Chapter 08: Care of Patients with Cancer

Chapter 08: Care of Patients with Cancer

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The 40-year-old female who was diagnosed with a benign growth in her colon is concerned about the growth spreading. Which explanation best allays the patient’s anxiety?

a.	“Benign growths arrest their growth on their own.”
b.	“Benign growths never interfere with normal structures or functions.”
c.	“Benign growths are easily controlled with radiation.”
d.	“Benign growths are surrounded by fibrous tissue that prevents spread.”

 

 

ANS:  D

Benign neoplasms are encapsulated with a fibrous membrane that interferes with their spreading. They do not self-limit their growth and may obstruct passages or impinge on an organ. They are not treated with radiation.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   145

OBJ:   1 (theory)       TOP:   Physiology of Cancer

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Psychosocial Integrity

 

2. The 26-year-old patient with a malignant neoplasm has experienced a 10-pound weight loss in 3 weeks. To which factor is this patient’s rapid weight loss most likely related?

a.	Disinterest in eating food in general
b.	Changes in the nutritional content of the patient’s diet
c.	The malignancy’s high nutritional demand
d.	A self-imposed rigid diet regimen

 

 

ANS:  C

Rapid cell growth of the malignancy robs nutrients from normal cells and results in weight loss.

 

PTS:   1                    DIF:    Cognitive Level: Comprehension     REF:   146

OBJ:   1 (theory)       TOP:   Physiology of Cancer

KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort

 

3. The nurse recognizes the staging T3, N2, M2 of the patient’s cancer. Which interpretation is correct?

a.	Small tumor with fewer than two lymph nodes involved.
b.	Large tumor that is localized.
c.	Small tumor with adjacent nodes involved.
d.	Large tumor with extensive lymph node involvement.

 

 

ANS:  D

The staging means a large tumor (T3) with involvement in regional lymph nodes (N2) and metastasis to distant lymph nodes (M2).

 

PTS:   1                    DIF:    Cognitive Level: Analysis                REF:   147

OBJ:   1 (theory)       TOP:   TNM Staging

KEY:  Nursing Process Step: Assessment   MSC:  NCLEX: Health Promotion and Maintenance

 

4. The nurse assesses several patients in the outpatient clinic. Which patient has the greatest risk for developing cancer?

a.	23-year-old car repairman who repaints cars
b.	30-year-old overweight certified public accountant in New York who has smoked for 4 years and rarely exercises
c.	45-year-old farmer from Texas who has worked on his family’s cotton farm since the age of 12
d.	60-year-old ski instructor in Colorado

 

 

ANS:  C

The cotton farmer in Texas has the most exposure to carcinogens. Chemicals, pesticides, and sun are the carcinogens that this farmer has been exposed to for at least 33 years.

 

PTS:   1                    DIF:    Cognitive Level: Analysis                REF:   148

OBJ:   4 (theory)       TOP:   Cancer Risk   KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Health Promotion and Maintenance

 

5. The nurse recognizes that smoking is a “promoter” that, although not a carcinogen itself, allows cancer to occur faster in the patients. Which factor is also a promoter of cancer?

a.	Obesity
b.	Occupational hazards
c.	Cocaine abuse
d.	Heavy alcohol intake

 

 

ANS:  D

Alcohol and smoking are “promoters” that facilitate the occurrence of cancer. Being overweight, occupational hazards, and abusing cocaine are not considered “promoters” in regard to cancer risk.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   148

OBJ:   2 (theory)       TOP:   Causative Factors

KEY:  Nursing Process Step: Assessment   MSC:  NCLEX: Health Promotion and Maintenance