MED SURG 201 weekly notesWest Coast University
WEEK 1 CANCER
1. A nurse is teaching a group of middle adult clients about early detection of colorectal
cancer. The nurse should include the American Cancer Society recommendation that
men and women beginning at the age 50 who are at average risk should have a fecal
occult blood test (FOBT) and a colonscopy at which of the following intervals
10 years
2. A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for
pain relief. The client reports that he had to increase the dose of morphine this week to
obtain pain relief. Which of the following sceenrois should the nurse document as the
explanation for this situation
The client developed a tolerance to the medication
3. A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. After
several treatments, the client reports fatigue. Which of the following actions should
the nurse take?
Check the results of the clients most recent CBC
4. A nurse is caring for a client who is dying of metastatic breast cancer. She has a
prescription for an opiod pain medication PRN. The nurse is concerned that
administering a dose of pain medication might hasten the clients death. Which of the
following ethical principles should the nurse use to support the decision not to administer
the medication?
Nonmaleficence
5. A nurse is caring for a client schedule to receive external radiation to the neck for cancer
of the larynx. During a pre treatment exam, the nurse explains to the client that the most
likely side effect would be
Dysphagia
6. A nurse is a providers clinic is assessing a client who has cancer and a prescription for
methotrexate. Which of the following actions should the nurse take when the client
reports bleeding gums?
Check the value of the clients current platelet count
7. A client is receiving treatment for stage IV ovarian cancer and ask the nurse to discuss
her prognosis. The client plans to have aggressive surgical, radiation, and
chemotherapy treatments. Which of the following prognoses should the nurse discuss
with the client?
Poor
, MED SURG 201 weekly notesWest Coast University
8. A nurse is planning care for a client who is being treated with chemotherapy and
radiation for metastatic breast cancer, and who has neutropenia. The nurse should
include which of the following restrictions in the clients plan of care?
Fresh flowers and potted plants in the room
9. A nurse is caring for a client who has metastatic bone cancer. The client states, I want to
go home and die. The family is concerned about meeting the clients care needs at
home. Which of the following actions should the nuse take?
Discuss initiating hospice care with the client and the family
10. A nurse is teaching a client who is receiving treatments for metastatic colorectal cancer
about the adverse effects of bevacizumab with the nurse should instruct the client to
report which of the following findings as an adverse effect of the medication?
Nosebleeds
11. A nurse is providing teaching to a client who has a new prescription for tamoxifen to
treat breast cancer. The nurse should include that which of the following is an adverse
effect of this medication?
Hot flashes
12. Suspect for elder abuse: report to charge nurse
13. Confused patient- close to nurses station
14. Patient is scared to cook and cannot drive- meals on wheels
15. Pt is getting chemo and ask about hair- hair will be more brittle and and less not grow
as much
16. Primary: wearing sunscreen
17. Chemo patient has nausea and vomiting on the nursing unit: no fluid 1 hours before
chemotherapy
18. 18.
Week 2 cardiac
1. A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before
administering this medication, which of the following actions should the nurse take?
WEEK 1 CANCER
1. A nurse is teaching a group of middle adult clients about early detection of colorectal
cancer. The nurse should include the American Cancer Society recommendation that
men and women beginning at the age 50 who are at average risk should have a fecal
occult blood test (FOBT) and a colonscopy at which of the following intervals
10 years
2. A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for
pain relief. The client reports that he had to increase the dose of morphine this week to
obtain pain relief. Which of the following sceenrois should the nurse document as the
explanation for this situation
The client developed a tolerance to the medication
3. A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. After
several treatments, the client reports fatigue. Which of the following actions should
the nurse take?
Check the results of the clients most recent CBC
4. A nurse is caring for a client who is dying of metastatic breast cancer. She has a
prescription for an opiod pain medication PRN. The nurse is concerned that
administering a dose of pain medication might hasten the clients death. Which of the
following ethical principles should the nurse use to support the decision not to administer
the medication?
Nonmaleficence
5. A nurse is caring for a client schedule to receive external radiation to the neck for cancer
of the larynx. During a pre treatment exam, the nurse explains to the client that the most
likely side effect would be
Dysphagia
6. A nurse is a providers clinic is assessing a client who has cancer and a prescription for
methotrexate. Which of the following actions should the nurse take when the client
reports bleeding gums?
Check the value of the clients current platelet count
7. A client is receiving treatment for stage IV ovarian cancer and ask the nurse to discuss
her prognosis. The client plans to have aggressive surgical, radiation, and
chemotherapy treatments. Which of the following prognoses should the nurse discuss
with the client?
Poor
, MED SURG 201 weekly notesWest Coast University
8. A nurse is planning care for a client who is being treated with chemotherapy and
radiation for metastatic breast cancer, and who has neutropenia. The nurse should
include which of the following restrictions in the clients plan of care?
Fresh flowers and potted plants in the room
9. A nurse is caring for a client who has metastatic bone cancer. The client states, I want to
go home and die. The family is concerned about meeting the clients care needs at
home. Which of the following actions should the nuse take?
Discuss initiating hospice care with the client and the family
10. A nurse is teaching a client who is receiving treatments for metastatic colorectal cancer
about the adverse effects of bevacizumab with the nurse should instruct the client to
report which of the following findings as an adverse effect of the medication?
Nosebleeds
11. A nurse is providing teaching to a client who has a new prescription for tamoxifen to
treat breast cancer. The nurse should include that which of the following is an adverse
effect of this medication?
Hot flashes
12. Suspect for elder abuse: report to charge nurse
13. Confused patient- close to nurses station
14. Patient is scared to cook and cannot drive- meals on wheels
15. Pt is getting chemo and ask about hair- hair will be more brittle and and less not grow
as much
16. Primary: wearing sunscreen
17. Chemo patient has nausea and vomiting on the nursing unit: no fluid 1 hours before
chemotherapy
18. 18.
Week 2 cardiac
1. A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before
administering this medication, which of the following actions should the nurse take?
