NUR 2790 - PROFESSIONAL NURSING: CHAPTER 16 CANCER MANAGEMENT FINAL EXAM. QUESTIONS AND ANSWERS. COMPLETE SOLUTIONS GUIDE.

NUR 2790 - PROFESSIONAL NURSING: CHAPTER 16 CANCER MANAGEMENT FINAL EXAM. QUESTIONS AND ANSWERS. COMPLETE SOLUTIONS GUIDE. NUR 2790 PROFESSIONAL NURSING CH 16 CANCER MANAGEMENT FINAL EXAM 1. After 3 weeks of radiation therapy, H.J. has lost 10 pounds and does not eat well because of mucositis. An appropriate nursing diagnosis for the patient is: A. Risk for infection related to poor nutrition B. Ineffective self-health management related to refusal to eat C. Imbalanced nutrition: less than body requirements related to oral inflammation and ulceration D. Ineffective health maintenance related to lack of knowledge of nutritional requirements during radiation therapy Rationale: Oral Mucositis is irritation, inflammation, and/or ulceration of the oral mucosa that is common in patients receiving radiation to the head and neck. 2. To prevent the debilitating cycle of fatigue-depression-fatigue that can occur in patients with cancer, an appropriate nursing intervention is to: A. Have the patient rest after any major energy expenditure B. Encourage the patient to implement a daily walking program C. Teach the patient to ignore the fatigue to maintain normal daily activities D. Prevent the development of depression by informing the patient to expect fatigue during cancer treatment Rationale: Maintaining exercise and activity within tolerable limits is often helpful in managing fatigue. Walking programs are a way for most patients to keep active without overtaxing them. Patients should plan energy conservation strategies by identifying days/times when they feel better and can tolerate activity. Resting before activity and having others assist with work or home management may be necessary. Ignoring fatigue and overstressing the body can lead to an increase in symptoms 3. 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." Rationale: 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. 4. The nurse is caring for a patient receiving intravesical bladder chemotherapy. The nurse should monitor for which adverse effect? A. Nausea B. Alopecia C. Mucositis D. Hematuria Rationale: The adverse effects of intravesical chemotherapy are confined to the bladder. The other adverse effects are associated with systemic chemotherapy 5. The nurse teaches a patient who