Chapter 08: Care of Patients with Cancer

MULTIPLE CHOICE 1. The 40-year-old female who was diagnosed with a benign growth in her colon is concerned about the growth spreading. The nurse can allay her anxiety by explaining that benign neoplasms: a. arrest their growth on their own. b. never interfere with normal structures or functions. c. are easily controlled with radiation. d. are surrounded by fibrous tissue that prevents spread. ANS: D Benign neoplasms are encapsulated with a fibrous membrane that interferes with their spreading. They do not self-limit their growth and may obstruct passages or impinge on an organ. They are not treated with radiation. DIF: Cognitive Level: Application REF: 145 OBJ: 1 (theory) TOP: Physiology of Cancer KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 2. The 26-year-old patient with a malignant neoplasm has experienced a 10-pound weight loss in 3 weeks. The nurse takes into consideration that the rapid weight loss is most likely related to: a. disinterest in eating food in general. b. a fitness and weight-training exercise program. c. the malignancys high nutritional demand. d. a self-imposed rigid diet regimen. ANS: C Rapid cell growth of the malignancy robs nutrients from normal cells and results in weight loss. DIF: Cognitive Level: Comprehension REF: 145-146 OBJ: 1 (theory) TOP: Physiology of Cancer KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Basic Care and Comfort