WorksheetsP&R QUIZ #2
Total questions: 43
Worksheet time: 43mins
During the acute phase, (a) of the joints reduces pain and inflammation.
Group of symptoms (including moon face, buffalo hump)
Cushingoid
Uveitis
Enthesitis
Felty's disease
(a)
Which assessment findings will the nurse expect for the client with late-stage rheumatoid arthritis - SATA
Bony nodes in finger joints
Subcutaneous nodules
Severe weight loss
Joint deformity
Thrombocytosis
Which health teaching by the nurse is important for clients diagnosed with systemic lupus erythematosus? SATA
Take frequent rest periods to prevent fatigue
Avoid green leafy vegetables to prevent bleeding
Avoid sun exposure to prevent disease flare-ups
Report fever to your health care provider immediately
Use a mild soap for bathing to prevent sin irritation
What is it called when all bone marrow cells are low
(a)
One of the biggest problems is the misperception by patients and nononcology nurses that these drugs are less toxic than IV chemotherapy
True
False
Cell growth that does not cause harm.
Neoplasia
Benign cells
Malignant cells
metastasis
The disease caused by an uncontrolled division of abnormal cells in a part of the body.
(a)
Cells growing in wrong place at wrong time due to a small problem with cellular regulation.
(a)
What are characteristics of benign growth? SATA
Cell Division
Adherence
Migratory
Appearance
Cells that are abnormal, serve no useful function and are harmful to normal body tissues.
(a)
Growth in size of cell is called?
hypertrophy
hyperplasia
Benign
•Malignant
Examples of benign growth: moles, skin tags, nasal polyps, endometriosis, fibroids
True
False
Cancer can metastasize to other vital organs and disrupt multiple bodily functions.
TRUE
FALSE
When cells break off from the primary location and establish a remote colony.
(a)
What is the most common cause of cancer spread?
Bloodborne metastasis
Lymphatic spread
Progression
Carcinogenesis
The nurse is caring for a client who is receiving rituximab (Rituxan) for treatment of lymphoma. During the infusion, it is essential for the nurse to observe for which side effect?
Alopecia
Allergy
Fever
Chills
When caring for the client with hyperuricemia associated with tumor lysis syndrome (TLS), for which medication does the nurse anticipate an order?
Recombinant erythropoietin (Procrit)
Allopurinol (Zyloprim)
Potassium chloride
Radioactive iodine-131 (131I)
Which medication does the nurse plan to administer to a client before chemotherapy to decrease the incidence of nausea and vomiting?
Morphine
Ondansetron (Zofran)
Naloxone (Narcan)
Diazepam (Valium)
A newly graduated RN has just finished a 6-week orientation to the oncology unit. Which client is most appropriate to assign to the new graduate?
A 30-year-old with acute lymphocytic leukemia who will receive combination chemotherapy today
A 40-year-old with chemotherapy-induced nausea and vomiting who has had no urine output for 16 hours
A 45-year-old with pancytopenia who will require IV administration of erythropoietin (Procrit)
A 72-year-old with tumor lysis syndrome who is receiving normal saline IV at a rate of 250 mL/hr
Which potential side effects does the nurse include in the teaching plan for a client undergoing radiation therapy for laryngeal cancer? (Select all that apply.)
Fatigue
Changes in color of hair
Change in taste
Changes in skin of the neck
Difficulty swallowing
The nurse has received in report that a client receiving chemotherapy has severe neutropenia. Which interventions does the nurse plan to implement? (Select all that apply.)
Assess for fever.
Observe for bleeding.
Administer
pegfilgrastim
(Neulasta).
Do not permit fresh flowers or plants in the room.
Teach the client to omit raw fruits and vegetables from the diet
The nurse is teaching a client who is receiving an antiestrogen drug about the side effects she may encounter. Which side effects does the nurse include in the discussion? (Select all that apply.)
Heavy menses
Smooth facial skin
Hyperkalemia
Breast tenderness
Deep vein thrombosis
Biologic response modifiers have which positive effects on patients receiving chemotherapy? (Select all that apply.)
Less risk of life-threatening infections
Reduced incidence of alopecia
Reduced severity of nausea
Able to tolerate higher doses of chemotherapy
Euphoria and increases libido
A patient with advanced breast cancer reports severe back pain and leg weakness. Based on these symptoms, what does the nurse suspect?
