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The nurse caring for a patient who is being treated for cancer of the cervix by a radioactive implant discovers that the applicator with the radioactive material has become dislodged and is lying in the bed between the patient?s legs. Which action will the nurse take?
- A. Use long-handled forceps grasp the applicator and wrap it in a towel.
- B. Help the patient to a chair and cover the applicator with a rubber sheet.
- C. Reassure the patient by staying at the bedside and call for help.
- D. Do not touch the applicator; notify the radiation safety officer.
Correct Answer: D
Rationale: The applicator should not be touched. Reassure the patient and go to report the incident to the radiation safety officer.
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The difference between an excisional biopsy and an incisional biopsy is that an excisional biopsy involves which technique?
- A. use of a needle to obtain fluid samples.
- B. removal of the entire lesion.
- C. taking a 'bite' from the lesion for study.
- D. shaving of the superficial layers of the lesion.
Correct Answer: B
Rationale: An excisional biopsy involves the excision of the entire lesion.
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.
What is the function of organizations like The Lost Chord Club, Reach for Recovery, and I Can Cope?
- A. Arrange for transportation to a clinic.
- B. Provide a small amount of financial support to patients.
- C. Send volunteers to speak with a person facing a lifestyle change.
- D. Arrange for reduced drug costs.
Correct Answer: C
Rationale: Support groups like The Lost Chord Club, Reach for Recovery, and I Can Cope are available to send volunteers to talk with persons facing lifestyle changes because of cancer.
A patient, age 56, has been advised that his prostate-specific antigen (PSA) level is elevated. Which test will be the next definitive diagnostic test?
- A. CA-125 test
- B. Transrectal ultrasound
- C. Needle biopsy of the prostate
- D. MRI
Correct Answer: B
Rationale: Men over the age of 50 should be advised to have a prostate-specific antigen (PSA) test and rectal examination once a year. The transrectal ultrasonography (TRUS) is used in the early detection of prostate cancer.
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.