lOMoARcPSD|3013804
Chapter 20 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 20: Concepts of Care for Patients With Cancer
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. 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?
a.
Call the client at home the next day to review teaching.
b.
Give the client information about a cancer support group.
c.
Provide all the preoperative instructions in writing.
d.
Reassure the client that surgery will be over soon.
ANS: A
Clients are often overwhelmed at a sudden diagnosis of cancer and may be more
overwhelmed at the idea of a major operation so soon. This stress significantly impacts the
client’s ability to understand, retain, and recall information. The nurse would call the client at
home the next day to review the teaching and to answer questions. The client may or may not
be ready to investigate a support group, but this does not help with teaching. Giving
information in writing is important (if the client can read it), but in itself will not be enough.
Telling the client that surgery will be over soon is giving false reassurance and does nothing
for teaching.
DIF: Applying TOP: Integrated Process: Teaching/Learning
KEY: Cancer, Psychosocial response MSC: Client Needs Category: Psychosocial Integrity
2. A nurse is caring for a client admitted for Non-Hodgkin’s lymphoma and chemotherapy. The
client reports nausea, flank pain, and muscle cramps. What action by the nurse is most
important?
a.
Request an order for serum electrolytes and uric acid.
b.
Increase the client’s IV infusion rate.
c.
Instruct assistive personnel to strain all urine.
d.
Administer an IV antiemetic.
ANS: A
This client’s reports are consistent with tumor lysis syndrome, for which he or she is at risk
due to the diagnosis. Early symptoms of TLS stem from electrolyte imbalances and can
include lethargy, nausea, vomiting, anorexia, flank pain, muscle weakness, cramps, seizures,
and altered mental status. The nurse would notify the primary health care provider and
request an order for serum electrolytes. Hydration is important in both preventing and
managing this syndrome, but the nurse would not just increase the IV rate. Assistive
personnel may need to strain the client’s urine and the client may need an antiemetic, but first
the nurse would assess the situation further by obtaining pertinent lab tests.
DIF: Applying TOP: Integrated Process: Communication and Documentation
KEY: Cancer, Oncologic emergencies
MSC: Client Needs Category: Physiological Integrity: Reduction of Risk Potential
3. 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?
Chapter 20 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 20: Concepts of Care for Patients With Cancer
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. 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?
a.
Call the client at home the next day to review teaching.
b.
Give the client information about a cancer support group.
c.
Provide all the preoperative instructions in writing.
d.
Reassure the client that surgery will be over soon.
ANS: A
Clients are often overwhelmed at a sudden diagnosis of cancer and may be more
overwhelmed at the idea of a major operation so soon. This stress significantly impacts the
client’s ability to understand, retain, and recall information. The nurse would call the client at
home the next day to review the teaching and to answer questions. The client may or may not
be ready to investigate a support group, but this does not help with teaching. Giving
information in writing is important (if the client can read it), but in itself will not be enough.
Telling the client that surgery will be over soon is giving false reassurance and does nothing
for teaching.
DIF: Applying TOP: Integrated Process: Teaching/Learning
KEY: Cancer, Psychosocial response MSC: Client Needs Category: Psychosocial Integrity
2. A nurse is caring for a client admitted for Non-Hodgkin’s lymphoma and chemotherapy. The
client reports nausea, flank pain, and muscle cramps. What action by the nurse is most
important?
a.
Request an order for serum electrolytes and uric acid.
b.
Increase the client’s IV infusion rate.
c.
Instruct assistive personnel to strain all urine.
d.
Administer an IV antiemetic.
ANS: A
This client’s reports are consistent with tumor lysis syndrome, for which he or she is at risk
due to the diagnosis. Early symptoms of TLS stem from electrolyte imbalances and can
include lethargy, nausea, vomiting, anorexia, flank pain, muscle weakness, cramps, seizures,
and altered mental status. The nurse would notify the primary health care provider and
request an order for serum electrolytes. Hydration is important in both preventing and
managing this syndrome, but the nurse would not just increase the IV rate. Assistive
personnel may need to strain the client’s urine and the client may need an antiemetic, but first
the nurse would assess the situation further by obtaining pertinent lab tests.
DIF: Applying TOP: Integrated Process: Communication and Documentation
KEY: Cancer, Oncologic emergencies
MSC: Client Needs Category: Physiological Integrity: Reduction of Risk Potential
3. 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?
