NUR 1212C Module 4 – Study Guide and Exam Review Material
When caring for a client who has had a colostomy created during treatment for colon cancer,
which nursing actions help support the client in accepting changes in appearance or function? -
✔✔Encourage the client to participate in changing the ostomy., Offer to have a person who is
coping with a colostomy visit with the client., Encourage the client and family members to
express their feelings and concerns.
A newly graduated RN has just finished a 6-week orientation to the oncology unit. Which client
is most appropriate to assign to the new graduate? - ✔✔A 45-year-old with pancytopenia who
will require IV administration of erythropoietin (Procrit)
The nurse is caring for a client who is receiving rituximab (Rituxan) for treatment of lymphoma.
During the infusion, it is essential for the nurse to observe for which side effect? - ✔✔Allergy
Which client problem does the nurse set as the priority for the client experiencing
chemotherapy-induced peripheral neuropathy? - ✔✔Potential for injury related to sensory
and motor deficits
The RN working on an oncology unit has just received report on these clients. Which client
should be assessed first? - ✔✔Client with chemotherapy-induced neutropenia who has just
been admitted with an elevated temperature
Which instruction is most appropriate for the nurse to convey to the client with chemotherapy-
induced neuropathy? - ✔✔Consume a diet high in fiber.
Which statement made by a client allows the nurse to recognize whether the client receiving
brachytherapy for ovarian cancer understands the treatment? - ✔✔"I will have a radioactive
device in my body for a short time."
,When caring for the client with chemotherapy-induced mucositis, which intervention will be
most helpful? - ✔✔Providing oral care with a disposable mouth swab
The nurse is caring for a client receiving chemotherapy who reports anorexia. Which measure
does the nurse use to best monitor for cachexia? - ✔✔Monitor weight.
The nurse is caring for a client with end-stage ovarian cancer who needs clarification on the
purpose of palliative surgery. Which outcome should the nurse teach the client is the goal of
palliative surgery? - ✔✔Relief of symptoms or improved quality of life
The nurse corrects the nursing student when caring for a client with neutropenia secondary to
chemotherapy in which circumstance? - ✔✔The student teaches the client that symptoms of
neutropenia include fatigue and weakness.
The nurse is teaching a client who is receiving an antiestrogen drug about the side effects she
may encounter. Which side effects does the nurse include in the discussion? - ✔✔Breast
tenderness, Deep vein thrombosis
The nurse is caring for a client with hyperuricemia associated with tumor lysis syndrome (TLS).
Which medication does the nurse anticipate being ordered? - ✔✔Allopurinol (Zyloprim)
Which medication does the nurse plan to administer to a client before chemotherapy to
decrease the incidence of nausea and vomiting? - ✔✔Ondansetron (Zofran)
Which finding alarms the nurse when caring for a client receiving chemotherapy who has a
platelet count of 17,000/mm3 (17 × 109/L)? - ✔✔Change in mental status
, Which potential side effects does the nurse include in the teaching plan for a client undergoing
radiation therapy for laryngeal cancer? - ✔✔Fatigue, Change in taste, Changes in skin of the
neck, Difficulty swallowing
The oncology nurse is caring for a group of clients receiving chemotherapy. The client with
which sign/symptom is displaying bone marrow suppression? - ✔✔Hemoglobin of 7.4 g/dL (74
mmol/L) and hematocrit of 21.8%
When caring for a client receiving chemotherapy, the nurse plans care during the nadir of bone
marrow activity to prevent which complication? - ✔✔Infection
When caring for the client receiving cancer chemotherapy, which signs or symptoms related to
thrombocytopenia should the nurse report to the health care provider? - ✔✔Bruises,
Petechiae, Epistaxis
The nurse has received in report that a client receiving chemotherapy has severe neutropenia.
Which interventions does the nurse plan to implement? - ✔✔Assess for fever., Administer
pegfilgrastim (Neulasta)., Do not permit fresh flowers or plants in the room., Teach the client to
omit raw fruits and vegetables from the diet.
When monitoring a client with suspected syndrome of inappropriate antidiuretic hormone
(SIADH), the nurse reviews the client's medical record, which contains the following
information. The nurse notifies the health care provider for which signs and symptoms
consistent with this syndrome? Physical Assessment FindingsDiagnostic
FindingsMedicationsNeuro: Episodes of confusionCardiac: Pulse 88 and regularMusculoskeletal:
Weakness, tremorsNa: 115 mEq/L (115 mmol/L)K: 4.2 mEq/L (4.2 mmol/L)Creatinine: 0.8 mg/dL
(70.8 mcmol/L)Ondansetron (Zofran)Cyclophosphamide (Cytoxan) - ✔✔Hyponatremia, Mental
status changes, Weakness
The oncology nurse should use which intervention to prevent disseminated intravascular
coagulation (DIC)? - ✔✔Using strict aseptic technique to prevent infection
When caring for a client who has had a colostomy created during treatment for colon cancer,
which nursing actions help support the client in accepting changes in appearance or function? -
✔✔Encourage the client to participate in changing the ostomy., Offer to have a person who is
coping with a colostomy visit with the client., Encourage the client and family members to
express their feelings and concerns.
