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ch 13
cancer
Question | Answer |
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which statement by a pt who was recently diagnosed with cancer indicates an understanding of the pathogenesis of cancer? | my cancer is probably caused by a disorder of my immune system |
the nurse recognizes that one primary difference between normal and cancer cells is related to regulated cell death that normal cells undergo as part of the regular cell cycle. what is the term for this change in cellular function? | Apoptosis |
A patient being treated for cancer has a tumor designation of Stage IV, T4, N3, M1. What does this staging indicate to the nurse? | The tumor has metastasized with lymph node involvement. |
In providing care to a patient recently diagnosed with cancer that was designated as Stage III T3, N2, M1, which statement by the patient indicates the need for further teaching? | am relieved that the cancer is still local.” |
The nurse provides care to a patient who is newly diagnosed with bladder cancer. Which assessment data collected by the nurse support this diagnosis? | Hematuria |
The nurse provides education to a patient who is diagnosed with breast cancer and asks about sites of metastases. Which is the best response by the nurse? | Your type of cancer may spread to the bones.” |
The nurse monitors for which clinical manifestation in the patient with tumor lysis syndrome? | Paresthesia of the fingertips |
The nurse is caring for a patient who has developed a pericardial effusion secondary to lymphoma and recognizes that this patient requires which emergency medical treatment? | Pericardiocentesis |
A patient is receiving chemotherapy for the treatment of leukemia. While providing care for this patient, which clinical manifestations would indicate tumor lysis syndrome? | Cardiac dysrhythmias |
The nurse prioritizes which nursing diagnosis for the patient who develops Syndrome of Inappropriate Antidiuretic Hormone (SIADH) secondary to lung cancer? | Fluid Volume Excess |
The nurse monitors for which clinical manifestation in the patient diagnosed with superior vena cava syndrome? | Dyspnea |
The nurse is caring for a patient with leukemia who is experiencing neutropenia as a result of chemotherapy. Which action should the nurse include in the plan of care for this patient? | Restricting visitors with communicable illnesses |
what indicates an understanding of the material presented by the nurse to reduce the risk of developing cancer? | I apply sunscreen when I am going to be outside.” |
In preparing an educational program about cancer prevention, the nurse educator includes which information regarding primary prevention? | Chemoprevention |
Which patient statement indicates to the nurse the need to provide additional information related to measures that prevent cancer development? | will increase my intake of red meat.” |
The nurse is caring for a 45-year-old female patient with a strong family history of breast cancer. What does the nurse teach the patient regarding cancer prevention? | Have an annual clinical breast examination. |
In screening patients for breast cancer, the nurse correlates which patient as being at highest risk for this type of cancer? | 45-year-old Caucasian female |
In preparing an educational session on the benefits of smoking cessation, the nurse includes that the risk of lung cancer decreases by which percentage by quitting smoking and avoiding tobacco? | 30% to 50% |
During a treatment meeting on an oncology unit, the nurse learns that a patient is scheduled for chemotherapy before surgery. What are the purposes for this patient to receive chemotherapy at this specific time? | Shrink the tumor |
Which statement by the patient scheduled for low-dose brachytherapy for prostate cancer indicates that patient teaching was effective? | I will have to have general anesthesia for the procedure.” |
During an assessment, the nurse notes that a patient receiving radiation treatments for breast cancer has excoriated skin. These findings best substantiate which nursing diagnosis? | Risk for Infection |
Which nursing intervention is best for the patient with xerostomia secondary to chemotherapy? | Provide frequent mouth care |
The nurse recognizes that statistics from the American Cancer Society demonstrate that males are at greater risk for the development of which types of cancer? Select all that apply. | 2. Colorectal 3. Lung 4. Melanoma of skin |
The nurse instructs a group of community members on the difference between benign and malignant neoplasms. Which participant statements indicate that teaching has been effective? Select all that apply. | 1. “Malignant tumors can grow back.” 2. “Benign tumors stay in one area.” 3. “Benign tumors grow slowly.” |
The nurse intervenes to collect additional information when the patient reports which of the following data that may be associated with an increased risk for cancer? Select all that apply. | 2. “I have been coughing like this for months.” 3. “I have a sore on my back that just won’t heal.” 5. I have developed heartburn within the last couple of months.” |
The nurse is preparing to perform a health assessment on an adult patient who has a family history of cancer. Which questions should the nurse ask the patient to assess related to warning signs of cancer? Select all that apply. | 1. “Have you noticed a change in your appetite?” 2. “Have you noticed any cuts that have not healed?” 3. “Have you had any changes in bowel or bladder habits?” 4. “Have you experienced any problems swallowing?” 5. “Do you have a cough that is not asso |
The nurse correlates an increased risk of colon cancer in patients with which of the following factors? Select all that apply. | 2. Alcohol in excess of two to three drinks per day 3. History of polyps 5. Obesity |
The nurse working on the oncology unit correlates cigarette smoking with an increased incidence of which types of cancer? Select all that apply | 1. bladder cancer 2. esophageal cancer 3. gastric cancer |
The nurse correlates an increased risk of which types of cancer to exposure to the human papillomavirus (HPV)? Select all the apply. | 1. cervical cancer 2. nasal cancer 3. oral cancer |
The nurse instructs a group of community members about ways to reduce risk for the development of cancer. Which participant statements indicate that teaching has been effective? Select all that apply. | 2. “I should limit my alcohol intake to one drink per day because I am a woman.” 3. “I need to keep my children away from smokers.” 4. “Sunscreen should be applied before spending time outdoors.” |