Lewis'spMedicalpSurgicalpNursingp11thpEditionpHardingpTestpBank
Chapter 15: Cancer
p p
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition
p p p p p
MULTIPLEpCHOICE
1. Appatientpwhopispscheduledpforpapbreastpbiopsypaskspthepnursepthepdifferencepbetweenpapbenignpt
umorpandpapmalignantptumor.pWhichpanswerpbypthepnursepispaccurate?
a. “Benignptumorspdopnotpcausepdamageptopotherptissues.”
b. “Benignptumorspareplikelyptoprecurpinpthepsameplocation.”
c. “Malignantptumorspmaypspreadptopotherptissuesporporgans.”
d. “Malignantpcellspreproducepmoreprapidlypthanpnormalpcells.”
ANS:p C
Thepmajorpdifferencepbetweenpbenignpandpmalignantptumorspispthatpmalignantptumorspinvadepadjace
ntptissuespandpspreadptopdistantptissuespandpbenignptumorspdopnotpmetastasize.pThepotherpstatementspar
epinaccurate.pBothptypespofptumorspmaypcausepdamageptopadjacentptissues.
Malignantpcellspdopnotpreproducepmoreprapidlypthanpnormalpcells.pBenignptumorspdopnotpusually
precur.
DIF: CognitivepLevel:pUnderstandp(comprehension)
TOP:p NursingpProcess:pImplementation MSC:p NCLEX:pPhysiologicalpIntegrity
2. Thepnursepispcaringpforpappatientpreceivingpintravesicalpbladderpchemotherapy.pThepnurseps
houldpmonitorpforpwhichpadversepeffect?
a. Nausea
b. Alopecia d. Xerostomia
c. Hematuria
ANS:p C
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, Lewis'spMedicalpSurgicalpNursingp11thpEditionpHardingpTestpBank
NURSINGTB.COM
Thepadversepeffectspofpintravesicalpchemotherapyparepconfinedptopthepbladder.pThepotherpadvers
epeffectsparepassociatedpwithpsystemicpchemotherapy.
DIF: CognitivepLevel:pApplyp(application) TOP:
NursingpProcess:pEvaluationpMSC:p NCLEX:pPhysiologicalpIntegrity
3. Thepnursepispcaringpforpappatientpwhopsmokesp2ppacks/day.pWhichpactionpbypthepnursepcouldph
elppreduceptheppatient’spriskpofplungpcancer?
a. Teachptheppatientpaboutpthepsevenpwarningpsignspofpcancer.
b. Planptopmonitorptheppatient’spcarcinoembryonicpantigenp(CEA)plevel.
c. Teachptheppatientpaboutpannualpchestpx-rayspforplungpcancerpscreening.
d. Discusspriskspassociatedpwithpcigarettespduringpeachppatientpencounter.
ANS:p D
Teachingpaboutpthepriskspassociatedpwithpcigarettepsmokingpisprecommendedpatpeveryppatientpe
ncounterpbecausepcigarettepsmokingpispassociatedpwithpmultiplephealthpproblems.pThepotherpo
ptionspmaypdetectplungpcancerpthatpispalreadyppresentpbutpdopnotpreduceptheprisk.
DIF:p p CognitivepLevel:pApplyp(application)
TOP:p NursingpProcess:pImplementationp p p MSC:p NCLEX:pHealthpPromotionpandpMaintenance
NURSINGTB.COM
, Lewis'spMedicalpSurgicalpNursingp11thpEditionpHardingpTestpBank
4. Thepnursepshouldpsuggestpwhichpfoodpchoicepforpappatientpscheduledptopreceivepexternal-
beampradiationpforpabdominalpcancer?
a. Fruitpsalad
b. Bakedpchicken
c. Creamedpbroccoli
d. Toastedpwheatpbread
ANS:p B
Proteinpispneededpforpwoundphealing.pTopminimizepthepdiarrheapthatpispassociatedpwithpbowelpra
diation,ptheppatientpshouldpavoidpfoodsphighpinproughage,psuchpaspfruitspandpwholepgrains.pLacto
sepintolerancepmaypdeveloppsecondaryptopradiation,psopdairypproductspshouldpalsopbepavoided.
DIF: CognitivepLevel:pApplyp(application)
TOP:p NursingpProcess:pImplementation MSC:p NCLEX:pPhysiologicalpIntegrity
5. Duringpaproutinephealthpexamination,pap40-yr-
oldppatientptellspthepnursepaboutpapfamilyphistorypofpcolonpcancer.pWhichpactionpshouldpthepnurs
eptakepnext?
a. Schedulepapsigmoidoscopyptopprovidepbaselinepdata.
b. Obtainpmorepinformationpaboutptheppatient’sprelatives.
c. Teachptheppatientpaboutpthepneedpforpapcolonoscopypatpagep50.
d. Teachptheppatientphowptopdophomeptestingpforpfecalpoccultpblood.
