Exam 15: Cancer

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 cancer therapy with the health care provider?

After change-of-shift report on the oncology unit,which patient should the nurse assess first?

The nurse receives change-of-shift report on the oncology unit. Which patient should the nurse assess first?

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?

The nurse teaches a patient who is scheduled for a prostate needle biopsy about the procedure. Which statement,if made by the patient,indicates that teaching was effective?

The home health nurse is caring for a patient who has been receiving interferon therapy for treatment of cancer. Which statement by the patient indicates a need for further assessment?

A patient who is being treated for stage IV lung cancer tells the nurse about new-onset back pain. Which action should the nurse take first?

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

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

A patient with a large stomach tumor attached to the liver is scheduled for a debulking procedure. Which information should the nurse teach the patient about the outcome of this procedure?

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 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?

A patient with cancer has a nursing diagnosis of imbalanced nutrition: less than body requirements related to altered taste sensation. Which nursing action would address the cause of the patient problem?

The nurse administers an IV vesicant chemotherapeutic agent to a patient. Which action is most important for the nurse to take?

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?

A patient receiving head and neck radiation for larynx cancer has ulcerations over the oral mucosa and tongue and thick,ropey saliva. Which instructions should the nurse give to this patient?

During a routine health examination,a 40-yr-old patient tells the nurse about a family history of colon cancer. Which action should the nurse take next?

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 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 teaches a patient with cancer of the liver about high-protein,high-calorie diet choices. Which snack choice by the patient indicates that the teaching has been effective?