A 40-year-old divorced mother of four school-age children is hospitalized with metastatic cancer of the ovary. The nurse finds the patient crying, and she tells the nurse that she does not know what will happen to her children when she dies. The most appropriate response by the nurse is A. “Why don’t we talk… Read More »
Which of the following clients is most at risk for developing multiple myeloma? A. A 60-year-old African-American man B. A 52-year-old Hispanic woman C. A 35-year-old White man D. A 25-year-old Asian woman Correct Answer: A. A 60-year-old African-American man Option A: Multiple myeloma is more common… Read More »
For a female client with newly diagnosed cancer, the nurse formulates a nursing diagnosis of Anxiety related to the threat of death secondary to cancer diagnosis. Which expected outcome would be appropriate for this client? A. “Client stops seeking information.” B. “Client uses any effective method to reduce tension.” C. “Client doesn’t… Read More »
The nurse is admitting a male client with laryngeal cancer to the nursing unit. The nurse assesses for which most common risk factor for this type of cancer? A. Alcohol abuse B. Cigarette smoking C. Use of chewing tobacco D. Exposure to air pollutants Correct Answer: B.… Read More »
A patient who has terminal cancer of the liver and is cared for by family members at home tells the nurse, “I have intense pain most of the time now.” The nurse recognizes that teaching regarding pain management has been effective when the patient A. States that nonopioid analgesics may be used when the… Read More »
Which of the following substances has abnormal values early in the course of multiple myeloma (MM)? A. Red blood cells B. Immunoglobulins C. White blood cells D. Platelets Correct Answer: B. Immunoglobulins Option B: MM is characterized by malignant plasma cells that produce an increased amount of… Read More »
A male client with a cerebellar brain tumor is admitted to an acute care facility. The nurse formulates a nursing diagnosis of Risk for injury. Which “related-to” phrase should the nurse add to complete the nursing diagnosis statement? A. Related to psychomotor seizures B. Related to impaired balance C. Related to visual… Read More »
The female client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing: A. Extreme stress caused by the diagnosis of cancer B. Altered perineal sensation as a side effect of… Read More »
Interleukin-2 (IL-2) is used as adjuvant therapy for a patient with metastatic renal cell carcinoma. The nurse teaches the patient that the purpose of therapy with this agent is to A. Protect normal kidney cells from the damaging effects of chemotherapy B. Enhance the patient’s immunologic response to tumor cells C. Stimulate… Read More »