NURS 2207- Oncology Evolve EAQ Questions With
Complete Solutions
A 20-year-old female client is scheduled to receive pelvic
radiation for Hodgkin lymphoma and expresses anxiety about
her future ability to conceive a child. The nurse's response will
be based on which information about radiation therapy?
1. Radiation used is not radical enough to destroy ovarian
function.
2. Intermittent radiation to the area does not cause permanent
sterilization.
3. Reproductive ability may be preserved through a variety of
interventions.
4. Ovarian function will be destroyed temporarily but will return
in about 6 months. Correct Answers ANS: 3
Reproductive ability may be preserved through a variety of
interventions
Rationale:
Reproductive ability may be preserved through shielding the
ovaries or harvesting ova. Radiation can influence or destroy
ovarian functioning. Sterilization can occur with radiation to the
pelvic area. Once ova are destroyed, they cannot regenerate.
,A 4-year-old child develops thrombocytopenia after vaccination.
The nurse would suspect which vaccination may be responsible?
1. Rotavirus vaccine
2. Varicella virus vaccine
3. Human papillomavirus vaccine
4. Measles, mumps, and rubella virus vaccine (MMR) Correct
Answers ANS: 4
Measles, mumps, and rubella virus vaccine (MMR)
Rationale:
Measles, mumps, and rubella virus vaccine (MMR) may cause
transient thrombocytopenia. It is generally benign and occurs
only rarely. Rotavirus vaccine carries a small risk for
intussusception. Varicella virus vaccine and human
papillomavirus vaccine may cause mild effects such as fever and
fainting.
A client diagnosed with invasive cancer of the bladder has
brachytherapy scheduled. Which successful therapy outcome
would the nurse expect with this client?
1. Decrease in urine output
2. Increase in pulse strength
,3. Shrinkage of the tumor when scanned
4. Increase in the quantity of white blood cells (WBCs) Correct
Answers ANS: 3
Shrinkage of the tumor when scanned
Rationale:
Brachytherapy involves implanting isotope seeds in, or next to,
the tumor. The isotope seeds interfere with cell multiplication,
which should control the growth and metastasis of cancerous
tumors. Radiation affects healthy as well as abnormal cells;
urinary output will increase with successful therapy. With
brachytherapy of the bladder, an increase in pulse strength is not
a sign of success. The radioactive isotope seeds may affect the
client's bone marrow sites, resulting in a reduction of WBCs.
A client is scheduled for radiation treatments Monday through
Friday. The client asks why the treatments will not be given on
Saturday and Sunday. Which is the nurse's best response?
1. "This type of schedule gives noncancerous cells time to
recover."
2. "The department only operates from Monday through Friday."
3. "Your energy level will be increased greatly by a 5-day
schedule."
, 4. "Side effects are eliminated when treatment is administered
for 5 rather than 7 days." Correct Answers ANS: 1
"This type of schedule gives noncancerous cells time to
recover."
Rationale:
Both malignant and healthy cells are affected by radiation; time
between courses of treatment allows normal cells to repair. Staff
are available if necessary for a treatment protocol; some
facilities operate 7 days a week. Fatigue occurs in either a 5- or
7-day schedule. Some side effects are inevitable, although they
vary with each individual; they cannot be eliminated.
A client receiving chemotherapy also takes a steroid daily. The
client's white blood cell count is 3600 per cubic millimeter and
red blood cell count is 4.5 million/mm 3. Which instruction
would the nurse teach this client?
1. Omit the daily dose of prednisone.
2. Avoid large crowds and persons with infections.
3. Shave with an electric shaver rather than a safety razor.
4. Increase the intake of high-protein foods and red meats.
Correct Answers ANS: 2
Avoid large crowds and persons with infections.
Complete Solutions
A 20-year-old female client is scheduled to receive pelvic
radiation for Hodgkin lymphoma and expresses anxiety about
her future ability to conceive a child. The nurse's response will
be based on which information about radiation therapy?
1. Radiation used is not radical enough to destroy ovarian
function.
2. Intermittent radiation to the area does not cause permanent
sterilization.
3. Reproductive ability may be preserved through a variety of
interventions.
4. Ovarian function will be destroyed temporarily but will return
in about 6 months. Correct Answers ANS: 3
Reproductive ability may be preserved through a variety of
interventions
Rationale:
Reproductive ability may be preserved through shielding the
ovaries or harvesting ova. Radiation can influence or destroy
ovarian functioning. Sterilization can occur with radiation to the
pelvic area. Once ova are destroyed, they cannot regenerate.
,A 4-year-old child develops thrombocytopenia after vaccination.
The nurse would suspect which vaccination may be responsible?
1. Rotavirus vaccine
2. Varicella virus vaccine
3. Human papillomavirus vaccine
4. Measles, mumps, and rubella virus vaccine (MMR) Correct
Answers ANS: 4
Measles, mumps, and rubella virus vaccine (MMR)
Rationale:
Measles, mumps, and rubella virus vaccine (MMR) may cause
transient thrombocytopenia. It is generally benign and occurs
only rarely. Rotavirus vaccine carries a small risk for
intussusception. Varicella virus vaccine and human
papillomavirus vaccine may cause mild effects such as fever and
fainting.
A client diagnosed with invasive cancer of the bladder has
brachytherapy scheduled. Which successful therapy outcome
would the nurse expect with this client?
1. Decrease in urine output
2. Increase in pulse strength
,3. Shrinkage of the tumor when scanned
4. Increase in the quantity of white blood cells (WBCs) Correct
Answers ANS: 3
Shrinkage of the tumor when scanned
Rationale:
Brachytherapy involves implanting isotope seeds in, or next to,
the tumor. The isotope seeds interfere with cell multiplication,
which should control the growth and metastasis of cancerous
tumors. Radiation affects healthy as well as abnormal cells;
urinary output will increase with successful therapy. With
brachytherapy of the bladder, an increase in pulse strength is not
a sign of success. The radioactive isotope seeds may affect the
client's bone marrow sites, resulting in a reduction of WBCs.
A client is scheduled for radiation treatments Monday through
Friday. The client asks why the treatments will not be given on
Saturday and Sunday. Which is the nurse's best response?
1. "This type of schedule gives noncancerous cells time to
recover."
2. "The department only operates from Monday through Friday."
3. "Your energy level will be increased greatly by a 5-day
schedule."
, 4. "Side effects are eliminated when treatment is administered
for 5 rather than 7 days." Correct Answers ANS: 1
"This type of schedule gives noncancerous cells time to
recover."
Rationale:
Both malignant and healthy cells are affected by radiation; time
between courses of treatment allows normal cells to repair. Staff
are available if necessary for a treatment protocol; some
facilities operate 7 days a week. Fatigue occurs in either a 5- or
7-day schedule. Some side effects are inevitable, although they
vary with each individual; they cannot be eliminated.
A client receiving chemotherapy also takes a steroid daily. The
client's white blood cell count is 3600 per cubic millimeter and
red blood cell count is 4.5 million/mm 3. Which instruction
would the nurse teach this client?
1. Omit the daily dose of prednisone.
2. Avoid large crowds and persons with infections.
3. Shave with an electric shaver rather than a safety razor.
4. Increase the intake of high-protein foods and red meats.
Correct Answers ANS: 2
Avoid large crowds and persons with infections.
