NURS 2207- Oncology Evolve EAQ (Graded) Exam Questions and Answers |Complete
Solutions Graded A+ |100% Correct
Which explanation would the nurse give to the family when an older widow, who is in the
terminal stages of lung cancer, exhibits mood changes and anger toward the family?
1. "She is attempting to avoid the reality of the situation."
2. "She is trying to cope with her impending death."
3. "She wants to reduce the family's dependence on her."
4. "She is sad because the family will not take her home to die." ANS: 2
"She is trying to cope with her impending death."
Rationale:
Anger is associated with one of the stages of dying; understanding the stages leading to the
acceptance of death may help the family accept the client's moods and anger. Avoiding the
situation reflects the stage of denial; anger is not common in this stage. The nurse would
conduct additional assessment before telling the family that the client is trying to reduce
family's dependence on her or that she wants to go home to die.
A client undergoes surgical implantation of radon seeds for oral cancer. The nurse would
observe the client for which side effects?
1. Nausea or vomiting
2. Hematuria or occult blood
,3. Hypotension or bradycardia
4. Abdominal cramping or diarrhea ANS: 1
Nausea or vomiting
Rationale:
The mucosa of the mouth and the vomiting center in the brain stem may be affected, producing
nausea and vomiting. Hematuria, occult blood, hypotension, and bradycardia are not side
effects of radiation therapy related to the oral cavity. Neither abdominal cramping nor diarrhea
is an expected response because of the distance between the radon seeds and the intestines.
When receiving chemotherapy for non-Hodgkin lymphoma, a client states, "I get so sick to my
stomach. The medication is useless." Which response by the nurse uses the technique of
paraphrasing?
1. "You get sick to your stomach."
2. "Tell me more about how you feel."
3. "I'll get a prescription for an antiemetic."
4. "You don't think the medication is helping you." ANS: 4
"You don't think the medication is helping you."
Rationale:
,Rewording of the client's statement is paraphrasing, which indicates that the nurse understands
the client's concern and helps clarify the concerns. The response "You get sick to your stomach"
uses the therapeutic communication technique of restating; this repeats the client's exact
words. The response "Tell me more about how you feel" is clarifying, another therapeutic
technique. The response "I'll get a prescription for an antiemetic" is not a therapeutic
communication technique and does not address the client's concern that the chemotherapy is
not effective.
Which action would the nurse take for a client with invasive bladder carcinoma who is receiving
radiation to the lower abdomen?
1. Observe the feces for the presence of blood.
2. Monitor the blood pressure for hypertension.
3. Administer enemas to remove sloughing tissue.
4. Provide a high-bulk diet to prevent constipation. ANS: 1
Observe the feces for the presence of blood.
Rationale:
Radiation may damage the bowel mucosa, causing bleeding. Blood pressure changes are not
expected during radiation therapy. Enemas are contraindicated with lower abdominal radiation
because of the damaged intestinal mucosa. Diarrhea, not constipation, occurs with radiation
that influences the intestine.
, Commonly used to treat clients needing immunosuppressant therapy, which medication
classification has the potential long-term side effects of neurotoxicity, lymphoma, abnormal
glucose control, and hypertension?
1. Corticosteroids
2. Cytotoxic medications
3. Monoclonal antibodies
4. Calcineurin inhibitors ANS: 4
Calcineurin inhibitors
Rationale:
Calcineurin inhibitors such as cyclosporine act on T helper cells to prevent production and
release of IL-2 and gamma interferon. This class of medications can cause adverse effects such
as nephrotoxicity, lymphoma, hypertension, gingival hyperplasia, and hirsutism. Corticosteroids
may cause peptic ulcer, osteoporosis, and hyperglycemia. Cytotoxic medications may cause
bone marrow suppression, hypertension, diarrhea, and nausea. Monoclonal antibodies may
cause pulmonary edema, hypersensitivity reactions, fever/chills, and chest pain.
A client with a history of hemoptysis and cough for the past 6 months is suspected of having
lung cancer. A bronchoscopy is performed. Two hours after the procedure the nurse identifies
an increase in the amount of bloody sputum. Which is the nurse's priority?
