Ch14 Exam Prep Nursing Care Of Patients With Cancer - Medical Surgical Nursing 7e | Test Bank by LeMone, Burke, Bauldoff by LeMone, Burke, Gerene Bauldoff. DOCX document preview.
LeMone & Burke's Medical-Surgical Nursing, 7e (Bauldoff/Gubrud/Carno)
Chapter 14 Nursing Care of Patients with Cancer
1) A patient develops a new sore on the forearm that has been increasing in size and will not heal. Which sign indicates that this sore could be a malignant neoplasm?
1. Noncohesive, invasive, and invades and destroys surrounding tissues
2. Rapid growth, well-defined borders, and cohesiveness
3. Invasive, local, and does not stop at tissue border
4. Slow growth, well-defined borders, and encapsulated
Page Ref: 414
Cognitive Level: Analyzing
Client Need & Sub: Health Promotion and Maintenance: Health Screening
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 14.3 Describe the types and characteristics of neoplasms and the process of tumor invasion and metastasis.
MNL Learning Outcome: 3. Analyze assessment data to determine priorities of care for patients with cancer.
2) After learning of having a benign tumor in the abdomen, the patient is overheard telling a family member about having cancer. What should the nurse say to the patient?
1. "There is a growth in the abdomen but it is encapsulated and after being removed, will not recur."
2. "This type of cancer is easily treated."
3. "This type of cancer will not spread to other tissues."
4. "Even though this growth has invaded other tissues, it can be contained."
Page Ref: 414
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 14.3 Describe the types and characteristics of neoplasms and the process of tumor invasion and metastasis.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with cancer.
3) A patient reports having a benign tumor that has spread into the lymph glands. How should the nurse respond to this patient?
1. "What did your doctor tell you about the tumor?"
2. "Benign tumors do not spread."
3. "That's a good thing that the tumor is benign."
4. "Since it is benign, are you going to have surgery to remove it?"
Page Ref: 414
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 14.3 Describe the types and characteristics of neoplasms and the process of tumor invasion and metastasis.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with cancer.
4) A patient with a history of cancer is surprised to learn that new cancer has been diagnosed in another body part. What should the nurse realize this patient is experiencing?
1. Metastasis
2. Contact inhibition
3. Destructive force from a benign neoplasm
4. A solid mass
Page Ref: 414
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 14.3 Describe the types and characteristics of neoplasms and the process of tumor invasion and metastasis.
MNL Learning Outcome: 3. Analyze assessment data to determine priorities of care for patients with cancer.
5) A patient asks the nurse how his cancer developed. Which statement should the nurse avoid in responding to this patient?
1. "The theory of cellular mutation suggests that carcinogens cause mutations in cellular RNA."
2. "Oncogenes are genes that promote cell proliferation and are capable of triggering cancerous characteristics."
3. "The majority of people do not have an inherited form of cancer."
4. "Known carcinogens include viruses, drugs, hormones, and chemical and physical agents."
Page Ref: 412
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 14.2 Outline the process and theories of carcinogenesis, and list the known carcinogens.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with cancer.
6) A patient with a history of smoking is diagnosed with cancer. Which stage of the cellular mutation theory of cancer was impacted by smoking?
1. Promotion
2. Initiation
3. Progression
4. Replication
Page Ref: 412
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Practice-Know-How; Apply evidence to support decision making in situations characterized by ambiguity and uncertainty | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 14.2 Outline the process and theories of carcinogenesis, and list the known carcinogens.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with cancer.
7) A female patient asks why a procedure to remove part of the cervix that was infected with a virus is required. What should the nurse explain to this patient?
1. Human papillomavirus can cause cervical cancer.
2. The medication to treat this virus is toxic to the body.
3. If left untreated, it could spread to the liver.
4. If left untreated, it could spread to the breast.
Page Ref: 410
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.4. Communicate effectively with all members of the healthcare team, including the patient and the patient's support network | NLN Competencies: Context and Environment; Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 14.1 Differentiate the nonmodifiable and modifiable risk factors for cancer.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with cancer.
8) A patient with a history of using recreational cocaine says being addicted to cocaine is better than being diagnosed with cancer. What should the nurse respond to this patient?
1. "Cocaine has been linked to the development of cancer."
2. "I guess if that's what you would prefer."
3. "People who use cocaine do have a lower risk of developing cancer."
4. "As long as the cocaine is pure and not mixed with toxic chemicals."
Page Ref: 413
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: High Risk Behaviors
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.4. Communicate effectively with all members of the healthcare team, including the patient and the patient's support network | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 14.2 Outline the process and theories of carcinogenesis, and list the known carcinogens.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with cancer.
9) A college student with the Epstein-Barr virus has a history of smoking and recreational cocaine use and works for a floor refinishing company part-time. Which factor increases this student's risk for developing cancer? Select all that apply.
1. Drug use
2. Occupation
3. Smoking
4. Viral infection
5. Age
Page Ref: 413
Cognitive Level: Analyzing
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 14.2 Outline the process and theories of carcinogenesis, and list the known carcinogens.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with cancer.
10) The nurse is preparing to provide care to a group of assigned patients. Which patient should the nurse realize is at the highest risk for developing cancer?
1. An African American man
2. A Native American woman
3. A Hispanic man
4. A Hispanic woman
Page Ref: 407
Cognitive Level: Analyzing
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 14.1 Differentiate the nonmodifiable and modifiable risk factors for cancer.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with cancer.
11) The nurse is concerned that a patient is at increased risk for developing cancer. What did the nurse assess to come to this conclusion?
1. Age 51, spouse deceased, downsized from employment, history of back and leg pain
2. Age 52, plays tennis twice a week, no alcohol intake, occasionally smokes a cigarette
3. Age 45, premenopausal, not planning to use hormone replacement therapy
4. Age 50, employed as a computer technician, uses the fitness center five times a week
Page Ref: 409
Cognitive Level: Analyzing
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 14.1 Differentiate the nonmodifiable and modifiable risk factors for cancer.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with cancer.
12) The nurse is explaining the characteristics of malignant cells to a group of patients. Which patient statement indicates a good understanding of the information?
1. "The work of malignant cells is simpler than that of normal cells."
2. "Malignant cells continue to perform cellular functions."
3. "Malignant cells can reverse into benign cells if treated promptly."
4. "Malignant cells rarely break away from the primary tissue site and travel to other locations."
Page Ref: 415
Cognitive Level: Analyzing
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Evaluation/Teaching/Learning
Learning Outcome: 14.3 Describe the types and characteristics of neoplasms and the process of tumor invasion and metastasis.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with cancer.
13) A patient diagnosed with an 8 cm tumor in the ascending colon asks how the tumor grew so large without any major symptoms. How should the nurse respond to this patient?
1. "The pressure of the growing tumor caused the other tissue to reduce in size so the tumor could take over the space."
2. "The tumor cells bound to the tissue within the colon."
3. "The tumor cells are loosely held together so they can move about freely."
4. "The tumor cells secreted chemicals that stopped the body's normal mechanism to remove foreign tissue."
Page Ref: 415
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 14.3 Describe the types and characteristics of neoplasms and the process of tumor invasion and metastasis.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with cancer.
14) A patient is diagnosed with hyperplasia of lung tissue. Which should the nurse consider as being the first course of treatment for this patient?
1. Identification and removal of the irritant causing the hyperplasia
2. Antibiotic therapy
3. Chemotherapy
4. Radiation therapy
Page Ref: 411, 412
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 14.2 Outline the process and theories of carcinogenesis, and list the known carcinogens.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with cancer.
15) After a liver biopsy, a patient is diagnosed with anaplasia of liver cells. What would be indicated for this patient's care?
1. Monitoring for the development of cancer.
2. Chemotherapy for liver cancer.
3. Monitoring for the onset of diabetes mellitus.
4. Medication to reverse the anaplastic cells.
Page Ref: 412
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 14.2 Outline the process and theories of carcinogenesis, and list the known carcinogens.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with cancer.
16) The nurse is preparing to assess a patient who is newly diagnosed with cancer. What should the nurse include in this assessment?
1. Body image concerns
2. Increased leukocytes
3. Bone pain
4. Increased hunger
Page Ref: 419, 438
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 14.4 Outline the physiologic and psychologic effects of cancer.
MNL Learning Outcome: 3. Analyze assessment data to determine priorities of care for patients with cancer.
17) A patient with cancer is admitted with a weight loss of 25 lbs. over the last month with progressive anorexia. Which physiological effect of cancer should the nurse suspect the patient is experiencing?
1. Anorexia-cachexia syndrome
2. Paraneoplastic syndrome
3. Infection
4. Esophageal obstruction
Page Ref: 417-418
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 14.4 Outline the physiologic and psychologic effects of cancer.
MNL Learning Outcome: 3. Analyze assessment data to determine priorities of care for patients with cancer.
18) A patient with cancer does not want to experience any more pain. What should the nurse do to help this patient?
1. Discuss pain management options.
2. Explain that every patient with cancer has pain.
3. Review ways to reduce pain without the use of medication.
4. Instruct on why pain will continue throughout treatment.
Page Ref: 436
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with cancer.
