ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 18 : Caring for Clients With Cancer Questions
Question 1 of 5
The public health nurse is teaching a local community group about warning signs of cancer. What should the nurse include in the teaching? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Warning signs of cancer include sores that do not heal, unusual bleeding or discharge, tenderness or pain, and persistent indigestion. Unexplained weight loss, not weight gain, is a warning sign of cancer.
Question 2 of 5
The nurse is providing an educational presentation on dietary recommendations for reducing the risk of cancer. Which of the following food selections would demonstrate a good understanding of the information provided in the presentation? Select all that apply.
Correct Answer: A,C,D
Rationale: Foods high in fat and those that are smoked or preserved with salt or nitrates are associated with increased cancer risks. An omelet made of egg whites and vegetables is a healthy low-fat selection as are steamed broccoli/carrots and turkey breast on whole grain bread. A salad can be a healthy selection, but Caesar salads contain much fat from the dressing and addition of cheeses and fried chicken. Salmon that is not smoked would be a good selection. Quiche usually contains high-fat milk, cr?¨me, eggs, and cheese.
Question 3 of 5
The nurse is providing client teaching for a client undergoing chemotherapy. What dietary modifications should the nurse advise?
Correct Answer: B
Rationale: 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.
Question 4 of 5
Which of the following advice does the nurse offer clients who are undergoing unsealed radiation therapy to reduce exposure?
Correct Answer: D
Rationale: 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. Clients may be asked to apply mild moisturizers and are not asked to avoid eating after the therapy.
Question 5 of 5
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?
Correct Answer: B
Rationale: 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.