cancers Flashcards
A female client with cancer is being evaluated for possible metastasis. Which of the following is one of the most common metastasis sites for cancer cells?
A White blood cells (WBCs)
B Colon
C Liver
D Reproductive tract
C Liver
A female client with cancer is scheduled for radiation therapy. The nurse knows that radiation at any treatment site may cause a certain adverse effect. Therefore, the nurse should prepare the client to expect:
A stomatitis
B vomiting
C hair loss.
D fatigue
D fatigue
The nurse is interviewing a male client about his past medical history. Which preexisting condition may lead the nurse to suspect that a client has colorectal cancer?
A Duodenal ulcers
B Weight gain
C Polyps
D Hemorrhoids
C Polyps
For a female client newly diagnosed with radiation-induced thrombocytopenia, the nurse should include which intervention in the plan of care?
A Placing the client in strict isolation
B Providing for frequent rest periods
C Inspecting the skin for petechiae once every shift
D Administering aspirin if the temperature exceeds 102° F (38.8° C)
C Inspecting the skin for petechiae once every shift
A male client complains of sporadic epigastric pain, yellow skin, nausea, vomiting, weight loss, and fatigue. Suspecting gallbladder disease, the physician orders a diagnostic workup, whichreveals gallbladder cancer. Which nursing diagnosis may be appropriate for this client?
A Disturbed body image
B Chronic low self-esteem
C Anticipatory grieving
D Impaired swallowing
C Anticipatory grieving
Nurse Amy is speaking to a group of women about early detection of breast cancer. The average age of the women in the group is 47. Following the American Cancer Society guidelines, the nurse should recommend that the women:
A have a physician conduct a clinical examination every 2 years.
B have a mammogram annually.
C have a hormonal receptor assay annually.
D perform breast self-examination annually
B have a mammogram annually.
A 35 years old client with ovarian cancer is prescribed hydroxyurea (Hydrea), an antimetabolite drug. Antimetabolites are a diverse group of antineoplastic agents that interfere with various metabolic actions of the cell. The mechanism of action of antimetabolites interferes with:
A the chemical structure of deoxyribonucleic acid (DNA) and chemical binding between DNA molecules (cell cycle–nonspecific)
B cell division or mitosis during the M phase of the cell cycle.
C normal cellular processes during the S phase of the cell cycle.
D one or more stages of ribonucleic acid (RNA) synthesis, DNA synthesis, or both (cell cycle–nonspecific).
C normal cellular processes during the S phase of the cell cycle.
A female client is receiving chemotherapy to treat breast cancer. Which assessment finding indicates a fluid and electrolyte imbalance induced by chemotherapy?
A Urine output of 400 ml in 8 hours
B Dry oral mucous membranes and cracked lips
C Blood pressure of 120/64 to 130/72 mm Hg
D Serum potassium level of 3.6 mEq/L
B Dry oral mucous membranes and cracked lips
A male client is in isolation after receiving an internal radioactive implant to treat cancer. Two hours later, the nurse discovers the implant in the bed linens. What should the nurse do first?
A Leave the room and notify the radiation therapy department immediately.
B Stand as far away from the implant as possible and call for help.
C Pick up the implant with long-handled forceps and place it in a lead-lined container.
D Put the implant back in place, using forceps and a shield for self-protection, and call for help.
C Pick up the implant with long-handled forceps and place it in a lead-lined container.
A female client is undergoing tests for multiple myeloma. Diagnostic study findings in multiple myeloma include:
A Bence Jones protein in the urine.
B a decreased serum creatinine level
C a low serum protein level.
D hypocalcemia
A Bence Jones protein in the urine.
Nurse April is teaching a group of women to perform breast self-examination. The nurse should explain that the purpose of performing the examination is to discover:
A changes from previous self-examinations.
B areas of thickness or fullness.
C cancerous lumps.
A changes from previous self-examinations.
A 35 years old client has been receiving chemotherapy to treat cancer. Which assessment finding suggests that the client has developed stomatitis (inflammation of the mouth)?
B Yellow tooth discoloration
C White, cottage cheese–like patches on the tongue
D Rust-colored sputum
C White, cottage cheese–like patches on the tongue
A male client with a nagging cough makes an appointment to see the physician after reading that this symptom is one of the seven warning signs of cancer. What is another warning sign of cancer?
A Chronic ache or pain
B Persistent nausea
C Rash
D Indigestion
D Indigestion
Nurse Brian is developing a plan of care for marrow suppression, the major dose-limiting adverse reaction to floxuridine (FUDR). How long after drug administration does bone marrow suppression become noticeable?
A 24 hours
B 7 to 14 days
C 2 to 4 days
D 21 to 28 days
B 7 to 14 days
Which intervention is appropriate for the nurse caring for a male client in severe pain receiving a continuous I.V. infusion of morphine?
A Assisting with a naloxone challenge test before therapy begins
B Discontinuing the drug immediately if signs of dependence appear
C Changing the administration route to P.O. if the client can tolerate fluids
D Obtaining baseline vital signs before administering the first dose
D Obtaining baseline vital signs before administering the first dose