Saunders Oncology Exam Questions With Complete Answers
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Course
Saunders Oncology
Institution
Saunders Oncology
Saunders Oncology Exam Questions With Complete Answers
A client has just been told by the primary health care provider about her diagnosis of breast cancer. The client responds, "Oh no, does this mean I'm going to die?" The nurse interprets which response as the client's initial reaction? - Answ...
A client has just been told by the primary health care provider about her diagnosis of
breast cancer. The client responds, "Oh no, does this mean I'm going to die?" The
nurse interprets which response as the client's initial reaction? - Answer-fear
/.A client is diagnosed as having a bowel tumor, and several diagnostic tests are
prescribed. The nurse reinforces instructions to the client and includes information that
which test will confirm the diagnosis of malignancy? - Answer-Biopsy of the tumor
/.A client is receiving radiation therapy to the brain because of a diagnosis of a brain
tumor. Which sign/symptom of the client is noted to be a positive outcome of the
radiation therapy? - Answer-Less severe headache
/.A client receiving chemotherapy asks the nurse, "What will I do when my hair starts to
fall out?" Which action by the nurse is therapeutic? - Answer-Assist her to express
feelings.
/.A client who has been diagnosed with multiple myeloma asks the nurse about the
diagnosis. The nurse bases the response on which characteristic of the disorder? -
Answer-Malignant proliferation of plasma cells and tumors within the bone
/.A client with cancer has undergone a total abdominal hysterectomy and has an
indwelling Foley catheter in place. The nurse would expect to note which types of
urinary drainage immediately following this surgery? Select all that apply. - Answer-Pale
Light amber
/.A client with cancer is receiving chemotherapy and develops thrombocytopenia. Which
intervention is a priority in the nursing plan of care? - Answer-Monitor the client for
bleeding
/.A client with ovarian cancer is scheduled to receive chemotherapy with cisplatin. The
nurse assisting in caring for the client reviews the plan of care, expecting to note which
interventions? Select all that apply. - Answer-Encourage Fluids
Monitor serum blood urea nitrogen and creatinine levels
/.A nursing instructor asks a nursing student about the characteristics of Hodgkin's
disease. The instructor determines that the student needs additional study if the student
states that which is an associated characteristic? - Answer-Occurs most often in older
adults
/.Tamoxifen is prescribed for the client with metastatic breast carcinoma. The nurse
assists in planning care, knowing that which is the primary action of this medication? -
, Answer-Compete with estradiol for binding to estrogen in tissues containing high
concentrations of receptors.
/.The client is admitted to the hospital with a diagnosis of suspected Hodgkin's disease.
Which signs and symptoms of the client are associated with Hodgkin's disease? Select
all that apply. - Answer-fatigue
weakness
night sweats
enlarged lymph nodes
/.The client is hospitalized for the insertion of an internal cervical radiation implant.
While giving care, the nurse finds the radiation implant in the bed. Which is the
immediate nursing action? - Answer-Pick up the implant with long-handled forceps and
place into a lead container.
/.The licensed practical nurse (LPN) is assisting the registered nurse (RN) to create a
teaching plan for the client receiving an antineoplastic medication. The LPN expects
which information to be included? Select all that apply. - Answer-rinse the mouth after
meals and use a soft toothbrush
maintain oral hygiene and inspect mouth for sores daily
consult with HCP before receiving immunizations
/.The nurse discusses the risk factors associated with gastric cancer as part of a health
promotion program. The nurse determines that there is a need for further teaching if a
member attending the program states that which factor is a risk? - Answer-High meat
and carbohydrate consumption
/.The nurse is analyzing the laboratory results of a client with leukemia who has
received a regimen of chemotherapy. Which laboratory value would the nurse note as a
result of the massive cell destruction that occurred from the chemotherapy? - Answer-
Increased uric acid levels
/.The nurse is assisting in caring for a client receiving chemotherapy. On review of the
morning laboratory results, the nurse notes that the white blood cell count is extremely
low, and the client is immediately placed on neutropenic precautions. The client's
breakfast tray arrives, and the nurse inspects the meal and prepares to bring the tray
into the client's room. Which action would the nurse take before bringing the meal to the
client? - Answer-Remove the fresh orange from the breakfast tray.
/.The nurse is assisting in providing a session to community members about the risks
associated with laryngeal cancer. A client indicates an understanding of the risks by
listing which factors? Select all that apply. - Answer-2.Smoking cigarettes or cigars
3.Drinking alcohol, especially daily
4.Working in a dusty environment
5.Persistent exposure to chemicals in the air
6.Following a diet low in protein and vitamins
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