Exam 17: Care of the Patient With Cancer

A patient, age 58, has bronchogenic cancer and is hospitalized for chemotherapy. Administration of doxorubicin (a vesicant, antitumor, antibiotic) in combination with other chemotherapeutic agents is planned for her. Her husband rarely visits while she is in the hospital. She tells the nurse that she thinks her husband does not care for her anymore since she has become ill. On one occasion when the patient's husband was present, he told the nurse he just could not stand to see his wife so ill and did not know what to say to her. The nurse identifies which nursing diagnosis in this situation?

A patient, age 53, is receiving chemotherapy for Hodgkin's disease, stage IV. As a side effect of chemotherapy, he is experiencing stomatitis. Which nursing diagnosis would be identified for planning the nursing interventions for this patient?

A patient, age 72, is receiving chemotherapy for treatment of malignant lymphoma. Chemotherapeutic agents work by

_________ is the term for uncontrolled or abnormal growth of cells. They may be benign or malignant.

A patient who has malignant cancer secondary to a high-grade lymphoma has been admitted with muscle weakness, tetany, paresthesias, and convulsion. The nurse notices he is being treated for tumor lysis syndrome (TLS) and initial treatment has not been successful. The nurse must prepare the family for the next step in treatment, which is

The following characteristics are common in malignant tumors

The only definitive way to determine the presence of malignant cells is to perform

Nursing interventions for the nursing diagnosis of Imbalanced nutrition: less than body requirements would include all these except:

Which is a type of biopsy?

A patient, age 56, has been advised that his prostate-specific antigen (PSA) level is elevated. The physician then performed a digital rectal examination (DRE). Which procedure is indicated next?

The American Cancer Society recommends a clinical breast examination by a health care professional for women between the ages of 20 and 39 years every ________ years.

An effective antiemetic drug given intravenously to block receptors on the endings of nerve cells in the brain and gastrointestinal tract, given once a day in a 5-minute infusion, is called

Which are characteristics of malignant tumors?

The patient receiving radiation therapy often has conspicuous skin markings left on the skin after treatment. What is the most appropriate nursing implication regarding these markings?

Which of the following foods that are recommended for prevention of colorectal cancer in men. (Select all that apply.)

A patient is undergoing external radiation therapy on an outpatient basis for treatment of Hodgkin's 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 for him?

The patient, age 63, has a diagnosis of cancer of the prostate gland with metastasis and is experiencing cachexia. This state is best described by the characteristics of: