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MSN (Chapter 11. Nursing Care of Patients With Cancer)
Terms in this set (34)
The nurse is reviewing the function of DNA and RNA with a group of students. Which structure should the nurse explain as providing the genetic code for a gene?
A patient with lung cancer is receiving chemotherapy. Why should the nurse closely monitor the patient's white blood cell (WBC) count?
d. Chemotherapy drugs depress the bone marrow, which can lead to infection and an increase in WBC count.
A patient asks what dietary changes can be made to help protect against cancer. The nurse should base his or her response to the patient's question on which of the following?
a. Reduced dietary fat intake can lower cancer risk.
A patient is diagnosed with a malignant tumor of the bone. Which term should the nurse consider when documenting this patient's health problem?
A patient who has been treated for breast cancer is undergoing routine laboratory work. Which laboratory finding would cause the nurse to be most concerned about metastasis?
a. Elevated serum calcium
A patient is scheduled for a needle biopsy of the breast. Which statement indicates that teaching has been effective?
b. "The doctor will use a needle to go into the tumor for a sample of cells."
A patient is scheduled for radiation treatments before having surgery to remove a tumor. What should the nurse cite as the reason for the radiation treatments?
b. Reduces the size of the tumor before surgery
A patient with prostate cancer asks the nurse the meaning of his high prostate-specific antigen (PSA) level. Which response by the nurse is correct?
a. "PSA is a tumor marker that is elevated in patients with prostate cancer."
A patient is diagnosed with a stage I tumor in situ (TIS). Which explanation of TIS by the nurse is the best?
b. "The tumor has not invaded any tissues beyond the original site."
A patient with cancer is scheduled for palliative surgery. Which explanation should the nurse use to describe the purpose of this surgery?
b. Palliative surgery is done to increase the patient's comfort when cure is not possible.
A patient receiving radiation therapy for a tumor in the salivary gland is complaining of a very dry mouth. How should the nurse document this finding?
b. "Patient reports xerostomia."
The nurse is planning care for a patient with a radioactive implant. Which intervention should the nurse select to help prevent social isolation in this patient?
b. Help provide diversional activities that the patient enjoys.
The nurse is assessing a patient and notes drainage on the sheets from the site of a radioactive colloid injection. What should the nurse do first?
d. Follow hospital policy for radioactive waste cleanup.
The nurse is preparing to teach a patient about the effects of chemotherapy on other body tissues. What should the nurse explain as the reason why hair, blood, skin, and gastrointestinal (GI) tract cells are more likely to be adversely affected by chemotherapy than other cells?
a. Because they are fast growing
A patient receiving doxorubicin (Adriamycin) voids urine that is bright red. Which action by the nurse is appropriate?
d. Check the patient's urine, and tell the patient that this is a common side effect of Adriamycin.
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What is the goal of gerontological Nursing?
recognize the patient as the source of control and full partner in providing compassionate and coordinated care based on respect for patient resources, references and needs