oncology
the nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. which would the
nurse expect to note specifically in this disorder? - ANSWER: increased calcium level
The nurse is reviewing the record of a client admitted to the hospital with a diagnosis of Hodgkin's disease.
Which assessment findings noted in the client's record are associated with this diagnosis? Select all that apply.
- ANSWER: 1. fever
2. weight loss
3. night sweats
4. enlarged, painless lymph nodes
in the immunocompromised client, what type of diet is necessary - ANSWER: low-bacteria diet
(avoiding intake of fresh fruits/vegetables)
The nurse is caring a plan of care for the client with multiple myeloma and includes which priority intervention
in the plan? - ANSWER: encouraging fluids
The nurse is reviewing the lab test results for a client receiving chemotherapy. The nurse notes that the white
blood cell count is extremely low and places the client on neutropenic precautions. Which interventions are
components of these types of precautions? select all - ANSWER: 1. removing fresh-cut flowers from the
client's room
2. instructing family members on the proper technique for hand washing
3. instructing family members to wear a mask when in client's room
A client is admitted to the hospital with a suspected diagnosis of Hodgkin's disease. Which assessment finding
would the nurse expect to note specifically in the client? - ANSWER: enlarged lymph nodes
The nurse is caring for a client with leukemia who is receiving IV chemo. The nurse reviews the lab results and
notes that the WBC: 2000 mm3, platelet: 150,000 mm3, the clotting time is 10 mins, and the ammonia level is
20 mcg/dl. Which nursing action would be appropriate? - ANSWER: place the client on neutropenic
precautions
,During the admission assessment of a client with advanced ovarian cancer, the nurse recognizes which
manifestation as typical of the disease? - ANSWER: abdominal distention
(urinary frequency/urgency, pleural effusion, malnutrition, pain)
The nurse is preparing to care for a client with a diagnosis of metastatic cancer. The nurse notes
documentation in the client's chart that the client is experiencing cachexia. Which should the nurse expect to
note on assessment of the client? - ANSWER: sunken eyes and a hollow cheek appearance
what is hodgkin's disease? - ANSWER: a chronic progressive neoplastic disorder of lymphoid tissue
characterized by the painless enlargement of lymph nodes with progression to extralymphatic sites suchs as
the spleen/liver.
The nurse is caring for a client with lung cancer and bone metastasis. What signs and symptoms would the
nurse recognize as indications of a possible oncological emergency? select all that apply - ANSWER: 1. faical
edema in the morning
2. serum calcium level of 12 mg/dl
3. numbness and tingling of the lower
the client has undergone mastectomy. The nurse determines that the client is making the best adjustment to
the loss of the breast if which behavior is observed? - ANSWER: participating in the care of the surgical drain
The nurse is reviewing a plan of care for a client with cancer of the cervix who is undergoing treatment with a
cesium (radiation) implant. Which nursing interventions are most appropriate for this client? select all that
apply - ANSWER: 1. maintain the client on bed rest
2. plaec the client on a low-fiber diet
3. stand at the entrance of the room to communicate to client when possible
A client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is
voiding through the vagina. The nurse interprets that the client may be experiencing which condition? -
ANSWER: the development of a vesicovaginal fistula
, The nurse is providing discharge instructions to a client who has undergone treatment of cervical cancer with
a radiation (cesium) implant. Which instruction should the nurse provide to the client? - ANSWER: use a
vaginal dilator 3 times a week
(prevents vaginal narrowing/stenosis)
the nurse is conducting a history and monitoring lab values on a client with multiple myeloma. What
assessment findings should the nurse expect to note? Select all that apply - ANSWER: 1. pathological fracture
2. urinalysis positive for nitrites
3. serum creatinine level of 2.0 mg/dl
A women has just been told by the primary health care provider that she has breast cancer. The woman
responds, "oh, no! Does that mean i'm going to die?" the nurse interprets the woman's initial reaction as
which response? - ANSWER: fear
A client is diagnosed as having a intestinal tumor. The nurse should monitor the client for which complication
of this type of tumor? Select all - ANSWER: 1. peritonitis
2. hemorrhage
3. fistula formation
4. bowel perforation
The nurse is doing preoperative teaching with a client newly diagnosed with a stage I cervical cancer. which
statement by the client indicates that education was effective? - ANSWER: I have carcinoma that is just in the
cervix
The nurse has admitted a client to the clinical nursing unit after undergoing a right mastectomy. The nurse
should plan to place the right arm in which position. - ANSWER: elevated on a pillow
A community health nurse is providing an educational session on cancer of the cervix for wome living in the
community. The nurse informs the community residents that which is an early sign of this type of cancer? -
ANSWER: irregular vaginal bleeding or spotting
the nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. which would the
nurse expect to note specifically in this disorder? - ANSWER: increased calcium level
The nurse is reviewing the record of a client admitted to the hospital with a diagnosis of Hodgkin's disease.
