Nursing MedSurg Lewis Ch. 16 - Cancer
1. The nurse is caring for a patient suffering from anorexia secondary to chemotherapy. Which strategy would be most appropriate for the nurse to use to increase the patient's nutritional intake?
A. Serve three large meals per day plus snacks between each meal.
B. Add items such as skim milk powder, cheese, honey, or peanut butter to selected foods.
C. Increase intake of liquids at mealtime to stimulate the appetite.
D. Avoid the use of liquid protein supplements to encourage eating at mealtime.
2. The patient is receiving an IV vesicant chemotherapy drug. The nurse notices swelling and redness at the site. What should the nurse do first?
A. Call the ordering health care provider.
B. Ask the patient if the site hurts.
C. Administer sterile saline to the reddened area.
D. Turn off the chemotherapy infusion.
3. The female patient is having whole brain radiation for brain metastasis. She is concerned about how she will look when she loses her hair. What is the best response by the nurse to this patient?
A. "When your hair grows back it will be patchy."
B. "You should contact "Look Good, Feel Better" to figure out what to do about this."
C. "You can get a wig now to match your hair so you will not look different."
D. "Don't use your curling iron and that will slow down the loss."
4. The patient has been diagnosed with non-small cell lung cancer. Which type of targeted therapy will most likely be used for this patient to suppress cell proliferation and promote programmed tumor cell death?
A. BCR-ABL tyrosine kinase inhibitors
B. Proteasome inhibitors
C. Epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TK)
D. CD20 monoclonal antibodies (MoAb)
5. A 33-year-old patient has recently been diagnosed with stage II cervical cancer. What should the nurse understand about the patient's cancer?
A. It has metastasized.
B. It is in situ.
C. It has spread locally.
D. It has
A. Serve three large meals per day plus snacks between each meal.
B. Add items such as skim milk powder, cheese, honey, or peanut butter to selected foods.
C. Increase intake of liquids at mealtime to stimulate the appetite.
D. Avoid the use of liquid protein supplements to encourage eating at mealtime.
2. The patient is receiving an IV vesicant chemotherapy drug. The nurse notices swelling and redness at the site. What should the nurse do first?
A. Call the ordering health care provider.
B. Ask the patient if the site hurts.
C. Administer sterile saline to the reddened area.
D. Turn off the chemotherapy infusion.
3. The female patient is having whole brain radiation for brain metastasis. She is concerned about how she will look when she loses her hair. What is the best response by the nurse to this patient?
A. "When your hair grows back it will be patchy."
B. "You should contact "Look Good, Feel Better" to figure out what to do about this."
C. "You can get a wig now to match your hair so you will not look different."
D. "Don't use your curling iron and that will slow down the loss."
4. The patient has been diagnosed with non-small cell lung cancer. Which type of targeted therapy will most likely be used for this patient to suppress cell proliferation and promote programmed tumor cell death?
A. BCR-ABL tyrosine kinase inhibitors
B. Proteasome inhibitors
C. Epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TK)
D. CD20 monoclonal antibodies (MoAb)
5. A 33-year-old patient has recently been diagnosed with stage II cervical cancer. What should the nurse understand about the patient's cancer?
A. It has metastasized.
B. It is in situ.
C. It has spread locally.
D. It has