All-in-One Nursing Care Planning
Resource
Medical-Surgical, Pediatric,
Maternity, and Psychiatric-Mental
Health
5th Edition
• Author(s)Pamela L. Swearingen;
Jacqueline Wright
TEST BANK
,1) MCQ — Cancer Care
Clinical Scenario
A patient receiving chemotherapy reports mouth soreness,
poor appetite, and a temperature of 38.4°C (101.1°F).
Question Stem
Which nursing problem should the nurse prioritize?
Answer Options
A. Altered body image
B. Risk for infection
C. Imbalanced nutrition: less than body requirements
D. Anxiety
Correct Answer
B. Risk for infection
Detailed Rationale
Fever in a patient receiving chemotherapy may indicate
neutropenia-related infection, which can become rapidly life-
threatening. Infection control and prompt escalation are the
priority. Poor appetite and mucositis are important, but safety
comes first.
Incorrect Option Analysis
, • A. Altered body image — relevant but not immediate.
Common misconception: focusing on psychosocial
concerns before physiologic instability.
• C. Imbalanced nutrition — present, but not first when
fever suggests infection.
• D. Anxiety — important for support, but lower priority
than possible sepsis.
Nursing Process Linkage
Assessment / Nursing Diagnosis
NCJMM
Recognize Cues; Prioritize Hypotheses
Difficulty
Moderate
Bloom’s Level
Analyze
NCLEX Client Needs Category
Physiological Adaptation
Nursing Diagnosis Integration
Priority Nursing Diagnosis: Risk for infection
Risk Factors: chemotherapy-induced neutropenia, mucosal
breakdown, fever
, Expected Outcome
The patient will remain free from signs of worsening infection,
with timely cultures, isolation precautions as indicated, and
provider notification completed.
Key Learning Objective
Prioritize life-threatening complications in chemotherapy care.
2) SATA — Chemotherapy Safety
Clinical Scenario
A patient is scheduled to receive chemotherapy and asks about
home precautions.
Question Stem
Which teaching points should the nurse include? Select all that
apply.
Answer Options
A. Wash hands frequently
B. Report fever promptly
C. Dispose of body fluids in the toilet without precautions
D. Avoid crowds if neutropenic
E. Use a soft toothbrush if the mouth is sore
Correct Answers
Resource
Medical-Surgical, Pediatric,
Maternity, and Psychiatric-Mental
Health
5th Edition
• Author(s)Pamela L. Swearingen;
Jacqueline Wright
TEST BANK
,1) MCQ — Cancer Care
Clinical Scenario
A patient receiving chemotherapy reports mouth soreness,
poor appetite, and a temperature of 38.4°C (101.1°F).
Question Stem
Which nursing problem should the nurse prioritize?
Answer Options
A. Altered body image
B. Risk for infection
C. Imbalanced nutrition: less than body requirements
D. Anxiety
Correct Answer
B. Risk for infection
Detailed Rationale
Fever in a patient receiving chemotherapy may indicate
neutropenia-related infection, which can become rapidly life-
threatening. Infection control and prompt escalation are the
priority. Poor appetite and mucositis are important, but safety
comes first.
Incorrect Option Analysis
, • A. Altered body image — relevant but not immediate.
Common misconception: focusing on psychosocial
concerns before physiologic instability.
• C. Imbalanced nutrition — present, but not first when
fever suggests infection.
• D. Anxiety — important for support, but lower priority
than possible sepsis.
Nursing Process Linkage
Assessment / Nursing Diagnosis
NCJMM
Recognize Cues; Prioritize Hypotheses
Difficulty
Moderate
Bloom’s Level
Analyze
NCLEX Client Needs Category
Physiological Adaptation
Nursing Diagnosis Integration
Priority Nursing Diagnosis: Risk for infection
Risk Factors: chemotherapy-induced neutropenia, mucosal
breakdown, fever
, Expected Outcome
The patient will remain free from signs of worsening infection,
with timely cultures, isolation precautions as indicated, and
provider notification completed.
Key Learning Objective
Prioritize life-threatening complications in chemotherapy care.
2) SATA — Chemotherapy Safety
Clinical Scenario
A patient is scheduled to receive chemotherapy and asks about
home precautions.
Question Stem
Which teaching points should the nurse include? Select all that
apply.
Answer Options
A. Wash hands frequently
B. Report fever promptly
C. Dispose of body fluids in the toilet without precautions
D. Avoid crowds if neutropenic
E. Use a soft toothbrush if the mouth is sore
Correct Answers
