Cancer Flashcards
When is the best time to administer the antiemetic for the patient undergoing chemotherapy?
A When the client begins to feel nauseated
B After completion of the treatment regimen
C At the same time the chemotherapeutic agent
D Thirty minutes before chemotherapy is started
D Thirty minutes before chemotherapy is started
The nurse is reviewing the complete blood count (CBC) for the patient admitted for knee arthroscopy. Which value is most important to report to the physician prior to surgery?
A White blood count 16,000/mm3
B Hematocrit 42%
C Platelet count 415,000/mm3
D Hemoglobin 10.2 g/dl
D Hemoglobin 10.2 g/dl
It is most important to look at whats abnormal, but also what should be expected like the WBC
The patient with multiple myeloma becomes lethargic. The nurse would expect these manifestations may be explained by which condition?
A Hyperkalemia
B Hyperuricemia
C Hypercalcemia
D CNS myeloma
C Hypercalcemia
The charge nurse must assign an unlicensed assistive personnel (UAP) to help care for a patient with non-Hodgkin’s Lymphoma experiencing neutropenia. Which factor has the most impact in assigning a UAP to care for this patient? The nursing assistant …
A Is in her first trimester of pregnancy
B Has reported a scratchy throat and for 2 days
C Has no experience with this patient’s specific care precautions
D Has generalized fear of isolation clients
B Has reported a scratchy throat and for 2 days
Which instruction is appropriate for the nurse to provide the patient with multiple myeloma who is scheduled for discharge?
A Maintain bedrest to decrease oxygen demand
B Restrict fluid to 1000 ml/day
C Maintain a low-fiber, high calorie diet with small frequent meals
D Notify physician if nausea and constipation persist
D Notify physician if nausea and constipation persist
Eleanor is scheduled to have a Chest-X-Ray. Which action is most appropriate by the nurse?
A Asking Eleanor about pregnancy and last menstrual cycle
B Ask Eleanor about allergies to iodine or shellfish
C Asking Eleanor to remove any jewelry around the neck
D Asking Eleanor how long ago she ate something
C Asking Eleanor to remove any jewelry around the neck
Obstructs the view of Xray
The Chest X-Ray revealed a small nodule on right upper lung. Eleanor is scheduled to a have percutaneous biopsy of the nodule. The biopsy will be staged to examine which aspects of cancer development? Select all that apply.
A Size of Tumor
B Spread to nearby lymph nodes
C Spread to distant sites (organs)
D Impact on the respiratory system
A Size of Tumor
B Spread to nearby lymph nodes
C Spread to distant sites (organs)
The doctor mentioned to Eleanor that surgery might be needed to remove the tumor. Eleanor is speaking to the nurse regarding her condition and possible surgery. She states “What if I never wake up from the surgery?” What response is most appropriate by the nurse?
A “Facing a diagnosis of cancer can be frightening.”
B “Do you need more time to think about your options?”
C “Why do you feel you will not wake up?”
D “Tell me what makes you think you will not wake up”
D “Tell me what makes you think you will not wake up”
Surgery is completed and the mass is removed. Eleanor will be receiving chemotherapy via the tunneled central line that was recently placed. The doctor orders the following:
Antiemetic medication
Chest-X-ray
IV NSS at 100mL/hr
Chemotherapy medication
Rank the above inventions in priority order completed by the nurse.
- Chest-X-ray
- IV NSS at 100mL/hr
- Antiemetic medication
- Chemotherapy medication
After the 2nd chemotherapy treatment, Eleanor’s lab results are as follows….
Hemoglobin 15 g/dL
WBC 2,500/mm3
Platetet, 200, 000/mm3
RBC 4.2 million/mm3
Which action should the nurse take?
A Apply 2L oxygen via nasal cannula
B Initiate protective isolation precautions
C Place the Eleanor on bleeding precautions
D Continue to monitor Eleanor condition and lab results
B Initiate protective isolation precautions
White count is low
Eleanor develops aplastic anemia as a result of the chemo. Which actions should the nurse take? Select all that apply.
A No fresh flowers in room B Use a soft toothbrush C Encourage rest periods D Provide an alcohol base mouthwash E Avoid overinflation of blood pressure cuffs
A No fresh flowers in room
B Use a soft toothbrush
C Encourage rest periods
E Avoid overinflation of blood pressure cuffs
Eleanor is also scheduled to undergo external radiation. What outcome has the highest priority when developing a plan of care?
A Eleanor will be free of pain
B Eleanor will maintain self-esteem
C Eleanor will maintain skin integrity
D Eleanor will be free of diarrhea
C Eleanor will maintain skin integrity
Which instructions should the nurse include in Eleanor’s teaching plan regarding radiation?
A Wash all marking after each treatment
B Wash clothes in bleach to prevent infection
C Moist heat pads over radiation areas to promote circulation
D Gently wash area and apply mild lotion
D Gently wash area and apply mild lotion
As a result of various treatments, Eleanor has developed potential complications. Prioritize the event in the order they should be addressed.
A Complains of dysuria
B Develops a fever of 101
C Nausea and Vomiting
D Complains of chest discomfort
D Complains of chest discomfort
B Develops a fever of 101
C Nausea and Vomiting
A Complains of dysuria
Eleanor has completed her treatments, is being discharged and long term prognosis is still unknown. Which statement by Eleanor warrants further teaching by the nurse?
A “I will need to see my oncologist for more visits”
B “If I develop a fever, I will call the doctor.”
C “I should plan periods of rest throughout each day.”
D “It doesn’t matter if I smoke now, the damage (tumor) has occurred.”
D “It doesn’t matter if I smoke now, the damage (tumor) has occurred.”
