Chapter 17: Care of the Patient with Cancer

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A patient, age 62, has been receiving external radiation and chemotherapy for oropharyngeal carcinoma. His oral mucosa is denuded and edematous. He has ulcerations over his bucca and tongue, and his saliva is thick and ropey. Which intervention does the nurse teach to this patient?

ANS:   D

Nursing interventions, including avoiding hot beverages, are important for prevention of trauma to oral mucosa.

DIF:    Cognitive Level: Analysis                  REF:    Page 798, Nursing Diagnoses box

OBJ:    14                    TOP:    Oropharyngeal carcinoma

KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

2. Which is a type of biopsy?

ANS:   B

Types of biopsy include aspiration, excision, needle, and incision.

DIF:    Cognitive Level: Knowledge             REF:    Page 787, Figure 17-3

OBJ:    3                      TOP:    Biopsy            KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity

3. A patient, age 56, has been advised that his prostate-specific antigen (PSA) level is elevated. The physician then performed a digital rectal examination (DRE). Which procedure is indicated next?

ANS:   B

Men over the age of 50 should be advised to have a prostate-specific antigen (PSA) test and rectal exam once a year. Two other screening methods—DRE and transrectal ultrasonography (TRUS)—are used alone and in combination in the early detection of prostate cancer.

DIF:    Cognitive Level: Analysis                  REF:    Pages 788-789

OBJ:    13                    TOP:    Prostate cancer

KEY:   Nursing Process Step: Planning         MSC:   NCLEX: Physiological Integrity

4. A patient, age 72, is receiving chemotherapy for treatment of malignant lymphoma. Chemotherapeutic agents work by

ANS:   B

Most chemotherapeutic agents work by interfering with the cells’ ability to multiply or reproduce.

DIF:    Cognitive Level: Analysis                  REF:    Page 791         OBJ:    8

TOP:    Chemotherapy                                                KEY:              Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

5. The patient, age 63, has a diagnosis of cancer of the prostate gland with metastasis and is experiencing cachexia. This state is best described by the characteristics of:

ANS:   A

The patient with advanced cancer often experiences cachexia, a profound state of ill health, malnutrition, and wasting.

DIF:    Cognitive Level: Knowledge             REF:    Page 799, Nursing Diagnoses box

OBJ:    9                      TOP:    Terms              KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity