NURS 2207- Oncology Evolve EAQ (Questions And
Answers)
A client diagnosed with invasive cancer of the bladder has brachytherapy
scheduled. Which successful therapy outcome would the nurse expect with
this client?
1. Decrease in urine output
2. Increase in pulse strength
3. Shrinkage of the tumor when scanned
4. Increase in the quantity of white blood cells (WBCs) RIGHT ANS: 3
Shrinkage of the tumor when scanned
Rationale:
Brachytherapy involves implanting isotope seeds in, or next to, the tumor. The
isotope seeds interfere with cell multiplication, which should control the
growth and metastasis of cancerous tumors. Radiation affects healthy as well
as abnormal cells; urinary output will increase with successful therapy. With
brachytherapy of the bladder, an increase in pulse strength is not a sign of
success. The radioactive isotope seeds may affect the client's bone marrow
sites, resulting in a reduction of WBCs.
Which task can be safely delegated by the registered nurse (RN) to unlicensed
assistive personnel (UAP) for a client with thrombocytopenia?
1. Shaving the client
2. Positioning the client
3. Performing oral hygiene
4. Giving intravenous platelet infusions RIGHT ANS: 2
,Positioning the client
Rationale:
Clients with thrombocytopenia are at risk of bleeding with slight bruising.
Tasks that do not risk bruising the client may be delegated to the UAP. The RN
would shave the client and perform oral hygiene. Intravenous infusions would
not be administered by UAP to any client.
The registered nurse is teaching a nursing student about ways to minimize
heat radiation. Which statements made by the nursing student indicate
effective learning? Select all that apply. One, some, or all responses may be
correct.
1. "I will apply an ice pack to the client."
2. "I will cover the client with dark clothes."
3. "I will instruct the client to remove extra clothes."
4. "I will instruct the client to lie in the fetal position."
5. "I will advise the client to wear sparsely woven clothes." RIGHT ANS:
1, 2, 4
Rationale:
Applying an ice pack will increase conductive heat loss, which results in
minimizing heat radiation. Wearing dark clothes and lying in the fetal position
will minimize heat radiation. Removing extra clothes will increase heat
radiation. Wearing sparsely woven clothes will enhance heat radiation.
The nurse observes the student nurse caring for the skin of the client who
recently underwent radiation therapy. Which actions made by the student
nurse would the nurse correct? Select all that apply. One, some, or all
responses may be correct.
1. Using a washcloth for cleaning the radiated site
2. Rinsing soap thoroughly from the skin of the client
,3. Drying the irradiated area with rubbing motions
4. Telling the client to wear loose clothing over the skin at the radiation site
5. Removing the ink marks that identify the location of the focused beam of
radiation RIGHT ANS: 1, 3, 5
Rationale:
The nurse should use a hand rather than a washcloth when cleansing the
radiated site. This is to provide gentle care to the site. The irradiated area
should be dried using patting motions rather than rubbing motions. The ink
marks present on the site exactly identify where the location of beam
radiation is to be focused. The nurse should take care not to remove these.
The skin of the client should be thoroughly rinsed using a mild soap as
prescribed by the radiation oncology department. The client's clothing should
be loose over the radiation site.
Which instruction would the nurse provide to a client receiving
brachytherapy for prostate cancer to prevent injury?
1. "Use bleach when doing laundry."
2. "Wear a mask when around others."
3. "Flush the toilet several times after use."
4. "Refrain from close contact with others." RIGHT ANS: 4
"Refrain from close contact with others."
Rationale:
Brachytherapy involves the implantation of radioactive isotopes near the
tumor to destroy cancer cells. Clients are radioactive while receiving
treatment, making them potentially hazardous to others. Therefore, the nurse
will instruct clients to refrain from close contact with others. Using bleach
with the laundry and flushing the toilet several times are instructions for
, clients receiving chemotherapy. Clients who are immunosuppressed will be
instructed to wear a face mask to help prevent infections.
The nurse is caring for a client who underwent surgical resection of an oral
cancerous tumor. Which client problem is of highest priority to guide care?
1. Maintain airway.
2. Monitor vital signs.
3. Administer intravenous (IV) fluids.
4. Empty surgical drains. RIGHT ANS: 1
Maintain airway.
Rationale:
The highest priority in planning care for a client who underwent a surgical
resection for oral cancer is to maintain the airway and promote gas exchange.
Other interventions include monitoring vital signs, administering IV fluids,
and empty surgical drains, but these are of lower priority.
A client with multiple myeloma who is receiving the alkylating agent
melphalan returns to the oncology clinic for a follow-up visit. For which
adverse effect will the nurse monitor the client?
