NURS 2207- Oncology Evolve EAQ
(Graded)
A client diagnosed with invasive cancer of the bladder has brachytherapy scheduled. Which successful therapy
outcome would the nurse expect with this client?
1. Decrease in urine output
2. Increase in pulse strength
3. Shrinkage of the tumor when scanned
4. Increase in the quantity of white blood cells (WBCs) - ANSWER: ANS: 3
Shrinkage of the tumor when scanned
Rationale:
Brachytherapy involves implanting isotope seeds in, or next to, the tumor. The isotope seeds interfere with
cell multiplication, which should control the growth and metastasis of cancerous tumors. Radiation affects
healthy as well as abnormal cells; urinary output will increase with successful therapy. With brachytherapy of
the bladder, an increase in pulse strength is not a sign of success. The radioactive isotope seeds may affect the
client's bone marrow sites, resulting in a reduction of WBCs.
Which task can be safely delegated by the registered nurse (RN) to unlicensed assistive personnel (UAP) for a
client with thrombocytopenia?
1. Shaving the client
2. Positioning the client
,3. Performing oral hygiene
4. Giving intravenous platelet infusions - ANSWER: ANS: 2
Positioning the client
Rationale:
Clients with thrombocytopenia are at risk of bleeding with slight bruising. Tasks that do not risk bruising the
client may be delegated to the UAP. The RN would shave the client and perform oral hygiene. Intravenous
infusions would not be administered by UAP to any client.
The registered nurse is teaching a nursing student about ways to minimize heat radiation. Which statements
made by the nursing student indicate effective learning? Select all that apply. One, some, or all responses may
be correct.
1. "I will apply an ice pack to the client."
2. "I will cover the client with dark clothes."
3. "I will instruct the client to remove extra clothes."
4. "I will instruct the client to lie in the fetal position."
5. "I will advise the client to wear sparsely woven clothes." - ANSWER: ANS: 1, 2, 4
Rationale:
Applying an ice pack will increase conductive heat loss, which results in minimizing heat radiation. Wearing
dark clothes and lying in the fetal position will minimize heat radiation. Removing extra clothes will increase
heat radiation. Wearing sparsely woven clothes will enhance heat radiation.
,The nurse observes the student nurse caring for the skin of the client who recently underwent radiation
therapy. Which actions made by the student nurse would the nurse correct? Select all that apply. One, some,
or all responses may be correct.
1. Using a washcloth for cleaning the radiated site
2. Rinsing soap thoroughly from the skin of the client
3. Drying the irradiated area with rubbing motions
4. Telling the client to wear loose clothing over the skin at the radiation site
5. Removing the ink marks that identify the location of the focused beam of radiation - ANSWER: ANS: 1, 3, 5
Rationale:
The nurse should use a hand rather than a washcloth when cleansing the radiated site. This is to provide
gentle care to the site. The irradiated area should be dried using patting motions rather than rubbing motions.
The ink marks present on the site exactly identify where the location of beam radiation is to be focused. The
nurse should take care not to remove these. The skin of the client should be thoroughly rinsed using a mild
soap as prescribed by the radiation oncology department. The client's clothing should be loose over the
radiation site.
Which instruction would the nurse provide to a client receiving brachytherapy for prostate cancer to prevent
injury?
1. "Use bleach when doing laundry."
2. "Wear a mask when around others."
3. "Flush the toilet several times after use."
4. "Refrain from close contact with others." - ANSWER: ANS: 4
, "Refrain from close contact with others."
Rationale:
Brachytherapy involves the implantation of radioactive isotopes near the tumor to destroy cancer cells. Clients
are radioactive while receiving treatment, making them potentially hazardous to others. Therefore, the nurse
will instruct clients to refrain from close contact with others. Using bleach with the laundry and flushing the
toilet several times are instructions for clients receiving chemotherapy. Clients who are immunosuppressed
will be instructed to wear a face mask to help prevent infections.
The nurse is caring for a client who underwent surgical resection of an oral cancerous tumor. Which client
problem is of highest priority to guide care?
1. Maintain airway.
2. Monitor vital signs.
3. Administer intravenous (IV) fluids.
4. Empty surgical drains. - ANSWER: ANS: 1
Maintain airway.
Rationale:
The highest priority in planning care for a client who underwent a surgical resection for oral cancer is to
maintain the airway and promote gas exchange. Other interventions include monitoring vital signs,
administering IV fluids, and empty surgical drains, but these are of lower priority.
A client with multiple myeloma who is receiving the alkylating agent melphalan returns to the oncology clinic
for a follow-up visit. For which adverse effect will the nurse monitor the client?