19) A patient receiving radiation treatments to shrink a tumor reports not needing as much pain medication as before. What would explain the reduction of pain for this patient?
1. The radiation treatments reduced the size of the tumor and pressure on adjacent tissues.
2. The tumor is secreting pain-control chemicals initiated by radiation.
3. The patient is getting used to having pain.
4. The patient's pain receptors have been affected by cancer.
Page Ref: 419, 432
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.9. Monitor client outcomes to evaluate the effectiveness of psychobiological interventions | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 14.4 Outline the physiologic and psychologic effects of cancer.
MNL Learning Outcome: 2. Consider intraprofessional care for patients with cancer.
20) A patient is having a procedure that involves cutting through the skin to diagnose a mass located in the left breast. For which type of biopsy should the nurse plan care for this patient?
1. Incisional
2. Fine-needle
3. Needle core
4. Excisional
Page Ref: 425
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with cancer.
21) A patient with neck cancer is scheduled for a diagnostic test to determine the success of treatment. For what test should the nurse expect to prepare this patient?
1. Magnetic resonance imaging (MRI)
2. Computed tomography
3. X-ray imaging
4. Ultrasonography
Page Ref: 422
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 2. Consider intraprofessional care for patients with cancer.
22) A male patient's prostate-specific antigen level was 2 ng/mL; however, the patient was diagnosed with prostate cancer. What additional laboratory test was done to determine this diagnosis?
1. Acid phosphatase
2. Albumin
3. Bilirubin
4. Calcium
Page Ref: 423
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 3. Analyze assessment data to determine priorities of care for patients with cancer.
23) A patient's carcinoembryonic antigen level was initially 16 ng/mL but is currently 6 ng/mL. What does the nurse realize this decreased level indicates for the patient?
1. The patient's treatment for cancer is effective.
2. The patient's treatment for cancer is not effective.
3. The patient has a new site of cancer.
4. The patient's cancer has metastasized.
Page Ref: 423
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.9. Monitor client outcomes to evaluate the effectiveness of psychobiological interventions | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 2. Consider intraprofessional care for patients with cancer.
24) The nurse is explaining the different types of chemotherapy to a patient recently diagnosed with cancer. Which statement would be incorrect for the nurse to tell the patient?
1. "Antitumor antibiotics disrupt RNA replication and DNA transcription."
2. "The main hormones used in cancer therapy are the corticosteroids, which are phase-specific."
3. "Mitotic inhibitors are drugs that act to prevent cell division during the M phase."
4. "Alkylating agents basically act on preformed nucleic acids by creating defects in tumor DNA."
Page Ref: 427
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with cancer.
25) A patient will be receiving busulfan (Myleran) as treatment for leukemia. Which intervention should the nurse include in the plan of care for this patient?
1. Assess for infection.
2. Administer anti-emetic prior to chemotherapy.
3. Assess oral mucous membranes.
4. Check stool for occult blood.
Page Ref: 428
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with cancer.
26) A patient diagnosed with breast cancer is receiving 5-Fluorouracil (5-FU). What action should the nurse take to assess for adverse effects?
1. Test stool for occult blood.
2. Monitor ECG.
3. Assess lung sounds.
4. Encourage daily fluid intake of 2‒3 L.
Page Ref: 428
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with cancer.
27) A patient is receiving vincristine (Oncovin) for cancer treatment. Which assessment finding should indicate to the nurse that the patient is experiencing a toxic reaction?
1. Pain and motor weakness
2. Hypotension
3. Cardiac dysrhythmias
4. Stomatitis and alopecia
Page Ref: 427
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 3. Analyze assessment data to determine priorities of care for patients with cancer.
28) The nurse is caring for a patient undergoing brachytherapy. What personal precaution should the nurse take when caring for this patient?
1. Wear a monitoring device to measure whole-body exposure.
2. Care for this patient regardless of pregnancy status.
3. Maintain the least possible distance from the patient.
4. Avoid indirect exposure with radioisotopes containers.
Page Ref: 433
Cognitive Level: Applying
Client Need & Sub: Safe and Effective Care Environment: Safety and Infection Control
Standards: QSEN Competencies: V.B.2. Demonstrate effective use of strategies to reduce risk of harm to self or others | AACN Essentials Competencies: II.7. Promote factors that create a culture of safety and caring | NLN Competencies: Quality and Safety; Practice-Know-How; Use technologies that contribute to safety | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with cancer.
29) A patient is scheduled for a nephrectomy for renal cancer. What should the nurse recognize is the goal for this surgery?
