oncology
The nurse is assisting with developing a plan of care for the client with multiple myeloma. Which nursing
intervention should be included to prevent renal failure for this client? Select all that apply. - ANSWER:
Encouraging fluids
Monitoring serum calcium and uric acid levels
The nurse is assisting with conducting a health-promotion program to community members regarding
testicular cancer. The nurse determines that further teaching is needed if a community member states that
which is a sign/symptom of testicular cancer? Select all that apply. - ANSWER: 1,5
The nurse is reviewing the laboratory results of a client with leukemia who has received a regimen of
chemotherapy. Which laboratory finding is indicative of the massive cell destruction that occurs with the
chemotherapy? - ANSWER: 3
The client is receiving external radiation to the neck for cancer of the larynx. The nurse monitors the client
knowing that which are side/adverse effects of the external radiation? Select all that apply. - ANSWER: 3,5
The nurse is reinforcing instructions to a client receiving external radiation therapy. The nurse determines that
the client needs further teaching if the client states an intention to take which action? Select all that apply. -
ANSWER: 4,5
The nurse is caring for a client with an internal radiation implant. The nurse should observe which principle?
Select all that apply. - ANSWER: 1,3
The nurse provides skin care instructions to the client who is receiving external radiation therapy. Which
statement by the client indicates the need for further teaching? Select all that apply. - ANSWER: 4,5
The client is hospitalized for the insertion of an internal cervical radiation implant. While giving care, the nurse
finds the radiation implant in the bed. Which is the immediate nursing action? - ANSWER: 4
The nurse is assisting with creating a plan of care for a client with pancytopenia as a result of chemotherapy.
The nurse should suggest including which in the plan of care? Select all that apply. - ANSWER: 3,4
, The client with carcinoma of the lung develops the syndrome of inappropriate antidiuretic hormone (SIADH)
as a complication of the cancer. Besides treatment of the lung cancer, the nurse anticipates that which
interventions may be prescribed to treat the SIADH? Select all that apply. - ANSWER: 3,4,5,6
The client is admitted to the hospital with a diagnosis of suspected Hodgkin's disease. Which signs and
symptoms of the client are associated with Hodgkin's disease? Select all that apply. - ANSWER: 1256
When reinforcing teaching about signs and symptoms of ovarian cancer with a community group of women,
the nurse emphasizes which sign/symptom as being a typical manifestation of the disease recognized by
persons diagnosed with the condition? - ANSWER: 3
The nurse is caring for a client after a mastectomy. Which finding would indicate that the client is experiencing
a complication that may become a chronic problem related to the surgery? - ANSWER: 2
The nurse is reinforcing discharge instructions to a client with cancer of the prostate after a suprapubic
prostatectomy. The nurse should reinforce which discharge instruction? Select all that apply. - ANSWER: 34
The nurse is reviewing the laboratory results of a client who is receiving chemotherapy and notes that the
platelet count is 10,000 mm3 (10 × 109/L). On the basis of this laboratory value, the nurse should perform
which interventions? Select all that apply. - ANSWER: 135
the nurse is caring for a client who is receiving an intravenous (IV) infusion of an antineoplastic medication.
