NSG 170 Unit 5 - Cellular Regulation || All Solved.
5. While the nurse is obtaining the health history of a 75-year-old female patient, which of the
following has the greatest implication for the development of cancer?
a. Being a 75-year-old woman
b. Family history of hypertension
c. Cigarette smoking as a teenager
d. Advancing age correct answers ANS: D
According to the American Cancer Society, 2007, the most important risk factor for cancer
development is advancing age.
1. The nurse would incorporate which of the following into the plan of care as a primary
prevention strategy for reduction of the risk for cancer?
a. Yearly mammography for women aged 40 years and older
b. Using skin protection during sun exposure while at the beach
c. Colonoscopy at age 50 and every 10 years as follow-up
d. Yearly prostate specific antigen (PSA) and digital rectal exam for men aged 50 and over
correct answers ANS: B
Primary prevention of cancer involves avoidance to known causes of cancer, such as sun
exposure. Secondary screening involves physical and diagnostic examination.
2. While collecting a health history on a patient admitted for suspected colon cancer, which of
the following questions would be a priority to ask this patient?
a. Have you noticed any blood in your stool?
b. Have you been experiencing nausea?
c. Do you have back pain?
d. Have you noticed any swelling in your abdomen? correct answers ANS: A
Early colon cancer is often asymptomatic, with occult or frank blood in the stool being an
assessment finding in a patient diagnosed with colon cancer. If pain is present, it is usually lower
,abdominal cramping. Constipation and diarrhea are more frequent findings than nausea or
ascites.
3. While planning care for a patient experiencing fatigue due to chemotherapy, which of the
following is the most appropriate nursing intervention?
a. Prioritization and administration of nursing care throughout the day
b. Completing all nursing care in the morning so the patient can rest the remainder of the day
c. Completing all nursing care in the evening when the patient is more rested
d. Limiting visitors, thus promoting the maximal amount of hours for sleep correct answers ANS:
A
Pacing activities throughout the day conserves energy, and nursing care should be paced as well.
Fatigue is a common side effect of cancer and treatment; and while adequate sleep is important,
an increase in the number of hours slept will not resolve the fatigue. Restriction of visitors does
not promote healthy coping and can result in feelings of isolation.
4. The nurse is caring for a patient who received a bone marrow transplant 10 days ago. The
nurse would monitor for which of the following clinical manifestations that could indicate a
potentially life-threatening situation?
a. Mucositis
b. Confusion
c. Depression
d. Mild temperature elevation correct answers ANS: D
During the first 100 days after a bone marrow transplant, patients are at high risk for life-
threatening infections. The earliest sign of infection in an immunosuppressed patient can be a
mild fever. Mucositis, confusion, and depression are possible clinical manifestations but are
representative of less life-threatening complications.
6. In caring for a patient following lobectomy for lung cancer, which of the following should the
nurse include in the plan of care?
a. Position the patient on the operative side only.
b. Avoid administering narcotic pain medications.
, c. Keep the patient on strict bed rest.
d. Instruct the patient to cough and deep breathe. correct answers ANS: D
Postoperative deep breathing and coughing is important to promote oxygenation and clearing of
secretions. Pain medications will be given to lessen pain and allow for deep breathing and
coughing. Strict bed rest is not instituted, because early ambulation will help lessen postoperative
complications such as deep vein thrombosis. Prolonged lying on the operative side is avoided
7. A female patient complains of a scab that just wont heal under her left breast. During your
conversation, she also mentions chronic fatigue, loss of appetite, and slight cough, attributed to
allergies. What are the nurses next steps?
a. Continue to conduct a symptom analysis to better understand the patients symptoms and
concerns.
b. End the appointment and tell the patient to use skin protection during sun exposure.
c. Suggest further testing with a cancer specialist and provide the appropriate literature.
d. Tell her to put a bandage on the scab and set a follow-up appointment in one week. correct
answers ANS: A
A comprehensive health history is vital to treating and caring for the patient. Often times,
symptoms are vague. The nurse should conduct a symptom analysis to gather as much
information as possible. Questions should address the duration of the symptoms and include the
location, characteristics, aggravating and relief factors, and any treatments taken thus far.
1. A patient who is scheduled for a right breast biopsy asks the nurse the difference between a
benign tumor and a malignant tumor. Which answer by the nurse is correct?
a. "Benign tumors do not cause damage to other tissues."
b. "Benign tumors are likely to recur in the same location."
c. "Malignant tumors may spread to other tissues or organs."
d. "Malignant cells reproduce more rapidly than normal cells." correct answers ANS: C
The major difference between benign and malignant tumors is that malignant tumors invade
adjacent tissues and spread to distant tissues and benign tumors never metastasize. The other
statements are inaccurate. Both types of tumors may cause damage to adjacent tissues. Malignant
cells do not reproduce more rapidly than normal cells. Benign tumors do not usually recur.
