CARE OF PATIENTS WITH CANCER
EXAM QUESTIONS WITH 100%
CORRECT ANSWERS { GRADED A+}
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?
A. Explain to the client the colostomy is only temporary
B. Encourage the client to participate in changing the ostomy
C. Obtain a psychiatric consultation
D. Offer to have a person who is coping with a colostomy visit the client
E. Encourage the client and family members to expresses their feelings and
concerns - ✔✔B. Encourage the client to participate in changing the ostomy
D. Offer to have a person who is coping with a colostomy visit the client
,E. Encourage the client and family members to expresses their feelings and
concerns
Encouraging the client to participate in changing the ostomy is an appropriate way
for the client to become familiar with the ostomy and its care. A visit from a person
who is successfully coping with an ostomy can demonstrate to the client that many
aspects of life can be the same after surgery. Offering to listen to feelings and
concerns is part of a therapeutic relationship and therapeutic communication.
Ostomies may be temporary for bowel rest, such as after a perforation, but are
typically permanent for cancer treatment. Obtaining a psychiatric consultation may
need to be done for clients with persistent depression, but would not be done
immediately.
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. A 30-year-old with acute lymphocytic leukemia who will receive combination
chemotherapy today
B. A 40-year-old with chemotherapy-induced nausea and vomiting who has had no
urine output for 16 hours
, C. A 45-year-old with pancytopenia who will require IV administration of
erythropoietin
D. A 72-year-old with tumor lysis syndrome who is recieving normal saline IV at a
rate of 250 mL/hr - ✔✔C. A 45-year-old with pancytopenia who will require IV
administration of erythropoietin
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?
A. Alopecia
B. Allergy
C. Fever
D. Chills - ✔✔B. Allergy
The highest priority is safety. Although knowing the side effects of chemotherapy
may be helpful, the priority is the client's safety because of the lack of sensation or
innervation to the extremities. Every chemotherapy client needs to be taught
related side effects of chemotherapy. The nurse should address the client's coping
EXAM QUESTIONS WITH 100%
CORRECT ANSWERS { GRADED A+}
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?
A. Explain to the client the colostomy is only temporary
B. Encourage the client to participate in changing the ostomy
C. Obtain a psychiatric consultation
D. Offer to have a person who is coping with a colostomy visit the client
E. Encourage the client and family members to expresses their feelings and
concerns - ✔✔B. Encourage the client to participate in changing the ostomy
D. Offer to have a person who is coping with a colostomy visit the client
,E. Encourage the client and family members to expresses their feelings and
concerns
Encouraging the client to participate in changing the ostomy is an appropriate way
for the client to become familiar with the ostomy and its care. A visit from a person
who is successfully coping with an ostomy can demonstrate to the client that many
aspects of life can be the same after surgery. Offering to listen to feelings and
concerns is part of a therapeutic relationship and therapeutic communication.
Ostomies may be temporary for bowel rest, such as after a perforation, but are
typically permanent for cancer treatment. Obtaining a psychiatric consultation may
need to be done for clients with persistent depression, but would not be done
immediately.
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. A 30-year-old with acute lymphocytic leukemia who will receive combination
chemotherapy today
B. A 40-year-old with chemotherapy-induced nausea and vomiting who has had no
urine output for 16 hours
, C. A 45-year-old with pancytopenia who will require IV administration of
erythropoietin
D. A 72-year-old with tumor lysis syndrome who is recieving normal saline IV at a
rate of 250 mL/hr - ✔✔C. A 45-year-old with pancytopenia who will require IV
administration of erythropoietin
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?
A. Alopecia
B. Allergy
C. Fever
D. Chills - ✔✔B. Allergy
The highest priority is safety. Although knowing the side effects of chemotherapy
may be helpful, the priority is the client's safety because of the lack of sensation or
innervation to the extremities. Every chemotherapy client needs to be taught
related side effects of chemotherapy. The nurse should address the client's coping