1. Hirsutism
2. Leukopenia
3. Constipation
4. Photosensitivity RIGHT ANS: 2
Leukopenia
Rationale:
Answers)
A client diagnosed with invasive cancer of the bladder has brachytherapy
scheduled. Which successful therapy outcome would the nurse expect with
this client?
1. Decrease in urine output
2. Increase in pulse strength
3. Shrinkage of the tumor when scanned
4. Increase in the quantity of white blood cells (WBCs) RIGHT ANS: 3
Shrinkage of the tumor when scanned
Rationale:
Brachytherapy involves implanting isotope seeds in, or next to, the tumor. The
isotope seeds interfere with cell multiplication, which should control the
growth and metastasis of cancerous tumors. Radiation affects healthy as well
as abnormal cells; urinary output will increase with successful therapy. With
brachytherapy of the bladder, an increase in pulse strength is not a sign of
success. The radioactive isotope seeds may affect the client's bone marrow
sites, resulting in a reduction of WBCs.
Which task can be safely delegated by the registered nurse (RN) to unlicensed
assistive personnel (UAP) for a client with thrombocytopenia?
1. Shaving the client
2. Positioning the client
3. Performing oral hygiene
4. Giving intravenous platelet infusions RIGHT ANS: 2
,Positioning the client
Rationale:
Clients with thrombocytopenia are at risk of bleeding with slight bruising.
Tasks that do not risk bruising the client may be delegated to the UAP. The RN
would shave the client and perform oral hygiene. Intravenous infusions would
not be administered by UAP to any client.
The registered nurse is teaching a nursing student about ways to minimize
heat radiation. Which statements made by the nursing student indicate
effective learning? Select all that apply. One, some, or all responses may be
correct.
1. "I will apply an ice pack to the client."
2. "I will cover the client with dark clothes."
3. "I will instruct the client to remove extra clothes."
4. "I will instruct the client to lie in the fetal position."
5. "I will advise the client to wear sparsely woven clothes." RIGHT ANS:
1, 2, 4
Rationale:
Applying an ice pack will increase conductive heat loss, which results in
minimizing heat radiation. Wearing dark clothes and lying in the fetal position
will minimize heat radiation. Removing extra clothes will increase heat
radiation. Wearing sparsely woven clothes will enhance heat radiation.
The nurse observes the student nurse caring for the skin of the client who
recently underwent radiation therapy. Which actions made by the student
nurse would the nurse correct? Select all that apply. One, some, or all
responses may be correct.
1. Using a washcloth for cleaning the radiated site
2. Rinsing soap thoroughly from the skin of the client
,3. Drying the irradiated area with rubbing motions
4. Telling the client to wear loose clothing over the skin at the radiation site
5. Removing the ink marks that identify the location of the focused beam of
radiation RIGHT ANS: 1, 3, 5
Rationale:
The nurse should use a hand rather than a washcloth when cleansing the
radiated site. This is to provide gentle care to the site. The irradiated area
should be dried using patting motions rather than rubbing motions. The ink
marks present on the site exactly identify where the location of beam
radiation is to be focused. The nurse should take care not to remove these.
The skin of the client should be thoroughly rinsed using a mild soap as
prescribed by the radiation oncology department. The client's clothing should
be loose over the radiation site.
Which instruction would the nurse provide to a client receiving
brachytherapy for prostate cancer to prevent injury?
1. "Use bleach when doing laundry."
2. "Wear a mask when around others."
3. "Flush the toilet several times after use."
4. "Refrain from close contact with others." RIGHT ANS: 4
"Refrain from close contact with others."
Rationale:
Brachytherapy involves the implantation of radioactive isotopes near the
tumor to destroy cancer cells. Clients are radioactive while receiving
treatment, making them potentially hazardous to others. Therefore, the nurse
will instruct clients to refrain from close contact with others. Using bleach
with the laundry and flushing the toilet several times are instructions for
, clients receiving chemotherapy. Clients who are immunosuppressed will be
instructed to wear a face mask to help prevent infections.
The nurse is caring for a client who underwent surgical resection of an oral
cancerous tumor. Which client problem is of highest priority to guide care?
1. Maintain airway.
2. Monitor vital signs.
3. Administer intravenous (IV) fluids.
4. Empty surgical drains. RIGHT ANS: 1
Maintain airway.
Rationale:
The highest priority in planning care for a client who underwent a surgical
resection for oral cancer is to maintain the airway and promote gas exchange.
Other interventions include monitoring vital signs, administering IV fluids,
and empty surgical drains, but these are of lower priority.
A client with multiple myeloma who is receiving the alkylating agent
melphalan returns to the oncology clinic for a follow-up visit. For which
adverse effect will the nurse monitor the client?
1. Hirsutism
2. Leukopenia
3. Constipation
4. Photosensitivity RIGHT ANS: 2
Leukopenia
Rationale:
