The nurse will question which intervention in the plan of care who has experienced a weight loss during chemotherapy to treat cancer?
- A. provide adequate, easily digestible, soft, bland foods.
- B. give small, frequent, highly nutritional meals.
- C. allow extra time to eat.
- D. offer three large meals of highly nutritious foods.
Correct Answer: D
Rationale: A patient problem of weight loss 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.
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A patient who has malignant cancer secondary to a high-grade lymphoma has been admitted with muscle weakness, tetany, paresthesia, and convulsion. The nurse notices the patient is being treated for tumor lysis syndrome (TLS) and initial treatment has not been successful. The nurse will prepare the patient to undergo which procedure?
- A. Whole blood transfusion
- B. A bone marrow biopsy
- C. Immediate radiation treatment
- D. Dialysis
Correct Answer: D
Rationale: If hydration and administration of diuretics and allopurinol are not effective, dialysis may be necessary.
The nurse is aware that American men and women have which site for cancer in common?
- A. Lung
- B. Brain
- C. Colon
- D. Liver
- E. Rectum
- F. Thyroid
Correct Answer: A,C,E
Rationale: The three common cancer sites that American men and women share are cancer of the lung, colon, and rectum.
Which patient will be the highest priority for referral for a prostate-specific antigen (PSA)?
- A. 43-year-old Hispanic man
- B. 45-year-old African American man
- C. 49-year-old Korean man
- D. 50-year-old Native American man
Correct Answer: B
Rationale: African American men are a high-risk population for prostate cancer. Asian Americans and Native Americans have a relatively low incidence 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.
A patient, age 63, has terminal cancer of the liver and is cared for by his wife at home. His abdominal pain has become increasingly severe, and he now says it is intense most of the time. The nurse recognizes that teaching regarding pain management has been effective based on which measure implemented by this patient?
- A. Limiting the use of opiate analgesics to prevent addiction
- B. Using analgesics only when the pain becomes more than he can tolerate
- C. Taking analgesics around the clock on a regular schedule, using additional doses for breakthrough pain
- D. Resigning himself to the fact that pain is an inevitable consequence of cancer
Correct Answer: C
Rationale: Fixed dosage schedules with adequate doses for pain relief provide more constant blood levels and predictable pain relief.
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