Adult-oncological

Question 1

the nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. which would the nurse expect to note specifically in this disorder?

Answer 1

increased calcium level

Question 2

the nurse is creating a plan of care for the client with multiple myeloma and includes which priority intervention in the plan?

Answer 2

encouraging fluids

Question 3

when caring for a client with an internal radiation implant, the nurse should observe which principles? select all that apply.

Answer 3

keep pregnant women out of the clients room.
placing a client in a private room with a private bath.
wearing a lead shield when providing direct client care.

Question 4

while giving care to a client with an internal cervical radiation implant, the nurse finds the implant in the bed. the nurse should take which initial action?

Answer 4

pick up the implant with long -handled forceps and place it in a lead container.

Question 5

the nurse should should plan to implement which intervention in the care of a client experiencing neutropenia as a result of chemotherapy?

Answer 5

teach the client and family about the need for hand hygiene.

Question 6

the home health care nurse is caring for a client with cancer who is complaining of acute pain. the most appropriate determination of the clients pain should include which assessment?

Answer 6

the clients pain rating

Question 7

the nurse is caring for a client who is postoperative following a pelvic exenterating, and the surgeon changes the clients diet from NPO (nothing by mouth) status to clear liquids. the nurse should check which priority item before administering the diet?

Answer 7

bowel sounds

Question 8

A client is admitted to the hospital with a suspected diagnosis of Hodgkin’s disease. which assessment finding would the nurse expect to note specifically in the client?

Answer 8

enlarged lymph nodes

Question 9

during the admission assessment of a client with advanced ovarian cancer, the nurse recognizes which manifestation as typical of the disease?

Answer 9

abdominal distension

Question 10

the nurse is caring for a client with lung cancer and bone metastasis. what sign and symptoms would the nurse recognize as indication of of a possible oncological emergency? select all that apply.

Answer 10

facial edema in the morning.
serum calcium level of 12mg/dl (3.0 mmol/L)
Numbness and tingling of the lower extremities

Question 11

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 condition?

Answer 11

the development of a vesicovaginal fistula

Question 12

the nurse is instructing a client to perform a testicular self-examination (TSE). the nurse should provide the client with which information about the procedure.

Answer 12

that the best time for the examination is after a shower

Question 13

the nurse is conducting a history and monitoring laboratory values of a client with multiple myeloma. what assessment findings should the nurse expect to note? select all that apply

Answer 13

pathological fracture
urinalysis positive for Bence jones protein
serum creatinine level of 2.0 mg/dL (176.6mcmol/L)

Question 14

A Gastrectomy is performed on a client with gastric cancer. in the immediate postoperative period, the nurse notes bloody drainage from the nasogastric tube. the nurse should take which most appropriate action?

Answer 14

continue to monitor the drainage

Question 15

the nurse is teaching a client about the risk factors associated with colorectal cancer. the nurse determines that further teaching is necessary related with colorectal cancer if the client identifies which item as an associated risk factor?

Answer 15

age younger than 50years

Question 16

the nurse is assessing the perineal wound in a client who has returned from the operating room following an abdominal perineal resection and notes serosanguineous drainage from the wound. which nursing intervention is most appropriate?

Answer 16

change the dressing as prescribed.

Question 17

the nurse is assessing the colostomy of a client who has had an abdominal perineal resection for a bowel tumor. which assessment finding indicates that the colostomy is beginning to function?

Answer 17

the passage of flatus

Question 18

the nurse is reviewing the history of a client with bladder cancer. the nurse expects to note documentation of which most common sign or symptom of this type of cancer?

Answer 18

hematuria

Question 19

the nurse is assessing a client who has a new ureter ostomy. which statement by the client indicates the need for more education about urinary stoma care?

Answer 19

“i empty the urinary collection bag when it is two-thirds full.”

Question 20

a client with carcinoma of the lung develop syndrome of inappropriate antidiuretic hormone (SIADH) as a complication of the cancer. the nurse anticipates that the primary health care provider will request which prescription? select all that apply

Answer 20

Radiation
chemotherapy
serum sodium level determination
medication that is antagonistic to antidiuretic hormone

Question 21

the nurse is monitoring a client for signs and symptoms related to superior vena cava syndrome. which is an early sign of this oncological emergency?

Answer 21

periorbital edema

Question 22

the nurse manager is teaching the nursing staff about sigs and symptoms related to hypercalcemia in a client with metastatic prostate cancer and tells the staff that which is a late sign or symptom of this oncological emergency?

Answer 22

electrocardiographic changes

Question 23

as part of a chemotherapy education. the nurse teaches a female client about the risk for bleeding and self-care during the period of greatest bone marrow suppression (the nadir). the nurse understands that further teaching is needed if the client makes which statement?

