Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
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Chapter 18, Caring for Clients With Cancer
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 18. | Which of the following advice does the nurse offer clients who are undergoing unsealed radiation therapy to reduce exposure? |
| A) | Avoid drinking plenty of fluids. |
| B) | Avoid eating for 3 hours after therapy. |
| C) | Avoid applying skin moisturizers. |
| D) | Avoid kissing and sexual contact. |
| Ans: | D |
| Feedback: | |
| Clients who are undergoing unsealed radiation therapy are advised to avoid kissing and sexual contact due to the spread of radioactivity. Clients are encouraged to drink plenty of fluids to help flush radioactive substances. Client may be asked to apply mild moisturizers and are not asked not to eat after the therapy. |
| 2. | The nurse working on a bone marrow unit knows that it is a priority to monitor which of the following in a client who has just undergone a stem cell transplant? |
| A) | Monitor the client’s toilet patterns. |
| B) | Monitor the client closely to prevent infection. |
| C) | Monitor the client’s physical condition. |
| D) | Monitor the client’s heart rate. |
| Ans: | B |
| Feedback: | |
| Until transplanted stem cells begin to produce blood cells, these clients have no physiologic means to fight infection, which makes them very prone to infection. They are at high risk for dying from sepsis and bleeding before engraftment. Therefore, a nurse must closely monitor clients and take measures to prevent infection. Monitoring client’s toilet patterns, physical condition, and heart rate does not prevent the possibility of the client getting an infection. |
| 3. | You are an oncology nurse caring for a client who is taking antineoplastic agents. What adverse symptoms must you monitor for in this client? |
| A) | Symptoms of gout |
| B) | Symptoms of hypertension |
| C) | Symptoms of diarrhea |
| D) | Symptoms of anemia |
| Ans: | A |
| Feedback: | |
| The nurse monitors the client being administered an antineoplastic agent for symptoms of gout because they increase uric acid levels, joint pain, and edema. Administering antineoplastic agents does not cause hypertension, diarrhea, and anemia. |
| 4. | You are providing client teaching for a client undergoing chemotherapy. What dietary modifications should you advise? |
| A) | Eat wholesome meals. |
| B) | Avoid spicy and fatty foods. |
| C) | Avoid intake of fluids. |
| D) | Eat warm or hot foods. |
| Ans: | B |
| Feedback: | |
| The nurse advises a client undergoing chemotherapy to avoid hot and very cold liquids and spicy and fatty foods. The nurse also encourages the client to have small meals and appropriate fluid intake. |
| 5. | Cancer has many characteristics. What is one of the most discouraging characteristics of cancer? |
| A) | Large size |
| B) | Carcinogenesis |
| C) | Metastasis |
| D) | Slow growth |
| Ans: | C |
| Feedback: | |
| Metastasis is one of cancer’s most discouraging characteristics because even one malignant cell can give rise to a metastatic lesion in a distant part of the body. Not all cancerous tumors are large in size. Carcinogenesis is the process of malignant transformation, and it is not a characteristic of cancer. Cancer grows rapidly, not slowly. |
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