A client with stomach cancer is admitted to the oncology unit after vomiting for 3 days. Physical assessment findings include irregular pulse, muscle twitching, and complaints of prickling sensations in the fingers and hands. Laboratory results include a potassium level of 2.9 mEq/L, a pH of 7.46, and a bicarbonate level of 29 mEq/L. The… Read More »
The nurse is caring for a female client experiencing neutropenia as a result of chemotherapy and develops a plan of care for the client. The nurse plans to: A. Teach the client and family about the need for hand hygiene B. Insert an indwelling urinary catheter to prevent skin breakdown C. Restrict… Read More »
A patient with metastatic cancer of the colon experiences severe vomiting following each administration of chemotherapy. An important nursing intervention for the patient is to A. Have the patient eat large meals when nausea is not present B. Administer prescribed antiemetics 1 hour before the treatments C. Teach about the importance of… Read More »
A 40-year-old male diagnosed with acute lymphocytic leukemia finished his first cycle of chemotherapy. Which of the following statements by the nurse is wrong? A. “You can eat soft cheeses from pasteurized milk” B. “You can enjoy the turkey on the day of thanksgiving party” C. “Try eating sashimi in one of… Read More »
A 56-year-old woman is currently receiving radiation therapy to the chest wall for recurrent breast cancer. She calls her health care provider to report that she has pain while swallowing and burning and tightness in her chest. Which of the following complications of radiation therapy is A. Radiation enteritislikely responsible for her symptoms? A.… Read More »
Mr. Miller has been diagnosed with bone cancer. You know this type of cancer is classified as: A. Carcinoma B. Lymphoma C. Melanoma D. Sarcoma Correct Answer: D. Sarcoma Option D: Tumors that originate from bone, muscle, and other connective tissue are called sarcomas. Option A: Carcinoma… Read More »
A 32-year-old male patient is to undergo radiation therapy to the pelvic area for Hodgkin’s lymphoma. He expresses concern to the nurse about the effect of chemotherapy on his sexual function. The best response by the nurse to the patient’s concerns is A. “Radiation does not cause the problems with sexual functioning that occur… Read More »
A client with leukemia has neutropenia. Which of the following functions must be frequently assessed? A. Heart sounds B. Bowel sounds C. Breath sounds D. Blood pressure Correct Answer: C. Breath sounds Option C: Pneumonia, both viral and fungal, is a common cause of death in clients… Read More »
A male client has an abnormal result on a Papanicolaou test. After admitting, he read his chart while the nurse was out of the room, the client asked what dysplasia means. Which definition should the nurse provide? A. Alteration in the size, shape, and organization of differentiated cells B. Increase in the number… Read More »
Sarah, a hospice nurse visits a client dying of ovarian cancer. During the visit, the client expresses that “If I can just live long enough to attend my daughter’s graduation, I’ll be ready to die.” Which phrase of coping is this client experiencing? A. Anger B. Denial C. Bargaining D. Depression… Read More »