ATI Oncology Quiz

ATI Oncology Quiz Related

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The nurse is caring for a female client experiencing neutropenia as a result of chemotherapy and develops a plan of care for the client. The nurse plans to:

  • A. Restrict all visitors
  • B. Restrict fluid intake
  • C. Teach the client and family about the need for hand hygiene
  • D. Insert an indwelling urinary catheter to prevent skin breakdown
Correct Answer: C

Rationale: In clients experiencing neutropenia due to chemotherapy, the immune system is significantly compromised, leaving the client highly susceptible to infections. Meticulous hand hygiene is one of the most effective ways to prevent infections in neutropenic patients. Teaching the client and their family the importance of frequent and proper handwashing helps reduce the transmission of harmful pathogens that could lead to severe infections in the neutropenic client. This simple but essential intervention is crucial in maintaining a safe environment.

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A nurse is caring for a patient with Hodgkin lymphoma at the oncology clinic. The nurse should be aware of what main goal of care?

  • A. Cure of the disease
  • B. Enhancing quality of life
  • C. Controlling symptoms
  • D. Palliation
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The nurse is instructing a client on ways to reduce the risk of lymphedema after a mastectomy. Which of the following should be emphasized?

  • A. Elevate the affected arm
  • B. Avoid lifting heavy objects
  • C. Use compression garments as prescribed
  • D. Avoid wearing tight clothing
Correct Answer: D

Rationale: After a mastectomy, particularly when lymph nodes are removed, patients are at increased risk for developing lymphedema, which is a buildup of lymph fluid that can cause swelling in the affected arm. Wearing tight clothing can constrict lymphatic flow and increase the risk of developing lymphedema by impeding normal lymphatic drainage. Therefore, it is crucial to advise patients to avoid tight-fitting clothing, especially around the chest and arm areas.

A patient with leukemia has developed stomatitis and is experiencing a nutritional deficit. An oral anesthetic has consequently been prescribed. What health education should the nurse provide to the patient?

  • A. Chew with care to avoid inadvertently biting the tongue.
  • B. Use the oral anesthetic 1 hour prior to meal time.
  • C. Brush teeth before and after eating.
  • D. Swallow slowly and deliberately.
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Which of the following descriptions of chemotherapy is correct?

  • A. Chemotherapy is externally given through high energy waves
  • B. Chemotherapy is known to have fatigue as a common side effect
  • C. Chemotherapy spreads throughout the body
  • D. Chemotherapy attacks cancer cells only
Correct Answer: C

Rationale: Chemotherapy drugs are typically administered systemically, meaning they circulate throughout the body via the bloodstream. This allows them to target cancer cells that may have spread beyond the original tumor site, making chemotherapy an effective treatment for cancers that are metastatic (have spread to other parts of the body). However, because chemotherapy is not selective, it can also affect healthy cells that divide rapidly, leading to a range of side effects.

A patient has a diagnosis of multiple myeloma and the nurse is preparing health education in preparation for discharge from the hospital. What action should the nurse promote?

  • A. Daily performance of weight-bearing exercise to prevent muscle atrophy
  • B. Close monitoring of urine output and kidney function
  • C. Daily administration of warfarin (Coumadin) as ordered
  • D. Safe use of supplementary oxygen in the home setting
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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