× Didn't find what you were looking for? Ask a question
Top Posters
Since Sunday
y
2
s
2
a
1
w
1
w
1
i
1
m
1
s
1
c
1
k
1
1
m
1
New Topic  
johnnybagggs johnnybagggs
wrote...
Posts: 345
Rep: 0 0
6 years ago
The nurse is caring for a patient undergoing brachytherapy. What personal precautions should the nurse take when caring for this patient?
 
  1. Wear a monitoring device to measure whole-body exposure.
  2. Care for this patient regardless of pregnancy status.
  3. Maintain the least possible distance from the patient.
  4. Avoid indirect exposure with radioisotopes containers.

Question 2

A patient's carcinoembryonic antigen level was initially 16 ng/mL. The level is currently 6 ng/mL. What does the nurse realize this decreased level indicates for the patient?
 
  1. The patient's treatment for cancer is effective.
  2. The patient's treatment for cancer is not effective.
  3. The patient has a new site of cancer.
  4. The patient's cancer has metastasized.

Question 3

The nurse is explaining the different types of chemotherapy to a patient recently diagnosed with cancer. Which statement would be incorrect for the nurse to tell the patient?
 
  1. Antitumor antibiotics disrupt RNA replication and DNA transcription.
  2. The main hormones used in cancer therapy are the corticosteroids, which are phase-specific.
  3. Mitotic inhibitors are drugs that act to prevent cell division during the M phase.
  4. Alkylating agents basically act on preformed nucleic acids by creating defects in tumor DNA.

Question 4

A patient will be receiving busulfan (Myleran) as treatment for leukemia. Which intervention should the nurse include in the plan of care for this patient?
 
  1. Assess for infection.
  2. Administer anti-emetic prior to chemotherapy.
  3. Assess oral mucous membranes.
  4. Check stool for occult blood.

Question 5

A patient is having a procedure that involves cutting through the skin to diagnose a mass located in the left breast. For which type of biopsy should the nurse plan care for this patient?
 
  1. incisional
  2. fine-needle
  3. needle core
  4. excisional

Question 6

A patient with neck cancer is scheduled for a diagnostic test to determine the success of treatment. For what test should the nurse expect to prepare this patient?
 
  1. magnetic resonance imaging (MRI)
  2. computed tomography
  3. x-ray imaging
  4. ultrasonography

Question 7

A male patient's prostate-specific antigen level was 2 ng/mL. However, the patient was diagnosed with prostate cancer. What additional laboratory test was done to determine this diagnosis?
 
  1. acid phosphatase
  2. albumin
  3. bilirubin
  4. calcium
Read 55 times
1 Reply

Related Topics

Replies
wrote...
6 years ago
The answer to question 1

Correct Answer: 1
Many safety principles apply when caring for a patient receiving radiation. In brachytherapy, the radioactive material is placed directly into or adjacent to the tumor. The nurse should wear a monitoring device to measure whole-body exposure. If pregnant, avoid contact with radiation sources. Maintain the greatest possible distance from the source of radiation. Avoid direct, not indirect, exposure with radioisotopes containers; for example, do not touch the container.

The answer to question 2

Correct Answer: 1
The normal carcinoembryonic antigen level for a nonsmoker is 2.5 ng/mL and 5.0 ng/mL for a smoker. Cancer is diagnosed with a level greater than 12 ng/mL. A decrease in the level is an indication that treatment for cancer is effective. The value would increase if the treatment for cancer were not effective. This laboratory test cannot determine new sites of cancer or if the cancer has metastasized.

The answer to question 3

Correct Answer: 1
Antitumor antibiotics disrupt DNA replication and RNA transcription, not the other way around. This is the statement that would be incorrect for the nurse to tell the patient. Hormones and hormone antagonists are one class of chemotherapeutic agents. The main hormones used in cancer therapy are the corticosteroids, which are phase specific. Mitotic inhibitors are drugs that act to prevent cell division during the M phase. Alkylating agents basically act on preformed nucleic acids by creating defects in tumor DNA.

The answer to question 4

Correct Answer: 1
Nursing interventions for a patient receiving busulfan (Myleran) include monitoring white blood cell counts, monitoring blood urea nitrogen level, maintaining adequate fluid intake, assessing for infection, and assessing lungs for coarse rales. Administering an anti-emetic prior to chemotherapy, assessing oral mucous membranes, and checking stool for occult blood are not indicated for busulfan (Myleran).

The answer to question 5

Correct Answer: 1

An incisional biopsy is the removal of part of a larger tumor by cutting through the skin. A fine-needle biopsy uses a very thin needle to aspirate a small amount of tissue from the tumors. A needle core biopsy uses a slightly larger needle than that used for a fine-needle biopsy to extract a small amount of tissue from tumors that cannot be aspirated by fine-needle aspiration. An excisional biopsy is the removal of an entire tumor through surgery.

The answer to question 6

Correct Answer: 1
MRI is the diagnostic tool of choice for both screening and follow-up of cranial and head and neck tumors. Computed tomography is used in the screening for renal cell and most gastrointestinal tumors. X-ray imaging is still the method of choice for lung cancer. Ultrasonography is used to detect early prostate cancers and is used to guide needle biopsy. Ultrasound imaging is also used for detecting masses in the denser breast tissue of young women.

The answer to question 7

Correct Answer: 1
The acid phosphatase level will be elevated in prostate cancer. The albumin level will be decreased in malnutrition and metastatic liver cancer. Bilirubin will be elevated in liver and gallbladder cancer. Calcium will be elevated in bone cancer and ectopic parathyroid hormone production.
New Topic      
Explore
Post your homework questions and get free online help from our incredible volunteers
  1032 People Browsing
 123 Signed Up Today
Related Images
  
 1953
  
 666
  
 1054
Your Opinion
Which industry do you think artificial intelligence (AI) will impact the most?
Votes: 405