Oncology practice quizzy Flashcards
A nurse is teaching a client about the side effects of chemotherapy medication. Which of the following nursing statements should the nurse include in the teaching?
a. “Most clients do not experience nausea.”
b. “Hair loss is common and includes eyebrows and eyelashes.”
c. “Most clients start to gain weight during their treatment.”
d. “Clients lose their hair, but it usually grows back nice and thick.”
b. “Hair loss is common and includes eyebrows and eyelashes.”
A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?
a. The client has not been taking the medication properly.
b. The client is experiencing episodes of confusion.
c. The client has become addicted to the medication.
d. The client developed a tolerance to the medication.
d. The client developed a tolerance to the medication.
A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy-induced nausea. For which of the following adverse effects should the nurse monitor?
a. Headache
b. Dependent edema
c. Polyuria
d. Photosensitivity
a. Headache
A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider?
a. WBC 2300/mm3
b. RBC 5 million/mm3
c. Hemoglobin 12 g/dL
d. Platelets 155,000/mm3
a. WBC 2300/mm3
A nurse is preparing a client who is to receive chemotherapy for treatment of ovarian cancer. Which of the following actions should the nurse plan to take?
a. Tell the client to expect dark stools following chemotherapy.
b. Have the client floss 4 times daily.
c. Have the client swish with commercial mouthwash before therapy.
d. Administer an antiemetic prior to the procedure.
d. Administer an antiemetic prior to the procedure.
A nurse is planning care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care?
a. Insert an indwelling catheter to monitor sediment in the urine.
b. Take the client’s temperature once per shift.
c. Provide the client with fresh fruit to avoid constipation.
d. Limit the number of health care workers entering the room.
d. Limit the number of health care workers entering the room.
A nurse is caring for a client who is receiving cisplatin for treatment of ovarian cancer. The client’s most recent complete blood count (CBC) is shown below. It is important for the nurse to consider which of the following for the client?
(WBC: 1400/mm3; RBC: 4.3x10^12/L; Hgb 12.1 g/dL; Hct 36.5%; platelets: 170,000/mm3; albumin: 4.5 g/dL)
a. The client has an increased risk for bleeding.
b. The client should receive a diet with increased protein.
c. The client has an increased risk for infection.
d. The client should receive an erythropoiesis stimulating agent.
c. The client has an increased risk for infection.
A nurse caring for a client who has cancer and is scheduled for immediate chemotherapy. The client tells the nurse that she wants to try nontraditional treatments first. Which of the following responses should the nurse make?
a. “Using nontraditional treatments is not a good idea. I’d rather you avoid that route.”
b. “A lot of people think nontraditional treatments will work, and they find out too late that they made the wrong choice.”
c. “Your provider is very knowledgeable. If he prescribes chemotherapy, it’s the best treatment for you.”
d. “Tell me more about your concerns about taking chemotherapy.”
d. “Tell me more about your concerns about taking chemotherapy.”
A nurse is teaching a client about risk factors for skin cancer. Which of the following statements by the client indicates an understanding of the teaching?
a. “Because I’m dark-complected, I won’t have to worry about skin cancer.”
b. “I should apply sunscreen prior to going outside, even in the winter months.”
c. “I used to lie in the sun all the time, but now I know the tanning bed is a better option.”
d. “My father was treated for melanoma, but skin cancer isn’t related to genetics.”
b. “I should apply sunscreen prior to going outside, even in the winter months.”
A nurse is teaching a client about risk factors for skin cancer. Which of the following statements by the client indicates an understanding of the teaching?
a. “Because I’m dark-complected, I won’t have to worry about skin cancer.”
b. “I should apply sunscreen prior to going outside, even in the winter months.”
c. “I used to lie in the sun all the time, but now I know the tanning bed is a better option.”
d. “My father was treated for melanoma, but skin cancer isn’t related to genetics.”
b. “I should apply sunscreen prior to going outside, even in the winter months.”
A nurse is providing teaching to a client who has a new prescription for tamoxifen to treat breast cancer. The nurse should include the which of the following is an adverse effect of this medication?
a. Hot flashes
b. Insomnia
c. Increased appetite
d. Constipation
a. Hot flashes
