ATI LPN
Lewis's Medical Surgical Nursing in Canada, 5th Edition
Chapter 18 Questions
Question 1 of 5
The nurse is preparing a patient for a biopsy of a lump in the right breast and the patient asks the nurse about the difference between a benign tumour and a malignant tumour. Which of the following responses by the nurse is correct?
Correct Answer: C
Rationale: The major difference between benign and malignant tumours is that malignant tumours invade adjacent tissues and spread to distant tissues and benign tumours never metastasize. The other statements are inaccurate. Both types of tumours may cause damage to adjacent tissues. Malignant cells do not reproduce more rapidly than normal cells. Benign tumours do not usually recur.
Question 2 of 5
The nurse is caring for a patient who is receiving intravesical bladder chemotherapy. Which of the following adverse effects should the nurse monitor for in this patient?
Correct Answer: D
Rationale: The adverse effects of intravesical chemotherapy are confined to the bladder. The other adverse effects are associated with systemic chemotherapy.
Question 3 of 5
The nurse in the outpatient clinic is caring for a patient who smokes heavily. To reduce the patient's risk of dying from lung cancer, which of the following actions will be best for the nurse to take?
Correct Answer: C
Rationale: Education about the risks associated with cigarette smoking is recommended at every patient encounter, since cigarette smoking is associated with multiple health problems. A tumour must be at least 0.5 cm large before it is detectable by current screening methods and may already have metastasized by that time. Oncofetal antigens such as CEA may be used to monitor therapy or detect tumour recurrence, but are not helpful in screening for cancer. The seven warning signs of cancer are actually associated with fairly advanced disease.
Question 4 of 5
After the nurse has finished teaching a patient who is scheduled to receive external beam radiation for abdominal cancer about appropriate diet, which dietary selection by the patient indicates that the teaching has been effective?
Correct Answer: B
Rationale:
To minimize the diarrhea that is commonly associated with bowel radiation, the patient should avoid foods high in roughage, such as fruits and whole grains. Lactose intolerance may develop secondary to radiation, so dairy products also should be avoided.
Question 5 of 5
During a routine health examination, a patient tells the nurse about a family history of colon cancer. Which of the following actions should the nurse take next?
Correct Answer: C
Rationale: The patient may be at increased risk for colon cancer, but the nurse's first action should be further assessment. The other actions may be appropriate, depending on the information that is obtained from the patient with further questioning.