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NUR 2222 E3 Practice 3 (Broward College) – Questions & Correct Answers

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NUR 2222 E3 Practice 3 (Broward College) – Questions & Correct Answers

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NUR 2222 E3 Practice 3 (Broward College) –
Questions & Correct Answers

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Terms in this set (322)



A patient who is scheduled for a breast ANS: C The major difference between benign and
biopsy asks the nurse the difference malignant tumors is that malignant tumors invade
between a benign tumor and a adjacent tissues and spread to distant tissues and
malignant tumor. Which answer by the benign tumors do not metastasize. The other statements
nurse is accurate? are inaccurate. Both types of tumors may cause damage
a. ―Benign tumors do not cause to adjacent tissues. Malignant cells do not reproduce
damage to other tissues.‖ more rapidly than normal cells. Benign tumors do not
b. ―Benign tumors are likely to recur in usually recur
the same location.‖
c. ―Malignant tumors may spread to
other tissues or organs.‖
d. ―Malignant cells reproduce more
rapidly than normal cells.‖

,The nurse is caring for a patient ANS: C Regional routes of chemotherapy delivery such
receiving intravesical bladder as intravesical therapy confine adverse effects to the
chemotherapy. The nurse would monitor local area. The adverse effects of intravesical
for which adverse effect? chemotherapy are confined to the bladder. The other
a. Nausea adverse effects are associated with systemic
b. Alopecia chemotherapy.
c. Hematuria
d. Xerostomia


A patient smokes 2 packs of ANS: D Teaching about the risks associated with
cigarettes/day. Which action by the cigarette smoking is recommended at every patient
nurse could help the patient reduce the encounter because cigarette smoking is associated with
risk of lung cancer? multiple health problems. The other options may detect
a. Teach the patient about the seven lung cancer that is already present but do not reduce
warning signs of cancer. the risk.
b. Plan to monitor the patient's
carcinoembryonic antigen (CEA) level
c. Teach the patient about annual chest
x-rays for lung cancer screening.
d. Discuss dangers associated with
cigarettes during each patient
encounter.




Which food choice would the nurse ANS: B Protein is needed for wound healing. To
suggest for a patient scheduled to minimize the diarrhea that is associated with bowel
receive external-beam radiation for radiation, the patient should avoid foods high in
abdominal cancer? roughage, such as fruits and whole grains. A temporary
a. Fruit salad lactose intolerance may develop secondary to radiation,
b. Baked chicken so dairy products should also be avoided
c. Creamed broccoli
d. Toasted wheat bread

,During a routine health examination, a ANS: B The patient may be at increased risk for colon
40-yr-old patient tells the nurse about a cancer, but the nurse's first action should be further
family history of colon cancer. Which assessment. The other actions may be appropriate,
action would the nurse take first? depending on the information that is obtained from the
a. Schedule a sigmoidoscopy to provide patient with further questioning
baseline data.
b. Obtain more information about the
patient's relatives.
c. Teach the patient about the need for a
colonoscopy at age 50.
d. Teach the patient how to do home
testing for fecal occult blood.


A patient who is diagnosed with cervical ANS: A Cancer in situ indicates that the cancer is
cancer classified as Tis, N0, M0 asks the localized to the cervix and is not invasive at this time.
nurse what the letters and numbers Cell differentiation is not indicated by clinical staging.
mean. Which response by the nurse is Because the cancer is in situ, the origin is the cervix.
accurate? Further testing is not indicated given that the cancer has
a. ―The cancer involves only the not spread.
cervix.‖
b. ―The cancer cells look like normal
cells.‖
c. ―Further testing is needed to
determine the spread of the cancer.‖
d. ―It is difficult to determine the
original site of the cervical cancer.‖


The nurse teaches a patient who is ANS: D A biopsy is used to determine whether the
scheduled for a prostate needle biopsy prostate enlargement is benign or malignant and
about the procedure. Which statement determines the type of treatment that will be needed. A
by the patient indicates that teaching biopsy does not give information about metastasis, life
was effective? expectancy, or the impact of cancer on the patient's life
a. ―The biopsy will remove the cancer
in my prostate gland.‖
b. ―The biopsy will determine how
much longer I have to live.‖
c. ―The biopsy will indicate whether the
cancer has spread to other organs.‖
d. ―The biopsy will help guide the
treatment choices for my enlarged
prostate.‖

, The nurse teaches a postmenopausal ANS: C The risk of recurrence varies by the type of
patient with stage III breast cancer cancer. Some cancers are considered cured after a
about the expected outcomes of cancer shorter time span or after surgery, but stage III breast
treatment. Which patient statement cancer will require additional therapies and ongoing
indicates that the teaching has been follow-up
effective?
a. ―After cancer has not recurred for 5
years, it is considered cured.‖
b. ―The cancer will be cured if the
entire tumor is surgically removed.‖
c. ―I will need follow-up examinations
for many years after treatment before I
can be considered cured.‖
d. ―Cancer is never cured, but the
tumor can be controlled with surgery,
chemotherapy, and radiation.‖


A patient with a large stomach tumor ANS: B A debulking surgery reduces the size of the
attached to the liver is scheduled for a tumor and makes radiation and chemotherapy more
debulking procedure. Which information effective. Debulking surgeries do not control tumor
would the nurse teach the patient about growth. The tumor is debulked because it is attached to
the expected outcome of this the liver, a vital organ (not to relieve pressure on the
procedure? stomach). Debulking does not sever the sensory nerves,
a. Pain will be relieved by cutting although pain may be lessened by the reduction in
sensory nerves in the stomach. pressure on the abdominal organs
b. Decreasing the tumor size will
improve the effects of other therapy.
c. Relieving the pressure in the stomach
will promote optimal nutrition.
d. Tumor growth will be controlled by
removing all the cancerous tissue.

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