1. Removal of the kidney
2. Removal of the organ
3. Bypass an obstruction
4. Decrease in tumor size
Page Ref: 425
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 2. Consider intraprofessional care for patients with cancer.
30) A patient is scheduled to receive a course of external radiation therapy for cancer treatment. What should the nurse instruct the patient about this therapy?
1. Wash the radiation site with mild soap.
2. Shave the treated area with a straight razor.
3. Apply ice packs to the treatment site to help reduce pain.
4. Use a sunscreen for three months after the conclusion of the treatments.
Page Ref: 434
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with cancer.
31) A patient diagnosed with cancer and scheduled to begin biotherapy asks the nurse how the therapy will treat the cancer. How should the nurse respond to this patient?
1. "It changes the body processes that caused the cancer by enhancing your own immunity."
2. "It uses radiation implanted into the organ with the cancer."
3. "It uses laser therapy to remove the cancer."
4. "It uses stem cells to treat the cancer."
Page Ref: 430
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with cancer.
32) A patient with a history of squamous cell lung cancer is admitted to the hospital with arm and periorbital edema. After a few hours, the patient exhibits dyspnea, cyanosis, tachypnea, and an altered level of consciousness. Which action should the nurse take first?
1. Administer oxygen.
2. Call the physician.
3. Monitor vital signs.
4. Initiate seizure precautions.
Page Ref: 445
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with cancer.
33) The nurse suspects that a patient being treated for cancer is developing septic shock. What did the nurse assess to come to this conclusion?
1. High fever, peripheral edema, hypotension
2. Cardiac dysrhythmia, increased urine output, and confusion
3. Hypertension, increased urine output, and confusion
4. Subnormal temperature, cardiac dysrhythmia, and thirst
Page Ref: 445
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 3. Analyze assessment data to determine priorities of care for patients with cancer.
34) A patient with cancer is experiencing lower extremity numbness and loss of motor function. What should be done to assist this patient?
1. Assess for spinal cord compression.
2. Provide intravenous fluids.
3. Administer oxygen.
4. Turn and reposition every two hours.
Page Ref: 446
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with cancer.
35) A patient diagnosed with prostate cancer is demonstrating signs of renal failure. What should this assessment finding suggest to the nurse?
1. Obstructive uropathy
2. Spinal cord compression
3. Urethral strictures from radiation
4. Bladder irritation from chemotherapy
Page Ref: 446
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 3. Analyze assessment data to determine priorities of care for patients with cancer.
36) The nurse is providing instructions to a patient diagnosed with renal cancer regarding when to call for help after discharge. Which statement by the patient indicates that teaching has been successful?
1. "I should call my physician if I experience new bleeding from any site."
2. "I should call my physician if I have an oral temperature higher than 100.5°F."
3. "I should call my physician if I have an episode of diarrhea."
4. "I should call my physician if I experience an occasional headache."
Page Ref: 430
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.9. Monitor client outcomes to evaluate the effectiveness of psychobiological interventions | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Evaluation/Teaching/Learning
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with cancer.
37) A patient diagnosed with cancer contacted an attorney about a will and a church to arrange funeral and cemetery arrangements. What do this patient's activities suggest to the nurse?
1. The patient is participating in healthy grieving.
2. The patient feels he is going to die within the month.
3. The patient's family will not be willing to make funeral arrangements.
4. The patient wants something to do while waiting for chemotherapy treatments.
Page Ref: 439-440
Cognitive Level: Analyzing
Client Need & Sub: Psychosocial Integrity: Grief and Loss
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.6. Implement patient and family care around resolution of end-of-life and palliative care issues, such as symptom management, support of rituals, and respect for patient and family preferences | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with cancer.
38) The nurse is concerned that a patient receiving chemotherapy for cancer is at increased risk for developing an infection. What should the nurse include in this patient's plan of care?
1. Teach the patient to avoid crowds.
2. Encourage socialization with small children.
3. Contact physician with a temperature elevation.
4. Limit intake of protein and vitamin C.
Page Ref: 440
Cognitive Level: Applying
Client Need & Sub: Safe and Effective Care Environment: Safety and Infection Control
Standards: QSEN Competencies: V.B.2. Demonstrate effective use of strategies to reduce risk of harm to self or others | AACN Essentials Competencies: II.7. Promote factors that create a culture of safety and caring | NLN Competencies: Quality and Safety; Practice; Use technologies that contribute to safety | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with cancer.
39) The family of a patient with terminal metastatic cancer asks the nurse for guidelines regarding when to call for help when the patient is discharged to home. What guideline should the nurse instruct this family that indicates the patient needs medical intervention? Select all that apply.
