NURS 4506 Test 2 (H&H IV)
The nurse is caring for a patient receiving an initial dose of chemotherapy to treat a rapidly growing
metastatic colon cancer. The nurse is aware that the patient is at risk for Tumour Lysis Syndrome (TLS) &
will monitor the pt closely for which of the following abnormalities associated with this oncological
emergency?
A. Hypokalemia.
B. Hypocalcemia.
C. Hypouricemia.
D. Hypophosphatemia. ANS: B. Hypocalcemia.
The nurse is caring for a pt suffering from anorexia secondary to chemotherapy. Which of the following
strategies would be most appropriate to use to increase the pt's nutritional intake?
A. Increase intake of liquids at mealtime to stimulate the appetite.
B. Serve three large meals per day plus snacks in between each meal.
C. Avoid the use of liquid protein supplements to encourage eating at mealtime.
D. Add high protein/high calorie items to the patients diet. ANS: D. Add high protein/high calorie items
to the patients diet.
Which of the following items would be most beneficial. when providing oral care to a patient with
metastatic cancer who is at risk for oral tissue injury secondary to chemotherapy?
A. Firm-bristle toothbrush.
B. Hydrogen peroxide rinse.
C. Alcohol-based mouthwash.
D. 1 tsp salt in 1 L water mouth rinse. ANS: D. 1 tsp salt in 1 L water mouth rinse.
Which of the following nursing diagnoses is priority for a patient experiencing myelosuppression
secondary to chemotherapy for cancer treatment?
, A. Acute pain.
B. Hypothermia.
C. Powerlessness.
D. Risk for infection. ANS: D. Risk for infection.
Previous administrations of chemotherapy agents to a patient with cancer have resulted in diarrhea.
Which dietary modification should the nurse recommend?
A. A low-residue (bland), low-fiber diet.
B. A high-protein, high-calorie diet.
C. A diet high in fresh fruits and vegetables.
D. A diet emphasizing whole and organic foods. ANS: A. A low-residue (bland), low-fiber diet.
The nurse is caring for a patient who has recently been diagnosed with stage II cervical cancer. Which of
the following characteristics should the nurse understand related to this stage?
A. it is in situ.
B. It has metastasized.
C. It has spread locally.
D. It has spread extensively. ANS: C. It has spread locally.
the nurse is admitting a patient with the diagnoses of advanced renal carcinoma Based on this diagnosis,
the nurse will expect to find which of the following presenting symptoms that occur in patients with
renal cancer?
A. Fever, chills, & flake pain.
B. Hematuria, flank pain, & palpable mass.
C. Hematuria, proteinuria, & palpable mass.
D. Flank pain, palpable abdominal mass, & proteinuria. ANS: B. Hematuria, flank pain, & palpable mass.
The nurse is caring for a patient receiving an initial dose of chemotherapy to treat a rapidly growing
metastatic colon cancer. The nurse is aware that the patient is at risk for Tumour Lysis Syndrome (TLS) &
will monitor the pt closely for which of the following abnormalities associated with this oncological
emergency?
A. Hypokalemia.
B. Hypocalcemia.
C. Hypouricemia.
D. Hypophosphatemia. ANS: B. Hypocalcemia.
The nurse is caring for a pt suffering from anorexia secondary to chemotherapy. Which of the following
strategies would be most appropriate to use to increase the pt's nutritional intake?
A. Increase intake of liquids at mealtime to stimulate the appetite.
B. Serve three large meals per day plus snacks in between each meal.
C. Avoid the use of liquid protein supplements to encourage eating at mealtime.
D. Add high protein/high calorie items to the patients diet. ANS: D. Add high protein/high calorie items
to the patients diet.
Which of the following items would be most beneficial. when providing oral care to a patient with
metastatic cancer who is at risk for oral tissue injury secondary to chemotherapy?
A. Firm-bristle toothbrush.
B. Hydrogen peroxide rinse.
C. Alcohol-based mouthwash.
D. 1 tsp salt in 1 L water mouth rinse. ANS: D. 1 tsp salt in 1 L water mouth rinse.
Which of the following nursing diagnoses is priority for a patient experiencing myelosuppression
secondary to chemotherapy for cancer treatment?
, A. Acute pain.
B. Hypothermia.
C. Powerlessness.
D. Risk for infection. ANS: D. Risk for infection.
Previous administrations of chemotherapy agents to a patient with cancer have resulted in diarrhea.
Which dietary modification should the nurse recommend?
A. A low-residue (bland), low-fiber diet.
B. A high-protein, high-calorie diet.
C. A diet high in fresh fruits and vegetables.
D. A diet emphasizing whole and organic foods. ANS: A. A low-residue (bland), low-fiber diet.
The nurse is caring for a patient who has recently been diagnosed with stage II cervical cancer. Which of
the following characteristics should the nurse understand related to this stage?
A. it is in situ.
B. It has metastasized.
C. It has spread locally.
D. It has spread extensively. ANS: C. It has spread locally.
the nurse is admitting a patient with the diagnoses of advanced renal carcinoma Based on this diagnosis,
the nurse will expect to find which of the following presenting symptoms that occur in patients with
renal cancer?
A. Fever, chills, & flake pain.
B. Hematuria, flank pain, & palpable mass.
C. Hematuria, proteinuria, & palpable mass.
D. Flank pain, palpable abdominal mass, & proteinuria. ANS: B. Hematuria, flank pain, & palpable mass.
