Question 1

The nurse assesses the patient taking doxorubicin (Adriamycin)very carefully when the patient complains of:

Accepted Answer

Adriamycin is cardiotoxic medication and can cause heart failure.

Question 2

The nurse closely monitors for hypercalcemia,an oncologic emergency that is manifested by:

Accepted Answer

The indications for hypercalcemia are fatigue,confusion,weakness,and poor muscle tone.If left untreated,renal failure and death may occur.

Question 3

The statement that best defines concepts to be included in a teaching plan for a patient with cancer is:

Accepted Answer

Information about the disease and disease process is helpful to allay anxiety,as well as to instruct about its pathophysiologic changes.

Question 4

A patient whose cancer has been staged at T4 N2 M2 has been assigned for care.What is the best interpretation of this staging information in planning care for this patient?

Accepted Answer

Correct interpretation and differentiating components of staging data are used to plan effective nursing care.

Question 5

The nurse explains that drugs such as cannabinoids,Benadryl,and Vistaril are frequently ordered for patients with cancer who are taking chemotherapy to help:

Accepted Answer

Cannabinoids,Benadryl,and Vistaril are useful to help control nausea.

Question 6

The nurse explains that the seven warning signs of cancer written by the American Cancer Society (ACS)can be recalled by the acronym CAUTION.The nurse points out that the A in the acronym stands for:

Accepted Answer

The acronym is: Change in bowel or bladder habits,A sore that will not heal,Unusual bleeding or discharge,a Thickening or lump in the breast or elsewhere,Indigestion or difficulty swallowing,and a Nagging cough or hoarseness.

Question 7

The complaint the nurse should consider as a warning sign for cancer would be:

Accepted Answer

Persistent indigestion associated with dysphagia is an ACS-published risk for a cancerous sign.

Question 8

The family is concerned about the possibility of addiction as a result of the frequent doses of Roxanol.The nurse's best response is:

Accepted Answer

Roxanol is a low-dose narcotic with very little potential for addiction.

Question 9

The nurse includes in the teaching plan that malignant tumors are similar to benign tumors because both:

Accepted Answer

Both benign and malignant tumors may create pressure on or obstruct an organ.

Question 10

When the patient with newly diagnosed with cancer says,"I feel like I've lost my future.I feel so much harm has been done to me that I'm overwhelmed," the nurse recognizes that this attitude will most likely lead the patient to coping strategies that are:

Accepted Answer

Persons who appraise their cancer diagnosis as harm or loss are more likely to use avoidant coping strategies.

Question 11

The nurse assesses beginning acceptance of the diagnosis of cancer when the patient:

Accepted Answer

Directed planning for support for the diagnosis is indicative of acceptance.Crying and a cheerful manner are not necessarily positive.Interaction with the family is not indicative of acceptance.

Question 12

The home health nurse is compiling a patient profile on a 23-year-old obese woman who smokes one-half pack of cigarettes a day and indulges in 1 beer a week.She works as a cook in a long-term care facility.She has two children and eats a diet high in fats.She exercises 30 minutes a day.Both parents are dead of heart disease.The number of risks for cancer in this profile that the nurse should assess are:

Accepted Answer

Cancer risks identified are: (1)obesity,(2)smoker,and (3)high-fat diet.

Question 13

While bathing a patient with cancer,the nurse assessed several large new bruises on the patient's upper arms and thighs.An understanding of the possible causes and the correct nurse's actions for these findings are that:

Accepted Answer

These signs of hemorrhage may indicate the oncologic emergency of disseminated intravascular coagulation.Serious signs need to be reported in a timely manner and fully described.

Question 14

The nurse cautions that the most common site of cancer in adult men is the:

Accepted Answer

Gender defines some of the potential risks for cancer.Prostate cancer accounts for 33% of the reported cases of cancer in men.

Question 15

A patient is scheduled for a chemotherapy treatment in approximately 30 minutes.Breakfast trays have arrived and are being served on the unit.The nurse's best intervention would be to:

Accepted Answer

Chemotherapy causes nausea and vomiting.Holding the tray until later provides for better intake and for holding the food in the stomach for digestion.

Question 16

A female college student has had a melanoma of the forehead surgically removed and given a course of chemotherapy.The comment that demonstrates her understanding of the treatments and prognosis is:

Accepted Answer

Acceptance of the diagnosis,treatments,side effects,and prognosis by the patient are reflected in her understanding that she will be bald.

Question 17

The nurse counsels that the most common site of cancer in adult women is the:

Accepted Answer

The gender of the person determines the risk for some cancers and the need for early detection.The incidence of breast cancer is 31% of the reported cases of cancer.

Question 18

The nurse uses a diagram to show the progress of a normal cell being transformed to a malignant cell.The latent period before the period of rapid growth of tumors is the phase of:

Accepted Answer

The stage of promotion is the latest period in which the cell is quiet,just before the rapid growth and tumor production,which begins in the progression phase.

Question 19

A patient has a cancer that has been TNM staged as T3 (1-4: size of primary tumor),N2 (0-3: degree of spread to regional lymph nodes),and M2 (0-1: presence of metastasis).He has a as needed (PRN)order of 4 mg morphine,intramuscularly (IM)every 3 to 4 hours.He requests another pain shot approximately 2 3/4 hours after the last one.An appropriate nursing action would be to:

Accepted Answer

Terminal care does not include concerns about morphine addiction.Medication may be given 15 minutes before or after an allotted time.The occurrence of breakthrough pain is a real concern for this patient.

Question 20

When a diagnosis of breast cancer is first made at stage T1 N0 M0,the nursing diagnosis that would be appropriate is:

Accepted Answer

Early stages of cancer create anxiety about the outcome of treatments for the patient.

Quiz 25: The Patient With Cancer

The nurse assesses the patient taking doxorubicin (Adriamycin) very carefully when the patient complains of: