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WorksheetsCards and Cancer Review
Total questions: 20
Worksheet time: 31mins
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?
Fresh fruit salad
Roasted chicken
Whole wheat toast
Cream of potato soup
When reviewing the chart for a patient with cervical cancer, the nurse notes that the cancer is staged as Tis, N0, M0. The nurse will teach the patient that
the cancer is localized to the cervix.
the cancer cells are well-differentiated.
further testing is needed to determine the spread of the cancer.
it is difficult to determine the original site of the cervical cancer.
External-beam radiation is planned for a patient with endometrial cancer. The nurse teaches the patient that an important measure to prevent complications from the effects of the radiation is to
test all stools for the presence of blood.
maintain a high-residue, high-fiber diet.
clean the perianal area carefully after every bowel movement.
inspect the mouth and throat daily for the appearance of thrush.
A patient undergoing external radiation has developed a dry desquamation of the skin in the treatment area. Which patient statement indicates that the nurse’s teaching about management of the skin reaction has been effective?
“I will scrub the area with warm water to remove the scales.”
“I can use ice packs to relieve itching in the treatment area.”
“I will expose the treatment area to a sun lamp daily.”
“I can buy some aloe vera gel to use on the area.”
Which nursing action will be most effective in improving oral intake for a patient with the nursing diagnosis of imbalanced nutrition: less than body requirements related to painful oral ulcers?
Offer the patient frequent small snacks between meals.
Assist the patient to choose favorite foods from the menu.
Apply the ordered anesthetic gel to oral lesions before meals.
Provide education about the importance of nutritional intake.
When the nurse is monitoring a patient who is undergoing exercise (stress) testing on a treadmill, which assessment finding requires the most rapid action by the nurse?
Patient complaint of feeling tired.
Pulse change from 80 to 96 beats/minute.
BP increase from 134/68 to 150/80 mm Hg.
Electrocardiographic (ECG) changes indicating coronary ischemia.
When admitting a patient for a coronary arteriogram and angiogram, which information about the patient is most important for the nurse to communicate to the health care provider?
The patient’s pedal pulses are +1.
The patient is allergic to shellfish.
The patient has not eaten anything today.
The patient had an arteriogram a year ago.
A patient with ST segment elevation in several electrocardiographic (ECG) leads is admitted to the emergency department (ED) and diagnosed as having an ST-segment-elevation myocardial infarction (STEMI). Which question should the nurse ask to determine whether the patient is a candidate for fibrinolytic therapy?
“Do you take aspirin on a daily basis?”
“What time did your chest pain begin?”
“Is there any family history of heart disease?”
“Can you describe the quality of your chest pain?”
A patient with a history of chronic heart failure is admitted to the emergency department (ED) with severe dyspnea and a dry, hacking cough. Which action should the nurse take first?
Palpate the abdomen.
Assess the orientation.
Check the capillary refill.
Auscultate the lung sounds.
After receiving change-of-shift report, which of these patients admitted with heart failure should the nurse assess first?
A patient who is receiving IV nesiritide (Natrecor) and has a blood pressure (BP) of 100/56
A patient who is cool and clammy, with new-onset confusion and restlessness
A patient who had dizziness after receiving the first dose of captopril (Capoten)
A patient who has crackles in both posterior lung bases and is receiving oxygen
Which information will the nurse include when teaching a patient who is scheduled to have a permanent pacemaker inserted for treatment of chronic atrial fibrillation with slow ventricular response?
The pacemaker prevents or minimizes ventricular irritability.
The pacemaker paces the atria at rates up to 500 impulses/minute.
The pacemaker discharges if ventricular fibrillation and cardiac arrest occur.
The pacemaker stimulates a heart beat if the patient’s heart rate drops too low.
A patient has received instruction on the management of a new permanent pacemaker before discharge from the hospital. The nurse recognizes that teaching has been effective when the patient tells the nurse,
“It will be 6 weeks before I can take a bath or return to my usual activities.”
“I will notify the airlines when I make a reservation that I have a pacemaker.”
“I won’t lift the arm on the pacemaker side up very high until I see the doctor.”
“I must avoid cooking with a microwave oven or being near a microwave in use.”
A patient’s cardiac monitor shows sinus rhythm, rate 60 to 70. The P-R interval is 0.18 seconds at 1:00 AM, 0.20 seconds at 2:30 PM, and 0.23 seconds at 4:00 PM. Which action should the nurse take at this time?
Prepare for possible temporary pacemaker insertion.
Administer atropine sulfate 1 mg IV per agency protocol.
Document the patient’s rhythm and assess the patient’s response to the rhythm.
Call the health care provider before giving the prescribed metoprolol (Lopressor).
The nurse obtains a health history from a patient with a prosthetic mitral valve who has symptoms of infective endocarditis (IE). Which question by the nurse is most appropriate?
“Have you been to the dentist lately?”
“Do you have a history of a heart attack?”
“Is there a family history of endocarditis?”
“Have you had any recent immunizations?”
The nurse has identified a nursing diagnosis of acute pain related to inflammatory process for a patient with acute pericarditis. The most appropriate intervention by the nurse for this problem is to
force fluids to 3000 mL/day to decrease fever and inflammation.
teach the patient to take deep, slow respirations to control the pain.
remind the patient to ask for the opioid pain medication every 4 hours.
position the patient in Fowler’s position, leaning forward on the overbed table.
position the patient in Fowler’s position, leaning forward on the overbed table.
Elevating the legs above the heart will help relieve angina.
No more than two alcoholic drinks daily are recommended.
Careful compliance with diet and medications will prevent heart failure.
Notify the doctor about any symptoms of heart failure such as shortness of breath.
When discussing risk factor modification for a 60-year-old patient who has a 4-cm abdominal aortic aneurysm, the nurse will focus patient teaching on which of these patient risk factors?
Male gender
Marfan syndrome
Abdominal trauma history
Uncontrolled hypertension
When developing a teaching plan for a patient newly diagnosed with peripheral artery disease (PAD), which information should the nurse include?
“Exercise only if you do not experience any pain.”
“It is very important that you stop smoking cigarettes.”
“Try to keep your legs elevated whenever you are sitting.”
“Put on support hose early in the day before swelling occurs.”
Which information about a patient who has been admitted with a right calf venous thromboembolism (VTE) requires immediate action by the nurse?
Complaint of left calf pain
New onset shortness of breath
Red skin color of left lower leg
Temperature of 100.4° F (38° C)
A patient who has had a femoral-popliteal bypass graft to the right leg is being cared for on the surgical unit. Which action by an LPN/LVN caring for the patient requires the RN to intervene?
The LPN/LVN places the patient in a Fowler’s position for meals.
The LPN/LVN assists the patient to ambulate 40 feet in the hallway.
The LPN/LVN has the patient sit in a bedside chair for 90 minutes.
The LPN/LVN administers the ordered aspirin 160 mg after breakfast.
