NUR 401 Test 1
1. 1. The middle-aged client with small cell lung cancer asks if his adult children
are at
increased risk of this cancer. What is the nurse's best response?
a."This disease is a random event and there is no way to prevent it."
b. "Lung cancer can be avoided by decreasing dietary intake of fats and increas-
ing the
amount of regular aerobic exercise."
c. "Cigarette smoking is the main cause of this disease, and helping your chil-
dren not to
smoke will decrease their risk."
,d. "Because this disease is inherited as a dominant trait, your children have a
50% risk
for developing it.": c.
2. 2. A client with leukemia is scheduled for radiation therapy. The client asks the
nurse why
he is going to receive irradiation of the spine and skull, as he has already
received other
Neoplastic drugs. What is the nurse's best response to the client?
a."Radiation will decrease cerebral edema and prevent increased intracranial
pressure."
b."Radiation will retard growth of cells in bone marrow of the cranium."
,c."Neoplastic drug therapy without radiation is effective in most cases, but this
is a
precautionary treatment."
d."Leukemia cells invade the nervous system more slowly, but the usual drugs
are
ineffective in the brain.": d
3. 3. The nurse provides teaching for the patient who has had a right modified
radical
mastectomy and axillary lymph node dissection. When teaching the patient
about
care of the affected arm, the nurse determines that teaching has been success-
, ful
when the patient makes which of the following statement?
a. "I should keep my right arm supported in a sling when I am up and around
until
my incision is completely healed"
b. "I should exercise my right arm several times a day with exercises such as
raising
my arm or combing my hair"
c. "I can do whatever exercises and activities I want as long as I limit elevating
my
right hand above my head"
1. 1. The middle-aged client with small cell lung cancer asks if his adult children
are at
increased risk of this cancer. What is the nurse's best response?
a."This disease is a random event and there is no way to prevent it."
b. "Lung cancer can be avoided by decreasing dietary intake of fats and increas-
ing the
amount of regular aerobic exercise."
c. "Cigarette smoking is the main cause of this disease, and helping your chil-
dren not to
smoke will decrease their risk."
,d. "Because this disease is inherited as a dominant trait, your children have a
50% risk
for developing it.": c.
2. 2. A client with leukemia is scheduled for radiation therapy. The client asks the
nurse why
he is going to receive irradiation of the spine and skull, as he has already
received other
Neoplastic drugs. What is the nurse's best response to the client?
a."Radiation will decrease cerebral edema and prevent increased intracranial
pressure."
b."Radiation will retard growth of cells in bone marrow of the cranium."
,c."Neoplastic drug therapy without radiation is effective in most cases, but this
is a
precautionary treatment."
d."Leukemia cells invade the nervous system more slowly, but the usual drugs
are
ineffective in the brain.": d
3. 3. The nurse provides teaching for the patient who has had a right modified
radical
mastectomy and axillary lymph node dissection. When teaching the patient
about
care of the affected arm, the nurse determines that teaching has been success-
, ful
when the patient makes which of the following statement?
a. "I should keep my right arm supported in a sling when I am up and around
until
my incision is completely healed"
b. "I should exercise my right arm several times a day with exercises such as
raising
my arm or combing my hair"
c. "I can do whatever exercises and activities I want as long as I limit elevating
my
right hand above my head"
