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ATI MEDSURG – ONCOLOGY EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

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ATI MEDSURG – ONCOLOGY EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Terms in this set (20) A nurse is caring for a client who is receiving chemotherapy to treat cancer. Which of the following adverse effects should the nurse anticipate from the chemotherapy? pancytopenia - bone marrow suppression, a deficiency of WBCs, RBCs, and platelet counts, is an expected adverse effect of chemotherapy - gingival hyperplasia, or overgrowth of gingival tissue in the mouth, is caused by poor oral hygiene, leading to bacterial plaque and tartar accumulation. It is not an adverse effect of chemotherapy - hirsutism, or excessive body or facial hair, is generally caused by Cushing syndrome, especially in women. The nurse should expect to see alopecia, or hair loss, when the client receives chemotherapy - the client might have an inability or lack of desire to eat, causing weight loss due to the adverse effects of chemotherapy, such as a metallic taste in the mouth, nausea and vomiting A nurse on an onclology unit is reinforcing discharge teaching for an adolescent client who received a bone marrow transplant for leukemia. Which of the following information should the nurse include? (SATA) "You should take your temperature at least once a day." - Clients who are postoperative following bone marrow transplants are immunosuppressed and should continually monitor for manifestations of infection. A temperature that is greater than 38C (100F) should be reported immediately to the provider "Examine your feet daily." - a client who had a bone marrow transplant is immunosuppressed. The client should examine his feet daily to identify injuries that might increase the risk for infection - because of immunosuppression, the client should avoid crowds, such as those encountered at school, a mall, or a movie theater. They will also require time at home to recover and should limit their visitors to individuals who are healthy - client should not clean their toothbrush weekly with alcohol. Alcohol can cause trauma and irritation to the gums and tissues. Rinsing the toothbrush in a weak bleach solution or placing it in the dishwasher weekly are safer alternatives - fresh fruits and vegetables and as well as any other raw good can carry bacteria that may lead to an increased risk of infection A nurse is assisting in planning care for a client who is postoperative following a urinary diversion to treat bladder cancer. Which of the following interventions should the nurse include in the plan of care? change the collection pouch in the early morning. - the nurse should plan to change the urinary collection pouch in the early morning when urine output is reduced - the nurse should empty the collection pouch when it is 1/3 full to half full to prevent the excess weight of the urine causing the pouch to separate from the skin - the nurse should expect no delay in urinary output following surgery. The nurse should monitor hourly urine output in the immediate postoperative period. Monitoring is then every 4 to 8 hr - the nurse should not use hydrogen peroxide to cleanse the skin around the stoma and under the collection pouch. The nurse should use soap and water for cleansing to decrease the risk of irritating the area

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3/19/25, 6:09 ATI MedSurg - Oncology Flashcards |
AM




ATI MEDSURG – ONCOLOGY EXAM QUESTIONS AND ANSWERS WITH

COMPLETE SOLUTIONS VERIFIED


Terms in this set (20)




pancytopenia - bone marrow suppression, a deficiency of WBCs, RBCs, and platelet

counts, is an expected adverse effect of chemotherapy




- gingival hyperplasia, or overgrowth of gingival tissue in the mouth, is caused by

poor oral hygiene, leading to bacterial plaque and tartar accumulation. It is not

an adverse effect of chemotherapy
A nurse is caring for a client who is

receiving chemotherapy to treat cancer. - hirsutism, or excessive body or facial hair, is generally caused by Cushing
Which of the following adverse
syndrome, especially in women. The nurse should expect to see alopecia, or hair
effects should the nurse anticipate
loss, when the client receives chemotherapy
from the

chemotherapy?
- the client might have an inability or lack of desire to eat, causing weight loss due

to the adverse effects of chemotherapy, such as a metallic taste in the mouth,

nausea

and vomiting




1/
11

, 3/19/25, 6:09 ATI MedSurg - Oncology Flashcards |
AM
"You should take your temperature at least once a day." - Clients who are

postoperative following bone marrow transplants are immunosuppressed and

should continually monitor for manifestations of infection. A temperature that

is greater than 38C (100F) should be reported immediately to the provider




"Examine your feet daily." - a client who had a bone marrow transplant is

immunosuppressed. The client should examine his feet daily to identify injuries that

might increase the risk for infection

A nurse on an onclology unit is reinforcing

discharge teaching for an adolescent client - because of immunosuppression, the client should avoid crowds, such as those
who received a bone marrow transplant for
encountered at school, a mall, or a movie theater. They will also require time at
leukemia. Which of the following
home to recover and should limit their visitors to individuals who are healthy
information should the nurse include?

(SATA)
- client should not clean their toothbrush weekly with alcohol. Alcohol can cause

trauma and irritation to the gums and tissues. Rinsing the toothbrush in a weak bleach

solution or placing it in the dishwasher weekly are safer alternatives


- fresh fruits and vegetables and as well as any other raw good can carry

bacteria that may lead to an increased risk of infection




change the collection pouch in the early morning. - the nurse should plan to change

the urinary collection pouch in the early morning when urine output is reduced




- the nurse should empty the collection pouch when it is 1/3 full to half full to

prevent the excess weight of the urine causing the pouch to separate from the skin
A nurse is assisting in planning care for

a client who is postoperative
- the nurse should expect no delay in urinary output following surgery. The
following a
nurse should monitor hourly urine output in the immediate postoperative
urinary diversion to treat bladder cancer.
period.
Which of the following interventions should
Monitoring is then every 4 to 8 hr
the nurse include in the plan of care?



- the nurse should not use hydrogen peroxide to cleanse the skin around the

stoma and under the collection pouch. The nurse should use soap and water for

cleansing to decrease the risk of irritating the area

vaginal bleeding - the most common manifestation of cancer of the cervix is painless

vaginal bleeding


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