Tuesday, February 2, 2010

ONCOLOGY studyguide

Questions from Saunders
  1. A nurse is assisting with developing a plan of care for a client with multiple myeloma. Which of the folowing is a priority nursing intervention for this client? : encouraging fluids
  2. A nurse is assisting with conducting a health promotion program to community members regarding testicular cancer. The nurse determines that further teaching is needed if a community member states that which of the following is a sign of testicular cancer.? :alopecia
  3. A nurse is reviewing the lab results of a client with leukemia who has received a regimen of chemotherapy. Which lab value would the nurse specifically note as a result of the massive cell destruction that occurs with chemotherapy.?: increased uric acid level ( hyperuricemia)
  4. A client is receiving external radiation to the neck for cancer of the larynx. The nurse plans the client’s care knowing that the most likely side effect to be expected is : sore throat
  5. a nurse is providing instructions to a client receiving external radiation therapy. The nurse determines further instructions if the client states an intention to: apply pressure to the radiated area to prevent bleeding.
  6. A nurse is caring for a client with an internal radiation implant. When caring for a client, the nurse should observe which principle? Pregnant women are not allowed into client’s room
  7. A nurse teaches skin care to a client who is receiving external radiation therapy. Which of the following statements, if made by the client would indicate the need for further instruction? : I will limit sun exposure to 1 hour daily.
  8. A client is hospitalized for the insertion of an internal cervical radiation implant. While giving care, the nurse finds that radiation implant in the bed. The nurse would immediately :pick up the implant with long-handled forceps and place into a lead container.
  9. A nurse is assisting in developing a plan of care for a client who is experiencing hematological toxicity as a result of chemotherapy. The nurse suggests include which of the following in the plan of care? : restricting fresh fruits and vegetables in the diet
  10. A nurse is reviewing the lab results of a client who is receiving chemotherapy and notes that the platelet count is 10, 000/mm3 . On the basis of this lab value , the priority action is to monitor which of the following.: LOC
  11. A client is admitted to the hospital with the Dx of suspected Hodgkin’s disease. Which of the following findings would the nurse most likely expect to find documented in the client’s record?: enlarged lymph nodes
  12. When reviewing the health care record of a client with ovarian cancer, the nurse recognizes which symptom as being typical of the disease? : abdominal distention
  13. Modified mastectomy which of the following findings would indicate that the client is experiencing a complication related to the surgery? : arm edema on the operated side
  14. Pt with cancer of the prostate after a prostatectomy. The nurse provides discharge instructions and plans to include which of the following? Avoid lifting objects heavier than 20 LBS for at leat 6 weeks
  15. Teaching session to community group regarign the risks and causes of bladder cancer. Additional teaching is needed if a member of the community group states which of the following regarding this type of the cancer? : it most often occurs in women
  16. Pt hx of bladder cancer. Common symptom of this type cancer is documented in the client’s record? hematuria
  17. Radical mastectomy which nursing intervention would assist with preventing lymph edema of the affected arm. elevating the affected arm on a pillow above heart level
  18. A nurse is inspecting the stoma after a ureteroostomy. Which of the folowing would the nurse expect to note? : a red and moist stoma
  19. To perform testicular self exam ( TSE) which instruction would the nurse provide to the pt? : the best time for the exam is after a shower.
  20. Health promotion program at school so what additional teaching is needed is a student identifies which of the following as a risk factor with cancer.” : low fat with high fiber diet
  21. Pt with cancer receiving chemotherapy and develops thrombocytopenia. Which intervention is a priority in the nursing plan of care.?: monitor the client for bleeding
  22. A group of female client with breast self exam ( BSE) the nurse would instruct to perform the exam: one week after menstruation begins
  23. Dx of multiple myeloma asks the nurse about the diagnosis the nurse bases the response on which characteristic of the disorder? : malignant proliferation of plasma cells and tumors within the bone.
  24. Lab results of a cleint with DX of multiple myeloma. Which of the folowing would the nurse expect to specially note with this daignosis? :increased calcium level
  25. SELECT ALL THAT APPLY questions
  26. A client with carcinoma of the lung develops the syndrome of inappropriate antiduretic harmone ( SIADH) as a complication of the cancer. The nurse anticipates that which of the following may be prescribed? : radiation, chemotherapy, serum sodium blood levels , med that is antagonistic to antiduirietic hormone ( ADH)
  27. A nurse is assisting with caring for a cleint with cancer who is receiving cisplatin ( platinol). Toxic effects of this med are : tinnitus, ototoxicity, nephrotoxicity, hypomagnesaemia
  28. The intake of which of the following food groups may be beneficial in preventing certain cancers: low saturated fats, fruits, fiber, vegetables and fish
  29. A clients with lung cancer is exhibiting signs of SIADH. Which of the following findings are essential to report to the primary care provider? : behavior changes, heachache, N&V, hyponatremia, lethary, seizures
  30. A client receiving chemotherapy for acute leukemia complains for nausea. This cleint refuses to take antiemitic med. Which of the following no pharmacologic therapies can the nurse offer this cleint: relaxation technique, guided imagery and distracted techniques
  31. A client with promyelocytic leukemia is receiving retinoid. When monitoring the client for retinoic acid syndrome, which of the following should the nurse look for ? : respiratory distress, pleuritic chest pain, unexplained fever.