ANS:p B
Theppatientpmaypbepatpincreasedpriskpforpcolonpcancer,pbutpthepnurse’spfirstpactionpshouldpbepfurth
erpassessment.pThepotherpactionspmaypbepappropriate,pdependingponpthepinformationpthatpispobtai
nedpfromptheppatientpwithpfurtherpquestioning.
NURSINGTB.COM
NURSINGTB.COM
, Lewis'spMedicalpSurgicalpNursingp11thpEditionpHardingpTestpBank
DIF: CognitivepLevel:pAnalyzep(analysis)
TOP:p NursingpProcess:pImplementation MSC:p NCLEX:pHealthpPromotionpandpMaintenance
6. AppatientpwhopispdiagnosedpwithpcervicalpcancerpclassifiedpaspTis,pN0,pM0paskspthepnursepwhatpt
hepletterspandpnumberspmean.pWhichpresponsepbypthepnursepispaccurate?
a. “Thepcancerpinvolvesponlypthepcervix.”
b. “Thepcancerpcellsplookplikepnormalpcells.”
c. “Furtherptestingpispneededptopdeterminepthepspreadpofpthepcancer.”
d. “Itpispdifficultptopdetermineptheporiginalpsitepofpthepcervicalpcancer.”
ANS:p A
Cancerpinpsitupindicatespthatpthepcancerpisplocalizedptopthepcervixpandpispnotpinvasivepatpthisptime.
pCellpdifferentiationpispnotpindicatedpbypclinicalpstaging.pBecausepthepcancerpispinpsitu,ptheporiginp
ispthepcervix.pFurtherptestingpispnotpindicatedpgivenpthatpthepcancerphaspnotpspread.
DIF: CognitivepLevel:pApplyp(application)
TOP:p NursingpProcess:pImplementation MSC:p NCLEX:pPhysiologicalpIntegrity
7. Thepnursepteachespappatientpwhopispscheduledpforpapprostatepneedlepbiopsypaboutpthepprocedure.
Whichpstatementpbyptheppatientpindicatespthatpteachingpwaspeffective?
a. “Thepbiopsypwillpremovepthepcancerpinpmypprostatepgland.”
b. “ThepbiopsypwillpdeterminephowpmuchplongerpIphaveptoplive.”
c. “Thepbiopsypwillphelppdecideptheptreatmentpforpmypenlargedpprostate.”
d. “Thepbiopsypwillpindicatepwhetherpthepcancerphaspspreadptopotherporgans.”
NURSINGTB.COM
Chapter 15: Cancer
p p
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition
p p p p p
MULTIPLEpCHOICE
1. Appatientpwhopispscheduledpforpapbreastpbiopsypaskspthepnursepthepdifferencepbetweenpapbenignpt
umorpandpapmalignantptumor.pWhichpanswerpbypthepnursepispaccurate?
a. “Benignptumorspdopnotpcausepdamageptopotherptissues.”
b. “Benignptumorspareplikelyptoprecurpinpthepsameplocation.”
c. “Malignantptumorspmaypspreadptopotherptissuesporporgans.”
d. “Malignantpcellspreproducepmoreprapidlypthanpnormalpcells.”
ANS:p C
Thepmajorpdifferencepbetweenpbenignpandpmalignantptumorspispthatpmalignantptumorspinvadepadjace
ntptissuespandpspreadptopdistantptissuespandpbenignptumorspdopnotpmetastasize.pThepotherpstatementspar
epinaccurate.pBothptypespofptumorspmaypcausepdamageptopadjacentptissues.
Malignantpcellspdopnotpreproducepmoreprapidlypthanpnormalpcells.pBenignptumorspdopnotpusually
precur.
DIF: CognitivepLevel:pUnderstandp(comprehension)
TOP:p NursingpProcess:pImplementation MSC:p NCLEX:pPhysiologicalpIntegrity
2. Thepnursepispcaringpforpappatientpreceivingpintravesicalpbladderpchemotherapy.pThepnurseps
houldpmonitorpforpwhichpadversepeffect?
a. Nausea
b. Alopecia d. Xerostomia
c. Hematuria
ANS:p C
NURSINGTB.COM
, Lewis'spMedicalpSurgicalpNursingp11thpEditionpHardingpTestpBank
NURSINGTB.COM
Thepadversepeffectspofpintravesicalpchemotherapyparepconfinedptopthepbladder.pThepotherpadvers
epeffectsparepassociatedpwithpsystemicpchemotherapy.
DIF: CognitivepLevel:pApplyp(application) TOP:
NursingpProcess:pEvaluationpMSC:p NCLEX:pPhysiologicalpIntegrity
3. Thepnursepispcaringpforpappatientpwhopsmokesp2ppacks/day.pWhichpactionpbypthepnursepcouldph
elppreduceptheppatient’spriskpofplungpcancer?
a. Teachptheppatientpaboutpthepsevenpwarningpsignspofpcancer.
b. Planptopmonitorptheppatient’spcarcinoembryonicpantigenp(CEA)plevel.
c. Teachptheppatientpaboutpannualpchestpx-rayspforplungpcancerpscreening.
d. Discusspriskspassociatedpwithpcigarettespduringpeachppatientpencounter.
