A client diagnosed with cancer has the tumor staged and graded based on what factors?
- A. How they tend to grow and the cell type
- B. How they spread and tend to grow
- C. How they differentiate the cell type
- D. How they spread and differentiate
Correct Answer: A
Rationale: Tumors are staged and graded based upon how they tend to grow and the cell type before a client is treated for cancer.
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The nurse is caring for a client who is scheduled for chemotherapy. Which is the best statement the nurse can make about the client experiencing chemotherapy-induced alopecia?
- A. The hair loss is usually temporary.'
- B. New hair growth will return without any change to color or texture.'
- C. Clients with alopecia will have delay in grey hair.'
- D. Wigs can be used after the chemotherapy is completed.'
Correct Answer: A
Rationale: Alopecia associated with chemotherapy is usually temporary and will return after the therapy is completed. New hair growth may return unchanged, but there is no guarantee and color, texture, and quality of hair may not be changed. There is no correlation between chemotherapy and delay in greying of hair. Use of wigs, scarves, and head coverings can be used by clients at any time during treatment plan.
The nurse understands that the client should be given human papillomavirus (HPV) vaccine per the health care provider's orders. What does this vaccine help prevent?
- A. Lung cancer
- B. Breast cancer
- C. Cervical cancer
- D. Leukemia
Correct Answer: C
Rationale: The vaccines that are approved for use in the United States include the human papillomavirus (HPV), which may help prevent women from getting cervical cancer. There are no vaccines for the prevention of lung cancer, breast cancer, or leukemia.
Which of the following advice does the nurse offer clients who are undergoing unsealed radiation therapy to reduce exposure?
- A. Avoid drinking plenty of fluids.
- B. Avoid eating for 3 hours after therapy.
- C. Avoid applying skin moisturizers.
- D. Avoid kissing and sexual contact.
Correct Answer: D
Rationale: Clients who are undergoing unsealed radiation therapy are advised to avoid kissing and sexual contact due to the spread of radioactivity. Clients are encouraged to drink plenty of fluids to help flush radioactive substances. Clients may be asked to apply mild moisturizers and are not asked to avoid eating after the therapy.
A client is recovering from a craniotomy with tumor debulking. Which comment by the client indicates to the nurse a correct understanding of what the surgery entailed?
- A. I guess the doctor could not remove the entire tumor.'
- B. I am so glad the doctor was able to remove the entire tumor.'
- C. I will be glad to finally be done with treatments for this thing.'
- D. Thank goodness the tumor is contained and curable.'
Correct Answer: A
Rationale: Debulking is a reference made when a tumor cannot be completely removed, often due to its extension far into healthy tissue. Without complete removal, this is not a cure and, the cancer cells will continue to replicate and require adjuvant therapies to prevent further invasion. The physician, not the nurse, will need to clarify the details of the surgery.
The nurse is caring for a thyroid cancer client following oral radioactive iodine treatment. Which teaching point is most important?
- A. Shield your throat area when near others.'
- B. Flush the toilet several times after every use.'
- C. Prepare food separately from family members.'
- D. Use disposable utensils for the next month.'
Correct Answer: B
Rationale: Iodine 131 is a systemic internal radiation that is excreted through body fluids, especially urine. Flushing the toilet several times after each use will avoid the exposure of others to radioactive exposure. Shielding the throat area is not effective because this form of treatment is systemic. Preparing food separately is not necessary, but the use of separate eating utensils will be necessary for the first 8 days.
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