WorksheetsCellular Regulation (Cancer)
Total questions: 9
Worksheet time: 18mins
The nurse is providing discharge teaching to a patient post op from a bowel resection to remove colon cancer in which resulted in a colostomy. Which of the following statements by the patient shows effective teaching? SATA.
“The stoma should be a pale pink color. Any redness should be reported immediately.”
"My partner and I should refrain from having sex due to my bag."
"I should consume a low protein high fat diet moving forward."
"smoking cessation is one of my main priorities right now."
"My post op diet of clear liquids can continue to be progressed as long as I tolerate it well."
A nurse is caring for a patient with stage 3 lung cancer. Which of the following assessment finding does the nurse expect to find ?
Complaints of stabbing chest pain.
The patient has lost 20 pounds in the past 2 weeks and is extremely fatigued.
History of smoking a pack a day for 15 years.
Patient is experiencing painful ejaulation
The patient reports seeing "red spots" on tissue when coughs.
CEA is a lab value known as Carcinoembryonic antigen. When might this lab value be used? Select all that apply.
When determining if colon cancer has progressed
In the initial diagnosis of colon cancer
In evaluating if olon cancer has returned.
In diagnosing patients with pancreatitis.
In examining the rosk of gallbladder cancer.
A new grad nurse has been hired on an oncology floor specializing in colon cancer. Which of the following are common treatments she should expect to see? SATA.
Radiation
Chemo
Close monitoring for progression
Surgical excision
Biopsy
Which of the following would be a priority teaching for a patient receiving brachytherapy?
Make sure to strain urine for a few days after the procedure
Wear a condom for at least 5 days after brachytherapy
Patient can use the same bathroom as pregnant wife, just maker sure to flush toilet twice after using
The radiation from the brachytherapy will deliver over a period of 6 months
It is okay to hug your kids or grandkids, but do not sit them on your lap.
Which patients may be at an increased risk for lung cancer? SATA
21yo college student who smokes a pack of cigarettes a week
13 yo middle school student whose mother smokes in the car
45 year old male who works on remodeling old school buildings with findings of asbestos.
16yo whose father and paternal grandfather both developed lung cancer in their fourties.
64yo femal who walks nature trails with her 86 and 88yo parents.
A recently diagnosed patient asks the nurse what risk factors could have lead to their diagnosis. Which of the following are appropriate responses by the nurse? SATA.
Cigarette smoking
Radian exposure
Asbestos exposure
Second hand smoke exposure
Genetic predisposition.
You are providing ostomy care teaching to a patient who has underwent surgery for colon cancer. What education is important to include when teaching the patient about this subject?
The stoma should have a beefy red appearance
TEach patient to avoid high fat and red meat
If the stoma looks pale for a few days it is okay and will return to normal
It is normal fo rthe stoma to have a dry appearance
Teach patient to observe for skin breakdown around the stoma.
A 68 year old male patient presents to the ed with a persistent cough producing blood sputum, pain in the arm, should and back, fever, anorexia, recent unexplained weight loss and fatigue. Via the health history the nurse finds out that the patient is a chronic smoker, works in construction, specifically insulation installing, and has a history of frequent chest colds which he doesn’t seek medical treatment for. Which of the following diagnostics should the nurse anticipate the provider to order? SATA.
Chest X-ray
CT
PET
CMP
Colonoscopy