ANS:p D
Teachingpaboutpthepriskspassociatedpwithpcigarettepsmokingpisprecommendedpatpeveryppatientpe
ncounterpbecausepcigarettepsmokingpispassociatedpwithpmultiplephealthpproblems.pThepotherpo
ptionspmaypdetectplungpcancerpthatpispalreadyppresentpbutpdopnotpreduceptheprisk.
DIF:p p CognitivepLevel:pApplyp(application)
TOP:p NursingpProcess:pImplementationp p p MSC:p NCLEX:pHealthpPromotionpandpMaintenance
NURSINGTB.COM
, Lewis'spMedicalpSurgicalpNursingp11thpEditionpHardingpTestpBank
4. Thepnursepshouldpsuggestpwhichpfoodpchoicepforpappatientpscheduledptopreceivepexternal-
beampradiationpforpabdominalpcancer?
a. Fruitpsalad
b. Bakedpchicken
c. Creamedpbroccoli
d. Toastedpwheatpbread
ANS:p B
Proteinpispneededpforpwoundphealing.pTopminimizepthepdiarrheapthatpispassociatedpwithpbowelpra
diation,ptheppatientpshouldpavoidpfoodsphighpinproughage,psuchpaspfruitspandpwholepgrains.pLacto
sepintolerancepmaypdeveloppsecondaryptopradiation,psopdairypproductspshouldpalsopbepavoided.
DIF: CognitivepLevel:pApplyp(application)
TOP:p NursingpProcess:pImplementation MSC:p NCLEX:pPhysiologicalpIntegrity
5. Duringpaproutinephealthpexamination,pap40-yr-
oldppatientptellspthepnursepaboutpapfamilyphistorypofpcolonpcancer.pWhichpactionpshouldpthepnurs
eptakepnext?
a. Schedulepapsigmoidoscopyptopprovidepbaselinepdata.
b. Obtainpmorepinformationpaboutptheppatient’sprelatives.
c. Teachptheppatientpaboutpthepneedpforpapcolonoscopypatpagep50.
d. Teachptheppatientphowptopdophomeptestingpforpfecalpoccultpblood.
ANS:p B
Theppatientpmaypbepatpincreasedpriskpforpcolonpcancer,pbutpthepnurse’spfirstpactionpshouldpbepfurth
erpassessment.pThepotherpactionspmaypbepappropriate,pdependingponpthepinformationpthatpispobtai
nedpfromptheppatientpwithpfurtherpquestioning.
NURSINGTB.COM
NURSINGTB.COM
, Lewis'spMedicalpSurgicalpNursingp11thpEditionpHardingpTestpBank
DIF: CognitivepLevel:pAnalyzep(analysis)
TOP:p NursingpProcess:pImplementation MSC:p NCLEX:pHealthpPromotionpandpMaintenance
6. AppatientpwhopispdiagnosedpwithpcervicalpcancerpclassifiedpaspTis,pN0,pM0paskspthepnursepwhatpt
hepletterspandpnumberspmean.pWhichpresponsepbypthepnursepispaccurate?
a. “Thepcancerpinvolvesponlypthepcervix.”
b. “Thepcancerpcellsplookplikepnormalpcells.”
c. “Furtherptestingpispneededptopdeterminepthepspreadpofpthepcancer.”
d. “Itpispdifficultptopdetermineptheporiginalpsitepofpthepcervicalpcancer.”
ANS:p A
Cancerpinpsitupindicatespthatpthepcancerpisplocalizedptopthepcervixpandpispnotpinvasivepatpthisptime.
pCellpdifferentiationpispnotpindicatedpbypclinicalpstaging.pBecausepthepcancerpispinpsitu,ptheporiginp
ispthepcervix.pFurtherptestingpispnotpindicatedpgivenpthatpthepcancerphaspnotpspread.
DIF: CognitivepLevel:pApplyp(application)
TOP:p NursingpProcess:pImplementation MSC:p NCLEX:pPhysiologicalpIntegrity
7. Thepnursepteachespappatientpwhopispscheduledpforpapprostatepneedlepbiopsypaboutpthepprocedure.
Whichpstatementpbyptheppatientpindicatespthatpteachingpwaspeffective?
a. “Thepbiopsypwillpremovepthepcancerpinpmypprostatepgland.”
b. “ThepbiopsypwillpdeterminephowpmuchplongerpIphaveptoplive.”
c. “Thepbiopsypwillphelppdecideptheptreatmentpforpmypenlargedpprostate.”
d. “Thepbiopsypwillpindicatepwhetherpthepcancerphaspspreadptopotherporgans.”
NURSINGTB.COM
