Hesi Breast Cancer Exam Questions with Correct Answers 100% Verified| Guaranteed Success
Which side effect of tamoxifen should the nurse instruct the client to report immediately?
Decrease in visual acuity.
Decreased visual acuity can occur in women receiving high doses of tamoxifen and irreversible.
The client should immediately report decreased visual acuity.
The client is disappointed to learn that she will not benefit from hormonal therapy. The client's
friend informed her that tamoxifen was like experiencing menopause. Which nursing
intervention best promotes effective communication? Inform the client that tamoxifen is an
antiestrogen agent and can cause symptoms that resemble menopause.
Tamoxifen is an antiestrogen agent and may cause the same symptoms of decreased estrogen
that occur during menopause, such as hot flashes, dry skin, nausea, and menstrual
irregularities.
Which interventions should the nurse include in the client's plan of care related to the
antineoplastic chemotherapy she has decided to do? (Select all that apply.) Provide
management options for bouts of diarrhea.
GI side effects are common with the use of antineoplastic agents.
Explain how alopecia occurs with antineoplastic chemotherapy.
Alopecia, or hair loss, is a common side effect of antineoplastic agents.
Which intervention should the nurse implement? Notify the HCP that the central line is may
no longer be functional.
For central venous catheters, notify the HCP and obtain requests for a diagnostic study or low-
dose thrombolytic agents to lyse the clot.
The nurse is aware that treatment with antineoplastic chemotherapeutic agents can cause
immunosuppression, which predisposes the client to infection. Which assessment finding
warrants intervention by the nurse? Temperature of 99.5° F (37.5oC).
, An immunosuppressed individual may only develop a low-grade fever in response to infection.
The immunosuppressed client should report a low-grade fever, a persistent cough, any unusual
drainage, or any other symptoms of infection to the HCP immediately.
Which assessment finding warrants immediate intervention by the nurse related to the
complication of lymphedema? Swelling and numbness in the affected arm.
Swelling, numbness, tingling, heaviness, and aching are symptoms of lymphedema. Circulation
needs to be assessed to evaluate urgency of intervention.
Which nursing care measures will be most beneficial in the management of the client's
lymphedema? (Select all that apply.) Apply a sequential compression device.
Lymphedema is managed with arm elevation and the use of an arm, sleeve, or sequential
compression device to promote fluid return.
Elevate the affected arm.
Lymphedema is managed with arm elevation and the use of an arm, sleeve, or sequential
compression device to promote fluid return.
The nurse continues to reinforce the HCP's instructions regarding activity limitations and
exercises. Which intervention should the nurse include in the client's discharge instructions?
Avoid lifting anything over 10 pounds for at least 4 weeks.
Avoid lifting heavy objects (over 5-10 pounds) until wound has healed (usually about 4-6
weeks). This will prevents injury, develops muscle strength slowly.
The nurse reviews signs and symptoms with the client that would require her to contact her
HCP. Which signs or symptoms should the client be instructed by the nurse to immediately
reported? Increased swelling around incisions.
This is likely a sign of infection and should be reported immediately.
The client becomes anxious and begins crying. What action is most important for the nurse to
take? Continue to review the signs and symptoms of breast cancer reoccurrence.
Which side effect of tamoxifen should the nurse instruct the client to report immediately?
Decrease in visual acuity.
Decreased visual acuity can occur in women receiving high doses of tamoxifen and irreversible.
The client should immediately report decreased visual acuity.
The client is disappointed to learn that she will not benefit from hormonal therapy. The client's
friend informed her that tamoxifen was like experiencing menopause. Which nursing
intervention best promotes effective communication? Inform the client that tamoxifen is an
antiestrogen agent and can cause symptoms that resemble menopause.
Tamoxifen is an antiestrogen agent and may cause the same symptoms of decreased estrogen
that occur during menopause, such as hot flashes, dry skin, nausea, and menstrual
irregularities.
Which interventions should the nurse include in the client's plan of care related to the
antineoplastic chemotherapy she has decided to do? (Select all that apply.) Provide
management options for bouts of diarrhea.
GI side effects are common with the use of antineoplastic agents.
Explain how alopecia occurs with antineoplastic chemotherapy.
Alopecia, or hair loss, is a common side effect of antineoplastic agents.
Which intervention should the nurse implement? Notify the HCP that the central line is may
no longer be functional.
For central venous catheters, notify the HCP and obtain requests for a diagnostic study or low-
dose thrombolytic agents to lyse the clot.
The nurse is aware that treatment with antineoplastic chemotherapeutic agents can cause
immunosuppression, which predisposes the client to infection. Which assessment finding
warrants intervention by the nurse? Temperature of 99.5° F (37.5oC).
, An immunosuppressed individual may only develop a low-grade fever in response to infection.
The immunosuppressed client should report a low-grade fever, a persistent cough, any unusual
drainage, or any other symptoms of infection to the HCP immediately.
Which assessment finding warrants immediate intervention by the nurse related to the
complication of lymphedema? Swelling and numbness in the affected arm.
Swelling, numbness, tingling, heaviness, and aching are symptoms of lymphedema. Circulation
needs to be assessed to evaluate urgency of intervention.
Which nursing care measures will be most beneficial in the management of the client's
lymphedema? (Select all that apply.) Apply a sequential compression device.
Lymphedema is managed with arm elevation and the use of an arm, sleeve, or sequential
compression device to promote fluid return.
Elevate the affected arm.
Lymphedema is managed with arm elevation and the use of an arm, sleeve, or sequential
compression device to promote fluid return.
The nurse continues to reinforce the HCP's instructions regarding activity limitations and
exercises. Which intervention should the nurse include in the client's discharge instructions?
Avoid lifting anything over 10 pounds for at least 4 weeks.
Avoid lifting heavy objects (over 5-10 pounds) until wound has healed (usually about 4-6
weeks). This will prevents injury, develops muscle strength slowly.
The nurse reviews signs and symptoms with the client that would require her to contact her
HCP. Which signs or symptoms should the client be instructed by the nurse to immediately
reported? Increased swelling around incisions.
This is likely a sign of infection and should be reported immediately.
The client becomes anxious and begins crying. What action is most important for the nurse to
take? Continue to review the signs and symptoms of breast cancer reoccurrence.