  32. A client diagnosed with breat cancer with liver metastasis is receiving colony -stimulating factors. Which of the following side effects should the nurse monitors for this client? : bone pain, fatigue and fever.
  33. Cancer screening activities are: performing a risk factor asessment and physical exam, giving a pt instructions for performing the test for fecal occult blood and instructing a pt self exam of the skin and oral cavity
  34. Metoclopramide ( regalan) is an anathematic that is helpful in preventing chemotherapy induced emesis. Choose all the correct answers that describe the following: blocks dopamine receptors in chemoreceptor triger zone of CNS, accelerates gastric emptying, stimulates motility of upper GI
  1. For antineoplastoic meds IV which lab : a platelet count of 70,000cells/ul
  2. IV infusion of an antineoplastic med , the nurse notes redness so : notify RN
  3. Leukemia so busulfan ( myleran) and allopurinol (zyloprim) . So the purpose of alloopurinol Is to prevent what: hyperuricemia
  4. Med instructions to a pt with breat cancer is taking cyclophosphamide ( cryptogam) nurse include in the instruction is : increase the fluid intake to 2000 to 3000 ml/day
  5. Non Hodgkin;s lymphoma pt receiving daunorubicin ( cerubidine) what toxic effect r/t to this med: dyspnea
  6. For testicular cancer pt receiving plicamycin ( mithracin) whih med is questioned: warfarin( coumadin)
  7. Squamous cell carcinoma of the larynx is receiving bloodying sulfate ( blenoxane) IV which daignostic test is prescribed? : pulmonary function studies
  8. Acute lymphocytic leukemia pt receiving cytarabine hyrochloride. The nurse knows that this is a : cell-cycle phase specific med
  9. For antineoplastic meds which is included in plan of care : consult the doctor before receiving immunization.
  10. Ovarian cancer so pt receiving incrusting sulfate( oncoming) monitor what side effect of this med: numbness and tingling in the fingers and toes
  11. Antineoplastic med asparaginase ( elspar) what is contraindicated: pancreatitis
  12. Meatastatic breat cancer tamoxifen ( nolvadex) the nurse would monitor for which Signs during therapy is : hypocalcaemia
  13. Megesterol acetate ( megace) is antineoplastic med for meatastic endometrial carcinoma. What cuation when administering this med? : thrombophlebitis
  14. Acute myelocytic leukemia pt receiving busulfan what signs are monitored: renal failure.
  1. Which of the following client statements indicates the need for further teaching: I look so much better when I have a good sun tan
  2. A client is in hypercalcemic crisis. Which of the following orders should the nurse question? ;restrict fluid intake to 1,000ml/24hours
  3. What action should the nurse take is a client is suspected of having a spinal cord compression secondary to breat cancer? Report abnormal neuro assessment data to doctor immediately and prepare the client for interventions such as IV corticosteroids, radiation or surgical interventions.
  1. The priority nursing interventions for a cancer patient receiving chemotherapy postoperatively is : comfort through positioning , pain meds etc.
  2. Mrs kelly has anemia due to chemotherapy and the doctor has started he on epogen 10,000 units every Monday, Wednesday, and Friday. The visiting nurse woul administer this med : subcutaneously
  3. Which is not a warning sign of cancer: decrease in sleep from 8 to 6 hours
  4. The nurse recognizes the person at highest risk of developing prostate cancer is : 55 year old black male
  6. A client undergoing chemotherapy for small cell carcinoma of the lung has a decreased WBC count. What precautions should the nurse take to avoid any secondary infection when caring for this client? : avoid multiple IV access attempts
  7. A client diagnosed with medullary carcinoma of the thyroid is prescribed radiotherapy by the treating oncologists. The nurse is reqd to give infor about the therapy to the client. Which of the following should the nurse tell the cleint? : there is an increase risk of developing anemia.
  8. A client with metastatic renal cancer is receiving interleukin therapy. Which of the following side effects should the nurse monitor for this client? : dyspnea
  9. A nurse is documenting reports of a cleint with pancreatic carcinoma. Which of the following tumors markers is msot likely to be found in this client? : CA 19-9 tumor markers
  10. A nurse is administering 5-fluorouracil to a client with acute leukemia. To which category of chemotherapeutic agents does this med belong? antimetabolities
  11. Which of the following side effects should the nurse look in a client receiving radiotherapy? : skin irritation
  12. A client admitted to healthcare facility with meatastatic lung carcinoma has a decreased appetite. Which of the following should the nurse keep in mind when catering to the nutritional needs of this cleint.: provide a high protein diet
  13. The leading cause of new cancer diagnosis in men is : lung cancer
  14. The nurse understands that the probable effect of a client ‘s choosing to continue to smoke cigrattes will be : increased risk for neutropenia
  15. Which measure if used by the nurse , would be most effective in preventing the transfer os disease to a cleint on neutopenic precuations? Instruct visitors to check in with the nurse before entering the client’s room.
