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CANCER NURSING > 1 > Flashcards

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1
Q

The patient is to schedule for barium enema. As part of the preparation for the test she receives
60ml of castor oil orally. Castor oil facilitates cleansing of the bowel primarily by
A. Softening the feces
B. Lubricating the feces
C.
Increasing the volume of intestinal contents
D.
Irritating the nerve endings in the intestinal mucosa

A

D. D.
Irritating the nerve endings in the intestinal mucosa

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2
Q

Following the barium enema, the patient will receive which type of medication?
A. Laxative
B. Emetic
C. Antacid
D. Digestant

A

A.

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3
Q

3.
A diagnostic of colon cancer is confirmed, and the patient is scheduled for an abdominoperineal
resection with permanent colostomy. When preparing the patient for surgery, the nurse would
most likely implement which of the following measures?
A. Keep the patient for NPO for 2 days prior surgery
B.
Administer kanamycin the night before surgery
C.
Inform patient that chest tubes will be in place following surgery
D. Maintain the patient on strict bed rest

A

B.

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4
Q

Which of the following nursing interventions would be inappropriate during the patients post-
operative period?
A. Encourage the patient to practice diaphragmatic breathing
B. Teach the patient to cough against the closed glottis
C.
Raise the knee gatch of the bed
D.
Apply thigh-high antiembolism stockings

A

C.

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5
Q

The patient indicates that she is ready to learn about her colostomy. Which of the following
nursing interventions would most likely be effective in preparing the patient to look at her
colostomy?
A. Telling the patient how normal body functions will continue
B. Encouraging the patient to ask questions about the colostomy
C.
Asking nurse neighborhood to visit the patient
D. Using illustrative material during teaching sessions

A

D.

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6
Q

Colostomy irrigation is ordered for the patient on her fifth post-operative day. The primary
purpose of primary irrigation is to
A. Cleanse the colon
B.
Regulate the bowel
C. Dilate the sphincter
D.
Stimulate peristalsis

A

D.

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7
Q

The nurse evaluates stoma during the initial post-operative period. Which of the following signs
would indicate inadequate blood supply to the stoma and should be reported immediately to the
physician? A stoma that
A. Is highly edematous
B. Is dark red to purple
C. Oozes a small amount of blood
Corrected
D.
Does not expel stool

A

B.

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8
Q

Appropriate skin care is an important aspect of teaching for this patient. Which of the following
preparations would best to apply around her colostomy?
A. Stomahesive
B. Petrolatum
C. Cornstarch
D. Antiseptic cream

A

A.

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9
Q

What is a common sign of prostate cancer?
A.
Pain in the back or legs
B.
Urinary problems
C.
Erectile dysfunction
D.
All of the above

A

D.

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10
Q

Which of these can help prevent prostate cancer?
A.
Take vitamin E supplements.
B.
Losing weight
C.
Taking Viagra
D.
None of the above

A

B.

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11
Q

Which of these statements is true about prostate cancer?
A.
One in every 20 men will be diagnosed with prostate cancer.
B.
Prostate cancer is rare.
C.
Prostate cancer is the second most common cancer in men.
D.
Prostate cancer is the most common cancer in men.

A

C.

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12
Q
  1. At what age should a man ask his doctor about prostate cancer screening?
    A.
    30
    B.
    40
    C.
    50
    D.
    It depends on his risk factors
A

D.

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13
Q

What is tested in a PSA test?
A.
The number of sperm
B.
Erectile function
C.
Proteins produced by the prostate
D. All of the above

A

C.

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14
Q

How is a PSA test performed?
A.
Blood is drawn from a vein in the arm.
B
Blood is drawn from a vein in the inner thigh.
C. It’s the same thing as a prostate check.
D. None of the above

A

A.

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15
Q
  1. Which of these is a treatment for prostate cancer?
    A. Removing the prostate
    B. Using radioactive seeds in the prostate
    C. Freezing the prostate
    D. All of the above
A

D.

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16
Q

Which of these is a risk factor for developing prostate cancer?
A. Being 50 or older
B. Having a brother, son or father who had prostate cancer
C African- American people
D. All of the above

A

D.

17
Q

The nurse is caring for a client with cancer of the prostate following a prostatectomy. The nurse
provides discharge instructions to the client and tells the client to:
A. Avoid driving the car for 1 week
B. Restrict fluid intake to prevent incontinence
C. Avoid lifting objects heavier than 20 Ib for at least 6 weeks
D. Notify the physician if small blood clots are noticed during urination

A

C.

