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Chapter 17 Care of the Patient with Cancer
Complete chapter Questions And Answers
Sample Questions
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
6. A patient, age 39, receiving chemotherapy for treatment of her cancer has a white blood cell count of 1600/mm3. This finding requires nursing interventions to provide which of the following?
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: Page 803 OBJ: 13 TOP: Leukopenia KEY: Nursing Process Step: Planning
MSC: NCLEX: Safe, Effective Care Environment
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