NP3 CANCER 1 (100 ITEMS)

The nurse admitting a patient who has parietal lobe brain cancer would expect the patient may have:

Tactile agnosia

The nurse assesses a patient for signs of meningeal irritation due to brain cancer inflaming the meninges. What indicates the presence of this sign of meningeal irritation?

Brudzinski’s sign

The nurse is caring for a patient admitted for evaluation and surgical removal of a brain tumor. The nurse will plan interventions for this patient based on knowledge that brain tumors can lead to which complications, except:

Hypoparathyroidism

The patient with increased ICP from a brain tumor is being monitored. Which intervention will decrease cerebral edema by its osmotic diuretic effect?

IV Mannitol (Osmitrol)

A patient with metastatic cancer of the colon experiences severe vomiting following each administration of chemotherapy. Which action, if taken by the nurse, is most appropriate?

Administer prescribed Zofran 1 hour before the treatments.

The nurse administers an IV vesicant chemotherapeutic agent to a patient. Which action is most important for the nurse to take?

Stop the infusion if swelling is observed at the site.

A female patient is having chemotherapy for brain metastasis. She is concerned about how she will look when she loses her hair. What is the best response by the nurse?

“You can get a wig now to match your hair so you will not look different.”

A nurse obtains histories when admitting clients to a medical-surgical unit. With which client should the nurse discuss predisposition genetic testing?

Middle-aged woman whose mother died at age 48 of breast cancer

A patient undergoing external radiation has developed dry desquamation of the skin in the treatment area. The nurse teaches the patient about management of this skin reaction. Which statement indicates the teaching was effective?

“I can buy some aloe vera gel to use on the area as prescribed by my doctor.”

A 33-year-old patient has recently been diagnosed with stage II cervical cancer. Which statement by the nurse best explains the diagnosis?

“Your cancer was identified in the cervix and has limited local spread to the upper two-thirds of the vaginal canal.”

A 70-year-old man who has end-stage lung cancer is admitted to the hospital with confusion and oliguria for 2 days. Which finding would the nurse report immediately to the health care provider?

Serum sodium level of 118 mEq/L

The patient is receiving immunotherapy and targeted therapy for ovarian cancer. Which medication should the nurse expect to administer before therapy to combat the most common side effects of these medications?

Ondansetron (Zofran)

The nurse teaches a postmenopausal patient with stage III breast cancer about the expected outcomes of cancer treatment. Which patient statement indicates that the teaching has been effective?

“I will need to have follow-up examinations for many years after I have treatment before I can be considered cured.”

The appropriate management in tumor lysis syndrome is?

Maintaining renal flow with hydration, diuretics, allopurinol, and sodium bicarbonate

A patient receiving head and neck radiation for larynx cancer has ulcerations over the oral mucosa and tongue and thick, ropy saliva. Which instruction should the nurse give?

Rinse the mouth before and after each meal and at bedtime with a saline solution.

A patient has been assigned the nursing diagnosis of imbalanced nutrition: less than body requirements related to painful oral ulcers. Which nursing action will be most effective in improving oral intake?

Offer the patient frequent small snacks between meals.

The nurse teaches a patient with cancer of the liver about high-protein, high-calorie diet choices. Which snack choice by the patient indicates that the teaching has been effective?

Blueberry yogurt

A client with colorectal cancer has a warning sign of alternating diarrhea and constipation for the last 2 weeks. Which is the characteristic stool?

Ribbon-like or pencil-like stool

The nurse is caring for a patient who has been diagnosed with stage I cancer of the colon. When assessing the need for psychological support, which question by the nurse will provide the most information?

“Can you tell me what has been helpful to you in the past when coping with stressful events?”

The nurse obtains information about a hospitalized patient who is receiving chemotherapy for colorectal cancer. Which information about the patient alerts the nurse to discuss a possible change in therapy with the health care provider?

Increase in carcinoembryonic antigen (CEA)

The nurse reviews the laboratory results of a patient who is receiving chemotherapy. Which laboratory result is most important to report to the health care provider?

White blood cell (WBC) count of 2,700/µL

When caring for a patient who is pancytopenic, which action by the unlicensed assistive personnel (UAP) indicates a need for the nurse to intervene?

The UAP assists the patient to use dental floss after eating.

The nurse supervises the care of a patient with a temporary radioactive cervical implant. Which action by the unlicensed assistive personnel (UAP), if observed by the nurse, would require intervention?

The UAP stands by the patient’s bed for 30 minutes talking with the patient.

The nurse receives change-of-shift report on the oncology unit. Which patient should the nurse assess first?

56-year-old patient who developed a new pericardial friction rub after chest radiation

Which action should the nurse take when caring for a patient who is receiving chemotherapy and complains of problems with concentration?

Suggest use of a daily planner and encourage adequate rest and sleep.

An older adult patient who has colorectal cancer is receiving IV fluids at 175 mL/hour in conjunction with prescribed chemotherapy. Which finding is most important to report to the health care provider?

Patient has audible crackles to the middle posterior chest.

After change-of-shift report on the oncology unit, which patient should the nurse assess first?

Patient who is neutropenic and has a temperature of 100.5°F (38.1°C)

The nurse is interviewing a 64-year-old woman who is 5 feet, 3 inches tall and weighs 125 pounds. She has not seen a health care provider for 20 years. She walks 5 miles most days and has a glass of wine 2 or 3 times a week. Which topics should the nurse include in patient teaching about cancer screening? Select all that apply.

1. Pap testing

2. Tobacco use

3. Sunscreen use

4. Mammography

5. Colorectal screening

345

A patient develops neutropenia after receiving chemotherapy. Which information about ways to prevent infection will the nurse include in the teaching plan? Select all that apply.

1.Cook food thoroughly before eating.

2. Choose low-fiber, low-residue foods.

3. Avoid public transportation such as buses.

4. Use rectal suppositories if needed for constipation.

5. Talk to the oncologist before having any dental work done.

123

A patient who is being treated for stage IV lung cancer tells the nurse about new-onset back pain. Which action should the nurse take first?

Assess for sensation and strength in the legs.