ATI- MEDICAL-SURGICAL: ONCOLOGY QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED
A+
A nurse is admitting a client who has multiple myeloma and a white blood cell count of 2,200/mm3.
Which of the following foods should the nurse prohibit the family members from bringing to the client?
- CORRECT ANSWERS-A fresh fruit basket
Rational: Raw fruits and vegetables are contraindicated for a client who has neutropenia, as the skin
might harbor bacteria that can cause an infection. The nurse should prohibit these foods from entering
the client's room.
A nurse is caring for a client who has lung cancer that has metastasized. Which of the following findings
indicates the client is developing superior vena cava syndrome? - CORRECT ANSWERS-Facial
edema
Rational: Superior vena cava syndrome is a medical emergency resulting from a partial occlusion of the
superior vena cava, leading to a decreased blood flow through the vein. Most cases of superior vena
cava syndrome are associated with cancers involving the client's upper chest, such as advanced lung and
breast cancers and lymphoma. The earliest manifestations of superior vena cava syndrome are facial and
upper extremity edema. Death can result if the compression is not corrected.
A nurse is planning care for a client who has cancer and has developed thrombocytopenia following
chemotherapy. Which of the following precautions should the nurse offer to minimize the adverse
effects of thrombocytopenia? - CORRECT ANSWERS-Remind the client to use an electric razor.
Rational:
Thrombocytopenia is a decrease in the client's blood platelet count, which places the client at an
increased risk of bleeding due to the blood's inability to clot. Therefore, the nurse should institute
bleeding precautions, which includes the use of an electric razor.
A nurse is caring for a client who is receiving chemotherapy to treat cancer. Which of the following
adverse effects should the nurse anticipate from the chemotherapy? - CORRECT ANSWERS-
Pancytopenia
, Rational:
Pancytopenia, a deficiency of WBCs, RBCs, and platelet counts, is an expected adverse effect of
chemotherapy.
A nurse is providing preoperative teaching for a client who has colorectal cancer and is to undergo
placement of a colostomy with a perineal wound. Which of the following statements by the client
indicates an understanding of the teaching? - CORRECT ANSWERS-"I can have only liquids for
2 days before the surgery."
Rational: The client should consume a full or clear liquid diet for 24 to 48 hr before the surgery to
decrease bulk. The client should consume a low-residue diet for several days prior to surgery to decrease
peristalsis.
A nurse is collecting a health history from a female client who is undergoing screening for breast cancer.
Which of the following factors should the nurse identify for placing the client at the greatest risk for
developing breast cancer? - CORRECT ANSWERS-Over 50 years of age
Ration: A female client whose age is over 50 years has a high increased risk for developing breast cancer.
A nurse on an oncology unit is providing discharge teaching to an adolescent female client who received
a bone marrow transplant for leukemia. Which of the following information should the nurse include in
the teaching? (Select all that apply.) - CORRECT ANSWERS--"Take your temperature twice
each day"
-"It is important to always wear shoes" is correct.
-"Avoid using tampons" is correct
Rational:Clients who are postoperative bone marrow transplants are immunosuppressed and should
continually monitor for manifestations of infection. A temperature that is greater than 38° C (100° F)
should be reported immediately to the provider. A client who had a bone marrow transplant is
immunosuppressed and should wear shoes to prevent injury and decrease the risk for infection.The use
of tampons is discouraged because they can disrupt the mucosal layer of the vagina and, if left in too
long, can support the growth of bacteria.
A nurse is caring for a client who has breast cancer and is receiving a combination of chemotherapy
medications. The client expresses confusion about the therapy. Which of the following explanations
VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED
A+
A nurse is admitting a client who has multiple myeloma and a white blood cell count of 2,200/mm3.
Which of the following foods should the nurse prohibit the family members from bringing to the client?
- CORRECT ANSWERS-A fresh fruit basket
Rational: Raw fruits and vegetables are contraindicated for a client who has neutropenia, as the skin
might harbor bacteria that can cause an infection. The nurse should prohibit these foods from entering
the client's room.
A nurse is caring for a client who has lung cancer that has metastasized. Which of the following findings
indicates the client is developing superior vena cava syndrome? - CORRECT ANSWERS-Facial
edema
Rational: Superior vena cava syndrome is a medical emergency resulting from a partial occlusion of the
superior vena cava, leading to a decreased blood flow through the vein. Most cases of superior vena
cava syndrome are associated with cancers involving the client's upper chest, such as advanced lung and
breast cancers and lymphoma. The earliest manifestations of superior vena cava syndrome are facial and
upper extremity edema. Death can result if the compression is not corrected.
A nurse is planning care for a client who has cancer and has developed thrombocytopenia following
chemotherapy. Which of the following precautions should the nurse offer to minimize the adverse
effects of thrombocytopenia? - CORRECT ANSWERS-Remind the client to use an electric razor.
Rational:
Thrombocytopenia is a decrease in the client's blood platelet count, which places the client at an
increased risk of bleeding due to the blood's inability to clot. Therefore, the nurse should institute
bleeding precautions, which includes the use of an electric razor.
A nurse is caring for a client who is receiving chemotherapy to treat cancer. Which of the following
adverse effects should the nurse anticipate from the chemotherapy? - CORRECT ANSWERS-
Pancytopenia
, Rational:
Pancytopenia, a deficiency of WBCs, RBCs, and platelet counts, is an expected adverse effect of
chemotherapy.
A nurse is providing preoperative teaching for a client who has colorectal cancer and is to undergo
placement of a colostomy with a perineal wound. Which of the following statements by the client
indicates an understanding of the teaching? - CORRECT ANSWERS-"I can have only liquids for
2 days before the surgery."
Rational: The client should consume a full or clear liquid diet for 24 to 48 hr before the surgery to
decrease bulk. The client should consume a low-residue diet for several days prior to surgery to decrease
peristalsis.
A nurse is collecting a health history from a female client who is undergoing screening for breast cancer.
Which of the following factors should the nurse identify for placing the client at the greatest risk for
developing breast cancer? - CORRECT ANSWERS-Over 50 years of age
Ration: A female client whose age is over 50 years has a high increased risk for developing breast cancer.
A nurse on an oncology unit is providing discharge teaching to an adolescent female client who received
a bone marrow transplant for leukemia. Which of the following information should the nurse include in
the teaching? (Select all that apply.) - CORRECT ANSWERS--"Take your temperature twice
each day"
-"It is important to always wear shoes" is correct.
-"Avoid using tampons" is correct
Rational:Clients who are postoperative bone marrow transplants are immunosuppressed and should
continually monitor for manifestations of infection. A temperature that is greater than 38° C (100° F)
should be reported immediately to the provider. A client who had a bone marrow transplant is
immunosuppressed and should wear shoes to prevent injury and decrease the risk for infection.The use
of tampons is discouraged because they can disrupt the mucosal layer of the vagina and, if left in too
long, can support the growth of bacteria.
A nurse is caring for a client who has breast cancer and is receiving a combination of chemotherapy
medications. The client expresses confusion about the therapy. Which of the following explanations
