Lewis'shMedicalhSurgicalhNursingh11thhEditionhHardinghTesthBank
Chapter 15: Cancer
h h
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition
h h h h h
MULTIPLEhCHOICE
1. Ahpatienthwhohishscheduledhforhahbreasthbiopsyhaskshthehnursehthehdifferencehbetweenhahbenignht
umorhandhahmalignanthtumor.hWhichhanswerhbyhthehnursehishaccurate?
a. “Benignhtumorshdohnothcausehdamagehtohotherhtissues.”
b. “Benignhtumorsharehlikelyhtohrecurhinhthehsamehlocation.”
c. “Malignanthtumorshmayhspreadhtohotherhtissueshorhorgans.”
d. “Malignanthcellshreproducehmorehrapidlyhthanhnormalhcells.”
ANS:h C
Thehmajorhdifferencehbetweenhbenignhandhmalignanthtumorshishthathmalignanthtumorshinvadehadjace
nthtissueshandhspreadhtohdistanthtissueshandhbenignhtumorshdohnothmetastasize.hThehotherhstatementshar
ehinaccurate.hBothhtypeshofhtumorshmayhcausehdamagehtohadjacenthtissues.
Malignanthcellshdohnothreproducehmorehrapidlyhthanhnormalhcells.hBenignhtumorshdohnothusually
h recur.
DIF: CognitivehLevel:hUnderstandh(comprehension)
TOP:h NursinghProcess:hImplementation MSC:h NCLEX:hPhysiologicalhIntegrity
2. Thehnursehishcaringhforhahpatienthreceivinghintravesicalhbladderhchemotherapy.hThehnursehs
houldhmonitorhforhwhichhadverseheffect?
a. Nausea
b. Alopecia d. Xerostomia
c. Hematuria
ANS:h C
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Thehadverseheffectshofhintravesicalhchemotherapyharehconfinedhtohthehbladder.hThehotherhadvers
eheffectsharehassociatedhwithhsystemichchemotherapy.
DIF: CognitivehLevel:hApplyh(application) TOP:
NursinghProcess:hEvaluationhMSC:h NCLEX:hPhysiologicalhIntegrity
3. Thehnursehishcaringhforhahpatienthwhohsmokesh2hpacks/day.hWhichhactionhbyhthehnursehcouldhh
elphreducehthehpatient’shriskhofhlunghcancer?
a. Teachhthehpatienthabouththehsevenhwarninghsignshofhcancer.
b. Planhtohmonitorhthehpatient’shcarcinoembryonichantigenh(CEA)hlevel.
c. Teachhthehpatienthabouthannualhchesthx-rayshforhlunghcancerhscreening.
d. Discusshriskshassociatedhwithhcigaretteshduringheachhpatienthencounter.
ANS:h D
Teachinghabouththehriskshassociatedhwithhcigarettehsmokinghishrecommendedhatheveryhpatienthe
ncounterhbecausehcigarettehsmokinghishassociatedhwithhmultiplehhealthhproblems.hThehotherho
ptionshmayhdetecthlunghcancerhthathishalreadyhpresenthbuthdohnothreducehthehrisk.
DIF:h h CognitivehLevel:hApplyh(application)
TOP:h NursinghProcess:hImplementationh h h MSC:h NCLEX:hHealthhPromotionhandhMaintenance
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4. Thehnursehshouldhsuggesthwhichhfoodhchoicehforhahpatienthscheduledhtohreceivehexternal-
beamhradiationhforhabdominalhcancer?
a. Fruithsalad
b. Bakedhchicken
c. Creamedhbroccoli
d. Toastedhwheathbread
ANS:h B
Proteinhishneededhforhwoundhhealing.hTohminimizehthehdiarrheahthathishassociatedhwithhbowelhra
diation,hthehpatienthshouldhavoidhfoodshhighhinhroughage,hsuchhashfruitshandhwholehgrains.hLacto
sehintolerancehmayhdevelophsecondaryhtohradiation,hsohdairyhproductshshouldhalsohbehavoided.
DIF: CognitivehLevel:hApplyh(application)
TOP:h NursinghProcess:hImplementation MSC:h NCLEX:hPhysiologicalhIntegrity
5. Duringhahroutinehhealthhexamination,hah40-yr-
oldhpatienthtellshthehnursehabouthahfamilyhhistoryhofhcolonhcancer.hWhichhactionhshouldhthehnurs
ehtakehnext?
a. Schedulehahsigmoidoscopyhtohprovidehbaselinehdata.
b. Obtainhmorehinformationhabouththehpatient’shrelatives.
c. Teachhthehpatienthabouththehneedhforhahcolonoscopyhathageh50.
d. Teachhthehpatienthhowhtohdohhomehtestinghforhfecalhocculthblood.
