WorksheetsP&R REVIEW
Total questions: 20
Worksheet time: 15mins
The nurse is performing a breast
assessment. Which statement made
by the client indicates a risk of
breast cancer? Select all that apply.
One, some, or all responses may
be correct.
'I had a late onset of menarche.'
"My first child was born when I was
32'
- 'I noticed a slight discharge from a
nipple.
"I perform breast self-examinations
frequently.
"I consume two to four glasses of
alcohol a day.'
What information from a client's
history would the nurse identify as
risk factors for the development of
colon cancer? Select all that apply.
One, some, or all responses may
be correct.
Hemorrhoids
Increased age
High-fiber diet
Ulcerative colitis
Low hemoglobin level
Which clinical manifestations does
the nurse expect the client to report
when admitted for surgical
resection of a rectosigmoid colon
cancer? Select all that apply. One,
some, or all responses may be
correct.
Feeling tired
Rectal bleeding
Change in the shape of stools
Feeling of abdominal bloating
Stools float and are clay-colored
A client is admitted for a biopsy of a
tumor in her left breast. The client
states, 'I know it can't be cancer.
because it doesn't hurt.!' Which
response by the nurse is most
therapeutic?
'Let's hope that it isn't malignant.'
"What do you know about breast
cancer?'
'Most lumps in the breast are not
malignant.
Has your primary health care
provider told you that it wasn't
cancer?'
When a client who has seemed
cheerful after a diagnosis of lung
cancer and pneumonectomy
becomes withdrawn after being
discharged home, which action by
the home health nurse will be best?
A. Suggest that an antidepressant may be helpful.
B. Ask the client to describe the current emotional state.
C. Reassure the client that depression is a normal reaction.
D. Ask the health care provider to make a mental health referral.
(a)
Which information about malignant
tumors of the colon would the
nurse consider when providing care
for a client with an obstruction of
the colon?
A. Detection of the malignant tumors is easy.
B. Malignant tumors usually localize to one area.
C. Women are more at risk than men.
D. Colon obstructions are usually malignant.
(a)
Laboratory results for a client with
small cell lung cancer reflect urine
with a high specific gravity and a
serum sodium level of 127 mEg/L.
The client has gained 7 pounds in 3
days, has decreased urine output,
and no edema is noted. Which
nursing interventions are
appropriate for this client? Select all
that apply. One, some, or all
responses may be correct.
Initiate furosemide (Lasix).
Introduce a potassium-restricted diet.
Start an IV of hypertonic saline solution.
Institute a fluid restriction of 800 to 1000 mL/day.
Set a goal of increasing sodium by 15 to 20 mEg/L in the next 24
hours.
Which signs would the nurse expect
to observe in a client with small cell
carcinoma of the lung who develops
syndrome of inappropriate
antidiuretic hormone (SIADH)?
Select all that apply. One, some, or
all responses may be correct.
oliguria
Seizures
Vomiting
Polydipsia
Polyphagia
Oral contraceptives are prescribed
for a client who smokes heavily.
Which side effect would the nurse
warn the client might occur?
Blood clots
Cervical cancer
Ovarian cancer
Risk of coronary heart disease later in life
Which discharge instructions would
the nurse include for a woman who
has undergone breast-conserving
surgery (lumpectomy) for breast
cancer?
Assuring her that a supportive
brassiere is unnecessary
Emphasizing the importance of
breast self-examination
Instructing her to return the next
day for removal of the drain
Explaining why it is unnecessary to
exercise the arm on the unaffected
side
The client's cervical biopsy reveals a
stage 0 lesion. Which statement
explains this finding?
The lesion is carcinoma in situ.
There is early stromal invasion.
There is parametrial involvement.
The cancer is confined to the
cervix.
The nurse is teaching a client about
different prevention and detection
practices to ensure breast health.
Which statement made by the client
indicates the need for further
teaching?
'I will increase my meat
consumption.
"I will perform a self-breast
examination every week.'
'I will schedule routine
mammograms.
“I will reduce my caffeine and
theophylline intake”
Which topic is most important for
the nurse to teach in a community
health promotion class for middle-
aged adults?
Tobacco cessation
Infection prevention
Alcohol abstinence
Pain management
After a hysterosalpingo-
oophorectomy, a client wants to
know whether it would be wise for
her to take hormones right away to
prevent symptoms of menopause.
Which response would the nurse
give?
'It's best to wait until a few months
after surgery because you may not
have any symptoms.
'Hormone replacement therapy has
been associated with increased risk
of breast cancer, so it would not be
recommended.
'You have to wait until symptoms
are severe; otherwise the hormones
will have no effect.'
'There are pros and cons to
hormone replacement therapy. I
will let your primary health care
provider know you would like to
diccuce thial
A client develops severe bone
marrow suppression related to
cancer treatment. Which instruction
is important for the nurse to include
in the client's teaching?
A. Be prepared to experience alopecia.
B. Increase fluids to at least 3 liters
per day.
C. Use a soft toothbrush for oral
hygiene.
D. Monitor your intake and output of
fluids.
(a)
Which activities reflect secondary
prevention interventions in relation
to health promotion? Select all that
apply. One, some, or all responses
may be correct.
A. Encouraging regular dental checkups
B. Facilitating smoking cessation programs
C. Administering influenza vaccines to older adults
D. Teaching the procedure for breast self-examination
E. Referring clients with a chronic
illness to a support group
Encouraging regular dental checkups
Facilitating smoking cessation programs
Administering influenza vaccines to older adults
Teaching the procedure for breast self-examination
Referring clients with a chronic
illness to a support group
Which nursing intervention would
be recommended for a client after a
radiation implant is inserted as part
of internal radiation therapy for
cervical cancer?
A. Ensuring that the client's diet is low residue
B. Placing the client in the high- Fowler position
C. Checking the client's voiding and catheterizing if needed
D. Staying with the client for half an hour and assessing her for signs of radiation sickness
(a)
A client receiving cancer
chemotherapy asks the nurse why
an antibiotic was prescribed. Which
tissue affected by chemotherapy will
the nurse consider when
formulating a response?
A. Liver
B. Blood
C. Bone marrow
D. Lymph nodes
(a)
Which concept is most important to
teach a client in relation to why
medication cocktails are more
effective than a single medication in
cancer therapy?
A. Medication resistance
B. Tumor doubling time
C. Cellular growth cycle
D. Retained radioactive particles
(a)
A client receiving cisplatin therapy
developed tumor lysis syndrome
(TLS). Which medication would the
nurse anticipate administering to
this client for treatment of the TLS?
A. Mesna
B. Flavoxate
C. Allopurinol
D. Aprepitant
(a)