(Graded)
A client diagnosed with invasive cancer of the bladder has brachytherapy scheduled. Which successful therapy
outcome would the nurse expect with this client?
1. Decrease in urine output
2. Increase in pulse strength
3. Shrinkage of the tumor when scanned
4. Increase in the quantity of white blood cells (WBCs) - ANSWER: ANS: 3
Shrinkage of the tumor when scanned
Rationale:
Brachytherapy involves implanting isotope seeds in, or next to, the tumor. The isotope seeds interfere with
cell multiplication, which should control the growth and metastasis of cancerous tumors. Radiation affects
healthy as well as abnormal cells; urinary output will increase with successful therapy. With brachytherapy of
the bladder, an increase in pulse strength is not a sign of success. The radioactive isotope seeds may affect the
client's bone marrow sites, resulting in a reduction of WBCs.
Which task can be safely delegated by the registered nurse (RN) to unlicensed assistive personnel (UAP) for a
client with thrombocytopenia?
1. Shaving the client
2. Positioning the client
,3. Performing oral hygiene
4. Giving intravenous platelet infusions - ANSWER: ANS: 2
Positioning the client
Rationale:
Clients with thrombocytopenia are at risk of bleeding with slight bruising. Tasks that do not risk bruising the
client may be delegated to the UAP. The RN would shave the client and perform oral hygiene. Intravenous
infusions would not be administered by UAP to any client.
The registered nurse is teaching a nursing student about ways to minimize heat radiation. Which statements
made by the nursing student indicate effective learning? Select all that apply. One, some, or all responses may
be correct.
1. "I will apply an ice pack to the client."
2. "I will cover the client with dark clothes."
3. "I will instruct the client to remove extra clothes."
4. "I will instruct the client to lie in the fetal position."
5. "I will advise the client to wear sparsely woven clothes." - ANSWER: ANS: 1, 2, 4
Rationale:
Applying an ice pack will increase conductive heat loss, which results in minimizing heat radiation. Wearing
dark clothes and lying in the fetal position will minimize heat radiation. Removing extra clothes will increase
heat radiation. Wearing sparsely woven clothes will enhance heat radiation.
,The nurse observes the student nurse caring for the skin of the client who recently underwent radiation
therapy. Which actions made by the student nurse would the nurse correct? Select all that apply. One, some,
or all responses may be correct.
1. Using a washcloth for cleaning the radiated site
2. Rinsing soap thoroughly from the skin of the client
3. Drying the irradiated area with rubbing motions
4. Telling the client to wear loose clothing over the skin at the radiation site
5. Removing the ink marks that identify the location of the focused beam of radiation - ANSWER: ANS: 1, 3, 5
Rationale:
The nurse should use a hand rather than a washcloth when cleansing the radiated site. This is to provide
gentle care to the site. The irradiated area should be dried using patting motions rather than rubbing motions.
The ink marks present on the site exactly identify where the location of beam radiation is to be focused. The
nurse should take care not to remove these. The skin of the client should be thoroughly rinsed using a mild
soap as prescribed by the radiation oncology department. The client's clothing should be loose over the
radiation site.
Which instruction would the nurse provide to a client receiving brachytherapy for prostate cancer to prevent
injury?
1. "Use bleach when doing laundry."
2. "Wear a mask when around others."
3. "Flush the toilet several times after use."
4. "Refrain from close contact with others." - ANSWER: ANS: 4
, "Refrain from close contact with others."
Rationale:
Brachytherapy involves the implantation of radioactive isotopes near the tumor to destroy cancer cells. Clients
are radioactive while receiving treatment, making them potentially hazardous to others. Therefore, the nurse
will instruct clients to refrain from close contact with others. Using bleach with the laundry and flushing the
toilet several times are instructions for clients receiving chemotherapy. Clients who are immunosuppressed
will be instructed to wear a face mask to help prevent infections.
The nurse is caring for a client who underwent surgical resection of an oral cancerous tumor. Which client
problem is of highest priority to guide care?
1. Maintain airway.
2. Monitor vital signs.
3. Administer intravenous (IV) fluids.
4. Empty surgical drains. - ANSWER: ANS: 1
Maintain airway.
Rationale:
The highest priority in planning care for a client who underwent a surgical resection for oral cancer is to
maintain the airway and promote gas exchange. Other interventions include monitoring vital signs,
administering IV fluids, and empty surgical drains, but these are of lower priority.
A client with multiple myeloma who is receiving the alkylating agent melphalan returns to the oncology clinic
for a follow-up visit. For which adverse effect will the nurse monitor the client?