18
Q

The client is diagnosed with early cancer of prostate. Which assessment data would the client
report?
A. Urinary urgency and frequency.
B. Retrograde ejaculation.
C. Low back and hip pain.
D. States that he has not had any problems.

A

D.

19
Q

The 80 yo. male client is diagnosed with prostate cancer. Which treatment would the nurse
discuss with him?
A. Radiation therapy every day for 4 weeks.
B. Radical prostatectomy with lymph node dissection.
C. Diethylstilbestrol (DES), an estrogen, daily.
D. Penile implants to maintain sexual functioning.

A

C.

20
Q

The nurse writes a client problem of urinary retention for a client diagnosed with stage IV cancer
of prostate. Which intervention is first?
A. Catheterize the client to determine amount of residual.
B. Encourage the client to assume a normal position for urinating.
C. Teach the client to use the Valsalva maneuver to empty the bladder.
D. Determine the client’s normal voiding pattern.

A

D.

21
Q

The client has undergone a bilateral orchiectomy for prostate cancer. Which intervention should
nurse implement?
A. Support the scrotal sac with a towel and apply ice.
B. Administer testosterone replacement hormone orally.
C. Encourage the client to place sperm in a sperm bank.
D. Have the client talk to another man with ejaculation dysfunction.

A

A.

22
Q

Prostate cancer client has been placed on an LHRH agonist (luteinizing hormone releasing
hormone) therapy. Which statement indicates that the client understands the treatment?
A. 1will be able to function sexually, as always.
B. I may have hot flashes while taking this drug.
C. This medication will cure the prostate cancer.
D. There are no side effects with these medications.

A

A.

23
Q

The client is diagnosed with metastatic prostate cancer to the bones. Which intervention should
nurse implement?
A. Prepare for transurethral resection of the prostate.
B. Keep foot of bed elevated at all times.
C. Place client on a scheduled bowel regimen.
D. Discuss the client’s altered sexual functioning.

A

C.

24
Q

Which could be a complication of cryotherapy surgery for prostate cancer?
A. Ihe urethra could become scarred and cause retention.
B. The client could have ejaculation difficulties and be impotent.
C. Bone marrow depression could occur from chemo.
D. Chronic vomiting and diarrhea causing electrolyte imbalance may occur.

A

A.

25
Q

The client is 8 hrs post-transurethral prostatectomy for cancer of the prostate. Which nursing
intervention is the priority?
A. Control post op pain.
B. Assess abdominal dressing.
C. Encourage early ambulation to prevent DVT.
D. Monitor Auid and electrolytes balance.

A

D.

26
Q

The client states, “I heard that all men get prostate cancer sometime in their lives.” In teaching the
client about cancer incidence, the best response is based on the understanding that:
A. Lung cancer is the most frequently diagnosed cancer in men
B. Prostate cancer is the most frequently diagnosed cancer in men
C. Prostate cancer is the most prevalent in Caucasian men
D. There is no way to screen for prostate cancer, so it is the most common cause of cancer death
in men

A

B.

27
Q

The nurse is preparing a care plan for a 45 yo. client who has had a radical prostatectomy.
Which psychosocial and physiological problem should be included in the plan?
A. Altered coping.
B. High risk for hemorrhage.
C. Sexual impotence.
D. Risk for electrolyte imbalance.

A

C.

28
Q

The HCP orders cultures of the urethral urine, bladder urine, and prostatic fluid. Which
instructions would the nurse teach to achieve the first 2 specimens?
A. Collect the first 15 mL in one iar and the next 50 mL in another.
B. Collect 3 early morning clean voided urine specimens.
C. Collect the specimen after the HCP massages the prostate
D. Collect a routine urine specimen for analysis.

A

A.

29
Q

The nurse writes a client problem of anxiety related to potential sex dysfunction. Which
intervention?
A. Tell client to discuss fears with HCP.
B. Talk to wife about client’s concerns.
C. Inform client that sex functioning will be altered.
D. Provide a private area for client to discuss concerns.

A

D.

30
Q

Client diagnosed with Stage IV prostate cancer is receiving chemotherapy. Which lab value will
nurse assess prior to administering the chemo?
A. prostate specific antigen (PSA).
B. Serum calcium level.
C. CBC
D. Alpha fetoprotein (AFP).

A

C.

CANCER NURSING (3 decks)

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