A newly graduated RN has just finished a 6-week orientation to the oncology unit. Which client
is most appropriate to assign to the new graduate? - ✔✔A 45-year-old with pancytopenia who
will require IV administration of erythropoietin (Procrit)
The nurse is caring for a client who is receiving rituximab (Rituxan) for treatment of lymphoma.
During the infusion, it is essential for the nurse to observe for which side effect? - ✔✔Allergy
Which client problem does the nurse set as the priority for the client experiencing
chemotherapy-induced peripheral neuropathy? - ✔✔Potential for injury related to sensory
and motor deficits
The RN working on an oncology unit has just received report on these clients. Which client
should be assessed first? - ✔✔Client with chemotherapy-induced neutropenia who has just
been admitted with an elevated temperature
Which instruction is most appropriate for the nurse to convey to the client with chemotherapy-
induced neuropathy? - ✔✔Consume a diet high in fiber.
Which statement made by a client allows the nurse to recognize whether the client receiving
brachytherapy for ovarian cancer understands the treatment? - ✔✔"I will have a radioactive
device in my body for a short time."
,When caring for the client with chemotherapy-induced mucositis, which intervention will be
most helpful? - ✔✔Providing oral care with a disposable mouth swab
The nurse is caring for a client receiving chemotherapy who reports anorexia. Which measure
does the nurse use to best monitor for cachexia? - ✔✔Monitor weight.
The nurse is caring for a client with end-stage ovarian cancer who needs clarification on the
purpose of palliative surgery. Which outcome should the nurse teach the client is the goal of
palliative surgery? - ✔✔Relief of symptoms or improved quality of life
The nurse corrects the nursing student when caring for a client with neutropenia secondary to
chemotherapy in which circumstance? - ✔✔The student teaches the client that symptoms of
neutropenia include fatigue and weakness.
The nurse is teaching a client who is receiving an antiestrogen drug about the side effects she
may encounter. Which side effects does the nurse include in the discussion? - ✔✔Breast
tenderness, Deep vein thrombosis
The nurse is caring for a client with hyperuricemia associated with tumor lysis syndrome (TLS).
Which medication does the nurse anticipate being ordered? - ✔✔Allopurinol (Zyloprim)
Which medication does the nurse plan to administer to a client before chemotherapy to
decrease the incidence of nausea and vomiting? - ✔✔Ondansetron (Zofran)
Which finding alarms the nurse when caring for a client receiving chemotherapy who has a
platelet count of 17,000/mm3 (17 × 109/L)? - ✔✔Change in mental status
, Which potential side effects does the nurse include in the teaching plan for a client undergoing
radiation therapy for laryngeal cancer? - ✔✔Fatigue, Change in taste, Changes in skin of the
neck, Difficulty swallowing
The oncology nurse is caring for a group of clients receiving chemotherapy. The client with
which sign/symptom is displaying bone marrow suppression? - ✔✔Hemoglobin of 7.4 g/dL (74
mmol/L) and hematocrit of 21.8%
When caring for a client receiving chemotherapy, the nurse plans care during the nadir of bone
marrow activity to prevent which complication? - ✔✔Infection
When caring for the client receiving cancer chemotherapy, which signs or symptoms related to
thrombocytopenia should the nurse report to the health care provider? - ✔✔Bruises,
Petechiae, Epistaxis
The nurse has received in report that a client receiving chemotherapy has severe neutropenia.
Which interventions does the nurse plan to implement? - ✔✔Assess for fever., Administer
pegfilgrastim (Neulasta)., Do not permit fresh flowers or plants in the room., Teach the client to
omit raw fruits and vegetables from the diet.
When monitoring a client with suspected syndrome of inappropriate antidiuretic hormone
(SIADH), the nurse reviews the client's medical record, which contains the following
information. The nurse notifies the health care provider for which signs and symptoms
consistent with this syndrome? Physical Assessment FindingsDiagnostic
FindingsMedicationsNeuro: Episodes of confusionCardiac: Pulse 88 and regularMusculoskeletal:
Weakness, tremorsNa: 115 mEq/L (115 mmol/L)K: 4.2 mEq/L (4.2 mmol/L)Creatinine: 0.8 mg/dL
(70.8 mcmol/L)Ondansetron (Zofran)Cyclophosphamide (Cytoxan) - ✔✔Hyponatremia, Mental
status changes, Weakness
The oncology nurse should use which intervention to prevent disseminated intravascular
coagulation (DIC)? - ✔✔Using strict aseptic technique to prevent infection
