Exam 16: Cancer

The nurse is caring for a patient with colon cancer who is scheduled for external radiation therapy to the abdomen.Which information obtained by the nurse would indicate a need for patient teaching?

The nurse is caring for a patient receiving intravesical bladder chemotherapy.The nurse should monitor for which adverse effect?

The nurse is caring for a patient who has been diagnosed with stage I cancer of the colon.When assessing the need for psychologic support,which question by the nurse will provide the most information?

A patient develops neutropenia after receiving chemotherapy.Which information about ways to prevent infection will the nurse include in the teaching plan ?

A patient with leukemia is considering whether to have hematopoietic stem cell transplantation (HSCT).The nurse will include which information in the patient's teaching plan?

A patient with Hodgkin's lymphoma who is undergoing external radiation therapy tells the nurse,"I am so tired I can hardly get out of bed in the morning." Which intervention should the nurse add to the plan of care?

The nurse assesses a patient with non-Hodgkin's lymphoma who is receiving an infusion of rituximab (Rituxan).Which assessment finding would require the most rapid action by the nurse?

The nurse supervises the care of a patient with a temporary radioactive cervical implant.Which action by unlicensed assistive personnel (UAP),if observed by the nurse,would require an intervention?

The nurse should include which food choice when providing dietary teaching for a patient scheduled to receive external beam radiation for abdominal cancer?

The nurse is caring for a patient who smokes 2 packs/day.To reduce the patient's risk of lung cancer,which action by the nurse is best?

A patient undergoing external radiation has developed a dry desquamation of the skin in the treatment area.The nurse teaches the patient about management of the skin reaction.Which statement,if made by the patient,indicates the teaching was effective?

The nurse reviews the laboratory results of a patient who is receiving chemotherapy.Which laboratory result is most important to report to the health care provider?

A widowed mother of four school-age children is hospitalized with metastatic ovarian cancer.The patient is crying and tells the nurse that she does not know what will happen to her children when she dies.Which response by the nurse is most appropriate?

A hospitalized patient who has received chemotherapy for leukemia develops neutropenia.Which observation by the nurse would indicate a need for further teaching?

A patient who is scheduled for a right breast biopsy asks the nurse the difference between a benign tumor and a malignant tumor.Which answer by the nurse is correct?

When caring for a patient who is pancytopenic,which action by unlicensed assistive personnel (UAP)indicates a need for the nurse to intervene?

The nurse assesses a patient who is receiving interleukin-2.Which finding should the nurse report immediately to the health care provider?

A patient with metastatic cancer of the colon experiences severe vomiting following each administration of chemotherapy.Which action,if taken by the nurse,is most appropriate?

The nurse obtains information about a hospitalized patient who is receiving chemotherapy for colorectal cancer.Which information about the patient alerts the nurse to discuss a possible change in therapy with the health care provider?

A patient has been assigned the nursing diagnosis of imbalanced nutrition: less than body requirements related to painful oral ulcers.Which nursing action will be most effective in improving oral intake?