Exam 25: The Patient With Cancer

When the patient with 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," the nurse recognizes that this attitude will most likely lead the patient to coping strategies that are:

The nurse counsels that the most common site of cancer in adult women is the:

The 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 indulges in 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.The number of risks for cancer in this profile that the nurse should assess are:

The complaint the nurse should consider as a warning sign for cancer would be:

A female college student has had a melanoma of the forehead surgically removed and given a course of chemotherapy.The comment that demonstrates her understanding of the treatments and prognosis is:

The nurse closely monitors for hypercalcemia,an oncologic emergency that is manifested by:

The nurse explains that the most common cytologic test,usually performed in outpatient settings,that suggests the probability of a need for further testing for cancer cells is a:

The nurse explains that adjuvant therapy is given to patients with cancer who are free of signs of the disease to:

Radiation is now measured in GRAY rather than RADS.One GRAY is equal to ________ RADS.

The nurse clarifies that radiation has an immediate effect on cells,which is cell death by:

The best menu choice for a patient with nausea who is undergoing radiation treatments every other day is:

The nurse evaluates the precolonoscopy instruction as effective when the patient says:

When a diagnosis of breast cancer is first made at stage T1 N0 M0,the nursing diagnosis that would be appropriate is:

A patient has a cancer that has been TNM staged as T3 (1-4: size of primary tumor),N2 (0-3: degree of spread to regional lymph nodes),and M2 (0-1: presence of metastasis).He has a as needed (PRN)order of 4 mg morphine,intramuscularly (IM)every 3 to 4 hours.He requests another pain shot approximately 2 3/4 hours after the last one.An appropriate nursing action would be to:

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

The nurse explains that the seven warning signs of cancer written by the American Cancer Society (ACS)can be recalled by the acronym CAUTION.The nurse points out that the A in the acronym stands for:

A patient whose cancer has been staged at T4 N2 M2 has been assigned for care.What is the best interpretation of this staging information in planning care for this patient?

List the tumors in order based on the following tissue of origin: TISSUE: 1)FAT 2)FIBROUS 3)SMOOTH MUSCLE 4)GLANDS 5)BONE A) Sarcoma B) Lipoma C) Leiomyoma D) Fibroma E) Carcinoma

The nurse reassures the patient that the surgical remedy for cancer is very successful if:

The family is concerned about the possibility of addiction as a result of the frequent doses of Roxanol.The nurse's best response is: