Exam 12: Cancer

The nurse is caring for a patient with left-sided lung cancer.Which finding would be most important for the nurse to report to the health care provider?

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

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

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

A patient develops neutropenia after receiving chemotherapy.Which information about ways to prevent infection will the nurse include in the teaching plan (select all that apply)?

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

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?

During the teaching session for a patient who has a new diagnosis of acute leukemia the patient is restless and is looking away,never making eye contact.After teaching about the complications associated with chemotherapy,the patient asks the nurse to repeat all of the information.Based on this assessment,which nursing diagnosis is most appropriate for the patient?

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?

Interleukin-2 (IL-2)is used as adjuvant therapy for a patient with metastatic renal cell carcinoma.Which information should the nurse include when explaining the purpose of this therapy to the patient?

A patient with cancer has a nursing diagnosis of imbalanced nutrition: less than body requirements related to altered taste sensation.Which nursing action is most appropriate?

External-beam radiation is planned for a patient with cervical cancer.What instructions should the nurse give to the patient to prevent complications from the effects of the radiation?

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

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

A patient who has ovarian cancer is crying and tells the nurse,"My husband rarely visits.He just doesn't care." The husband indicates to the nurse that he never knows what to say to help his wife.Which nursing diagnosis is most appropriate for the nurse to add to the plan of care?

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?

The nurse teaches a postmenopausal patient with stage III breast cancer about the expected outcomes of cancer treatment.Which patient statement indicates that the teaching has been effective?

An older adult patient who has colorectal cancer is receiving IV fluids at 175 mL/hour in conjunction with the prescribed chemotherapy.Which finding by the nurse is most important to report to the health care provider?

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