5. While the nurse is obtaining the health history of a 75-year-old female patient, which of the
following has the greatest implication for the development of cancer?
a. Being a 75-year-old woman
b. Family history of hypertension
c. Cigarette smoking as a teenager
d. Advancing age correct answers ANS: D
According to the American Cancer Society, 2007, the most important risk factor for cancer
development is advancing age.
1. The nurse would incorporate which of the following into the plan of care as a primary
prevention strategy for reduction of the risk for cancer?
a. Yearly mammography for women aged 40 years and older
b. Using skin protection during sun exposure while at the beach
c. Colonoscopy at age 50 and every 10 years as follow-up
d. Yearly prostate specific antigen (PSA) and digital rectal exam for men aged 50 and over
correct answers ANS: B
Primary prevention of cancer involves avoidance to known causes of cancer, such as sun
exposure. Secondary screening involves physical and diagnostic examination.
2. While collecting a health history on a patient admitted for suspected colon cancer, which of
the following questions would be a priority to ask this patient?
a. Have you noticed any blood in your stool?
b. Have you been experiencing nausea?
c. Do you have back pain?
d. Have you noticed any swelling in your abdomen? correct answers ANS: A
Early colon cancer is often asymptomatic, with occult or frank blood in the stool being an
assessment finding in a patient diagnosed with colon cancer. If pain is present, it is usually lower
,abdominal cramping. Constipation and diarrhea are more frequent findings than nausea or
ascites.
3. While planning care for a patient experiencing fatigue due to chemotherapy, which of the
following is the most appropriate nursing intervention?
a. Prioritization and administration of nursing care throughout the day
b. Completing all nursing care in the morning so the patient can rest the remainder of the day
c. Completing all nursing care in the evening when the patient is more rested
d. Limiting visitors, thus promoting the maximal amount of hours for sleep correct answers ANS:
A
Pacing activities throughout the day conserves energy, and nursing care should be paced as well.
Fatigue is a common side effect of cancer and treatment; and while adequate sleep is important,
an increase in the number of hours slept will not resolve the fatigue. Restriction of visitors does
not promote healthy coping and can result in feelings of isolation.
4. The nurse is caring for a patient who received a bone marrow transplant 10 days ago. The
nurse would monitor for which of the following clinical manifestations that could indicate a
potentially life-threatening situation?
a. Mucositis
b. Confusion
c. Depression
d. Mild temperature elevation correct answers ANS: D
During the first 100 days after a bone marrow transplant, patients are at high risk for life-
threatening infections. The earliest sign of infection in an immunosuppressed patient can be a
mild fever. Mucositis, confusion, and depression are possible clinical manifestations but are
representative of less life-threatening complications.
6. In caring for a patient following lobectomy for lung cancer, which of the following should the
nurse include in the plan of care?
a. Position the patient on the operative side only.
b. Avoid administering narcotic pain medications.
, c. Keep the patient on strict bed rest.
d. Instruct the patient to cough and deep breathe. correct answers ANS: D
Postoperative deep breathing and coughing is important to promote oxygenation and clearing of
secretions. Pain medications will be given to lessen pain and allow for deep breathing and
coughing. Strict bed rest is not instituted, because early ambulation will help lessen postoperative
complications such as deep vein thrombosis. Prolonged lying on the operative side is avoided
7. A female patient complains of a scab that just wont heal under her left breast. During your
conversation, she also mentions chronic fatigue, loss of appetite, and slight cough, attributed to
allergies. What are the nurses next steps?
a. Continue to conduct a symptom analysis to better understand the patients symptoms and
concerns.
b. End the appointment and tell the patient to use skin protection during sun exposure.
c. Suggest further testing with a cancer specialist and provide the appropriate literature.
d. Tell her to put a bandage on the scab and set a follow-up appointment in one week. correct
answers ANS: A
A comprehensive health history is vital to treating and caring for the patient. Often times,
symptoms are vague. The nurse should conduct a symptom analysis to gather as much
information as possible. Questions should address the duration of the symptoms and include the
location, characteristics, aggravating and relief factors, and any treatments taken thus far.
1. A patient who is scheduled for a right breast biopsy asks the nurse the difference between a
benign tumor and a malignant tumor. Which answer by the nurse is correct?
a. "Benign tumors do not cause damage to other tissues."
b. "Benign tumors are likely to recur in the same location."
c. "Malignant tumors may spread to other tissues or organs."
d. "Malignant cells reproduce more rapidly than normal cells." correct answers ANS: C
The major difference between benign and malignant tumors is that malignant tumors invade
adjacent tissues and spread to distant tissues and benign tumors never metastasize. The other
statements are inaccurate. Both types of tumors may cause damage to adjacent tissues. Malignant
cells do not reproduce more rapidly than normal cells. Benign tumors do not usually recur.