ANS:h B
Thehpatienthmayhbehathincreasedhriskhforhcolonhcancer,hbuththehnurse’shfirsthactionhshouldhbehfurth
erhassessment.hThehotherhactionshmayhbehappropriate,hdependinghonhthehinformationhthathishobtai
nedhfromhthehpatienthwithhfurtherhquestioning.
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DIF: CognitivehLevel:hAnalyzeh(analysis)
TOP:h NursinghProcess:hImplementation MSC:h NCLEX:hHealthhPromotionhandhMaintenance
6. AhpatienthwhohishdiagnosedhwithhcervicalhcancerhclassifiedhashTis,hN0,hM0haskshthehnursehwhatht
hehlettershandhnumbershmean.hWhichhresponsehbyhthehnursehishaccurate?
a. “Thehcancerhinvolveshonlyhthehcervix.”
b. “Thehcancerhcellshlookhlikehnormalhcells.”
c. “Furtherhtestinghishneededhtohdeterminehthehspreadhofhthehcancer.”
d. “Ithishdifficulthtohdeterminehthehoriginalhsitehofhthehcervicalhcancer.”
ANS:h A
Cancerhinhsituhindicateshthaththehcancerhishlocalizedhtohthehcervixhandhishnothinvasivehaththishtime.
hCellhdifferentiationhishnothindicatedhbyhclinicalhstaging.hBecausehthehcancerhishinhsitu,hthehoriginh
ishthehcervix.hFurtherhtestinghishnothindicatedhgivenhthaththehcancerhhashnothspread.
DIF: CognitivehLevel:hApplyh(application)
TOP:h NursinghProcess:hImplementation MSC:h NCLEX:hPhysiologicalhIntegrity
7. Thehnursehteacheshahpatienthwhohishscheduledhforhahprostatehneedlehbiopsyhabouththehprocedure.
Whichhstatementhbyhthehpatienthindicateshthathteachinghwasheffective?
a. “Thehbiopsyhwillhremovehthehcancerhinhmyhprostatehgland.”
b. “ThehbiopsyhwillhdeterminehhowhmuchhlongerhIhhavehtohlive.”
c. “Thehbiopsyhwillhhelphdecidehthehtreatmenthforhmyhenlargedhprostate.”
d. “Thehbiopsyhwillhindicatehwhetherhthehcancerhhashspreadhtohotherhorgans.”
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Chapter 15: Cancer
h h
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition
h h h h h
MULTIPLEhCHOICE
1. Ahpatienthwhohishscheduledhforhahbreasthbiopsyhaskshthehnursehthehdifferencehbetweenhahbenignht
umorhandhahmalignanthtumor.hWhichhanswerhbyhthehnursehishaccurate?
a. “Benignhtumorshdohnothcausehdamagehtohotherhtissues.”
b. “Benignhtumorsharehlikelyhtohrecurhinhthehsamehlocation.”
c. “Malignanthtumorshmayhspreadhtohotherhtissueshorhorgans.”
d. “Malignanthcellshreproducehmorehrapidlyhthanhnormalhcells.”
ANS:h C
Thehmajorhdifferencehbetweenhbenignhandhmalignanthtumorshishthathmalignanthtumorshinvadehadjace
nthtissueshandhspreadhtohdistanthtissueshandhbenignhtumorshdohnothmetastasize.hThehotherhstatementshar
ehinaccurate.hBothhtypeshofhtumorshmayhcausehdamagehtohadjacenthtissues.
Malignanthcellshdohnothreproducehmorehrapidlyhthanhnormalhcells.hBenignhtumorshdohnothusually
h recur.
DIF: CognitivehLevel:hUnderstandh(comprehension)
TOP:h NursinghProcess:hImplementation MSC:h NCLEX:hPhysiologicalhIntegrity
2. Thehnursehishcaringhforhahpatienthreceivinghintravesicalhbladderhchemotherapy.hThehnursehs
houldhmonitorhforhwhichhadverseheffect?
a. Nausea
b. Alopecia d. Xerostomia
c. Hematuria
ANS:h C
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Thehadverseheffectshofhintravesicalhchemotherapyharehconfinedhtohthehbladder.hThehotherhadvers
eheffectsharehassociatedhwithhsystemichchemotherapy.
DIF: CognitivehLevel:hApplyh(application) TOP:
NursinghProcess:hEvaluationhMSC:h NCLEX:hPhysiologicalhIntegrity
3. Thehnursehishcaringhforhahpatienthwhohsmokesh2hpacks/day.hWhichhactionhbyhthehnursehcouldhh
elphreducehthehpatient’shriskhofhlunghcancer?
a. Teachhthehpatienthabouththehsevenhwarninghsignshofhcancer.
b. Planhtohmonitorhthehpatient’shcarcinoembryonichantigenh(CEA)hlevel.
c. Teachhthehpatienthabouthannualhchesthx-rayshforhlunghcancerhscreening.
d. Discusshriskshassociatedhwithhcigaretteshduringheachhpatienthencounter.
