MED SURG CH.8 CARE OF PATIENTS
WITH CANCER QUESTIONS WITH
CORRECT ANSWERS
A patient has recently been diagnosed with cancer. What is the best initial nursing
intervention for this patient? - Answer Encourage the patient to verbalize feelings and
fears
Major measures to help prevent cancer in patients should be taught by the nurse at
every given opportunity. What are those things that should be taught to patients about
the prevention of cancer? - Answer Maintain a normal weight.
Abstain from nitrite and nitrate food additives.
Have your drinking water supply checked for contaminants.
A patient who is near death has the following nursing diagnosis—Impaired gas
exchange related to fluid in the lungs. Which intervention is most appropriate? - Answer
Place patient in Fowlers position
A patient undergoes chemotherapy and loses her hair. Which of these findings is most
indicative that the patient has satisfactorily adjusted to her alopecia? - Answer The
patient uses humor about her hair loss.
A nursing assistant says to the LPN/LVN, "I can't believe that Mrs. Feld, who is so sick
and so near death, still enjoys a good laugh." Which of these ideas should the nurse
use as the basis for discussing Mrs. Feld's behavior? - Answer Humor is a healthful part
of everyone's life.
A patient is receiving hormone therapy for treatment of prostate cancer. The nurse
should inform the patient that he is likely to experience which effect? - Answer breast
development
A patient who has been prescribed an antineoplastic drug for his newly diagnosed
cancer asks the nurse what the most common side effect is for these drugs. What is the
nurse's most accurate response? - Answer "Most of these drugs cause some degree of
bone-marrow depression."
A patient who is in the terminal stages of his illness says to the LPN/LVN, "Get out of
here! You do everything so slowly. Leave me alone!" Which of these responses by the
nurse is most appropriate? - Answer "You sound very angry today."
, A patient is scheduled for a computed tomography (CT) scan. To prepare the patient
appropriately, the nurse should provide the patient with which information? - Answer
"The test is noninvasive."
There are two types of tumors: benign and malignant. A difference between the two
types is: - Answer Malignant cells do not know when to stop multiplying, whereas
benign cells have controlled patterns of reproduction and follow signals to stop.
A 40-year-old woman is scheduled for external radiation therapy for breast cancer. To
help the patient cope with her illness and the effects of radiation therapy, what should
the nurse help her to focus on? - Answer Complying with scheduled radiation therapies,
Protecting the skin by applying lotion, and understanding the therapeutic effects and
side effects of the treatment
The nurse reinforces patient instructions regarding neutropenic precautions. Important
topics should include which of the following? - Answer Pregnancy, diet restriction and
hand hygiene
Your patient will begin chemotherapy next week. Based on the understanding of the
effects of chemotherapy, what patient education would be appropriate? - Answer Advise
the patient to use good birth control methods, because most chemotherapeutic agents
are teratogenic.
Pain is not unique to cancer but is a common occurrence in cancer patients. An
important point to keep in mind when employing pain control efforts is to: - Answer Seek
a combination of interventions to offer the best pain control.
Before chemotherapy, a female patient expresses concerns regarding hair loss. She
says that her partner will no longer love her because she will not be as attractive. An
appropriate nursing problem statement would be: - Answer Lack of power over effects
of chemotherapy
A terminally ill female patient reminiscing about the "good old days" becomes
increasingly confused. She talks of seeing relatives who have died. Which nursing
intervention(s) would be appropriate? - Answer Discuss the patient's behaviors with the
family,
encourage the family to talk to the patient in quiet tones and promote a calm
environment
The family members attending to the needs of a dying patient express distress
regarding the noisy breathing. An important nursing action would be to: - Answer
Reassure family members
A patient is scheduled for bone marrow biopsy to confirm the diagnosis of leukemia. As
the nurse reinforces provider instructions regarding the procedure, an appropriate
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