Nokea
A patient undergoing radiation therapy says, 'I feel so useless. I have no energy, no appetite, and I fall asleep whenever I sit down.' Which response by the nurse is most therapeutic?
- A. Fatigue is part of your illness. Taking several long naps in the daytime is helpful.'
- B. Fatigue is an unfortunate side effect of radiation. It may help to take frequent rest periods.'
- C. You really shouldn?t be fatigued. Let me make an appointment with your health care provider to get this checked out.'
- D. Don?t worry about it. You probably deserve the rest!'
Correct Answer: B
Rationale: Fatigue is a side effect of radiation, and taking frequent rest periods may be helpful.
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For which reason is seeking medical attention when any cancer warning signs occur frequently delayed?
- A. Difficulty accessing a health care provider or getting a referral consult.
- B. Lack of knowledge of the warning signs of cancer.
- C. Fear of the possible diagnosis of cancer and hoping signs will go away.
- D. Self-examination being complex and difficult to perform.
Correct Answer: C
Rationale: Seeking medical attention when any warning signs occur is frequently delayed because people fear the possible diagnosis of cancer and hope the signs and symptoms will just go away.
The patient receiving radiation therapy reports not liking the conspicuous markings on the skin. In which manner can the nurse explain about these markings?
- A. They are residues of the treatment and can be washed off.
- B. They are caused by radiation and will fade in time.
- C. They are indicators of the amount of radiation the patient is receiving.
- D. They are markers for treatment and should be left on.
Correct Answer: D
Rationale: When external radiation is planned, the specific area on the body is marked to indicate the part at which external radiation will be directed. These markings must not be washed off.
For which possible sign of testicular cancer would the nurse encourage the patient to look for during self-testicular examination?
- A. Smooth consistency of testicle
- B. Stomachache
- C. Breast enlargement
- D. Heavy feeling in the scrotum
- E. Enlarged blood vessels in scrotum
- F. Hematuria
Correct Answer: B,C,D
Rationale: Signs and symptoms of a scrotal tumor include an ache in the groin or stomach, feeling of heaviness in the scrotum, and breast enlargement.
Using the TNM staging classification system, the nurse will interpret a tumor staged as T4N3M2 in which way?
- A. No evidence of primary tumor, lymph node involvement, or distant metastasis
- B. Carcinoma in situ, regional lymph node involvement, and metastasis to one site
- C. Enlarging tumor, increasing lymph node involvement, and distant metastasis
- D. Enlarging tumor, no lymph node involvement, or distant metastasis
Correct Answer: C
Rationale: TNM cancer staging classification system T4N3M2 means progressive increase in tumor size and involvement, increasing involvement of regional lymph nodes, and distant metastasis present.
Which event happens during the process of immunosurveillance?
- A. T cells recognizing and destroying the abnormal cell
- B. White blood cells (WBC) destroying the abnormal cell
- C. Excretion of histamine to interfere with the replication of the abnormal cell
- D. B cells attaching to abnormal cell
Correct Answer: A
Rationale: The T cells are responsible for immunosurveillance by recognizing an abnormal cell and destroying it.