Answer 23

“I’m going to take aspirin for my headache as soon as i get home”

Question 24

the community health nurse is instructing a group of young female clients about breast self examination. the nurse should instruct clients to perform examination at which time?

Answer 24

one week after menstruation begins

Question 25

a client is diagnosed as having a intestinal tumor. the nurse should monitor the client for which complications of this type of tumor? select all that apply

Answer 25

peritonitis
hemorrhage
fistula formation
bowel perforation

Question 26

the nurse is caring for a client following a mastectomy. which nursing intervention would assist in preventing lymphedema of the affected arm?

Answer 26

elevating the affected arm on a pillow above heart level.

Question 27

the nurse is providing dietary teaching for a client with a diagnosis of chronic gastritis. the nurse instructs the client to include which foods rich in vitamin B12 in the diet? select al that apply

Answer 27

nuts
liver
lentils

Question 28

the nurse is instructing a client with iron deficiency anemia regarding the administration of a liquid oral iron supplement. which instruction should the nurse tell the client?

Answer 28

administer the iron through a straw

Question 29

laboratory studies are performed for a client suspected to have iron deficiency anemia. the nurse reviews the laboratory results, knowing that which result indicates this type of anemia?

Answer 29

Red blood cells that are microcytic and hypochromic

Question 30

chemotherapy dosage is frequently based on total body surface area (BSA), so it is important for the nurse to perform which assessment before administering chemotherapy?

Answer 30

measure the clients current weight and height

Question 31

a client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. the nurse caring for the client anticipates that which diagnostic study will be prescribed?

Answer 31

pulmonary function studies

Question 32

a client with acute myelocytic leukemia is being treated with busulfan. which laboratory value would the nurse specifically monitor during treatment with this medication?

Answer 32

uric acid level

Question 33

a client with small cell lung cancer is being treated with etoposide. the nurse monitors the client during administration, knowing that which adverse effect is specifically associated with this medication?

Answer 33

orthostatic hypotension

Question 34

a clinic nurse prepares a teaching plan for a client receiving an antineoplastic medication. when implementing the plan, the nurse should make which statement to the client?

Answer 34

“you need to consult with the primary health care provider (PHCP) before receiving immunizations”

Question 35

A Client with ovarian cancer is being treated with vincristine. the nurse monitors the client, knowing that which manifestation indicates an adverse effect specific to this medication?

Answer 35

peripheral neuropathy (,a result of damage to the nerves located outside of the brain and spinal cord )

Question 36

the nurse is reviewing the history and physical examination of a client who will be receiving asparaginase, an antineoplastic agent. the nurse contacts the primary health care provider before administering the medication if which disorder is documented in the clients history?

Answer 36

pancreatitis

Question 37

tamoxifen citrate is prescribed for a client with metastatic breast carcinoma. the client asks the nurse if her family member with bladder cancer can also take this medication. the nurse most appropriately responds by making which statement?

Answer 37

“this medication can be taken to prevent and treat clients with breast cancer.”

Question 38

a client with metastatic breast cancer is receiving tamoxifen. the nurse specifically monitors which laboratory value while the client is taking this medication?

Answer 38

calcium level

Question 39

Megestrol acetate, and antineoplastic medication, is prescribed for a client with metastatic endometrial carcinoma. the nurse reviews the clients history and should contact the primary health care provider if which diagnosis is documented in the clients history?

Answer 39

venous thromboembolism

Question 40

the nurse is monitoring the intravenous (IV) infusion of an antineoplastic medication. During the infusion, the client complains of pain at the insertion site. on inspection of the site, the nurse notes redness and swelling and that the infusion of the medication has slowed in rate. the nurse suspects extravasation and should take which actions? select all that apply

Answer 40

Stop the infusion
prepare to apply ice or heat to the site

notify the primary health care provider (PHCP)
prepare to administer a prescribed antidote into the site

Question 41

the nurse is analyzing the laboratory results of a client with leukemia who has received a regimen of chemotherapy. which laboratory value would the nurse specifically note as a result of the massive cell destruction that occurred from the chemotherapy?

Answer 41

Increased Uric acid level

Question 42

the nurse is providing medication instructions to a client with breast cancer who is receiving cyclophosphamide. the nurse should tell the client to take which action?

Answer 42

increase fluid intake to 2000 to 3000 mL daily.

Question 43

a client with non-Hodgkin’s lymphoma is receiving daunorubicin. which finding would indicate to the nurse that the client is experiencing an adverse effect related to the medication?

Answer 43

crackles on auscultation of the lungs

Question 44

the nurse is monitoring the laboratory results of a client receiving an antineoplastic medication by the intravenous route. the nurse plans to initiate bleeding precautions if which laboratory result is noted?

Answer 44

a platelet count of 50000mm^3 (50x10^9/L)