ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 57 Questions
Question 1 of 5
The nurse caring for a patient who is being treated for cancer of the cervix by a radioactive implant discovers that the applicator with the radioactive material has become dislodged and is lying in the bed between the patient?s legs. Which action will the nurse take?
Correct Answer: D
Rationale: The applicator should not be touched. Reassure the patient and go to report the incident to the radiation safety officer.
Question 2 of 5
There is a risk of nausea and vomiting from chemotherapy and targeted therapy. Which sets of drugs used for cancer treatment represent a high risk in this regard?
Correct Answer: C
Rationale: Carmustine Cisplatin and Dacarbazine nearly always cause nausea and vomiting. Butyrophenones, phenothiazines, and metoclopramide are dopamine receptor antagonists (antiemetics) used to prevent and treat CINV. Methotrexate, 5-fluorouracil, and doxorubicin are chemotherapeutic drugs most frequently associated with the development of stomatis.
Question 3 of 5
A patient who has malignant cancer secondary to a high-grade lymphoma has been admitted with muscle weakness, tetany, paresthesia, and convulsion. The nurse notices the patient is being treated for tumor lysis syndrome (TLS) and initial treatment has not been successful. The nurse will prepare the patient to undergo which procedure?
Correct Answer: D
Rationale: If hydration and administration of diuretics and allopurinol are not effective, dialysis may be necessary.
Question 4 of 5
A female patient, age 59, has lost 7 lb in the first 3 weeks of her chemotherapy and does not eat because nothing tastes good. The nurse expects to see which goal addressed in the plan of care?
Correct Answer: C
Rationale: This patient needs to maintain current weight, and not lose further weight. Adequate nutrition is difficult if the patient loses 10 or more pounds (4,5 kg).
Question 5 of 5
Which is a risk factor for cancer?
Correct Answer: B,C,D,F
Rationale: Cancer risk factors include smoking and the use of smokeless tobacco, environmental irritants, alcoholism, hereditary factors, and dietary habits.