Chapter 15--Cancer Management

Chapter 15–Cancer Management

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse realizes that for a cell to become cancer, it needs to progress through four stages. Which of the following is not a stage of this process?

ANS:  4

The four stages of oncogenesis or carcinogenesis are: 1) initiation, 2) promotion, 3) progression, and 4) metastasis. Stimulation is not a stage of carcinogenesis.

PTS:   1                    DIF:    Analyze         REF:   Carcinogenesis

2. A client’s most recent prostate-specific antigen level has decreased since starting treatment for prostate cancer. The nurse realizes this level would indicate that the client:

ANS:  3

A decrease in a tumor marker is important in the assessment of cancer, monitoring tumor response during treatment strategies, and diagnosis of recurrence of disease. A decrease in the prostate-specific antigen level once treatment has begun for prostate cancer would indicate that the client is responding to treatment. A drop in the level does not mean that the client no longer has the disease, that the disease is progressing, or that the client needs to be retested.

PTS:   1                    DIF:    Analyze         REF:   Laboratory Tests

3. A client’s tumor was staged using the TNM system. The tumor was staged as T4,N1,Mx. The nurse realizes that this staging means:

ANS:  4

The larger the number in the TNM staging system, the increasing involvement or larger size of the tumor, node, and metastasis. T4 reflects the size of the tumor. N1 describes the regional node involvement. Mx signals the inability to assess the presence or absence of distant metastasis.

PTS:   1                    DIF:    Analyze         REF:   Staging and Grading

4. Which of the following statements made by a client after receiving instruction regarding internal radiation would indicate that teaching has been successful?

ANS:  4

General guidelines include assigning the patient to a private room; postradiation precaution signage; limiting the amount of time in the room; observing a distance of at least 6 feet from the source when possible; and prohibiting pregnant staff, family, visitors, and children from interacting or visiting with the patient. The other choices would indicate the need for additional instruction and are incorrect.

PTS:   1                    DIF:    Analyze         REF:   Internal Radiation

5. A client, prescribed to begin chemotherapy, asks the nurse “How does chemotherapy work?” Which of the following should the nurse respond to this client?

ANS:  1

Chemotherapy is the use of drugs that prevent, kill, or block the growth and spread of cancer cells. Some noncancerous cells can be damaged during chemotherapy. External radiation treats an exposed area with high-energy rays. Internal radiation uses implanted agents.

PTS:     1          DIF:     Apply  REF:    Chemotherapy