A patient diagnosed with prostate cancer is demonstrating signs of renal failure. What should this assessment finding suggest to the nurse?
1. obstructive uropathy
2. spinal cord compression
3. urethral strictures from radiation
4. bladder irritation from chemotherapy
Question 2A patient diagnosed with cancer and scheduled to begin biotherapy asks the nurse how the therapy will treat the cancer. How should the nurse respond to this patient?
1. It changes the body processes that caused the cancer by enhancing your own immunity.
2. It uses radiation implanted into the organ with the cancer.
3. It uses laser therapy to remove the cancer.
4. It uses stem cells to treat the cancer.
Question 3A patient with a history of squamous cell lung cancer is admitted to the hospital with arm and periorbital edema. After a few hours, the patient exhibits dyspnea, cyanosis, tachypnea, and an altered level of consciousness.
Which action should the nurse take first?
1. Administer oxygen.
2. Call the physician.
3. Monitor vital signs.
4. Initiate seizure precautions.
Question 4The nurse suspects that a patient being treated for cancer is developing septic shock. What did the nurse assess to come to this conclusion?
1. high fever, peripheral edema, hypotension
2. cardiac dysrhythmia, increased urine output, and confusion
3. hypertension, increased urine output, and confusion
4. subnormal temperature, cardiac dysrhythmia, and thirst
Question 5A patient is scheduled for a nephrectomy for renal cancer. What should the nurse recognize is the goal for this surgery?
1. removal of the kidney
2. removal of the organ
3. bypass an obstruction
4. decrease in tumor size
Question 6A patient is scheduled to receive a course of external radiation therapy for cancer treatment. What should the nurse instruct the patient about this therapy?
1. Wash the radiation site with plain water and no soap.
2. Shave the treated area with a straight razor.
3. Apply ice packs to the treatment site to help reduce pain.
4. Use a sunscreen for three months after the conclusion of the treatments.
Question 7A patient diagnosed with breast cancer is receiving 5-Fluorouracil (5-FU). Based on the knowledge of this medication, and anticipated adverse effects or side effects, what action should the nurse perform?
1. Test stool for occult blood.
2. Monitor ECG.
3. Assess lung sounds.
4. Encourage daily fluid intake of 23 liters.
Question 8A patient is receiving vincristine (Oncovin) for cancer treatment. Which assessment finding should indicate to the nurse that the patient is experiencing a toxic reaction?
1. pain and motor weakness
2. hypotension
3. cardiac dysrhythmias
4. stomatitis and alopecia
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