Test Bank - for Lewis's Medical-Surgical Nursing 11th Edition by Mariann M. Harding

Lewis'sXMedicalXSurgicalXNursingX11thXEditionXHardingXTestX
Bank
ChapterX15:XCancer

Harding:XLewis’sXMedical-SurgicalXNursing,X11thXEdition




MULTIPLEXCHOICE



1. AXpatientXwhoXisXscheduledXforXaXbreastXbiopsyXasksXtheXnurseXtheXdifferenceXbetweenX

aXbenignXtumorXandXaXmalignantXtumor.XWhichXanswerXbyXtheXnurseXisXaccurate?

a. “BenignXtumorsXdoXnotXcauseXdamageXtoXotherXtissues.”

b. “BenignXtumorsXareXlikelyXtoXrecurXinXtheXsameXlocation.”

c. “MalignantXtumorsXmayXspreadXtoXotherXtissuesXorXorgans.”

d. “MalignantXcellsXreproduceXmoreXrapidlyXthanXnormalXcells.”


ANS:X C

TheXmajorXdifferenceXbetweenXbenignXandXmalignantXtumorsXisXthatXmalignantXtumorsXinvad

eXadjacentXtissuesXandXspreadXtoXdistantXtissuesXandXbenignXtumorsXdoXnotXmetastasize.XTheX

otherXstatementsXareXinaccurate.XBothXtypesXofXtumorsXmayXcauseXdamageXtoXadjacentXtissue

s.

MalignantXcellsXdoXnotXreproduceXmoreXrapidlyXthanXnormalXcells.XBenignXtumorsXdoXn

otXusuallyXrecur.



DIF: CognitiveXLevel:XUnderstandX(comprehension)

TOP:X NursingXProcess:XImplementation MSC:X NCLEX:XPhysiologicalXIntegrity



2. TheXnurseXisXcaringXforXaXpatientXreceivingXintravesicalXbladderXchemotherapy.XThe

XnurseXshouldXmonitorXforXwhichXadverseXeffect?


a. Nausea

b. Alopecia
c. Hematuria

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, Lewis'sXMedicalXSurgicalXNursingX11thXEditionXHardingXTestX
Bank
d. Xerostomi
a

ANS:X C




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, Lewis'sXMedicalXSurgicalXNursingX11thXEditionXHardingXTestX
Bank

NURSINGTB.COM

TheXadverseXeffectsXofXintravesicalXchemotherapyXareXconfinedXtoXtheXbladder.XTheXothe

rXadverseXeffectsXareXassociatedXwithXsystemicXchemotherapy.



DIF: CognitiveXLevel:XApplyX(application) TOP:

NursingXProcess:XEvaluationXMSC:X NCLEX:XPhysiologicalXIntegrity



3. TheXnurseXisXcaringXforXaXpatientXwhoXsmokesX2Xpacks/day.XWhichXactionXbyXtheXnur

seXcouldXhelpXreduceXtheXpatient’sXriskXofXlungXcancer?

a. TeachXtheXpatientXaboutXtheXsevenXwarningXsignsXofXcancer.

b. PlanXtoXmonitorXtheXpatient’sXcarcinoembryonicXantigenX(CEA)Xlevel.

c. TeachXtheXpatientXaboutXannualXchestXx-raysXforXlungXcancerXscreening.

d. DiscussXrisksXassociatedXwithXcigarettesXduringXeachXpatientXencounter.


ANS:X D

TeachingXaboutXtheXrisksXassociatedXwithXcigaretteXsmokingXisXrecommendedXatXeveryX

patientXencounterXbecauseXcigaretteXsmokingXisXassociatedXwithXmultipleXhealthXproble

ms.XTheXotherXoptionsXmayXdetectXlungXcancerXthatXisXalreadyXpresentXbutXdoXnotXred

uceXtheXrisk.



DIF:X X CognitiveXLevel:XApplyX(application)

TOP:X NursingXProcess:XImplementationX X X MSC:X NCLEX:XHealthXPromotionXandXMaintenance




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, Lewis'sXMedicalXSurgicalXNursingX11thXEditionXHardingXTestX
Bank
4. TheXnurseXshouldXsuggestXwhichXfoodXchoiceXforXaXpatientXscheduledXtoXreceiveXextern

al-beamXradiationXforXabdominalXcancer?

a. FruitXsalad

b. BakedXchicken

c. CreamedXbroccoli

d. ToastedXwheatXbread


ANS:X B

ProteinXisXneededXforXwoundXhealing.XToXminimizeXtheXdiarrheaXthatXisXassociatedXwithX

bowelXradiation,XtheXpatientXshouldXavoidXfoodsXhighXinXroughage,XsuchXasXfruitsXandX

wholeXgrains.XLactoseXintoleranceXmayXdevelopXsecondaryXtoXradiation,XsoXdairyXproduc

tsXshouldXalsoXbeXavoided.



DIF: CognitiveXLevel:XApplyX(application)

TOP:X NursingXProcess:XImplementation MSC:X NCLEX:XPhysiologicalXIntegrity



5. DuringXaXroutineXhealthXexamination,XaX40-yr-

oldXpatientXtellsXtheXnurseXaboutXaXfamilyXhistoryXofXcolonXcancer.XWhichXactionXshoul

dXtheXnurseXtakeXnext?

a. ScheduleXaXsigmoidoscopyXtoXprovideXbaselineXdata.

b. ObtainXmoreXinformationXaboutXtheXpatient’sXrelatives.

c. TeachXtheXpatientXaboutXtheXneedXforXaXcolonoscopyXatXageX50.

d. TeachXtheXpatientXhowXtoXdoXhomeXtestingXforXfecalXoccultXblood.


ANS:X B

TheXpatientXmayXbeXatXincreasedXriskXforXcolonXcancer,XbutXtheXnurse’sXfirstXactionXshou

ldXbeXfurtherXassessment.XTheXotherXactionsXmayXbeXappropriate,XdependingXonXtheXinfor

mationXthatXisXobtainedXfromXtheXpatientXwithXfurtherXquestioning.


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