Chapter 17: Care of the Patient with Cancer

Chapter 17: Care of the Patient with Cancer

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A patient has developed stomatitis from chemotherapy. What should the appropriate intervention for this condition include?

ANS:  D

The use of a soft toothbrush to clean the teeth and rinsing with normal saline or soda will prevent added discomfort and bleeding.

DIF:    Cognitive Level: Comprehension     REF:   Page 804        OBJ:   13

TOP:   Stomatitis       KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

2. Which of the following men should be highest priority for referral for a prostate-specific antigen (PSA)?

ANS:  B

African American men are a high-risk population for prostate cancer. Orientals and Native Americans have a relatively low incidence of prostate cancer.

DIF:    Cognitive Level: Analysis                REF:   Page 795        OBJ:   3

TOP:   PSA testing     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). What should the next definitive diagnostic test be?

ANS:  B

Men over the age of 50 should be advised to have a prostate-specific antigen (PSA) test and rectal examination 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:   Page 800        OBJ:   11

TOP:   Prostate cancer                                KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Physiological Integrity

4. How would the nurse explain to the patient who is taking cyclophosphamide (Cytoxan), an alkylating agent, about how the medication works?

ANS:  B

Most chemotherapeutic agents work by interfering with the cell’s ability to multiply or reproduce. Cytoxan interferes with DNA replication.

DIF:    Cognitive Level: Analysis                REF:   Page 803        OBJ:   13

TOP:   Chemotherapy                                 KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

5. After an elevation of his PSA, the patient has blood drawn for a CA-19-9. When he asks the nurses the purpose of this new test, what is the most appropriate response?

ANS:  A

The CA-19-9 is a tumor marker for tumors in the hepatobiliary system.

DIF:    Cognitive Level: Comprehension     REF:   Page 800        OBJ:   11

TOP:   CA-19-9         KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity