A nurse in the oncology clinic is providing preoperative education to a client just diagnosed with cancer. The client has been scheduled for surgery in 3 days. What action by the nurse is best?
Call the client at home the next day to review teaching.
A nurse reads on a hospitalized clients chart that the client is receiving teletherapy. What action by the nurse is best?
Coordinate continuation of the therapy.
A new nurse has been assigned a client who is in the hospital to receive iodine-131 treatment. Which action by the nurse is best?
Read the policy on handling radioactive excreta.
A client in the oncology clinic reports her family is frustrated at her ongoing fatigue 4 months after radiation therapy for breast cancer. What response by the nurse is most appropriate?
It is normal to be fatigued even for years afterward
A client tells the oncology nurse about an upcoming vacation to the beach to celebrate completing radiation treatments for cancer. What response by the nurse is most appropriate?
Do not expose the radiation area to direct sunlight.
A client is receiving chemotherapy through a peripheral IV line. What action by the nurse is most important?
Assessing the IV site every hour
A client with cancer is admitted to a short-term rehabilitation facility. The nurse prepares to administer the clients oral chemotherapy medications. What action by the nurse is most appropriate?
Wear personal protective equipment when handling the medications.
The nurse working with oncology clients understands that which age-related change increases the older clients susceptibility to infection during chemotherapy?
Decreased immune function
After receiving the hand-off report, which client should the oncology nurse see first?
Older client on chemotherapy with mental status changes
A client has a platelet count of 9800/mm3. What action by the nurse is most appropriate?
Instruct the client to call for help to get out of bed.
A client hospitalized for chemotherapy has a hemoglobin of 6.1 mg/dL. What medication should the nurse prepare to administer?
Epoetin alfa (Epogen)
A nurse works with clients who have alopecia from chemotherapy. What action by the nurse takes priority?
Teaching measures to prevent scalp injury
A client is receiving interleukins along with chemotherapy. What assessment by the nurse takes priority?
. Blood pressure
A client is receiving rituximab (Rituxan) and asks how it works. What response by the nurse is best?
It prevents the start of cell division in the cancer cells.
Four clients are receiving tyrosine kinase inhibitors (TKIs). Which of these four clients should the nurse assess first?
Client with a serum potassium of 2.8 mEq/L
A nurse is assessing a female client who is taking progestins. What assessment finding requires the nurse to notify the provider immediately?
Red, warm, swollen calf
A client with a history of prostate cancer is in the clinic and reports new onset of severe low back pain. What action by the nurse is most important?
Assess the clients gait and balance.
The nurse has taught a client with cancer ways to prevent infection. What statement by the client indicates that more teaching is needed?
its alright for me to keep my pets and change the litter box.
A client has received a dose of ondansetron (Zofran) for nausea. What action by the nurse is most important?
Assist the client in getting out of bed.
A nurse working with clients who experience alopecia knows that which is the best method of helping clients manage the psychosocial impact of this problem?
Assisting the client to pre-plan for this event
A client is admitted with superior vena cava syndrome. What action by the nurse is most appropriate?
Gently inquire about advance directives.
A client is having a catheter placed in the femoral artery to deliver yttrium-90 beads into a liver tumor. What action by the nurse is most important?
Ensuring that informed consent is on the chart
A nurse works on an oncology unit and delegates personal hygiene to an unlicensed assistive personnel (UAP). What action by the UAP requires intervention from the nurse?
Allowing a very tired client to skip oral hygiene and sleep
A client with cancer has anorexia and mucositis, and is losing weight. The clients family members continually bring favorite foods to the client and are distressed when the client wont eat them. What action by the nurse is best?
Help the family show other ways to demonstrate love and caring.
A client in the emergency department reports difficulty breathing. The nurse assesses the clients appearance as depicted below:
What action by the nurse is the priority?
Assess blood pressure and pulse.
The student nurse caring for clients who have cancer understands that the general consequences of cancer include which client problems? (Select all that apply.)
Increased risk of infection from white blood cell deficits
Nutritional deficits such as early satiety and cachexia
Potential for reduced gas exchange
Various motor and sensory deficits
A nurse is preparing to administer IV chemotherapy. What supplies does this nurse need? (Select all that apply.)
Chemo gloves
Facemask
Isolation gown
A client on interferon therapy is reporting severe skin itching and irritation. What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
Apply moisturizers to dry skin.
Bathe the client using mild soap.
A client has thrombocytopenia. What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
Apply the clients shoes before getting the client out of
bed.
Assist the client with ambulation.
Use a lift sheet to move the client up in bed.
A client has mucositis. What actions by the nurse will improve the clients nutrition? (Select all that apply.)
Assist with rinsing the mouth with saline frequently.
Encourage
the client to eat room-temperature foods.
Provide local anesthetic medications to swish and spit.
Remind the client to brush teeth gently after each meal.
A clients family members are concerned that telling the client about a new finding of cancer will cause extreme emotional distress. They approach the nurse and ask if this can be kept from the client. What actions by the nurse are most appropriate? (Select all that apply.)
Ask the family to describe their concerns more fully.
Consult
with a social worker, chaplain, or ethics committee.
Explain the
clients right to know and ask for their assistance.
A client receiving chemotherapy has a white blood cell count of 1000/mm3. What actions by the nurse are most appropriate? (Select all that apply.)
Assess all mucous membranes every 4 to 8 hours.
Listen to lung sounds and monitor for cough.
Monitor the venous
access device appearance with vital signs.
Take and record vital signs every 4 to 8 hours.