Lewis'svMedicalvSurgicalvNursingv11thvEditionvHardingvTestvBank
Chapter 15: Cancer
v v
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition
v v v v v
MULTIPLEvCHOICE
1. Avpatientvwhovisvscheduledvforvavbreastvbiopsyvasksvthevnursevthevdifferencevbetweenvavbenignvt
umorvandvavmalignantvtumor.vWhichvanswervbyvthevnursevisvaccurate?
a. “Benignvtumorsvdovnotvcausevdamagevtovothervtissues.”
b. “Benignvtumorsvarevlikelyvtovrecurvinvthevsamevlocation.”
c. “Malignantvtumorsvmayvspreadvtovothervtissuesvorvorgans.”
d. “Malignantvcellsvreproducevmorevrapidlyvthanvnormalvcells.”
ANS:v C
Thevmajorvdifferencevbetweenvbenignvandvmalignantvtumorsvisvthatvmalignantvtumorsvinvadeva
djacentvtissuesvandvspreadvtovdistantvtissuesvandvbenignvtumorsvdovnotvmetastasize.vThevothervsta
tementsvarevinaccurate.vBothvtypesvofvtumorsvmayvcausevdamagevtovadjacentvtissues.
Malignantvcellsvdovnotvreproducevmorevrapidlyvthanvnormalvcells.vBenignvtumorsvdovnotvu
suallyvrecur.
DIF: CognitivevLevel:vUnderstandv(comprehension)
TOP:v NursingvProcess:vImplementation MSC:v NCLEX:vPhysiologicalvIntegrity
2. Thevnursevisvcaringvforvavpatientvreceivingvintravesicalvbladdervchemotherapy.vThevnursevs
houldvmonitorvforvwhichvadverseveffect?
a. Nausea
b. Alopecia d. Xerostomia
c. Hematuria
ANS:v C
NURSINGTB.COM
, Lewis'svMedicalvSurgicalvNursingv11thvEditionvHardingvTestvBank
NURSINGTB.COM
Thevadverseveffectsvofvintravesicalvchemotherapyvarevconfinedvtovthevbladder.vThevotherva
dverseveffectsvarevassociatedvwithvsystemicvchemotherapy.
DIF: CognitivevLevel:vApplyv(application) TOP:
NursingvProcess:vEvaluationvMSC:v NCLEX:vPhysiologicalvIntegrity
3. Thevnursevisvcaringvforvavpatientvwhovsmokesv2vpacks/day.vWhichvactionvbyvthevnursevcouldvh
elpvreducevthevpatient’svriskvofvlungvcancer?
a. Teachvthevpatientvaboutvthevsevenvwarningvsignsvofvcancer.
b. Planvtovmonitorvthevpatient’svcarcinoembryonicvantigenv(CEA)vlevel.
c. Teachvthevpatientvaboutvannualvchestvx-raysvforvlungvcancervscreening.
d. Discussvrisksvassociatedvwithvcigarettesvduringveachvpatientvencounter.
ANS:v D
Teachingvaboutvthevrisksvassociatedvwithvcigarettevsmokingvisvrecommendedvatveveryvpatientve
ncountervbecausevcigarettevsmokingvisvassociatedvwithvmultiplevhealthvproblems.vThevothervop
tionsvmayvdetectvlungvcancervthatvisvalreadyvpresentvbutvdovnotvreducevthevrisk.
DIF:v CognitivevLevel:vApplyv(application)
TOP:v NursingvProcess:vImplementationvvvvv MSC:v NCLEX:vHealthvPromotionvandvMaintenance
NURSINGTB.COM
, Lewis'svMedicalvSurgicalvNursingv11thvEditionvHardingvTestvBank
4. Thevnursevshouldvsuggestvwhichvfoodvchoicevforvavpatientvscheduledvtovreceivevexternal-
beamvradiationvforvabdominalvcancer?
a. Fruitvsalad
b. Bakedvchicken
c. Creamedvbroccoli
d. Toastedvwheatvbread
ANS:v B
Proteinvisvneededvforvwoundvhealing.vTovminimizevthevdiarrheavthatvisvassociatedvwithvbowelvr
adiation,vthevpatientvshouldvavoidvfoodsvhighvinvroughage,vsuchvasvfruitsvandvwholevgrains.vLa
ctosevintolerancevmayvdevelopvsecondaryvtovradiation,vsovdairyvproductsvshouldvalsovbevavoid
ed.
DIF: CognitivevLevel:vApplyv(application)
TOP:v NursingvProcess:vImplementation MSC:v NCLEX:vPhysiologicalvIntegrity
5. Duringvavroutinevhealthvexamination,vav40-yr-
oldvpatientvtellsvthevnursevaboutvavfamilyvhistoryvofvcolonvcancer.vWhichvactionvshouldvthevnurs
evtakevnext?
a. Schedulevavsigmoidoscopyvtovprovidevbaselinevdata.
b. Obtainvmorevinformationvaboutvthevpatient’svrelatives.
c. Teachvthevpatientvaboutvthevneedvforvavcolonoscopyvatvagev50.
d. Teachvthevpatientvhowvtovdovhomevtestingvforvfecalvoccultvblood.
ANS:v B
Thevpatientvmayvbevatvincreasedvriskvforvcolonvcancer,vbutvthevnurse’svfirstvactionvshouldvbevfurth
ervassessment.vThevothervactionsvmayvbevappropriate,vdependingvonvthevinformationvthatvisvobtain
edvfromvthevpatientvwithvfurthervquestioning.
