Chapter 16 Oncology: Nursing Management in Cancer Care


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Chapter 16  Oncology: Nursing Management in Cancer Care



Complete Chapter Questions And Answers

Sample Questions


Multiple Choice

1. The school health nurse is presenting a health-promotion class to a group of middle-school students. Which is the best intervention to address health-promotion strategies related to the leading cause of cancer deaths in North America?
A) Monthly self-breast exams

B) Smoking cessation
C) Annual colonoscopies D) Monthly testicular exams

Ans: B
Chapter: 16
Client Needs: B
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Teaching/Learning Objective: 4
Page and Header: 337, Epidemiology of Cancer

Feedback: Cancer is second only to cardiovascular disease as a leading cause of death in the United States. Although the numbers of cancer deaths have decreased slightly, more than 560,000 Americans were expected to die from a malignant process in 2008. The leading causes

of cancer death in the United States, in order of frequency, are lung, prostate, and colorectal cancer in men and lung, breast, and colorectal cancer in women, so smoking cessation is the health promotion initiative directly related to lung cancer. Therefore, the other options are incorrect.

2. You are the clinic nurse in an oncology clinic. Your patient arrives for a 2-month follow-up appointment following chemotherapy. You note that the patient’s skin appears yellow. Which blood tests should be done to further explore this clinical sign?
A) Liver function test

C) Platelet count D) Electrolytes

Ans: A
Chapter: 16
Client Needs: D-4
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process Objective: 7
Page and Header: 391, Cancer Survivorship

Feedback: Surveillance for cancer spread, recurrence, or second cancers: colonoscopy post colon cancer, mammography post breast cancer, Liver function tests post colon cancer, prostate- specific antigen post prostate cancer. Yellow skin is a sign of jaundice. The liver is a common organ affected by metastatic disease. A liver function test should be done to determine if the liver is functioning. Option B is incorrect; a CBC would show an altered white blood cell count indicating possible infection. Option C is incorrect; a platelet count tells whether the blood sample has an adequate number of platelets, necessary for blood clotting. Option D is incorrect; a blood test for electrolytes would not identify the cause of the jaundice.

3. You are teaching a nutrition class in the local high school. One student tells you that he has heard that certain foods can increase the incidence of cancer. You respond, “Research has shown that certain foods appear to increase the risk of cancer.” Which of the following menu selections would be the best choice for reducing the risks of cancer?

A) Smoked salmon and green beans
B) Pork chops and fried green tomatoes
C) Baked apricot chicken and steamed broccoli D) Liver, onions, and steamed peas

Ans: C
Chapter: 16
Client Needs: B
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Teaching/Learning
Objective: 3
Page and Header: 341, Pathophysiology of the Malignant Process

Feedback: High-fiber foods; cruciferous vegetables, such as broccoli, cauliflower, and spinach; and carotenoids, such as apricots and peaches, appear to reduce cancer risk. Salt-cured foods, such as ham and processed luncheon meats, should be avoided. Options B and D are incorrect as they do not contain cruciferous vegetables.

4. Traditionally, nurses have been involved with tertiary prevention with their cancer patients. However, emphasis is also placed on both primary and secondary prevention. What would be an example of primary prevention?
A) Yearly Papanicolaou tests

B) Testicular self-examination
C) Teaching patients to wear sunscreen D) Screening mammogram

Ans: C
Chapter: 16
Client Needs: B
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Teaching/Learning
Objective: 4
Page and Header: 343, Detection and Prevention of Cancer

Feedback: Primary prevention is concerned with reducing the risks of cancer in healthy people through practices such as use of sunscreen. Secondary prevention involves detection and screening to achieve early diagnosis, as demonstrated by Papanicolaou tests, mammograms, and testicular exams.

5. You are caring for a 39-year-old woman with a family history of breast cancer. She has requested a breast tumor marking test and the results are positive. The patient is requesting a bilateral mastectomy. What is this surgery an example of?
A) Salvage surgery

B) Palliative surgery
C) Prophylactic surgery D) Reconstructive surgery

Ans: C
Chapter: 16
Client Needs: D-3
Cognitive Level: Application
Difficulty: Difficult
Integrated Process: Nursing Process Objective: 5
Page and Header: 348, Management of Cancer

Feedback: Prophylactic surgery is used when there is an extensive family history and nonvital tissues are removed. Salvage surgery is an additional treatment option that uses an extensive surgical approach to treat the local recurrence of a cancer after the use of a less extensive primary approach. Palliative surgery is performed in an attempt to relieve complications of cancer, such as ulceration, obstruction, hemorrhage, pain, and malignant effusion. Reconstructive surgery may follow curative or radical surgery in an attempt to improve function or obtain a more desirable cosmetic effect.

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