Deck 57: Basic Principles of Antineoplastic Therapy

Question 1

All of the following are true regarding the process of staging in relationship to cancer except:
1)Staging is the process of determining where the cancer is located.
2)Staging is the process of determining the extent of cancer invasion.
3)Staging is the process that compares the appearance of cancer cells with that of normal cells.
4)Staging helps the health care provider determine the best course of treatment.

Answer 1

4

Question 2

The nurse recognizes that teaching about secondary prevention has been effective when the client states:
1)"If I wear sunscreen, I can prevent skin cancer."
2)"If I stop smoking, I can decrease my risk of lung cancer."
3)"I need to have a pap smear annually to detect any signs of cervical cancer."
4)"If I get a cancerous lesion removed early on, I can prevent more areas of skin cancer."

Answer 2

3

Question 3

What would be the best response by a nurse to a patient who says that her friends might not accept her now that she has had a mastectomy?
1)"It is just a mastectomy, don't worry so much."
2)"I understand your concerns about your body changes.Let's talk about it."
3)"It is normal to be worried what other people think.Your friends will get over it."
4)"You should get some new friends."

Answer 3

2

Question 4

The client has cancer.He asks the nurse where cancer comes from.What is the best explanation by the nurse?
1)"Cigarette smoking and secondhand smoke are the primary causes of cancer."
2)"Cancer is genetic; you inherited the predisposition for your cancer."
3)"Cancer is caused primarily by viruses in the environment."
4)"Cancer cells are your body's cells that have lost the ability to self-destruct."

Question 5

The acronym that the American Cancer Society recommends to help people remember what to look for when assessing themselves for cancer is:
1)CANCER.
2)PREVENTION.
3)CHANGES.
4)CAUTION.

Question 6

The client receives chemotherapy, and frequently complains of a headache.What will the best plan of the nurse include?
1)Plan to administer aspirin.
2)Plan to administer ibuprofen.
3)Plan to administer acetaminophen.
4)Plan to administer naproxen.

Question 7

Which are not included in the etiology of cancer?
1)Chemical causes
2)Physical causes
3)Structural causes
4)Biological causes

Question 8

The nursing instructor teaches student nurses about chemotherapy for cancer.Which statement best explains why lung cancers are less sensitive to antineoplastic agents than are other types of cancers?
1)"Lung cancer cells have a low-growth fraction, which means there isn't much difference between the number of replicating and resting cells."
2)"Lung cancer cells have been growing for a long time before detection, so they are less sensitive to antineoplastic agents."
3)"Lung cancer cells grow in a high-oxygen environment, so they are not very sensitive to antineoplastic agents."
4)"Lung cancer cells have a very erratic cell cycle, and this is why there isn't much difference between the number of replicating and resting cells."

Question 9

The female client has experienced alopecia due to chemotherapy.She is distraught, and feels that no one will want to look at her.What will the best plan of the nurse include?
1)Plan to support the client, and tell her that her hair will grow back in a few weeks.
2)Plan to have a cancer survivor visit the client and discuss wearing a wig.
3)Plan to discuss the client's feelings about the effects of her hair loss.
4)Plan to show the client photos of cancer survivors whose hair grew back better.

Question 10

Which of the following most accurately describes the cell kill hypothesis?
1)A model that predicts how invasive the cancer has become
2)A model that compares the appearance of potential cancer cells with that of normal parent cells
3)A model that predicts the ability of antineoplastic drugs to eliminate cancer cells
4)A model that predicts the amount of normal cells that will be affected by antineoplastic drugs

Question 11

Which of the following is not true of adjuvant chemotherapy?
1)Adjuvant therapy is the administration of antineoplastic drugs after surgery or radiation therapy.
2)Adjuvant therapy is the administration of antineoplastic drugs before surgery or radiation therapy.
3)A goal of adjuvant therapy is to rid the body of any cancerous cells that were not removed during the surgery.
4)A goal of adjuvant therapy is to treat any micrometastases that might be developing.

Question 12

A nurse understands that a patient placed on reverse isolation might exhibit signs of depression because:
1)The patient always becomes claustrophobic.
2)The patient might believe that she has to be in isolation because her cancer is contagious, so family won't want to visit her.
3)Patients in reverse isolation often have additional side effects to therapy.
4)Patients in reverse isolation often have a more severe form of cancer.

Question 13

Which of the following is not a psychological issue associated with the treatment of cancer?
1)Anxiety
2)Depression
3)Fatigue
4)Stress

Question 14

All the following are goals of chemotherapy except:
1)Cure.
2)Transmission prevention.
3)Control.
4)Palliation.

Question 15

A main difference between benign and malignant tumors is:
1)Benign tumors are fast-growing, remain localized, and can kill the host.
2)Malignant tumors are rapidly growing and invasive, and can kill the host.
3)Benign tumors are slow-growing, but are invasive.
4)Malignant tumors are slow-growing, but are invasive, and can kill the host.

Question 16

The client receives several chemotherapeutic agents as treatments for cancer.The client asks the nurse why he needs so many drugs.What is the best response by the nurse?
1)"Using multiple drugs will help kill more of the cancer."
2)"Using multiple drugs means a shorter treatment time."
3)"Using multiple drugs is more cost-effective in treating cancer."
4)"Using multiple drugs decreases the incidence of side effects."

Question 17

Cancer is a disease characterized by:
1)Abnormal, uncontrolled cell division.
2)Normal, uncontrolled cell division.
3)Normal, controlled cell division.
4)Abnormal, controlled cell division.

Question 18

Receiving the HPV vaccine to prevent cervical cancer is an example of what type of prevention?
1)Primary
2)Secondary
3)Tertiary
4)Palliation