Question 1

How would the nurse explain to the patient who is taking cyclophosphamide (Cytoxan),an alkylating agent,about how the medication works?

Accepted Answer

A)  It inhibits DNA and RNA synthesis. 
B)  It interferes with DNA replication. 
C)  It damages the cell in S phase of replication. 
D)  It alters the hormonal environment that promotes cancer growth. 
A)  It inhibits DNA and RNA synthesis. 
B)  It interferes with DNA replication. 
C)  It damages the cell in S phase of replication. 
D)  It alters the hormonal environment that promotes cancer growth.

Question 2

What are the signs and symptoms of prostatic enlargement? (Select all that apply. )

Accepted Answer

A)  Rotten egg odor to urine 
B)  Hematuria 
C)  Swollen scrotum 
D)  Difficulty starting urine flow 
E)  Strong flow of urine 
A)  Rotten egg odor to urine 
B)  Hematuria 
C)  Swollen scrotum 
D)  Difficulty starting urine flow 
E)  Strong flow of urine

Question 3

The term ____________ refers to the process by which a normal cell is transformed into a cancer cell.

Accepted Answer

The answer of The term ____________ refers to the process...

Question 4

Which of the following men should be highest priority for referral for a prostate-specific antigen (PSA)?

Accepted Answer

A)  43-year-old Hispanic man 
B)  45-year-old African American man 
C)  49-year-old Korean man 
D)  50-year-old Native American man 
A)  43-year-old Hispanic man 
B)  45-year-old African American man 
C)  49-year-old Korean man 
D)  50-year-old Native American man

Question 5

Which of the following characteristics is common in malignant tumors?

Accepted Answer

A)  Usually contained within a capsule. 
B)  Divide and multiply in the same manner as normal cells. 
C)  Proliferate and respond to treatment. 
D)  Progress and destroy surrounding tissues while spreading to distant parts of the body. 
A)  Usually contained within a capsule. 
B)  Divide and multiply in the same manner as normal cells. 
C)  Proliferate and respond to treatment. 
D)  Progress and destroy surrounding tissues while spreading to distant parts of the body.

Question 6

After an elevation of his PSA,the patient has blood drawn for a CA-19-9.When he asks the nurses the purpose of this new test,what is the most appropriate response?

Accepted Answer

A)  It tests for hepatobiliary cancer. 
B)  It tests for colorectal cancer. 
C)  It tests for bladder cancer. 
D)  It tests for lung cancer. 
A)  It tests for hepatobiliary cancer. 
B)  It tests for colorectal cancer. 
C)  It tests for bladder cancer. 
D)  It tests for lung cancer.

Question 7

A male patient is undergoing external radiation therapy on an outpatient basis for treatment of Hodgkin disease.After 2 weeks of treatment,he tells the nurse that he is so tired he can hardly get out of bed in the morning.Which is an appropriate goal?

Accepted Answer

A)  Take two rest periods during the day. 
B)  Ambulate in the hall four times a day. 
C)  Select two activities for distraction. 
D)  Investigate a consultation with a psychiatrist for treatment of depression. 
A)  Take two rest periods during the day. 
B)  Ambulate in the hall four times a day. 
C)  Select two activities for distraction. 
D)  Investigate a consultation with a psychiatrist for treatment of depression.

Question 8

What should the home health nurse advise the patient who found a lump in her breast a week ago during breast self-examination?

Accepted Answer

A)  Arrange for an examination by her health care provider. 
B)  Wait until her next ovulatory cycle and check the lump again. 
C)  Postpone appointment until the lump enlarges. 
D)  Apply warm,moist compresses. 
A)  Arrange for an examination by her health care provider. 
B)  Wait until her next ovulatory cycle and check the lump again. 
C)  Postpone appointment until the lump enlarges. 
D)  Apply warm,moist compresses.

Question 9

A patient has developed stomatitis from chemotherapy.What should the appropriate intervention for this condition include?

Accepted Answer

A)  Instruction in the following of a liquid diet 
B)  Using a commercial mouthwash after each meal 
C)  Cleaning teeth with a cotton swab dipped in hydrogen peroxide 
D)  Using a soft toothbrush 
A)  Instruction in the following of a liquid diet 
B)  Using a commercial mouthwash after each meal 
C)  Cleaning teeth with a cotton swab dipped in hydrogen peroxide 
D)  Using a soft toothbrush

Question 10

A home health patient undergoing radiation therapy says,"I feel so useless.I have no energy,no appetite,and I fall asleep whenever I sit down." What is the nurse's most therapeutic response?

