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While being prepared for a biopsy of a lump in the right breast, the patient asks the nurse about the
difference between a benign tumor and a malignant tumor. Which answer by the nurse is correct?
"Malignant cells reproduce more rapidly than normal cells"
When reviewing the chart for a patient with cervical cancer, the nurse notes that the cancer is staged
Tis, N0, M0. The nurse will teach the patient that
the cancer is localized to the cervix
A patient with a large stomach tumor that is attached to the liver is scheduled to have a debulking
procedure. The nurse explains that the expected outcome of this surgery is
decrease in tumor size to improve the effects of other therapy
After receiving change-of-shift report, which of these patients should the nurse assess first?
24-year-old who is receiving neck radiation and has blood oozing from the neck
A nurse is preparing to administer IV chemotherapy. What supplies does this nurse need? Select all
that apply.
"chemo" gloves
facemask
isolation gown
A client on interferon therapy is reporting severe skin itching and irritation. What actions does the
nurse delegate to the assistive personnel? Select all that apply.
Apply moisturizers to dry skin
Bathe the client using mild soap
A client has mucositis. What actions by the nurse will improve the client's nutrition? Select all that
apply.
Assist with rinsing the mouth with saline frequently
Encourage the client to eat room-temperature foods
Provide local anesthetic medications to swish and spit
Remind the client to brush teeth gently after each meal
A client's family members are concerned that telling the client about a new finding of cancer will
cause extreme emotional distress. They approach the nurse and ask if this can be kept from the client.
What actions by the nurse are most appropriate? Select all that apply.
, Ask the family to describe their concerns more fully
Consult with a social worker, chaplain, or ethics committee
Explain the client's right to know and ask for their assistance
A client receiving chemotherapy has a white blood cell count of 1000/mm^3. What actions by the
nurse are most appropriate? Select all that apply.
Assess all mucous membranes every 4-8 hours
Listen to lung sounds and monitor for cough
Monitor venous access device appearance with vital signs
Take and record vital signs every 4 to 8 hours
A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate
PO. Which of the following actions should the nurse take when the client reports bleeding gums?
Check the value of the client's current platelet count
A nurse is caring for a client who has myelosuppression after receiving chemotherapy. The nurse
should monitor the client for which of the following adverse effect?
Bleeding from the gums
A nurse is caring for a client who is scheduled to receive external radiation to the neck for cancer of
the larynx. During a pre-treatment exam, the nurse explains to the clients the most likely side effect
would be
Dysphagia
After radiation treatment, a client reports dryness, redness, and scaling of his skin occurring within
the designated treatment markings. The nurse should instruct the client to take which of the following
actions?
apply hydrating lotions
A nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which
of the following activities should the nurse anticipate being the most difficult for this client to perform
with her right hand?
brushing her hair
A nurse is teaching a patient about the seven warning signs of cancer. Which of the following signs
should the nurse include as manifestations of cancer? Select all that apply.
A nonhealing sore
Change in bowel pattern
Change in moles
Nagging cough
A nurse is evaluating a client's laboratory results. The nurse should recognize that an increase in the
client's prostate specific antigen (PSA) laboratory value is indicative of which of the following
diagnoses?