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2024 ONCOLOGY NURSING MANAGEMENT IN CANCER CARE NCLEX CHAPTER 15 EXAM WITH CORRECT ANSWERS
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2024 ONCOLOGY NURSING MANAGEMENT IN CANCER CARE NCLEX CHAPTER 15 EXAM WITH CORRECT ANSWERS
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2024 ONCOLOGY NURSINGMANAGEMENT IN CANCER CARE
NCLEX CHAPTER 15 EXAM WITH
CORRECT ANSWERS
The nurse is admitting an oncology patient to the unit prior to surgery. The
nurse reads in the electronic health record that the patient has just finished
radiation therapy. With knowledge of the consequent health risks, the nurse
should prioritize assessments related to what health problem?
A) Cognitive deficits
B) Impaired wound healing
C) Cardiac tamponade
D) Tumor lysis syndrome - CORRECT-ANSWERSB
(Combining other treatment methods, such as radiation and chemotherapy,
with surgery contributes to postoperative complications, such as infection,
impaired wound healing, altered pulmonary or renal function, and the
development of deep vein thrombosis.)
An oncology patient has just returned from the postanesthesia care unit after
an open hemicolectomy. This patient's plan of nursing care should prioritize
which of the following?
A) Assess the patient hourly for signs of compartment syndrome.
B) Assess the patient's fine motor skills once per shift.
C) Assess the patient's wound for dehiscence every 4 hours.
D) Maintain the patient's head of bed at 45 degrees or more at all times. -
CORRECT-ANSWERSC
(Postoperatively, the nurse assesses the patient's responses to the surgery
and monitors the patient for possible complications, such as infection,
bleeding, thrombophlebitis, wound dehiscence, fluid and electrolyte
imbalance, and organ dysfunction. Fine motor skills are unlikely to be
affected by surgery and compartment syndrome is a complication of fracture
casting, not abdominal surgery. There is no need to maintain a high head of
bed.)
, The hospice nurse has just admitted a new patient to the program. What
principle guides hospice care?
A) Care addresses the needs of the patient as well as the needs of the
family.
B) Care is focused on the patient centrally and the family peripherally.
C) The focus of all aspects of care is solely on the patient.
D) The care team prioritizes the patient's physical needs and the family is
responsible for the patient's emotional needs. - CORRECT-ANSWERSA
(The focus of hospice care is on the family as well as the patient. The family
is not solely responsible for the patient's emotional well-being.)
A 60-year-old patient with a diagnosis of prostate cancer is scheduled to
have an interstitial implant for high-dose radiation (HDR). What safety
measure should the nurse include in this patient's subsequent plan of care?
A) Limit the time that visitors spend at the patient's bedside.
B) Teach the patient to perform all aspects of basic care independently.
C) Assign male nurses to the patient's care whenever possible.
D) Situate the patient in a shared room with other patients receiving
brachytherapy. - CORRECT-ANSWERSA
(To limit radiation exposure, visitors should generally not spend more than
30 minutes with the patient. Pregnant nurses or visitors should not be near
the patient, but there is no reason to limit care to nurses who are male. All
necessary care should be provided to the patient and a single room should
be used.)
An oncology patient has begun to experience skin reactions to radiation
therapy, prompting the nurse to make the diagnosis Impaired Skin Integrity:
erythematous reaction to radiation therapy. What intervention best
addresses this nursing diagnosis?
A) Apply an ice pack or heating pad PRN to relieve pain and pruritis
B) Avoid skin contact with water whenever possible
C) Apply phototherapy PRN
D) Avoid rubbing or scratching the affected area - CORRECT-ANSWERSD
(Rubbing and or scratching will lead to additional skin irritation, damage, and
increased risk of infection. Extremes of hot, cold, and light should be
avoided. No need to avoid contact with water.)
A patient with a diagnosis of gastric cancer has been unable to tolerate oral
food and fluid intake and her tumor location precludes the use of enteral
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