Which assessment findings noted in the client's record are associated with this diagnosis? Select all that apply.
- ANSWER: 1. fever
2. weight loss
3. night sweats
4. enlarged, painless lymph nodes
in the immunocompromised client, what type of diet is necessary - ANSWER: low-bacteria diet
(avoiding intake of fresh fruits/vegetables)
The nurse is caring a plan of care for the client with multiple myeloma and includes which priority intervention
in the plan? - ANSWER: encouraging fluids
The nurse is reviewing the lab test results for a client receiving chemotherapy. The nurse notes that the white
blood cell count is extremely low and places the client on neutropenic precautions. Which interventions are
components of these types of precautions? select all - ANSWER: 1. removing fresh-cut flowers from the
client's room
2. instructing family members on the proper technique for hand washing
3. instructing family members to wear a mask when in client's room
A client is admitted to the hospital with a suspected diagnosis of Hodgkin's disease. Which assessment finding
would the nurse expect to note specifically in the client? - ANSWER: enlarged lymph nodes
The nurse is caring for a client with leukemia who is receiving IV chemo. The nurse reviews the lab results and
notes that the WBC: 2000 mm3, platelet: 150,000 mm3, the clotting time is 10 mins, and the ammonia level is
20 mcg/dl. Which nursing action would be appropriate? - ANSWER: place the client on neutropenic
precautions
,During the admission assessment of a client with advanced ovarian cancer, the nurse recognizes which
manifestation as typical of the disease? - ANSWER: abdominal distention
(urinary frequency/urgency, pleural effusion, malnutrition, pain)
The nurse is preparing to care for a client with a diagnosis of metastatic cancer. The nurse notes
documentation in the client's chart that the client is experiencing cachexia. Which should the nurse expect to
note on assessment of the client? - ANSWER: sunken eyes and a hollow cheek appearance
what is hodgkin's disease? - ANSWER: a chronic progressive neoplastic disorder of lymphoid tissue
characterized by the painless enlargement of lymph nodes with progression to extralymphatic sites suchs as
the spleen/liver.
The nurse is caring for a client with lung cancer and bone metastasis. What signs and symptoms would the
nurse recognize as indications of a possible oncological emergency? select all that apply - ANSWER: 1. faical
edema in the morning
2. serum calcium level of 12 mg/dl
3. numbness and tingling of the lower
the client has undergone mastectomy. The nurse determines that the client is making the best adjustment to
the loss of the breast if which behavior is observed? - ANSWER: participating in the care of the surgical drain
The nurse is reviewing a plan of care for a client with cancer of the cervix who is undergoing treatment with a
cesium (radiation) implant. Which nursing interventions are most appropriate for this client? select all that
apply - ANSWER: 1. maintain the client on bed rest
2. plaec the client on a low-fiber diet
3. stand at the entrance of the room to communicate to client when possible
A client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is
voiding through the vagina. The nurse interprets that the client may be experiencing which condition? -
ANSWER: the development of a vesicovaginal fistula
, The nurse is providing discharge instructions to a client who has undergone treatment of cervical cancer with
a radiation (cesium) implant. Which instruction should the nurse provide to the client? - ANSWER: use a
vaginal dilator 3 times a week
(prevents vaginal narrowing/stenosis)
the nurse is conducting a history and monitoring lab values on a client with multiple myeloma. What
assessment findings should the nurse expect to note? Select all that apply - ANSWER: 1. pathological fracture
2. urinalysis positive for nitrites
3. serum creatinine level of 2.0 mg/dl
A women has just been told by the primary health care provider that she has breast cancer. The woman
responds, "oh, no! Does that mean i'm going to die?" the nurse interprets the woman's initial reaction as
which response? - ANSWER: fear
A client is diagnosed as having a intestinal tumor. The nurse should monitor the client for which complication
of this type of tumor? Select all - ANSWER: 1. peritonitis
2. hemorrhage
3. fistula formation
4. bowel perforation
The nurse is doing preoperative teaching with a client newly diagnosed with a stage I cervical cancer. which
statement by the client indicates that education was effective? - ANSWER: I have carcinoma that is just in the
cervix
The nurse has admitted a client to the clinical nursing unit after undergoing a right mastectomy. The nurse
should plan to place the right arm in which position. - ANSWER: elevated on a pillow
A community health nurse is providing an educational session on cancer of the cervix for wome living in the
community. The nurse informs the community residents that which is an early sign of this type of cancer? -
ANSWER: irregular vaginal bleeding or spotting
