Cancer

Question 1

Less than 6-month prognosis
Inpatient
Outpatient
Interdisciplinary team
Family/caregivers

Answer 1

Hospice Care

Question 2

Superior vena cava syndrome - similar to right side heart failure

Answer 2

Cough

Question 3

Spinal cord compression

Question 4

Hypercalcemia

Question 4

palliative care

Answer 4

The nurse should reinforce with the partner that hearing is thought to be the last sense lost in the dying process; therefore, the partner should continue to softly communicate with the client.

Question 4

conbination of chemotherapy

Answer 4

Different chemotherapeutic agents act at various stages of cellular mitosis (division). By combining agents, medication therapy is more effective in stopping or slowing the growth of cancerous cells by interfering with their ability to multiply.

Question 5

a panhysterectomy for uterine cancer

Answer 5

The nurse should inform the client that a panhysterectomy includes the removal of the uterus and the ovaries, which might cause manifestations of menopause to occur. Manifestations of menopause include hot flashes, night sweats, and vaginal dryness.

Question 6

external radiation therapy

Answer 6

To prevent skin irritation and subsequent breakdown, the nurse should instruct the client to protect areas of skin from sunlight.

Question 7

peripheral neuropathy

Answer 7

Several chemotherapeutic agents might cause peripheral neuropathy. One of the major manifestations of peripheral neuropathy is numbness and tingling of an extremity.

Question 8

superior vena cava syndrome

Answer 8

Superior vena cava syndrome is a medical emergency resulting from a partial occlusion of the superior vena cava, leading to a decreased blood flow through the vein. Most cases of superior vena cava syndrome are associated with cancers involving the client’s upper chest, such as advanced lung and breast cancers and lymphoma. The earliest manifestations of superior vena cava syndrome are facial and upper extremity edema. Death can result if the compression is not corrected.

Question 9

skin cancer

Answer 9

The nurse should apply the safety and risk reduction priority-setting framework when caring for this client. This framework assigns priority to the factor or situation posing the greatest safety risk to the client. When there are several risks to client safety, the one posing the greatest threat is the highest priority. The nurse should use Maslow’s hierarchy of needs, the ABC priority-setting framework, or nursing knowledge to identify which risk poses the greatest threat to the client. Therefore, the nurse should identify the client’s overexposure to sun as being the greatest risk factor for developing skin cancer.

Question 10

Jackson-Pratt drains

Answer 10

The nurse should instruct the client to avoid applying deodorants and talcum powder to the affected underarm until the drainage tubes are removed and the incision is healed.

Question 11

bladder cancer

Answer 11

The nurse should apply the safety and risk reduction priority-setting framework. This framework assigns priority to the factor or situation posing the greatest safety risk to the client. When there are several risks to client safety, the one posing the greatest threat is the highest priority. The nurse should use Maslow’s hierarchy of needs, the ABC priority-setting framework, or nursing knowledge to identify which risk poses the greatest threat to the client. Therefore, the nurse should identify the client’s tobacco use as being the greatest risk factor for developing bladder cancer.

Question 12

breast cancer

Answer 12

Over 50 years of age
MY ANSWER
A female client whose age is over 50 years has a high increased risk for developing breast cancer.

Question 13

chemotherapy

Answer 13

Pancytopenia - Bone marrow suppression, a deficiency of WBCs, RBCs, and platelet counts, is an expected adverse effect of chemotherapy.

Question 14

Hodgkin’s lymphoma

Answer 14

Hodgkin’s lymphoma is a malignancy of lymphoid tissue found in the lymph nodes, spleen, liver, and bone marrow. The first manifestation of this cancer is often an enlarged painless lymph node, or nodes, which appear without a known cause. Other early manifestations include night sweats, unexplained weight loss, fever, and pruritus. The disease can spread to adjacent lymph nodes and later might spread outside the lymph nodes to the lungs, liver, bones, or bone marrow. The spread of Hodgkin’s lymphoma is usually in an ordered pattern.

Question 15

multiple myeloma and a white blood cell count of 2,200/mm3

Answer 15

A fresh fruit basket
Raw fruits and vegetables are contraindicated for a client who has neutropenia, as the skin might harbor bacteria that can cause an infection. The nurse should prohibit these foods from entering the client’s room.

Question 16

a urinary diversion to treat bladder cancer

Answer 16

A fresh fruit basket
Raw fruits and vegetables are contraindicated for a client who has neutropenia, as the skin might harbor bacteria that can cause an infection. The nurse should prohibit these foods from entering the client’s room.

Question 17

cancer of cervix

Answer 17

The most common manifestation of cancer of the cervix is painless vaginal bleed

Question 18

open radical prostatectomy
indwelling urinary catheter

Answer 18

The nurse should teach the client to avoid aspirin and NSAIDs for at least 2 weeks following surgery to prevent the risk of bleeding.

Question 19

thrombocytopenia

Answer 19

Thrombocytopenia is a decrease in the client’s blood platelet count, which places the client at an increased risk of bleeding due to the blood’s inability to clot. Therefore, the nurse should institute bleeding precautions, which includes the use of an electric razor.

Answer 20

You should take your temperature at least once a day.
“Examine your feet every day” is correct. A client who had a bone marrow transplant is immunosuppressed. The client should examine his feet daily to identify injuries that might increase the risk for infection.

Question 21

peripheral neuropathy

Answer 21

S/S: tingling of the hands and feet

Question 22

develop bladder cancer

Answer 22

use tobacco

Question 23

Jackson-Pratt drains

Answer 23

avoid applying deodorants and talcum powder to the affected underarm until the drainage tubes are removed and the incision is healed.