Question 1

Which cytologic test, usually performed in outpatient settings, suggests the probability of a need for further testing for cancer cells?

Accepted Answer

A)  Chest radiography 
B)  Koch test 
C)  Papanicolaou (Pap)test 
D)  Tine test 
A)  Chest radiography 
B)  Koch test 
C)  Papanicolaou (Pap)test 
D)  Tine test

Question 2

A patient whose cancer has been staged at T4 N2 M1 has been assigned for care.What is the best interpretation of this staging information in planning care for this patient?

Accepted Answer

A)  The primary tumor has shrunk, although some lymph nodes remain involved.Teach the patient that this is good news. 
B)  The primary tumor has now responded to a combination of chemotherapy and radiation.The patient should now receive much less analgesic medication. 
C)  The primary tumor is quite large and has extended to lymph glands and distant areas.Gentle touch and therapeutic listening will be especially helpful. 
D)  After the series of radiation treatments, the distant metastases are still present.Prepare the patient to accept only the cure of the primary tumor. 
A)  The primary tumor has shrunk, although some lymph nodes remain involved.Teach the patient that this is good news. 
B)  The primary tumor has now responded to a combination of chemotherapy and radiation.The patient should now receive much less analgesic medication. 
C)  The primary tumor is quite large and has extended to lymph glands and distant areas.Gentle touch and therapeutic listening will be especially helpful. 
D)  After the series of radiation treatments, the distant metastases are still present.Prepare the patient to accept only the cure of the primary tumor.

Question 3

Which statement best defines concepts to be included in a teaching plan for a patient with cancer?

Accepted Answer

A)  Cancer is a group of diseases.The cancer cells are different from the cells in the tissue of its origin in both the growth and spreading of abnormal cells. 
B)  Cancer is the third leading cause of death in the United States.Many hospitals have the highest number of patients with this diagnosis. 
C)  Americans who have a diagnosis of cancer die within 1 year or less. 
D)  When a person is genetically predisposed to a type of cancer, nothing can be done to prevent its occurrence. 
A)  Cancer is a group of diseases.The cancer cells are different from the cells in the tissue of its origin in both the growth and spreading of abnormal cells. 
B)  Cancer is the third leading cause of death in the United States.Many hospitals have the highest number of patients with this diagnosis. 
C)  Americans who have a diagnosis of cancer die within 1 year or less. 
D)  When a person is genetically predisposed to a type of cancer, nothing can be done to prevent its occurrence.

Question 4

A patient is close to death with terminal liver cancer with widespread metastases and calls the nursing staff to his room every 5 minutes.Which interventions will be most supportive and in the best interest of the patient?

Accepted Answer

A)  Encourage and insist that the family request a transfer to hospice care because the general hospital does not have enough staff members to keep responding to the patient's end-stage frequent calling and requests for minor help. 
B)  Use fixed interval and cocktail medication administration.Frequently evaluate for breakthrough pain and anxieties.Answer the call bell quickly on the intercom or in person. 
C)  Tell the family that as of this afternoon, all of the patient's questions, comments, and expressed fears of dying and financial worries will be referred to the social worker, physician, or clergy.Otherwise, one of them can come in and sit beside the bed. 
D)  Plan to limit strictly the time spent with the patient because the nurse cannot do much that could be beneficial at this point. 
A)  Encourage and insist that the family request a transfer to hospice care because the general hospital does not have enough staff members to keep responding to the patient's end-stage frequent calling and requests for minor help. 
B)  Use fixed interval and cocktail medication administration.Frequently evaluate for breakthrough pain and anxieties.Answer the call bell quickly on the intercom or in person. 
C)  Tell the family that as of this afternoon, all of the patient's questions, comments, and expressed fears of dying and financial worries will be referred to the social worker, physician, or clergy.Otherwise, one of them can come in and sit beside the bed. 
D)  Plan to limit strictly the time spent with the patient because the nurse cannot do much that could be beneficial at this point.

Question 5

Which complaint should a nurse consider a warning sign for cancer?

Accepted Answer

A)  Intense pain in an area such as a hip or groin after carrying several gallons of paint up a ladder and painting the garage 
B)  Persistent indigestion associated with difficulty swallowing 
C)  Diarrhea that lasts 2 days after an all-day picnic at the beach 
D)  A painful lump under the umbilicus that recedes when pushed but comes out again with a sneeze or hard cough 
A)  Intense pain in an area such as a hip or groin after carrying several gallons of paint up a ladder and painting the garage 
B)  Persistent indigestion associated with difficulty swallowing 
C)  Diarrhea that lasts 2 days after an all-day picnic at the beach 
D)  A painful lump under the umbilicus that recedes when pushed but comes out again with a sneeze or hard cough

Question 6

A patient 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." To what type of coping strategies should the nurse recognize this attitude will most likely lead the patient?

Accepted Answer

A)  Avoidant 
B)  Problem solving 
C)  Approach oriented 
D)  Confrontational 
A)  Avoidant 
B)  Problem solving 
C)  Approach oriented 
D)  Confrontational

Question 7

A nurse clarifies that cells that change from their tissues of origin and have multiple nuclei are categorized as ______.

Accepted Answer

The answer of A nurse clarifies that cells that change...

Question 8

Radiation is now measured in gray rather than rads.One gray is equal to ______ rads.(Use numeric characters only.)

Accepted Answer

The answer of Radiation is now measured in gray rather...

Question 9

A 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 drinks 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.How many risk factors for cancer in this profile should the nurse identify?

Accepted Answer

A)  2 
B)  3 
C)  5 
D)  6 
A)  2 
B)  3 
C)  5 
D)  6

Question 10

While bathing a patient with cancer, a nurse assessed several large new bruises on the patient's upper arms and thighs.What is the best understanding of the possible causes and the correct nurse's actions for these findings?

Accepted Answer

A)  The patient must have fallen last night walking to the bathroom.Teach the patient to use the call bell when assistance is needed. 
B)  The patient may have disseminated intravascular coagulation.The size, shape, location, color, and tenderness must be reported and recorded fully. 
C)  An intravascular fluid overload is occurring because of the chemotherapy.Place the patient on strict input/output (I/O)status and limit fluids. 
D)  The patient must have had a drug-induced seizure, which caused arm and leg thrashing and the bruises.Report and record the findings, and pad the side rails. 
A)  The patient must have fallen last night walking to the bathroom.Teach the patient to use the call bell when assistance is needed. 
B)  The patient may have disseminated intravascular coagulation.The size, shape, location, color, and tenderness must be reported and recorded fully. 
C)  An intravascular fluid overload is occurring because of the chemotherapy.Place the patient on strict input/output (I/O)status and limit fluids. 
D)  The patient must have had a drug-induced seizure, which caused arm and leg thrashing and the bruises.Report and record the findings, and pad the side rails.

Question 11

When is surgical remedy for cancer most successful? (Select all that apply.)

Accepted Answer

A)  Cancer is detected early. 
B)  The tumors are fast growing. 
C)  Cancer cells have invaded only a nonvital structure. 
D)  Lymph glands have not been involved. 
E)  Cancer cells are confined to only two areas. 
A)  Cancer is detected early. 
B)  The tumors are fast growing. 
C)  Cancer cells have invaded only a nonvital structure. 
D)  Lymph glands have not been involved. 
E)  Cancer cells are confined to only two areas.

Exam 7: The Patient With Cancer

Which cytologic test, usually performed in outpatient settings, suggests the probability of a need for further testing for cancer cells?

A patient whose cancer has been staged at T4 N2 M1 has been assigned for care.What is the best interpretation of this staging information in planning care for this patient?

Which statement best defines concepts to be included in a teaching plan for a patient with cancer?

A patient is close to death with terminal liver cancer with widespread metastases and calls the nursing staff to his room every 5 minutes.Which interventions will be most supportive and in the best interest of the patient?

Which complaint should a nurse consider a warning sign for cancer?

A patient 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." To what type of coping strategies should the nurse recognize this attitude will most likely lead the patient?

A nurse clarifies that cells that change from their tissues of origin and have multiple nuclei are categorized as ______.

Radiation is now measured in gray rather than rads.One gray is equal to ______ rads.(Use numeric characters only.)

While bathing a patient with cancer, a nurse assessed several large new bruises on the patient's upper arms and thighs.What is the best understanding of the possible causes and the correct nurse's actions for these findings?

When is surgical remedy for cancer most successful? (Select all that apply.)

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders

Psychobiological Disorders

Substance Abuse

First Aid, Emergency Care, and Disaster Management

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