1. Contact the primary health care provider.
2. Document the amount of sputum.
Solutions Graded A+ |100% Correct
Which explanation would the nurse give to the family when an older widow, who is in the
terminal stages of lung cancer, exhibits mood changes and anger toward the family?
1. "She is attempting to avoid the reality of the situation."
2. "She is trying to cope with her impending death."
3. "She wants to reduce the family's dependence on her."
4. "She is sad because the family will not take her home to die." ANS: 2
"She is trying to cope with her impending death."
Rationale:
Anger is associated with one of the stages of dying; understanding the stages leading to the
acceptance of death may help the family accept the client's moods and anger. Avoiding the
situation reflects the stage of denial; anger is not common in this stage. The nurse would
conduct additional assessment before telling the family that the client is trying to reduce
family's dependence on her or that she wants to go home to die.
A client undergoes surgical implantation of radon seeds for oral cancer. The nurse would
observe the client for which side effects?
1. Nausea or vomiting
2. Hematuria or occult blood
,3. Hypotension or bradycardia
4. Abdominal cramping or diarrhea ANS: 1
Nausea or vomiting
Rationale:
The mucosa of the mouth and the vomiting center in the brain stem may be affected, producing
nausea and vomiting. Hematuria, occult blood, hypotension, and bradycardia are not side
effects of radiation therapy related to the oral cavity. Neither abdominal cramping nor diarrhea
is an expected response because of the distance between the radon seeds and the intestines.
When receiving chemotherapy for non-Hodgkin lymphoma, a client states, "I get so sick to my
stomach. The medication is useless." Which response by the nurse uses the technique of
paraphrasing?
1. "You get sick to your stomach."
2. "Tell me more about how you feel."
3. "I'll get a prescription for an antiemetic."
4. "You don't think the medication is helping you." ANS: 4
"You don't think the medication is helping you."
Rationale:
,Rewording of the client's statement is paraphrasing, which indicates that the nurse understands
the client's concern and helps clarify the concerns. The response "You get sick to your stomach"
uses the therapeutic communication technique of restating; this repeats the client's exact
words. The response "Tell me more about how you feel" is clarifying, another therapeutic
technique. The response "I'll get a prescription for an antiemetic" is not a therapeutic
communication technique and does not address the client's concern that the chemotherapy is
not effective.
Which action would the nurse take for a client with invasive bladder carcinoma who is receiving
radiation to the lower abdomen?
1. Observe the feces for the presence of blood.
2. Monitor the blood pressure for hypertension.
3. Administer enemas to remove sloughing tissue.
4. Provide a high-bulk diet to prevent constipation. ANS: 1
Observe the feces for the presence of blood.
Rationale:
Radiation may damage the bowel mucosa, causing bleeding. Blood pressure changes are not
expected during radiation therapy. Enemas are contraindicated with lower abdominal radiation
because of the damaged intestinal mucosa. Diarrhea, not constipation, occurs with radiation
that influences the intestine.
, Commonly used to treat clients needing immunosuppressant therapy, which medication
classification has the potential long-term side effects of neurotoxicity, lymphoma, abnormal
glucose control, and hypertension?
1. Corticosteroids
2. Cytotoxic medications
3. Monoclonal antibodies
4. Calcineurin inhibitors ANS: 4
Calcineurin inhibitors
Rationale:
Calcineurin inhibitors such as cyclosporine act on T helper cells to prevent production and
release of IL-2 and gamma interferon. This class of medications can cause adverse effects such
as nephrotoxicity, lymphoma, hypertension, gingival hyperplasia, and hirsutism. Corticosteroids
may cause peptic ulcer, osteoporosis, and hyperglycemia. Cytotoxic medications may cause
bone marrow suppression, hypertension, diarrhea, and nausea. Monoclonal antibodies may
cause pulmonary edema, hypersensitivity reactions, fever/chills, and chest pain.
A client with a history of hemoptysis and cough for the past 6 months is suspected of having
lung cancer. A bronchoscopy is performed. Two hours after the procedure the nurse identifies
an increase in the amount of bloody sputum. Which is the nurse's priority?
1. Contact the primary health care provider.
2. Document the amount of sputum.
