A male client is admitted to the hospital with a suspected diagnosis of Hodgkin’s disease. Which assessment findings would the nurse expect to note specifically in the client? A. Fatigue B. Weakness C. Weight gain D. Enlarged lymph nodes Correct Answer: D. Enlarged lymph nodes Option D:… Read More »
A patient with ovarian cancer tells the nurse, “I don’t think my husband cares about me anymore. He rarely visits me.” On one occasion when the husband was present, he told the nurse he just could not stand to see his wife so ill and never knew what to say to her. An appropriate nursing… Read More »
Which of the following immunizations should not be given to a 4-month-old sibling of a client with leukemia? A. Oral poliovirus vaccine (OPV) B. Hepatitis B vaccine C. Diphtheria and tetanus and pertussis (DPT) vaccine D. Haemophilus influenzae type b vaccines (Hib) Correct Answer: A. Oral poliovirus… Read More »
A male client complains of sporadic epigastric pain, yellow skin, nausea, vomiting, weight loss, and fatigue. Suspecting gallbladder disease, the physician orders a diagnostic workup, which reveals gallbladder cancer. Which nursing diagnosis may be appropriate for this client? A. Chronic low self-esteem B. Disturbed body image C. Anticipatory grieving D. Impaired… Read More »
Specific classification of the chemotherapeutic agent, Vincristine (Oncovin) is: A. Hormone modulator B. Mitotic inhibitor C. Antineoplastic antibiotic D. Antimetabolite Correct Answer: B. Mitotic inhibitor Option B: Vincristine is a mitotic inhibitor that inhibits mitosis or cell division. Other examples of mitotic inhibitors are paclitaxel, docetaxel, and… Read More »
Which of the following medications usually is given to a client with leukemia as prophylaxis against P. carinii pneumonia? A. Vincristine (Oncovin) B. Prednisone (Deltasone) C. Oral nystatin suspension D. Sulfamethoxazole and trimethoprim (Bactrim) Correct Answer: D. Sulfamethoxazole and trimethoprim (Bactrim) Option D: The most frequent cause… Read More »
A male client is in isolation after receiving an internal radioactive implant to treat cancer. Two hours later, the nurse discovers the implant in the bed linens. What should the nurse do first? A. Leave the room and notify the radiation therapy department immediately B. Put the implant back in place, using forceps… Read More »
A client is diagnosed with progressive prostate cancer. The nurse expects which drug is given? A. Arimidex (anastrozole) B. Emcyt (estramustine) C. Taxol (paclitaxel) D. Camptosar (irinotecan) Correct Answer: B. Emcyt (estramustine) Option B: Emcyt (estramustine)– is used as a palliative treatment of metastatic and progressive prostate… Read More »
In which of the following diseases would bone marrow transplantation not be indicated in a newly diagnosed client? A. Severe aplastic anemia B. Severe combined immunodeficiency C. Acute lymphocytic leukemia D. Chronic myeloid leukemia Correct Answer: C. Acute lymphocytic leukemia Option C: For the first episode of… Read More »
Jenny with an advanced breast cancer is prescribed Nolvadex (tamoxifen). When teaching the client about this drug, the nurse should emphasize the importance of reporting which adverse reaction immediately? A. Anorexia B. Headache C. Hearing loss D. Vision changes Correct Answer: D. Vision changes Option D: Tamoxifen,… Read More »