1. Oral temperature greater than 100°F
2. Difficulty breathing
3. Onset of bleeding
4. Resting comfortably and reading
5. Extreme hunger
Page Ref: 430
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with cancer.
40) The nurse is caring for a patient diagnosed with a malignant neoplasm. What does the nurse recognize is a characteristic of this neoplasm? Select all that apply.
1. Localized encapsulated growths
2. Growths demonstrating contact inhibition
3. Irregularly shaped growths
4. Neoplasms that cause bleeding and inflammation
5. Growths that remain stable in size
Page Ref: 414
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 14.3 Describe the types and characteristics of neoplasms and the process of tumor invasion and metastasis.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with cancer.
41) The nurse is reviewing the results of diagnostic testing on a patient suspected of having cancer. Which diagnostic finding should the nurse identify as being consistent with the presence of a malignancy? Select all that apply.
1. High levels of tumor markers
2. Positive biopsy results
3. Low levels of tumor markers
4. Decreased white blood cell count
5. Increased hemoglobin and hematocrit
Page Ref: 421, 425
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 2. Consider intraprofessional care for patients with cancer.
42) A patient is beginning radiation therapy as part of cancer treatment. What should the nurse teach the patient about the care of the radiation site? Select all that apply.
1. Clean radiation site with soap and water.
2. Apply lotion daily to prevent scaling.
3. Apply ice pack to radiation site if pain or itching occurs.
4. Use PABA-free sun-blocking agents with a sun protection factor (SPF) of at least 30.
5. Wear tight-fitting clothing over the area to protect it.
Page Ref: 434
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with cancer.
43) A patient with cancer is diagnosed with malnutrition. What does the nurse realize is a cause of malnutrition in this patient? Select all that apply.
1. Decreases in metabolism resulting from increased cancer cell production
2. Decreased available nutrients due to the cancer's parasitic activity
3. Loss of appetite due to side effects of chemotherapy
4. Decreased absorption in the gastrointestinal tract
5. Parenteral nutrition supplements administered via venous access devices
Page Ref: 440-441
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 3. Analyze assessment data to determine priorities of care for patients with cancer.
44) The nurse realizes that a patient receiving chemotherapy for cancer is at risk for developing an infection. What action should the nurse take when caring for this patient? Select all that apply.
1. Monitoring red blood cell counts monthly
2. Teaching the patient to avoid small children
3. Teaching the patient to apply lotion daily to clean skin to prevent drying
4. Encouraging the patient to consume a diet high in protein and vitamin C
5. Teaching the patient to report an oral temperature above 98°F
Page Ref: 440
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with cancer.
45) At the completion of a dietary history the nurse is concerned that a patient is at risk for developing cancer. Which food habit does the patient have that causes the nurse to have this concern? Select all that apply.
1. Eats red meat 5 times a week
2. Drinks 6 cups of coffee every day
3. Has a salad every evening with dinner
4. Prefers fried fish and chicken over baked
5. Orders a deli sandwich for lunch every day
Page Ref: 409
Cognitive Level: Analyzing
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 14.1 Differentiate the nonmodifiable and modifiable risk factors for cancer.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with cancer.
46) After cytologic examination a patient is diagnosed with a tumor that is staged as TIS, N1a, M0. What does this staging classification indicate to the nurse about the patient's tumor? Select all that apply.
1. TIS means the tumor is in situ.
2. M0 means that it has metastasized.
3. M0 means that it has not metastasized.
4. N1a means one lymph node is involved.
5. N1a means that no lymph nodes are involved.
Page Ref: 420
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 2. Consider intraprofessional care for patients with cancer.
47) A patient is to have chemotherapy provided to target the G1 phase of the cell cycle. Which medications should the nurse expect to be prescribed for this patient? Select all that apply.
1. Cisplatin
2. Prednisone
3. Methotrexate
4. Mercaptopurine
5. Nitrogen mustard
Page Ref: 426
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Practice-Know-How; Apply evidence to support decision making in situations characterized by ambiguity and uncertainty | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 2. Consider intraprofessional care for patients with cancer.
48) A patient is prescribed cyclophosphamide (Cytoxan) for treatment of lymphoma. What should the nurse instruct to maximize the health status of the patient while receiving this medication? Select all that apply.
1. Avoid eating spicy foods.
2. Discuss approaches to manage hair loss.
3. Identify approaches to reduce bone pain.
4. Brainstorm ways to manage constipation.
5. Ingest 2 to 3 L of fluid during treatment.
Page Ref: 428
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 14.5 Describe the interprofessional care, nursing care, and transitions of care for patients with cancer.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with cancer.
Document Information
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