Chapter 08 Care of Patients with Cancer

Chapter 08  Care of Patients with Cancer

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The 40-year-old female who was diagnosed with a benign growth in her colon is concerned about the growth spreading. The nurse can allay her anxiety by explaining that benign neoplasms:
a.
arrest their growth on their own.
b.
never interfere with normal structures or functions.
c.
are easily controlled with radiation.
d.
are surrounded by fibrous tissue that prevents spread.

ANS: D
Benign neoplasms are encapsulated with a fibrous membrane that interferes with their spreading. They do not self-limit their growth and may obstruct passages or impinge on an organ. They are not treated with radiation.

DIF: Cognitive Level: Application REF: 145 OBJ: 1 (theory)
TOP: Physiology of Cancer KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity

2. The 26-year-old patient with a malignant neoplasm has experienced a 10-pound weight loss in 3 weeks. The nurse takes into consideration that the rapid weight loss is most likely related to:
a.
disinterest in eating food in general.
b.
a fitness and weight-training exercise program.
c.
the malignancy’s high nutritional demand.
d.
a self-imposed rigid diet regimen.

ANS: C
Rapid cell growth of the malignancy robs nutrients from normal cells and results in weight loss.

DIF: Cognitive Level: Comprehension REF: 145-146 OBJ: 1 (theory)
TOP: Physiology of Cancer KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort

3. The nurse recognizes the staging T3, N2, M2 of the patient’s cancer to mean that there is a:
a.
small tumor with fewer than two lymph nodes involved.
b.
large tumor that is localized.
c.
small tumor with adjacent nodes involved.
d.
large tumor with extensive lymph node involvement.

ANS: D
The staging means a large tumor (T3) with involvement in regional lymph nodes (N2) and metastasis to distant lymph nodes (M2).

DIF: Cognitive Level: Analysis REF: 146-147 OBJ: 1 (theory)
TOP: TNM Staging KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance

4. In assessing several patients in the outpatient clinic, the nurse identifies the patient who is at the greatest risk for cancer as the:
a.
23-year-old car repairman who repaints cars.
b.
30-year-old overweight CPA in New York who has smoked for 10 years and rarely exercises.
c.
45-year-old farmer from Texas who has worked on his family’s cotton farm since the age of 12.
d.
60-year-old ski instructor in Colorado.

ANS: C
The cotton farmer in Texas has the most exposure to carcinogens. Chemicals, pesticides, and sun are the carcinogens that this farmer has been exposed to for at least 33 years.

DIF: Cognitive Level: Analysis REF: 147-150 OBJ: 2 (theory)
TOP: Cancer Risk KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance

5. The nurse recognizes a “promoter” that, although not a carcinogen itself, allows cancer to occur faster in the patient that:
a.
is more than 25 pounds overweight.
b.
works in a hospital lab.
c.
abuses cocaine.
d.
drinks heavily.

ANS: D
Alcohol and smoking are “promoters” that facilitate the occurrence of cancer. Being overweight, working in a hospital lab, and abusing cocaine are not considered “promoters” in regard to cancer risk.

DIF: Cognitive Level: Application REF: 148 OBJ: 2 (theory)
TOP: Causative Factors KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance

6. The x-ray technician wears a badge that is monitored frequently to measure the amount of radiation he has absorbed. Such occupational exposure to radiation frequently results in a specific cancer, which is:
a.
bladder cancer.
b.
leukemia.
c.
melanoma.
d.
lung cancer.

ANS: B
The blood cancer leukemia is associated with radiation exposure. Bladder, melanoma, and lung cancer are associated with other carcinogens.

DIF: Cognitive Level: Application REF: 148-149 OBJ: 3 (theory)
TOP: Causative Factors KEY: Nursing Process Step: NA
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential