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Chapter 17 Care of the Patient with Cancer
Complete chapter Questions And Answers
Sample Questions
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? a. Syringe
b. Aspiration
c. Polypectomy d. Puncture
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?
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Test Bank 17-2
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 box
OBJ: 9 TOP: Terms Assessment
MSC: NCLEX: Physiological Integrity
REF: Page 799, Nursing Diagnoses KEY: Nursing Process Step:
6. A patient, age 39, has been receiving chemotherapy for treatment of her cancer of the breast. She has a white blood cell count of 1,600/mm3. A person who has leukopenia has a special need for which nursing intervention?
Test Bank 17-3
c. Protection against infection d. Limitation of activities
ANS: C
The nurse needs to protect the patient against pathogens, monitor the patient for signs of infections, and respond aggressively if an infection occurs.
DIF: Cognitive Level: Analysis REF: Pages 792, 794 OBJ: 14 TOP: Chemotherapy
KEY: Nursing Process Step: Planning
MSC: NCLEX: Safe, Effective Care Environment
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