Accepted Answer

A)  "Fatigue is part of your illness.Taking several long naps in the daytime is helpful." 
B)  "Fatigue is an unfortunate side effect of radiation.It will improve when you finish treatment." 
C)  "You really shouldn't be fatigued.Let me make an appointment with your health care provider to get this checked out." 
D)  "Don't worry about it.You probably deserve the rest!" 
A)  "Fatigue is part of your illness.Taking several long naps in the daytime is helpful." 
B)  "Fatigue is an unfortunate side effect of radiation.It will improve when you finish treatment." 
C)  "You really shouldn't be fatigued.Let me make an appointment with your health care provider to get this checked out." 
D)  "Don't worry about it.You probably deserve the rest!"

Question 11

The nurse knows which of the following to be characteristics of malignant tumors?

Accepted Answer

A)  Smooth,well defined;movable when palpated 
B)  Resembles parent tissue;rarely fatal 
C)  Rate of growth varies;rarely contained within a capsule 
D)  Remains localized;slow growth 
A)  Smooth,well defined;movable when palpated 
B)  Resembles parent tissue;rarely fatal 
C)  Rate of growth varies;rarely contained within a capsule 
D)  Remains localized;slow growth

Question 12

What measures would the home health nurse,designing nursing interventions for a patient receiving external radiation treatments for a malignancy,recommend to protect the patient's skin?

Accepted Answer

A)  Applying warm compresses to damaged skin 
B)  Encouraging patient to apply fragrant lotion to skin 
C)  Patting the skin dry after the bath 
D)  Exposing skin to sun for 10 minutes a day 
A)  Applying warm compresses to damaged skin 
B)  Encouraging patient to apply fragrant lotion to skin 
C)  Patting the skin dry after the bath 
D)  Exposing skin to sun for 10 minutes a day

Question 13

Which of the following is a meal that would represent foods that help prevent cancer?

Accepted Answer

A)  Broiled steak,baked potato,whole wheat roll,soy milk 
B)  Baked ham,rice and gravy,apples stewed in butter,whole milk 
C)  Fried pork chops,candied sweet potatoes,white rolls and butter,iced tea 
D)  Broiled chicken,cabbage with onion and garlic,and soy milk 
A)  Broiled steak,baked potato,whole wheat roll,soy milk 
B)  Baked ham,rice and gravy,apples stewed in butter,whole milk 
C)  Fried pork chops,candied sweet potatoes,white rolls and butter,iced tea 
D)  Broiled chicken,cabbage with onion and garlic,and soy milk

Question 14

The patient receiving radiation therapy complains of the conspicuous markings on the skin.What can the nurse explain about these markings?

Accepted Answer

A)  They are residues of the treatment and can be washed off. 
B)  They are caused by radiation and will fade in time. 
C)  They are indicators of the amount of radiation the patient is receiving. 
D)  They are gridlines for treatment and should be left on. 
A)  They are residues of the treatment and can be washed off. 
B)  They are caused by radiation and will fade in time. 
C)  They are indicators of the amount of radiation the patient is receiving. 
D)  They are gridlines for treatment and should be left on.

Question 15

Men over age 50 should consider an annual _________ test and rectal examination.

Accepted Answer

PSA (prost

Question 16

A patient,age 39,receiving chemotherapy for treatment of her cancer has a white blood cell count of 1600/mm3.This finding requires nursing interventions to provide which of the following?

Accepted Answer

A)  Adequate fluid intake 
B)  Protection from falls 
C)  Protection against infection 
D)  Frequent small nutritious snacks 
A)  Adequate fluid intake 
B)  Protection from falls 
C)  Protection against infection 
D)  Frequent small nutritious snacks

Question 17

Which of the following people should avoid visiting a patient being treated with internal radiation therapy?

Accepted Answer

A)  A 78 year old using a walker 
B)  An 18-year-old woman 
C)  A woman pregnant in the third trimester 
D)  A 24-year-old nursing mother 
A)  A 78 year old using a walker 
B)  An 18-year-old woman 
C)  A woman pregnant in the third trimester 
D)  A 24-year-old nursing mother

Question 18

Which of the following are nursing interventions for the patient problem of imbalanced nutrition: less than body requirements? (Select all that apply. )

Accepted Answer

A)  Provide adequate,easily digestible,soft,bland foods. 
B)  Give small,frequent,highly nutritional meals. 
C)  Allow extra time to eat. 
D)  Offer three regular meals of highly nutritious foods. 
A)  Provide adequate,easily digestible,soft,bland foods. 
B)  Give small,frequent,highly nutritional meals. 
C)  Allow extra time to eat. 
D)  Offer three regular meals of highly nutritious foods.

Question 19

A patient,age 63,has terminal cancer of the liver and is cared for by his wife at home.His abdominal pain has become increasingly severe,and he now says it is intense most of the time.The nurse recognizes that teaching regarding pain management has been effective based on which measure implemented by this patient?

Accepted Answer

A)  Limiting the use of opiate analgesics to prevent addiction 
B)  Using analgesics only when the pain becomes more than he can tolerate 
C)  Taking analgesics around the clock on a regular schedule,using additional doses for breakthrough pain 
D)  Resigning himself to the fact that pain is an inevitable consequence of cancer 
A)  Limiting the use of opiate analgesics to prevent addiction 
B)  Using analgesics only when the pain becomes more than he can tolerate 
C)  Taking analgesics around the clock on a regular schedule,using additional doses for breakthrough pain 
D)  Resigning himself to the fact that pain is an inevitable consequence of cancer

Exam 57: Care of the Patient With Cancer

How would the nurse explain to the patient who is taking cyclophosphamide (Cytoxan),an alkylating agent,about how the medication works?

What are the signs and symptoms of prostatic enlargement? (Select all that apply. )

The term ____________ refers to the process by which a normal cell is transformed into a cancer cell.

Which of the following men should be highest priority for referral for a prostate-specific antigen (PSA)?

Which of the following characteristics is common in malignant tumors?

After an elevation of his PSA,the patient has blood drawn for a CA-19-9.When he asks the nurses the purpose of this new test,what is the most appropriate response?

A male patient is undergoing external radiation therapy on an outpatient basis for treatment of Hodgkin disease.After 2 weeks of treatment,he tells the nurse that he is so tired he can hardly get out of bed in the morning.Which is an appropriate goal?

What should the home health nurse advise the patient who found a lump in her breast a week ago during breast self-examination?

A patient has developed stomatitis from chemotherapy.What should the appropriate intervention for this condition include?

A home health patient undergoing radiation therapy says,"I feel so useless.I have no energy,no appetite,and I fall asleep whenever I sit down." What is the nurse's most therapeutic response?

The nurse knows which of the following to be characteristics of malignant tumors?

What measures would the home health nurse,designing nursing interventions for a patient receiving external radiation treatments for a malignancy,recommend to protect the patient's skin?

Which of the following is a meal that would represent foods that help prevent cancer?

The patient receiving radiation therapy complains of the conspicuous markings on the skin.What can the nurse explain about these markings?

Men over age 50 should consider an annual _________ test and rectal examination.

A patient,age 39,receiving chemotherapy for treatment of her cancer has a white blood cell count of 1600/mm3.This finding requires nursing interventions to provide which of the following?

Which of the following people should avoid visiting a patient being treated with internal radiation therapy?

Which of the following are nursing interventions for the patient problem of imbalanced nutrition: less than body requirements? (Select all that apply. )

The Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patients Environment

Safety

Admission, transfer, and Discharge

Vital Signs

Physical Assessment

Oxygenation

Elimination and Gastric Intubation

Care of Patients Experiencing Urgent Alterations in Health

Dosage Calculation and Medication Administration

Fluids and Electrolytes

Nutritional Concepts and Related Therapies

Complementary and Alternative Therapies

Pain Management, comfort, rest, and Sleep

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Lifespan Development

Loss, grief, dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, newborn, and Family With Special Needs

Health Promotion for the Infant, child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child With a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient With a Psychiatric Disorder

Care of the Patient With an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient With an Integumentary Disorder

Care of the Patient With a Musculoskeletal Disorder

Care of the Patient With a Gastrointestinal Disorder

Care of the Patient With a Gallbladder, liver, biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient With a Blood or Lymphatic Disorder

Care of the Patient With a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient With a Respiratory Disorder

Care of the Patient With an Endocrine Disorder

Care of the Patient With an Endocrine Disorder

Care of the Patient With a Reproductive Disorder

Care of the Patient With a Visual or Auditory Disorder

Care of the Patient With a Neurologic Disorder

Care of the Patient With an Immune Disorder

Care of the Patient With Hivaids

Professional Roles and Leadership

Filters

A patient,age 39,receiving chemotherapy for treatment of her cancer has a white blood cell count of 1600/mm³.This finding requires nursing interventions to provide which of the following?