NURSINGTB.COM
, Lewis'svMedicalvSurgicalvNursingv11thvEditionvHardingvTestvBank
NURSINGTB.COM
NURSINGTB.COM
Chapter 15: Cancer
v v
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition
v v v v v
MULTIPLEvCHOICE
1. Avpatientvwhovisvscheduledvforvavbreastvbiopsyvasksvthevnursevthevdifferencevbetweenvavbenignvt
umorvandvavmalignantvtumor.vWhichvanswervbyvthevnursevisvaccurate?
a. “Benignvtumorsvdovnotvcausevdamagevtovothervtissues.”
b. “Benignvtumorsvarevlikelyvtovrecurvinvthevsamevlocation.”
c. “Malignantvtumorsvmayvspreadvtovothervtissuesvorvorgans.”
d. “Malignantvcellsvreproducevmorevrapidlyvthanvnormalvcells.”
ANS:v C
Thevmajorvdifferencevbetweenvbenignvandvmalignantvtumorsvisvthatvmalignantvtumorsvinvadeva
djacentvtissuesvandvspreadvtovdistantvtissuesvandvbenignvtumorsvdovnotvmetastasize.vThevothervsta
tementsvarevinaccurate.vBothvtypesvofvtumorsvmayvcausevdamagevtovadjacentvtissues.
Malignantvcellsvdovnotvreproducevmorevrapidlyvthanvnormalvcells.vBenignvtumorsvdovnotvu
suallyvrecur.
DIF: CognitivevLevel:vUnderstandv(comprehension)
TOP:v NursingvProcess:vImplementation MSC:v NCLEX:vPhysiologicalvIntegrity
2. Thevnursevisvcaringvforvavpatientvreceivingvintravesicalvbladdervchemotherapy.vThevnursevs
houldvmonitorvforvwhichvadverseveffect?
a. Nausea
b. Alopecia d. Xerostomia
c. Hematuria
ANS:v C
NURSINGTB.COM
, Lewis'svMedicalvSurgicalvNursingv11thvEditionvHardingvTestvBank
NURSINGTB.COM
Thevadverseveffectsvofvintravesicalvchemotherapyvarevconfinedvtovthevbladder.vThevotherva
dverseveffectsvarevassociatedvwithvsystemicvchemotherapy.
DIF: CognitivevLevel:vApplyv(application) TOP:
NursingvProcess:vEvaluationvMSC:v NCLEX:vPhysiologicalvIntegrity
3. Thevnursevisvcaringvforvavpatientvwhovsmokesv2vpacks/day.vWhichvactionvbyvthevnursevcouldvh
elpvreducevthevpatient’svriskvofvlungvcancer?
a. Teachvthevpatientvaboutvthevsevenvwarningvsignsvofvcancer.
b. Planvtovmonitorvthevpatient’svcarcinoembryonicvantigenv(CEA)vlevel.
c. Teachvthevpatientvaboutvannualvchestvx-raysvforvlungvcancervscreening.
d. Discussvrisksvassociatedvwithvcigarettesvduringveachvpatientvencounter.
ANS:v D
Teachingvaboutvthevrisksvassociatedvwithvcigarettevsmokingvisvrecommendedvatveveryvpatientve
ncountervbecausevcigarettevsmokingvisvassociatedvwithvmultiplevhealthvproblems.vThevothervop
tionsvmayvdetectvlungvcancervthatvisvalreadyvpresentvbutvdovnotvreducevthevrisk.
DIF:v CognitivevLevel:vApplyv(application)
TOP:v NursingvProcess:vImplementationvvvvv MSC:v NCLEX:vHealthvPromotionvandvMaintenance
NURSINGTB.COM
, Lewis'svMedicalvSurgicalvNursingv11thvEditionvHardingvTestvBank
4. Thevnursevshouldvsuggestvwhichvfoodvchoicevforvavpatientvscheduledvtovreceivevexternal-
beamvradiationvforvabdominalvcancer?
a. Fruitvsalad
b. Bakedvchicken
c. Creamedvbroccoli
d. Toastedvwheatvbread
ANS:v B
Proteinvisvneededvforvwoundvhealing.vTovminimizevthevdiarrheavthatvisvassociatedvwithvbowelvr
adiation,vthevpatientvshouldvavoidvfoodsvhighvinvroughage,vsuchvasvfruitsvandvwholevgrains.vLa
ctosevintolerancevmayvdevelopvsecondaryvtovradiation,vsovdairyvproductsvshouldvalsovbevavoid
ed.
DIF: CognitivevLevel:vApplyv(application)
TOP:v NursingvProcess:vImplementation MSC:v NCLEX:vPhysiologicalvIntegrity
5. Duringvavroutinevhealthvexamination,vav40-yr-
oldvpatientvtellsvthevnursevaboutvavfamilyvhistoryvofvcolonvcancer.vWhichvactionvshouldvthevnurs
evtakevnext?
a. Schedulevavsigmoidoscopyvtovprovidevbaselinevdata.
b. Obtainvmorevinformationvaboutvthevpatient’svrelatives.
c. Teachvthevpatientvaboutvthevneedvforvavcolonoscopyvatvagev50.
d. Teachvthevpatientvhowvtovdovhomevtestingvforvfecalvoccultvblood.
ANS:v B
Thevpatientvmayvbevatvincreasedvriskvforvcolonvcancer,vbutvthevnurse’svfirstvactionvshouldvbevfurth
ervassessment.vThevothervactionsvmayvbevappropriate,vdependingvonvthevinformationvthatvisvobtain
edvfromvthevpatientvwithvfurthervquestioning.
NURSINGTB.COM
, Lewis'svMedicalvSurgicalvNursingv11thvEditionvHardingvTestvBank
NURSINGTB.COM
NURSINGTB.COM