During the infusion, the client complains of pain at the insertion site. During an inspection of the site, the
nurse notes redness and swelling. The nurse should take which appropriate action? - ANSWER: 1
The licensed practical nurse (LPN) is assisting the registered nurse (RN) to create a teaching plan for the client
receiving an antineoplastic medication. The LPN expects which information to be included? Select all that
apply. - ANSWER: 135
the nurse reinforces instructions to the client about breast self-examination (BSE). The nurse instructs the
client to lie down and examine the left breast. Which is the correct area for placing a pillow when examining
the left breast? - ANSWER: 1
The nurse is caring for a client dying of cancer. During care, the client states, "If I can just live long enough to
attend my daughter's graduation, I'll be ready to die." Which phase of coping is this client experiencing? -
ANSWER: 3
The nurse is assisting with developing a plan of care for the client with multiple myeloma. Which nursing
intervention should be included to prevent renal failure for this client? Select all that apply. - ANSWER:
Encouraging fluids
Monitoring serum calcium and uric acid levels
The nurse is assisting with conducting a health-promotion program to community members regarding
testicular cancer. The nurse determines that further teaching is needed if a community member states that
which is a sign/symptom of testicular cancer? Select all that apply. - ANSWER: 1,5
The nurse is reviewing the laboratory results of a client with leukemia who has received a regimen of
chemotherapy. Which laboratory finding is indicative of the massive cell destruction that occurs with the
chemotherapy? - ANSWER: 3
The client is receiving external radiation to the neck for cancer of the larynx. The nurse monitors the client
knowing that which are side/adverse effects of the external radiation? Select all that apply. - ANSWER: 3,5
The nurse is reinforcing instructions to a client receiving external radiation therapy. The nurse determines that
the client needs further teaching if the client states an intention to take which action? Select all that apply. -
ANSWER: 4,5
The nurse is caring for a client with an internal radiation implant. The nurse should observe which principle?
Select all that apply. - ANSWER: 1,3
The nurse provides skin care instructions to the client who is receiving external radiation therapy. Which
statement by the client indicates the need for further teaching? Select all that apply. - ANSWER: 4,5
The client is hospitalized for the insertion of an internal cervical radiation implant. While giving care, the nurse
finds the radiation implant in the bed. Which is the immediate nursing action? - ANSWER: 4
The nurse is assisting with creating a plan of care for a client with pancytopenia as a result of chemotherapy.
The nurse should suggest including which in the plan of care? Select all that apply. - ANSWER: 3,4
, The client with carcinoma of the lung develops the syndrome of inappropriate antidiuretic hormone (SIADH)
as a complication of the cancer. Besides treatment of the lung cancer, the nurse anticipates that which
interventions may be prescribed to treat the SIADH? Select all that apply. - ANSWER: 3,4,5,6
The client is admitted to the hospital with a diagnosis of suspected Hodgkin's disease. Which signs and
symptoms of the client are associated with Hodgkin's disease? Select all that apply. - ANSWER: 1256
When reinforcing teaching about signs and symptoms of ovarian cancer with a community group of women,
the nurse emphasizes which sign/symptom as being a typical manifestation of the disease recognized by
persons diagnosed with the condition? - ANSWER: 3
The nurse is caring for a client after a mastectomy. Which finding would indicate that the client is experiencing
a complication that may become a chronic problem related to the surgery? - ANSWER: 2
The nurse is reinforcing discharge instructions to a client with cancer of the prostate after a suprapubic
prostatectomy. The nurse should reinforce which discharge instruction? Select all that apply. - ANSWER: 34
The nurse is reviewing the laboratory results of a client who is receiving chemotherapy and notes that the
platelet count is 10,000 mm3 (10 × 109/L). On the basis of this laboratory value, the nurse should perform
which interventions? Select all that apply. - ANSWER: 135
the nurse is caring for a client who is receiving an intravenous (IV) infusion of an antineoplastic medication.
During the infusion, the client complains of pain at the insertion site. During an inspection of the site, the
nurse notes redness and swelling. The nurse should take which appropriate action? - ANSWER: 1
The licensed practical nurse (LPN) is assisting the registered nurse (RN) to create a teaching plan for the client
receiving an antineoplastic medication. The LPN expects which information to be included? Select all that
apply. - ANSWER: 135
the nurse reinforces instructions to the client about breast self-examination (BSE). The nurse instructs the
client to lie down and examine the left breast. Which is the correct area for placing a pillow when examining
the left breast? - ANSWER: 1
The nurse is caring for a client dying of cancer. During care, the client states, "If I can just live long enough to
attend my daughter's graduation, I'll be ready to die." Which phase of coping is this client experiencing? -
ANSWER: 3
