Nokea
A patient has developed stomatitis from chemotherapy. Which intervention is appropriate for a patient with this condition?
- A. Instruction in the following of a liquid diet
- B. Using a commercial mouthwash after each meal
- C. Cleaning teeth with a cotton swab dipped in hydrogen peroxide
- D. Using a soft toothbrush
Correct Answer: D
Rationale: The use of a soft toothbrush to clean the teeth and rinsing with normal saline or soda will prevent added discomfort and bleeding.
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The nurse knows which description is characteristic of malignant tumors?
- A. Smooth, well defined; movable when palpated
- B. Resembles parent tissue; rarely fatal
- C. Rate of growth varies; rarely contained within a capsule
- D. Remains localized; slow growth
Correct Answer: C
Rationale: Malignant tumors are rarely contained within a capsule and their rate of growth varies; little resemblance to parent tissue; fatal without treatment; irregular and immobile when palpated.
Which nursing intervention is appropriate for a patient undergoing treatment for cancer whose nutritional intake is less than body requirements?
- A. Provide adequate, easily digestible, soft, bland foods.
- B. Give small, frequent, highly nutritional meals.
- C. Allow extra time to eat.
- D. Offer three regular meals of highly nutritious foods.
- E. Provide spicy foods to stimulate the appetite.
Correct Answer: A,B,C
Rationale: A patient experiencing a nutritional intake less than body requirements will require the nurse to give small, frequent, highly nutritional meals; to allow extra time to eat; and to provide adequate, easily digestible, soft, bland foods.
Select the food that is recommended for prevention of colorectal cancer in men.
- A. Oranges
- B. Ham
- C. Skinless chicken
- D. Asparagus
- E. Cheddar cheese
- F. Squash
Correct Answer: A,C,F
Rationale: Eating plenty of fruits, vegetables, and whole grain foods and limiting intake of high-fat foods will help prevent cancer.
How many minutes of daily exercise does the American Cancer Society recommend as a prevention of cancer?
- A. 10 minutes
- B. 15 minutes
- C. 20 minutes
- D. 30 minutes
Correct Answer: C
Rationale: The ACS recommends 150 minutes of moderate exercise weekly, which comes to around 20 minutes a day.
Which characteristic is common in malignant tumors?
- A. Usually contained within a capsule.
- B. Divide and multiply in the same manner as normal cells.
- C. Proliferate and respond to treatment.
- D. Progress and destroy surrounding tissues while spreading to distant parts of the body.
Correct Answer: D
Rationale: Malignant tumors destroy surrounding tissues and may spread to distant parts of the body causing a secondary tumor to grow in that area. Malignant cells divide and multiply but not in the same manner as normal parent cells and are rarely contained within a capsule.