  16. Which method would be the most appropraite to control pain for a cancer pt. : administer meds around the clock
  17. Which diet is appropriate for a client receiving chemotherapy? High-calorie, high-protein.
LINTON (BOOK QUESTIONS) and from study guide
  1. Benign and malignant tumors are alike in that both: press on normal tissue and compete with normal cells for nutrients
  2. A carcinogen: chemical, viral or radioactive substance that can cause cancer
  3. Dietary recommendations to reduce the risk of some cancer by following : high fiber, variety of fruits and vegetables, low fat and calories
  4. A pt blood level of oncofetal antigen CA 125 has continued to rise during 6 months of chemotherapy for ovarian cancer. What is the most likely explanation? The cancer is continuing to grow despite chemotherapy.
  5. When working with a pt who has an internal radiation source, safety precautions include the following: no pregnant visitors or staff should enter the pt’s room
  6. Adverse effects os radiation therapy commonly affect the bone marrow, hair follicles, and GI tract. What makes these tissues especially sensitive to the effects of radiation? : they regenerate rapidly
  7. What is the rationale for giving colony- stimulating factors ( CSF”S) to patients on chemotherapy? : CSF stimulate the production of WBC cels by the bone marrow.
  8. The most dangerous adverse effects of antineoplastic drugs used in chemotherapy is : bone marrow suppression
  9. The action of biologic response modifiers ( BRM’s) : they promote body’s natural defense against cancer cells.
  10. # 10 is long so I didn’t type so go to page no 395 in linton
  11. What is the second most common cause of death in the united states?: cancer
  12. The type of invasion that involves the movement of cancer cells into adjoining is:regional
  13. What is the effect on cells and tissue when dna of a normal cell is exposed to a carcinogen and irreversible changes occur in the DNA? the cell appears abnormal but continues to function normally
  14. A patient whose primary tumor has grown and spread to regional lymph nodes but not to distant sites is staged. : T2, N2,MI
  15. The recommended diet that may reduce the risk of some cancer is one that is : not sure see pg 369 of Linton
  16. Your pt has cancer that has been staged T1, NO, MO. You would interpret this information as : malignancy in epithelial tissue but not in basement membrane
  17. A treatment likely to be curative when tumors are confined in one area: surgery
  18. The use of ionizing radiation in the treatment of disease is :radiotherapy
  19. Radiation has immediate and delayed effects on cells., the immediate effect is : cell death
  20. Androgenic steroids and certain estrogens are known to be: anti-inflammatory
  21. A pt receiving experiences erythematic and peeling of skin while receiving radiation therapy. The appropriate nursing intervention is to: not use lotions
  22. Which side effect occurs in aptients undergoing radiotherapy and also patients taking an tine plastics drugs? : alopecia
  23. The highest rate of death from prostate colon and breat cancer occurs among: African Americans
  24. What is the most dangerous side effect of antineoplastic drugs. : bone marrow suppression.
  25. Which of the folowing tumors are malignant? melanoma
  1. Stomatitis: inside of mouth is erythemous, edematous, dry, mouth pain. This happened to a pt after 10 days of receiving chemotherapy
  2. Nursing diagnosis is risk for impaired skin integrity r/t to prolonged immobility and incontinence . this is for a pt who has meat static breat cancer with involvement in her L 5 vertebral body. She is paralyzed from the waist down with incontinence of stool and urine. She is undergoing radaiation therapy for spinal cord compression.
  3. This is r/t to Treatment irritationg effect on the mucosa of the GI tract: this is for a pt with colon cancer is receiving combined radiation and chemotherapy. He is suffering from diarrhea .
  4. At ages 35 to 39: is the current recommendations for first time baseline mamograms in a asymptomatic women.
  5. All chemotherapeutic agents results in alopecia: this is about a women DX of stage 1 breat cancer
  6. Biopsy: it is the diagnostic test for benign or malignant tumor of her breast.
  7. Smoking= is a risk factor for several stypes of cancer
  8. According to ACS what is the most preventable cause of death from lung cancer is : cessation of breathing.
  9. Wrong response: I’ve been constipated and need an enema ( this statements needs further instructions) a pt who is a chemotherapy pt with low WBC count and low platelet count and HGB measurement is 5.6 g.
  10. Patients with problems of alopecia and leucopenia : the ND of imbalanced nutrition: less than body reqd is often seen in chemotherapy
  11. Mr B has vaginal implant in place. The nurse would: monitor VS q4hr and report temp greater than 100 F
  12. The nurses primary concern is prevention of infection: for a pt with HX of oat cell carcinoma of the lung and is being TX with chemotherapy. WBC count is 1.5mm3
  13. Mr K DX of cancer of the prostate gland with meatstatsis and is experiencing cachexia. The state is best described by which of the folowing characterstics: poor health, malnutrition and wasting

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