 years
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6. The nurse provides skin care instructions to the client who is
receiving external radiation therapy. Which statement by the client
indicates the need for further teaching? Select all that apply.
*"I will limit sun exposure to 1 hour daily.”, *"I will apply moisturizer
with a cotton tipped applicator for itching. "
7. The client is hospitalized for the insertion of an internal cervical
radiation implant. While giving care, the nurse finds the radiation
implant in the bed. Which is the immediate nursing action?
*Pick up the implant with long-handled forceps and place into a lead
container.
8.The nurse is assisting with creating a plan of care for a client with
pancytopenia as a result of chemotherapy. The nurse should suggest
including which in the plan of care? Select all that apply.
*Restricting fresh fruits and vegetables in the diet, *Applying a face
mask to the client if outside the client room.
9. The client with carcinoma of the lung develops the syndrome of
inappropriate antidiuretic hormone (SIADH) as a complication of the
cancer. Besides treatment of the lung cancer, the nurse anticipates
that which interventions may be prescribed to treat the SIADH? Select
all that apply.
*Institute safety measures. *Frequently monitor sodium blood levels.
*Gather data about the neurological status frequently. *Administer
medication that is antagonistic to antidiuretic hormone (ADH).
10.The client is admitted to the hospital with a diagnosis of suspected
Hodgkin's disease. Which signs and symptoms of the client are
associated with Hodgkin's disease? Select all that apply.