ANS:h D
Teachinghabouththehriskshassociatedhwithhcigarettehsmokinghishrecommendedhatheveryhpatienthe
ncounterhbecausehcigarettehsmokinghishassociatedhwithhmultiplehhealthhproblems.hThehotherho
ptionshmayhdetecthlunghcancerhthathishalreadyhpresenthbuthdohnothreducehthehrisk.
DIF:h h CognitivehLevel:hApplyh(application)
TOP:h NursinghProcess:hImplementationh h h MSC:h NCLEX:hHealthhPromotionhandhMaintenance
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4. Thehnursehshouldhsuggesthwhichhfoodhchoicehforhahpatienthscheduledhtohreceivehexternal-
beamhradiationhforhabdominalhcancer?
a. Fruithsalad
b. Bakedhchicken
c. Creamedhbroccoli
d. Toastedhwheathbread
ANS:h B
Proteinhishneededhforhwoundhhealing.hTohminimizehthehdiarrheahthathishassociatedhwithhbowelhra
diation,hthehpatienthshouldhavoidhfoodshhighhinhroughage,hsuchhashfruitshandhwholehgrains.hLacto
sehintolerancehmayhdevelophsecondaryhtohradiation,hsohdairyhproductshshouldhalsohbehavoided.
DIF: CognitivehLevel:hApplyh(application)
TOP:h NursinghProcess:hImplementation MSC:h NCLEX:hPhysiologicalhIntegrity
5. Duringhahroutinehhealthhexamination,hah40-yr-
oldhpatienthtellshthehnursehabouthahfamilyhhistoryhofhcolonhcancer.hWhichhactionhshouldhthehnurs
ehtakehnext?
a. Schedulehahsigmoidoscopyhtohprovidehbaselinehdata.
b. Obtainhmorehinformationhabouththehpatient’shrelatives.
c. Teachhthehpatienthabouththehneedhforhahcolonoscopyhathageh50.
d. Teachhthehpatienthhowhtohdohhomehtestinghforhfecalhocculthblood.
ANS:h B
Thehpatienthmayhbehathincreasedhriskhforhcolonhcancer,hbuththehnurse’shfirsthactionhshouldhbehfurth
erhassessment.hThehotherhactionshmayhbehappropriate,hdependinghonhthehinformationhthathishobtai
nedhfromhthehpatienthwithhfurtherhquestioning.
NURSINGTB.COM
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, Lewis'shMedicalhSurgicalhNursingh11thhEditionhHardinghTesthBank
DIF: CognitivehLevel:hAnalyzeh(analysis)
TOP:h NursinghProcess:hImplementation MSC:h NCLEX:hHealthhPromotionhandhMaintenance
6. AhpatienthwhohishdiagnosedhwithhcervicalhcancerhclassifiedhashTis,hN0,hM0haskshthehnursehwhatht
hehlettershandhnumbershmean.hWhichhresponsehbyhthehnursehishaccurate?
a. “Thehcancerhinvolveshonlyhthehcervix.”
b. “Thehcancerhcellshlookhlikehnormalhcells.”
c. “Furtherhtestinghishneededhtohdeterminehthehspreadhofhthehcancer.”
d. “Ithishdifficulthtohdeterminehthehoriginalhsitehofhthehcervicalhcancer.”
ANS:h A
Cancerhinhsituhindicateshthaththehcancerhishlocalizedhtohthehcervixhandhishnothinvasivehaththishtime.
hCellhdifferentiationhishnothindicatedhbyhclinicalhstaging.hBecausehthehcancerhishinhsitu,hthehoriginh
ishthehcervix.hFurtherhtestinghishnothindicatedhgivenhthaththehcancerhhashnothspread.
DIF: CognitivehLevel:hApplyh(application)
TOP:h NursinghProcess:hImplementation MSC:h NCLEX:hPhysiologicalhIntegrity
7. Thehnursehteacheshahpatienthwhohishscheduledhforhahprostatehneedlehbiopsyhabouththehprocedure.
Whichhstatementhbyhthehpatienthindicateshthathteachinghwasheffective?
a. “Thehbiopsyhwillhremovehthehcancerhinhmyhprostatehgland.”
b. “ThehbiopsyhwillhdeterminehhowhmuchhlongerhIhhavehtohlive.”
c. “Thehbiopsyhwillhhelphdecidehthehtreatmenthforhmyhenlargedhprostate.”
d. “Thehbiopsyhwillhindicatehwhetherhthehcancerhhashspreadhtohotherhorgans.”
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