ATI Med-Surge: Oncology
Study online at https://quizlet.com/_dexlmt
1. A nurse is performing an ad- Abdominal cramps
mission assessment for a client Rationale: Clients who have colorectal cancer are likely to
who has colorectal cancer. Which have changes in bowel habits, occult blood in the stool,
of the following manifestations weight loss, fatigue, and "gas pains" or abdominal cramp-
should the nurse expect to find? ing.
Hematuria
Abdominal cramps
Weight gain
Polycythemia
2. A nurse is caring for a client Radioactive infusions or insertions into or near the tumor
who will receive brachytherapy Rationale: Brachytherapy is a type of radiation therapy dur-
to treat uterine cancer. The nurse ing which the radiation source, either an implant or via
should ensure the client under- infusion, is in direct contact with the client's tumor contin-
stands that she will receive which uously for a specific duration.
of the following interventions?
Chemotherapy via a central ve-
nous access device
Radiation to the tumor from an
external source
Precise delivery of high-dose ra-
diation after tumor imaging
Radioactive infusions or inser-
tions into or near the tumor
3. A nurse is caring for a post- Increased breast density
menopausal client who is con- BMI of 32
cerned that she might have an Undergoing hormonal replacement therapy for 10 years
elevated risk of breast cancer. Af- Rationale: Women who have dense breast tissue are at
ter conducting a risk assessment, an increased risk for developing breast cancer because
, ATI Med-Surge: Oncology
Study online at https://quizlet.com/_dexlmt
the nurse should identify which they have more connective and glandular breast tissue.
of the following factors as in- Postmenopausal obesity increases the risk of developing
creasing the clients breast cancer breast cancer. Hormone-related risks for developing breast
risk? (SATA) cancer include the long-term use of oral contraceptives
or hormone replacement therapy, early menarche, late
Increased breast density menopause, and first pregnancy after 30 years of age.
BMI of 32
Having given birth to 5 children
Undergoing hormonal replace-
ment therapy for 10 years
Having 1-2 alcoholic per week
4. A nurse is caring for a client who Facial edema
has lung cancer that has metas- Rationale: Superior vena cava syndrome is a medical emer-
tasized. Which of the following gency resulting from a partial occlusion of the superior
findings indicates the client is de- vena cava, leading to a decreased blood flow through the
veloping superior vena cava syn- vein. Most cases of superior vena cava are associated with
drome? cancers involving the client's upper chest. The earliest man-
ifestations of superior vena cava syndrome are facial and
Irregular cardiac rhythm upper extremity edema. Death can result if the compres-
Numbness in the hands sion is not corrected.
Muscle cramps
Facial edema
5. A nurse is caring for a client Tingling of the hands and feet
who has testicular cancer and Rationale: Several chemotherapeutic agents might cause
is experiencing peripheral neu- peripheral neuropathy. One of the major manifestations
ropathy as an adverse effect of of peripheral neuropathy is numbness and tingling of an
chemotherapy. Which of the fol- extremity.
lowing client manifestations is an
expected finding of peripheral
neuropathy?
, ATI Med-Surge: Oncology
Study online at https://quizlet.com/_dexlmt
Thinning of the scalp hair
Tingling of the hands and feet
Reduced ability to concentrate
Sores in mucous membranes
6. A nurse is providing teaching "I'm planning a large gathering of friends and family for
to a client who is receiving the holidays."
chemotherapy and has devel- Rationale: A client who has neutropenia should avoid expo-
oped neutropenia. Which of the sure to infection, so this statement warrants more teaching.
following statements indicates A client who has neutropenia should avoid large crowds of
that the client need further in- people because a large gathering increases the client's risk
structions? for exposure to infection.
"I'll keep an antibacterial hand
gel in my purse."
"My partner will have to take
care of the cat's litter boxes for a
while."
"I'm planning a large gathering
of friends and family for the holi-
days."
"I will eat canned fruits and veg-
etables."
7. A nurse is providing teaching to "I need to protect the area from sunlight."
a client with cancer who is re- Rationale: To prevent skin irritation and subsequent break-
ceiving external radiation thera- down, the nurse should instruct the client to protect areas
py. Which of the following state- of skin from sunlight that receive radiation.
ments by the client indicates an
understanding of the teaching?
"I need to protect the area from
Study online at https://quizlet.com/_dexlmt
1. A nurse is performing an ad- Abdominal cramps
mission assessment for a client Rationale: Clients who have colorectal cancer are likely to
who has colorectal cancer. Which have changes in bowel habits, occult blood in the stool,
of the following manifestations weight loss, fatigue, and "gas pains" or abdominal cramp-
should the nurse expect to find? ing.
Hematuria
Abdominal cramps
Weight gain
Polycythemia
2. A nurse is caring for a client Radioactive infusions or insertions into or near the tumor
who will receive brachytherapy Rationale: Brachytherapy is a type of radiation therapy dur-
to treat uterine cancer. The nurse ing which the radiation source, either an implant or via
should ensure the client under- infusion, is in direct contact with the client's tumor contin-
stands that she will receive which uously for a specific duration.
of the following interventions?
Chemotherapy via a central ve-
nous access device
Radiation to the tumor from an
external source
Precise delivery of high-dose ra-
diation after tumor imaging
Radioactive infusions or inser-
tions into or near the tumor
3. A nurse is caring for a post- Increased breast density
menopausal client who is con- BMI of 32
cerned that she might have an Undergoing hormonal replacement therapy for 10 years
elevated risk of breast cancer. Af- Rationale: Women who have dense breast tissue are at
ter conducting a risk assessment, an increased risk for developing breast cancer because
, ATI Med-Surge: Oncology
Study online at https://quizlet.com/_dexlmt
the nurse should identify which they have more connective and glandular breast tissue.
of the following factors as in- Postmenopausal obesity increases the risk of developing
creasing the clients breast cancer breast cancer. Hormone-related risks for developing breast
risk? (SATA) cancer include the long-term use of oral contraceptives
or hormone replacement therapy, early menarche, late
Increased breast density menopause, and first pregnancy after 30 years of age.
BMI of 32
Having given birth to 5 children
Undergoing hormonal replace-
ment therapy for 10 years
Having 1-2 alcoholic per week
4. A nurse is caring for a client who Facial edema
has lung cancer that has metas- Rationale: Superior vena cava syndrome is a medical emer-
tasized. Which of the following gency resulting from a partial occlusion of the superior
findings indicates the client is de- vena cava, leading to a decreased blood flow through the
veloping superior vena cava syn- vein. Most cases of superior vena cava are associated with
drome? cancers involving the client's upper chest. The earliest man-
ifestations of superior vena cava syndrome are facial and
Irregular cardiac rhythm upper extremity edema. Death can result if the compres-
Numbness in the hands sion is not corrected.
Muscle cramps
Facial edema
5. A nurse is caring for a client Tingling of the hands and feet
who has testicular cancer and Rationale: Several chemotherapeutic agents might cause
is experiencing peripheral neu- peripheral neuropathy. One of the major manifestations
ropathy as an adverse effect of of peripheral neuropathy is numbness and tingling of an
chemotherapy. Which of the fol- extremity.
lowing client manifestations is an
expected finding of peripheral
neuropathy?
, ATI Med-Surge: Oncology
Study online at https://quizlet.com/_dexlmt
Thinning of the scalp hair
Tingling of the hands and feet
Reduced ability to concentrate
Sores in mucous membranes
6. A nurse is providing teaching "I'm planning a large gathering of friends and family for
to a client who is receiving the holidays."
chemotherapy and has devel- Rationale: A client who has neutropenia should avoid expo-
oped neutropenia. Which of the sure to infection, so this statement warrants more teaching.
following statements indicates A client who has neutropenia should avoid large crowds of
that the client need further in- people because a large gathering increases the client's risk
structions? for exposure to infection.
"I'll keep an antibacterial hand
gel in my purse."
"My partner will have to take
care of the cat's litter boxes for a
while."
"I'm planning a large gathering
of friends and family for the holi-
days."
"I will eat canned fruits and veg-
etables."
7. A nurse is providing teaching to "I need to protect the area from sunlight."
a client with cancer who is re- Rationale: To prevent skin irritation and subsequent break-
ceiving external radiation thera- down, the nurse should instruct the client to protect areas
py. Which of the following state- of skin from sunlight that receive radiation.
ments by the client indicates an
understanding of the teaching?
"I need to protect the area from
