A male client is receiving the cell cycle–nonspecific alkylating agent Thioplex (thiotepa), 60 mg weekly for 4 weeks by bladder instillation as part of a chemotherapeutic regimen to treat bladder cancer. The client asks the nurse how the drug works. How does thiotepa exert its therapeutic effects? A. It interferes with deoxyribonucleic acid (DNA)… Read More »
When reviewing the chart for a patient with cervical cancer, the nurse notes that the cancer is staged as Tis, N0, M0. The nurse will teach the patient that A. The cancer cells are well-differentiated B. It is difficult to determine the original site of cervical cancer C. The cancer is localized… Read More »
The oncology nurse specialist provides an educational session to nursing staff regarding the characteristics of Hodgkin’s disease. The nurse determines that further education is needed if a nursing staff member states which of the following is characteristic of the disease? A. Prognosis depends on the stage of the disease B. Occurs most often… Read More »
Gio, a community health nurse, is instructing a group of female clients about breast self-examination. The nurse instructs the client to perform the examination: A. At the onset of menstruation B. Every month during ovulation C. Weekly at the same time of day D. 1 week after menstruation begins … Read More »
Which statement by a patient who is scheduled for a needle biopsy of the prostate indicates that the patient understands the purpose of a biopsy? A. “The biopsy will tell the doctor whether the cancer has spread to my other organs.” B. “The biopsy will help the doctor decide what treatment to use… Read More »
The nurse is reviewing the laboratory results of a client receiving chemotherapy. The platelet count is 10,000 cells/mm. Based on this laboratory value, the priority nursing assessment is which of the following? A. Assess skin turgor B. Assess bowel sounds C. Assess temperature D. Assess level of consciousness … Read More »
Nurse Cindy is caring for a client who has undergone a vaginal hysterectomy. The nurse avoids which of the following in the care of this client? A. Removal of antiembolism stockings twice daily B. Checking placement of pneumatic compression boots C. Elevating the knee gatch on the bed D. Assisting with… Read More »
The nurse is teaching a postmenopausal patient with breast cancer about the expected outcomes of her cancer treatment. The nurse evaluates that the teaching has been effective when the patient says A. “After cancer has not recurred for 5 years, it is considered cured.” B. “I will need to have follow-up examinations for… Read More »
Nurse Donald is caring for a client following a modified radical mastectomy. Which assessment finding would indicate that the client is experiencing a complication related to this surgery? A. Pain at the incisional site B. Complaints of decreased sensation near the operative site C. Arm edema on the operative side D.… Read More »
Mina, who is suspected of an ovarian tumor is scheduled for a pelvic ultrasound. The nurse provides which pre-procedure instruction to the client? A. Wear comfortable clothing and shoes for the procedure B. Maintain an NPO status before the procedure C. Drink six to eight glasses of water without voiding before the… Read More »