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The nurse is caring for a chemotherapy client with a low
platelet aggregation level. Which likely caused this decreased
platelet production?
a. Anemia
b. Thrombocytopenia
c. Bone marrow suppression
d. Low hemoglobin and hematocrit (H&H) counts - . . ANSWER
✔ ✔C. Bone marrow Suppression
The nurse is assigned to care for a client with metastatic breast
cancer who is taking tamoxifen citrate. The nurse plans to
monitor for which changes in laboratory values for this client?
Select all that apply.
a. Increase in lipase level
b. Increase in blood glucose level
c. Increase in serum calcium level
d. Increase in serum potassium level
,e. Decrease in low-density lipoprotein levels - . . ANSWER ✔
✔c. Increase in serum calcium level
e. Decrease in low-density lipoprotein levels
The nurse is caring for a client on the oncology unit who has
developed stomatitis during chemotherapy. The nurse should
plan which measure to treat this complication?
a. Rinse the mouth with diluted baking soda or saline.
b. Use lemon and glycerin swabs liberally on painful oral
lesions. c. Brush the teeth and use non-waxed dental floss at
least twice a day.
d. Place the client on NPO (nothing by mouth) status for 12
hours, and then resume liquids. - . . ANSWER ✔ ✔a. Rinse
the mouth with diluted baking soda or saline.
The nurse is caring for a client receiving combination
chemotherapy. Which nursing intervention is the most
appropriate?
a. Give 2 agents from the same medication class.
b. Give 2 agents with like nadirs at the same time.
c. Test the client's knowledge about each agent's nadir.
,d. Avoid giving agents with the same nadirs and toxicities at the
same time. - . . ANSWER ✔ ✔d. Avoid giving agents with the
same nadirs and toxicities at the same time.
A client is having a diagnostic workup for colorectal cancer.
Which factors in the client's history place the client at increased
risk for this type of cancer? Select all that apply.
a. A high-fiber diet
b. A diet high in fats
c. Minimal alcohol intake
d. A diet high in carbohydrates
e. A history of inflammatory bowel disease
f. A maternal grandfather who had a history of heart disease - .
. ANSWER ✔ ✔b. A diet high in fats
d. A diet high in carbohydrates
e. A history of inflammatory bowel disease
The nurse monitoring an oncological client assesses for which
early sign of vena cava syndrome?
a. Cyanosis
b. Arm edema
c. Periorbital edema
, d. Mental status changes - . . ANSWER ✔ ✔c. Periorbital
edema
A client has undergone abdominal perineal resection for a
bowel tumor. The nurse interprets that the client's colostomy is
beginning to function if which sign is noted?
a. Absent bowel sounds
b. The passage of flatus
c. Blood drainage from the colostomy
d. The client's ability to tolerate food - . . ANSWER ✔ ✔b.
The passage of flatus
The nurse is performing an admission assessment of a client
with a possible right colon tumor. Which sign or symptom
should the nurse anticipate the client may report?
a. Frequent diarrhea
b. Crampy gas pains
c. Flat, ribbon-like stools
d. Dull abdominal pain exacerbated by walking - . . ANSWER
✔ ✔d. Dull abdominal pain exacerbated by walking