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Cancer NCLEX Flashcards | StudBud
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Cancer NCLEX
Cancer NCLEX
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1
You are educating a post op mastectomy pt. Which interventions would aid in preventing lymphedema of the affected arm?
Avoiding arm exercises immediately post op
Maintaining an IV site below the AC site on the affected side.
Elevating the effective arm above heart level
Using cool compresses on affected arm
2
SIADH is a symptom of inappropriate antidiuretic hormone. What is the key lab value to monitor?
Hemoglobin/hematocrit levels HCT/HGB
Potassium levels-K+
Magnesium level -Mg+
Na+ or Sodium level
3
Marijuana has been shown to be effective in the treatment of____in cancer patients
fatigue
Hair loss
Dizziness
nausea/vomiting
4
A client with cancer states, "My life is over." Which is the
best
response by the nurse?
"That is so sad, you must feel like crying"
"You need your family, I will call them"
"What coping skills can help you with this news?"
"It sounds like you are feeling hopeless right now"
5
A HH RN is caring for a patient with cancer who reports acute pain. The most appropriate information is?
Pain relief after nursing intervention
Nonverbal cues
Your impression of their pain
Pain rating
6
Monoclonal Antibodies are man-made antibodies that treat a variety of disease such as Cancer, Asthma, Autoimmune Disease
True
False
7
Which Pt has the highest risk for cardiovascular disease?
Man who smokes and whose father died at 49 of myocardial infarction
Man who is sedentary and reports four episodes of strep throat
Woman with diabetes whose HDL cholesterol is 75
Woman with abdominal obesity who exercises three times per week
8
You are monitoring for s/s r/t superior vena cava syndrome. What are the early sign of this emergency?
Arm edema
Periorbital edema
Cyanosis
Mental status changes
9
Your pt is receiving combo chemo for the treatment of cancer. You should monitor the pt for:
Ascites
Polycythemia
Leukopenia
Nystagmus
10
Teaching s/s r/t hypercalcemia, in presence of prostrate cancer mets, what is a late s/s of this emergency?
Headache
EKG/ECG changes
Constipation
Dysphagia
11
Cancer patients are at a higher risk for infection. What life-threatening condition is associated with sepsis?
HIT
Septicemia
DIC
CVA
12
What significant neurological s/s are priority with a tumor causing spinal cord compression to the lumbar/sacral region?
Muscle weakness to lower extremities
Incontinence of bowel and bladder
Numbness/tingling of the arms
Pain
13
Superior vena cava syndrome tumors are often associated with which forms of cancer?
Gastric
Liver
Breast
Lung and lymphoma
14
You are instructing a patient on testicular self-exams. What information should you provide the patient?
To examine the testicles while lying down
To gently feel the testicle with 1 finger to feel for a growth
That TSEs should be done at least every 6 months
That the best time for the examination is after a shower
15
What are warning signs of cancer? Select all that apply
Nagging cough/hoarsness
Nonhealing sore
Change in bowel/bladder habits
Indigestion
16
You should plan to implement which intervention for care patient experiencing neutropenia as a result of chemotherapy?
Restrict fluid intake
Insert an indwelling urinary catheter to prevent skin breakdown.
Restrict all visitors.
Teach the client and family about the need for hand hygiene.
17
Early manifestation of laryngeal cancer
hoarseness
dyspnea
weight loss
dysphagia
18
You are creating a plan of care for a patient with multiple myeloma and includes which priority intervention?
Provide frequent oral care
Coughing and deep breathing
Encourage fluids
Monitoring RBCs
19
A disorder of connective tissue effects skeletal system, cardiovascular system, eyes and skin.
Spina Bifida
Marfan Syndrome
Scabies
Reye's Syndrome
20
You assess a lung cancer pt with bone mets. What s/s indicate an emergency? Select all that apply.
Weight loss of 20 lb (9 kg) in 1 month
Serum calcium level of 12 mg/dL(3.0 mmol/L)
Serum potassium level of 3.4 mg/dL (3.4 mmol/L)
Facial edema in the morning
21
The RN should teach pts about which potential risk factor for development of colon cancer?
Long-term use of laxatives
History of inflammatory bowel disease
History of smoking
Chronic constipation
22
When caring for a client with an internal radiation implant, you should observe which principles? Select all that apply.
Removing the dosimeter film badge when entering the client’s room.
Keeping pregnant women out of the client’s room.
Wearing a lead shield when providing direct client care.
Placing the client in a private room with a private bath.
23
You are reviewing the lab results for a patient diagnosed with multiple myeloma. Which would the nurse expect to see?
Increased Ca+ level
Increased WBCs
Decreased BUN level
Decreased plasma cells in bone marrow
24
A client has an internal cervical radiation implant, you find the implant in the bed. What is the priority?
Reinsert the implant into the vagina.
Pick up the implant with long-handled forceps, put it in a lead container.
Pick up the implant with gloved hands and flush it down the toilet.
Call the health care provider (HCP).
25
Which pt is at
highest
risk for colorectal cancer?
The pt with a family history of lung cancer
The pt who has been treated for Crohn's disease for 20 yrs
The pt who follows a vegetarian diet
The pt who smoked 1ppd for 30 years
