Question 1

Which action should the nurse take when caring for a patient who is receiving chemotherapy and complains of problems with concentration?

Accepted Answer

A) Teach the patient to rest the brain by avoiding new activities. 
B) Teach that "chemo-brain" is a short-term effect of chemotherapy. 
C) Report patient symptoms immediately to the health care provider. 
D) Suggest use of a daily planner and encourage adequate rest and sleep. 
A) Teach the patient to rest the brain by avoiding new activities. 
B) Teach that "chemo-brain" is a short-term effect of chemotherapy. 
C) Report patient symptoms immediately to the health care provider. 
D) Suggest use of a daily planner and encourage adequate rest and sleep.

Question 2

The nurse at the clinic is interviewing a 64-yr-old woman who is 5 feet,3 inches tall and weighs 125 lb (57 kg). The patient has not seen a health care provider for 20 years. She walks 5 miles most days and has a glass of wine two or three times a week. Which topics will the nurse plan to include in patient teaching about cancer screening and decreasing cancer risk ?

Accepted Answer

A) Pap testing 
B) Tobacco use 
C) Sunscreen use 
D) Mammography 
E) Colorectal screening 
A) Pap testing 
B) Tobacco use 
C) Sunscreen use 
D) Mammography 
E) Colorectal screening

Question 3

A patient who has severe pain associated with terminal pancreatic cancer is being cared for at home by family members. Which finding by the nurse indicates that teaching regarding pain management has been effective?

Accepted Answer

A) The patient uses the ordered opioid pain medication whenever the pain is greater than 5 (0 to 10 scale). 
B) The patient agrees to take the medications by the IV route in order to improve analgesic effectiveness. 
C) The patient takes opioids around the clock on a regular schedule and uses additional doses when breakthrough pain occurs. 
D) The patient states that nonopioid analgesics may be used when the maximal dose of the opioid is reached without adequate pain relief. 
A) The patient uses the ordered opioid pain medication whenever the pain is greater than 5 (0 to 10 scale). 
B) The patient agrees to take the medications by the IV route in order to improve analgesic effectiveness. 
C) The patient takes opioids around the clock on a regular schedule and uses additional doses when breakthrough pain occurs. 
D) The patient states that nonopioid analgesics may be used when the maximal dose of the opioid is reached without adequate pain relief.

Exam 15: Cancer

Which action should the nurse take when caring for a patient who is receiving chemotherapy and complains of problems with concentration?

A patient who has severe pain associated with terminal pancreatic cancer is being cared for at home by family members. Which finding by the nurse indicates that teaching regarding pain management has been effective?

Professional Nursing Practice

Health Disparities and Culturally Competent Care

Health History and Physical Examination

Patient and Caregiver Teaching

Chronic Illness and Older Adults

Stress and Stress Management

Sleep and Sleep Disorders

Pain

Palliative Care at End of Life

Substance Use Disorders

Inflammation and Wound Healing

Genetics and Genomics

Altered Immune Responses and Transplantation

Infection and Human Immunodeficiency Virus Infection

Fluid, electrolyte, and Acid-Base Imbalances

Preoperative Care

Intraoperative Care

Postoperative Care

Assessment of Visual and Auditory Systems

Visual and Auditory Problems

Assessment of Integumentary System

Integumentary Problems

Burns

Assessment of Respiratory System

Upper Respiratory Problems

Lower Respiratory Problems

Obstructive Pulmonary Diseases

Assessment of Hematologic System

Hematologic Problems

Assessment of Cardiovascular System

Hypertension

Coronary Artery Disease and Acute Coronary Syndrome

Heart Failure

Dysrhythmias

Inflammatory and Structural Heart Disorders

Vascular Disorders

Assessment of Gastrointestinal System

Nutritional Problems

Obesity

Upper Gastrointestinal Problems

Lower Gastrointestinal Problems

Liver, pancreas, and Biliary Tract Problems

Assessment of Urinary System

Renal and Urologic Problems

Acute Kidney Injury and Chronic Kidney Disease

Assessment of Endocrine System

Diabetes Mellitus

Endocrine Problems

Assessment of Reproductive System

Breast Disorders

Sexually Transmitted Infections

Female Reproductive and Genital Problems

Male Reproductive and Genital Problems

Assessment of Nervous System

Acute Intracranial Problems

Stroke

Chronic Neurologic Problems

Dementia and Delirium

Spinal Cord and Peripheral Nerve Problems

Assessment of Musculoskeletal System

Musculoskeletal Trauma and Orthopedic Surgery

Musculoskeletal Problems

Arthritis and Connective Tissue Diseases

Critical Care

Shock, sepsis, and Multiple Organ Dysfunction Syndrome

Acute Respiratory Failure and Acute Respiratory Distress Syndrome

Emergency and Disaster Nursing

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