Tumor lysis syndrome
Lower back cancer
Spinal cord compression.
Bladder tumor
At what point is a patient radioactive when receiving radiation by teletherapy and is therefore a potential danger to other people?
the patient is never radioactive
during the mechanical delivery of gamma rays
for the first 24-48 hours after treatment
until the radiation source has decayed by one half life
what are the side effects of radiation (select all that apply)
altered taste sensation
skin changes and permanent local hair loss
diarrhea and tooth loss
weight gain and fluid retention
fatigue
For a patient undergoing external radiation therapy, what do the nurses instruction include? (Select all that apply)
do not remove the markings
do not use lotions or ointments
avoid direct skin exposure to sunlight for up to a year
use mild soap and water on affected skin
gently rub treated areas to stimulate circulation
why does the nurse wear a dosimeter when providing care to a patient receiving brachytherapy?
indicated special expertise in radiation therapy
protects the nurse from absorbing radiation
measures the nurses exposure to radiation
ensures that the radiation dosage is accurate
the nurse hears in report that the patient has xerostomia. which teaching point does the nurse plan to review with the patient?
regular dental visits are essential because of increased risk for dental caries
use mild soap and apply unscented lotion to reduce itching sensation
avoid rigorous sports because bones are more prone to pathologic fractures
avoid direct sun exposure for at least a year because your skin will be sensitive
While reviewing the laboratory reports of a patient with cancer, the nurse anticipates that the patient has tumor lysis syndrome. Which finding indicates this condition? (select all that apply)
increased calcium levels
Decreased sodium levels
Increased uric acid levels
Increased potassium levels
Decreased phosphorus levels
The nurse is caring for a patient who is receiving cancer treatment. What disease-related consequence will contribute to sensory and motor deficits in this patient?
Increased risk for fatigue
Increased risk for impaired clotting
Increased risk for shortness of breath
Increased risk for peripheral neuropathy
Which complications may occur due to bone metastasis? Select all that apply.
Hypoxia
Fractures
Hypercalcemia
Poor tissue oxygenation
Spinal cord compression
The nurse is caring for a patient with cancer who also has thrombocytopenia. What has likely caused the thrombocytopenia? Select all that apply.
Impaired immune function
Impaired platelet production
Impaired tissue oxygenation
Impaired bone marrow function
Impaired blood-producing function
Which type of surgery is performed to remove tissues that are at risk of becoming cancerous?
Prophylactic
Diagnostic
Curative
Cytoreductive
Which method of radiation treatment delivery uses radioactive isotopes either in solid form or within body fluids?
Teletherapy
Brachytherapy
Stereotactic body radiotherapy (SBRT)
Intensity-modulated radiation therapy (IMRT)
Which statement correctly describes oral chemotherapy agents as compared to traditional intravenous agents?
Their use avoids the safety risks associated with traditional intravenous agents.
Their schedule allows for more flexibility without dependence on intravenous access.
Oral chemotherapy drugs are just as toxic as traditional intravenous chemotherapy agents.
Self-management is easy for patients and families to accomplish with oral chemotherapy drugs.
What are key points for the nurse to include in patient education about skin care during radiation therapy? Select all that apply.
Clean skin cautiously to avoid removing ink or dye markings.
Avoid exposure of the irradiated skin areas to heat or sun.
Protect the irradiated area with soft, non constrictive clothing.
Over-the-counter lotions and ointments may be used for soothing.
Use a washcloth rather than a loofah for cleansing.
What are some of the precautions to be taken in providing nursing care to patients with sealed radioactive implants? Select all that apply.
Assign the patient to a private room with a private bath.
Use a shared dosimeter film badge for the patient.
Wear a lead apron during care, keeping the apron between the nurse and the patient.
After 12 weeks of pregnancy, pregnant nurses may care for these patients.
Remove linens and dressings from the room immediately after use.
What is the most significant factor resulting from cancer treatment that places patients at increased risk for infection?
Mucositis
Neutropenia
Hemorrhagic cystitis
Cardiac muscle damage
Which term describes the occurrence where bone marrow activity and white blood cell counts are at their lowest levels after chemotherapy?
Bone marrow suppression
Thrombocytopenia
Neutropenia
Nadir
This determines the exact location of the cancer and degree of metastasis.
Ploidy
Staging
Grading
Oncogenesis
