TestBank Lewiss Medical surgical nursing
assessment and management of clinical
problems 12th edition
Cancer
1. A patient who is scheduled for a right breast biopsy asks the nurse the difference
between a benign tumor and a malignant tumor. Which answer by the nurse is
correct?
a. Benign tumors do not cause damage to other tissues.”
b. Benign tumors are likely to recur in the same location.”
c. Malignant tumors may spread to other tissues or organs.”
d. Malignant cells reproduce more rapidly than normal cells.”
C
The major difference between benign and malignant tumors is that malignant tumors
invade adjacent tissues and spread to distant tissues and benign tumors never
metastasize. The other statements are inaccurate. Both types of tumors may cause
damage to adjacent tissues. Malignant cells do not reproduce more rapidly than
normal cells. Benign tumors do not usually recur.
2. The nurse is caring for a patient receiving intravesical bladder chemotherapy. The
nurse should monitor for which adverse effect?
1
,a. Nausea
b. Alopecia
c. Mucositis
d. Hematuria
D
The adverse effects of intravesical chemotherapy are confined to the bladder. The
other adverse effects are associated with systemic chemotherapy.
3. The nurse is caring for a patient who smokes 2 packs/day. To reduce the patient’s
risk of lung cancer, which action by the nurse is best?
a. Teach the patient about the seven warning signs of cancer.
b. Plan to monitor the patient’s carcinoembryonic antigen (CEA) level.
c. Discuss the risks associated with cigarettes during every patient encounter.
d. Teach the patient about the use of annual chest x-rays for lung cancer
screening.
2
,C
Teaching about the risks associated with cigarette smoking is recommended at every
patient encounter because cigarette smoking is associated with multiple health
problems. A tumor must be at least 0.5 cm large before it is detectable by current
screening methods and may already have metastasized by that time. Oncofetal
antigens such as CEA may be used to monitor therapy or detect tumor reoccurrence,
but are not helpful in screening for cancer. The seven warning signs of cancer are
actually associated with fairly advanced disease.
4. The nurse should include which food choice when providing dietary teaching for a
patient scheduled to receive external beam radiation for abdominal cancer?
a. Fresh fruit salad
b. Roasted chicken
c. Whole wheat toast
d. Cream of potato soup
B
To minimize the diarrhea that is commonly associated with bowel radiation, the
patient should avoid foods high in roughage, such as fruits and whole grains. Lactose
intolerance may develop secondary to radiation, so dairy products should also be
avoided.
5. During a routine health examination, a 40-yr-old patient tells the nurse about a
family history of colon cancer. Which action should the nurse take next?
3
, a. Teach the patient about the need for a colonoscopy at age 50.
b. Teach the patient how to do home testing for fecal occult blood.
c. Obtain more information from the patient about the family history.
d. Schedule a sigmoidoscopy to provide baseline data about the patient.
C
The patient may be at increased risk for colon cancer, but the nurse’s first action
should be further assessment. The other actions may be appropriate, depending on
the information that is obtained from the patient with further questioning.
6. A patient who is diagnosed with cervical cancer that is classified as Tis, N0, M0 asks
the nurse what the letters and numbers mean. Which response by the nurse is most
appropriate?
a. “The cancer involves only the cervix.”
b. “The cancer cells look almost like normal cells.”
c. “Further testing is needed to determine the spread of the cancer.”
d. “It is difficult to determine the original site of the cervical cancer.”
A
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assessment and management of clinical
problems 12th edition
Cancer
1. A patient who is scheduled for a right breast biopsy asks the nurse the difference
between a benign tumor and a malignant tumor. Which answer by the nurse is
correct?
a. Benign tumors do not cause damage to other tissues.”
b. Benign tumors are likely to recur in the same location.”
c. Malignant tumors may spread to other tissues or organs.”
d. Malignant cells reproduce more rapidly than normal cells.”
C
The major difference between benign and malignant tumors is that malignant tumors
invade adjacent tissues and spread to distant tissues and benign tumors never
metastasize. The other statements are inaccurate. Both types of tumors may cause
damage to adjacent tissues. Malignant cells do not reproduce more rapidly than
normal cells. Benign tumors do not usually recur.
2. The nurse is caring for a patient receiving intravesical bladder chemotherapy. The
nurse should monitor for which adverse effect?
1
,a. Nausea
b. Alopecia
c. Mucositis
d. Hematuria
D
The adverse effects of intravesical chemotherapy are confined to the bladder. The
other adverse effects are associated with systemic chemotherapy.
3. The nurse is caring for a patient who smokes 2 packs/day. To reduce the patient’s
risk of lung cancer, which action by the nurse is best?
a. Teach the patient about the seven warning signs of cancer.
b. Plan to monitor the patient’s carcinoembryonic antigen (CEA) level.
c. Discuss the risks associated with cigarettes during every patient encounter.
d. Teach the patient about the use of annual chest x-rays for lung cancer
screening.
2
,C
Teaching about the risks associated with cigarette smoking is recommended at every
patient encounter because cigarette smoking is associated with multiple health
problems. A tumor must be at least 0.5 cm large before it is detectable by current
screening methods and may already have metastasized by that time. Oncofetal
antigens such as CEA may be used to monitor therapy or detect tumor reoccurrence,
but are not helpful in screening for cancer. The seven warning signs of cancer are
actually associated with fairly advanced disease.
4. The nurse should include which food choice when providing dietary teaching for a
patient scheduled to receive external beam radiation for abdominal cancer?
a. Fresh fruit salad
b. Roasted chicken
c. Whole wheat toast
d. Cream of potato soup
B
To minimize the diarrhea that is commonly associated with bowel radiation, the
patient should avoid foods high in roughage, such as fruits and whole grains. Lactose
intolerance may develop secondary to radiation, so dairy products should also be
avoided.
5. During a routine health examination, a 40-yr-old patient tells the nurse about a
family history of colon cancer. Which action should the nurse take next?
3
, a. Teach the patient about the need for a colonoscopy at age 50.
b. Teach the patient how to do home testing for fecal occult blood.
c. Obtain more information from the patient about the family history.
d. Schedule a sigmoidoscopy to provide baseline data about the patient.
C
The patient may be at increased risk for colon cancer, but the nurse’s first action
should be further assessment. The other actions may be appropriate, depending on
the information that is obtained from the patient with further questioning.
6. A patient who is diagnosed with cervical cancer that is classified as Tis, N0, M0 asks
the nurse what the letters and numbers mean. Which response by the nurse is most
appropriate?
a. “The cancer involves only the cervix.”
b. “The cancer cells look almost like normal cells.”
c. “Further testing is needed to determine the spread of the cancer.”
d. “It is difficult to determine the original site of the cervical cancer.”
A
4
