Oncology
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.Institute safety
measures.
4.Frequently monitor sodium blood levels.
5.Gather data about the neurological status frequently.
6.Administer medication that is antagonistic to antidiuretic hormone (ADH)
The nurse is collecting data from a client who is admitted to the hospital for diagnostic studies to rule out the
presence of Hodgkin's disease. Which question should the nurse ask the client to elicit information specifically
related to this disease? - ANSWER: "Have you noticed any swollen lymph nodes?"
The nurse is caring for a client with an internal radiation implant. The nurse should observe which principle?
Select all that apply. - ANSWER: 1.Pregnant women are not allowed into the client's room
3.Wear a lead apron while delivering bedside care to the client
The nurse is preparing a client for an intravesical instillation of an alkylating chemotherapeutic agent into the
bladder for the treatment of bladder cancer. The nurse provides instructions to the client regarding the
procedure. Which client statement indicates an understanding of this procedure? - ANSWER: "After the
instillation is done, I will need to change position every 15 minutes from side to side."
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? - ANSWER: The
development of a vesicovaginal fistula
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: Pick up the implant
with long-handled forceps and place into a lead container.
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: Under the left shoulder
, The nurse is preparing a client with a bowel tumor for surgery. The primary health care provider has informed
the client that the surgery is palliative in the treatment of the tumor. Which rationale is the reason to perform
this type of surgery? - ANSWER: To reduce pain
A client is receiving radiation therapy to the brain because of a diagnosis of a brain tumor. Which
sign/symptom of the client is noted to be a positive outcome of the radiation therapy? - ANSWER: Less severe
headache
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:
1.Encouraging fluids
5.Monitoring serum calcium and uric acid levels
The nurse is assisting in the care of a client diagnosed with multiple myeloma who has been prescribed an
intravenous solution of 0.9% normal saline at 125 mL per hour. Which finding would indicate a positive
response to this treatment? - ANSWER: Creatinine of 1 mg/dL
The nurse determines that a client with which history is most at risk for endometrial cancer? - ANSWER:
estrogen replacement therapy
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: 1.Fatigue
2.Weakness
5.Night sweats
6.Enlarged lymph nodes
A client is diagnosed as having a bowel tumor, and several diagnostic tests are prescribed. The nurse
reinforces instructions to the client and includes information that which test will confirm the diagnosis of
malignancy? - ANSWER: Biopsy of the tumor
The nurse is reviewing the medical history of a client admitted to the hospital with a diagnosis of colorectal
cancer. The nurse understands that which information documented in the medical history are risk factors of
this type of cancer? Select all that apply. - ANSWER: 1.Family history of colon cancer
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.Institute safety
measures.
4.Frequently monitor sodium blood levels.
5.Gather data about the neurological status frequently.
6.Administer medication that is antagonistic to antidiuretic hormone (ADH)
The nurse is collecting data from a client who is admitted to the hospital for diagnostic studies to rule out the
presence of Hodgkin's disease. Which question should the nurse ask the client to elicit information specifically
related to this disease? - ANSWER: "Have you noticed any swollen lymph nodes?"
The nurse is caring for a client with an internal radiation implant. The nurse should observe which principle?
Select all that apply. - ANSWER: 1.Pregnant women are not allowed into the client's room
3.Wear a lead apron while delivering bedside care to the client
The nurse is preparing a client for an intravesical instillation of an alkylating chemotherapeutic agent into the
bladder for the treatment of bladder cancer. The nurse provides instructions to the client regarding the
procedure. Which client statement indicates an understanding of this procedure? - ANSWER: "After the
instillation is done, I will need to change position every 15 minutes from side to side."
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? - ANSWER: The
development of a vesicovaginal fistula
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: Pick up the implant
with long-handled forceps and place into a lead container.
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: Under the left shoulder
, The nurse is preparing a client with a bowel tumor for surgery. The primary health care provider has informed
the client that the surgery is palliative in the treatment of the tumor. Which rationale is the reason to perform
this type of surgery? - ANSWER: To reduce pain
A client is receiving radiation therapy to the brain because of a diagnosis of a brain tumor. Which
sign/symptom of the client is noted to be a positive outcome of the radiation therapy? - ANSWER: Less severe
headache
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:
1.Encouraging fluids
5.Monitoring serum calcium and uric acid levels
The nurse is assisting in the care of a client diagnosed with multiple myeloma who has been prescribed an
intravenous solution of 0.9% normal saline at 125 mL per hour. Which finding would indicate a positive
response to this treatment? - ANSWER: Creatinine of 1 mg/dL
The nurse determines that a client with which history is most at risk for endometrial cancer? - ANSWER:
estrogen replacement therapy
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: 1.Fatigue
2.Weakness
5.Night sweats
6.Enlarged lymph nodes
A client is diagnosed as having a bowel tumor, and several diagnostic tests are prescribed. The nurse
reinforces instructions to the client and includes information that which test will confirm the diagnosis of
malignancy? - ANSWER: Biopsy of the tumor
The nurse is reviewing the medical history of a client admitted to the hospital with a diagnosis of colorectal
cancer. The nurse understands that which information documented in the medical history are risk factors of
this type of cancer? Select all that apply. - ANSWER: 1.Family history of colon cancer
