The nurse obtains information about a hospitalized patient who is receiving chemotherapy for ...

The nurse obtains information about a hospitalized patient who is receiving chemotherapy for colorectal cancer. Which information about the patient alerts the nurse to discuss a possible change in therapy with the health care provider?
 
  a. Poor oral intake
  b. Frequent loose stools
  c. Complaints of nausea and vomiting
  d. Increase in carcinoembryonic antigen (CEA)

Question 2

The nurse is caring for a patient who has been diagnosed with stage I cancer of the colon. When assessing the need for psychologic support, which question by the nurse will provide the most information?
 
  a. How long ago were you diagnosed with this cancer?
  b. Do you have any concerns about body image changes?
  c. Can you tell me what has been helpful to you in the past when coping with stressful events?
  d. Are you familiar with the stages of emotional adjustment to a diagnosis like cancer of the colon?

Question 3

A hospitalized patient who has received chemotherapy for leukemia develops neutropenia. Which observation by the nurse would indicate a need for further teaching?
 
  a. The patient ambulates several times a day in the room.
  b. The patient's visitors bring in some fresh peaches from home.
  c. The patient cleans with a warm washcloth after having a stool.
  d. The patient uses soap and shampoo to shower every other day.

Question 4

A patient with cancer has a nursing diagnosis of imbalanced nutrition: less than body requirements related to altered taste sensation. Which nursing action is most appropriate?
 
  a. Add strained baby meats to foods such as casseroles.
  b. Teach the patient about foods that are high in nutrition.
  c. Avoid giving the patient foods that are strongly disliked.
  d. Add extra spice to enhance the flavor of foods that are served.

Question 5

During the teaching session for a patient who has a new diagnosis of acute leukemia the patient is restless and is looking away, never making eye contact.
 
  After teaching about the complications associated with chemotherapy, the patient asks the nurse to repeat all of the information. Based on this assessment, which nursing diagnosis is most appropriate for the patient?
  a. Risk for ineffective adherence to treatment related to denial of need for chemotherapy
  b. Acute confusion related to infiltration of leukemia cells into the central nervous system
  c. Risk for ineffective health maintenance related to anxiety about new leukemia diagnosis
  d. Deficient knowledge: chemotherapy related to a lack of interest in learning about treatment