Adult-oncological Flashcards
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?
increased calcium level
the nurse is creating a plan of care for the client with multiple myeloma and includes which priority intervention in the plan?
encouraging fluids
when caring for a client with an internal radiation implant, the nurse should observe which principles? select all that apply.
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.
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?
pick up the implant with long -handled forceps and place it in a lead container.
the nurse should should plan to implement which intervention in the care of a client experiencing neutropenia as a result of chemotherapy?
teach the client and family about the need for hand hygiene.
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?
the clients pain rating
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?
bowel sounds
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?
enlarged lymph nodes
during the admission assessment of a client with advanced ovarian cancer, the nurse recognizes which manifestation as typical of the disease?
abdominal distension
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.
facial edema in the morning.
serum calcium level of 12mg/dl (3.0 mmol/L)
Numbness and tingling of the lower extremities
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?
the development of a vesicovaginal fistula
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.
that the best time for the examination is after a shower
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
pathological fracture
urinalysis positive for Bence jones protein
serum creatinine level of 2.0 mg/dL (176.6mcmol/L)
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?
continue to monitor the drainage
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?
age younger than 50years
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?
change the dressing as prescribed.
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?
the passage of flatus
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?
hematuria
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?
“i empty the urinary collection bag when it is two-thirds full.”
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
Radiation
chemotherapy
serum sodium level determination
medication that is antagonistic to antidiuretic hormone
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?
periorbital edema
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?
electrocardiographic changes
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?
“I’m going to take aspirin for my headache as soon as i get home”
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?
one week after menstruation begins
