Topic Leukemia - When reviewing the laboratory results of a client with leukemia who is receiving chemotherapy, the registered nurse (RN) notes that the neutrophil count is less than 500/mm3. The RN informs the new nurse caring for the client about the results. Which intervention identified by the new nurse indicates a need for further teaching?

Topic Leukemia - The nurse is analyzing the laboratory results of a client with leukemia who has received a regimen of chemotherapy. Which laboratory value would the nurse specifically note as a result of the massive cell destruction that occurred from the chemotherapy?

Topic Breast - Tamoxifen citrate is prescribed for a client with met-astatic breast carcinoma. The client asks the nurse if her familymember with bladder cancer can also take this medication. The nurse most appropriatelyresponds by making which statement?

Topic Breast - The community health nurse is creating a poster for an educational session for a group of women and will be discussing the risk factors associated with breast cancer. Which risk factors for breast cancer should: 1. Multiparity 2. Early menarche 3. Early menopause 4. Family history of breast cancer 5. High-dose radiation exposure to chest 6. Previous cancer of the breast, uterus, or ovaries

Topic Neutropenic Care - A client who is immunosuppressed is being admitted to the hospital on neutropenic precautions. Which nursing interventions should be implemented to protect the client from infection? Select all that apply. 1. Restrict all visitors. 2. Admit the client to a semiprivate room. 3. Place a mask on the client if the client leaves the room. 4. Use strict aseptic technique for all invasive procedures. 5. Place a “See the Nurse before Entering” sign on the door to the room. 6. Remove a vase with fresh flowers in the room that was left by a previous client.

Topic Myeloma - The nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which would the nurse expect to note specifically in this disorder? 1. Increased calcium level 2. Increased white blood cells 3. Decreased blood urea nitrogen level 4. Decreased number of plasma cells in the bone marrow

Topic Myeloma - The nurse is developing a plan of care for the client with multiple myeloma and includes which priority intervention in the plan? Select all that apply 1. Encouraging fluids 2. Providing frequent oral care 3. Coughing and deep breathing 4. Monitoring the red blood cell count

Topic Myeloma - While giving care to a client with an internal cervical radiation implant, the nurse finds the implant in the bed. The nurse should take which initial action? 1. Call the health care provider (HCP). 2. Reinsert the implant into the vagina. 3. Pick up the implant with gloved hands and flush it down the toilet. 4. Pick up the implant with long-handled forceps and place it in a lead container.

Topic Neutropenic Care - The nurse should plan to implement which intervention in the care of a client experiencing neutropenia as a result of chemotherapy? 1. Restrict all visitors. 2. Restrict fluid intake. 3. Teach the client and family about the need for hand hygiene. 4. Insert an indwelling urinary catheter to prevent skin breakdown.

Topic Pain Management - The home health care nurse is caring for a client with cancer who is complaining of acute pain. The most appropriate determination of the client’s pain should include which assessment? 1. The client’s pain rating 2. Nonverbal cues from the client 3. The nurse’s impression of the client’s pain 4. Pain relief after appropriate nursing intervention

Topic Lymphoma - A client is admitted to the hospital with a suspected diagnosis of Hodgkin’s disease. Which assessment finding would the nurse expect to note specifically in the client? 1. Fatigue 2. Weakness 3. Weight gain 4. Enlarged lymph nodes

Topic Ovarian Cancer - During the admission assessment of a client with advanced ovarian cancer, the nurse recognizes which symptom as typical of the disease? 1. Diarrhea 2. Hypermenorrhea 3. Abnormal bleeding 4. Abdominal distention

Topic Bladder Cancer - The nurse is caring for a client with bladder cancer and bone metastasis. What signs/symptoms would the nurse recognize as indications of a possible oncological emergency? Select all that apply. 1. Facial edema in the morning 2. Serum calcium level of 12 mg/dL 3. Weight loss of 20 lb in 1 month 4. Serum sodium level of 136 mg/dL 5. Serum potassium level of 3.4 mg/dL 6. Numbness and tingling of the lower extremities

Topic Bladder Cancer - A client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing which condition? 1. Rupture of the bladder 2. The development of a vesicovaginal fistula 3. Extreme stress caused by the diagnosis of cancer 4. Altered perineal sensation as a side effect of radiation therapy

Topic Testicular Cancer - The nurse is instructing a client to perform a testicular self-examination (TSE). The nurse should provide the client with which information about the procedure? 1. To examine the testicles while lying down 2. That the best time for the examination is after a shower 3. To gently feel the testicle with one finger to feel for a growth 4. That testicular self-examinations should be done at least every 6 months

Topic Myeloma - A client is diagnosed with multiple myeloma and the client asks the nurse about the diagnosis. The nurse bases the response on which description of this disorder? 1. Altered red blood cell production 2. Altered production of lymph nodes 3. Malignant exacerbation in the number of leukocytes 4. Malignant proliferation of plasma cells within the bone

The nurse is assessing the perineal wound in a client who has returned from the operating room following an abdominal perineal resection and notes serosanguineous drainage from the wound. Which nursing intervention is most appropriate? 1. Clamp the Penrose drain. 2. Change the dressing as prescribed. 3. Notify the health care provider (HCP). 4. Remove and replace the perineal packing.

The nurse is assessing the colostomy of a client who has had an abdominal perineal resection for a bowel tumor. Which assessment finding indicates that the colostomy is beginning to function? 1. The passage of flatus 2. Absent bowel sounds 3. The client’s ability to tolerate food 4. Bloody drainage from the colostomy

The nurse is reviewing the history of a client with bladder cancer. The nurse expects to note documentation of which most common symptom of this type of cancer? 1. Dysuria 2. Hematuria 3. Urgency on urination 4. Frequency of urination

548. The nurse is assessing a client who has a new ureterostomy. Which statement by the client indicates the need for more education about urinary stoma care? 1. “I change my pouch every week.” 2. “I change the appliance in the morning.” 3. “I empty the urinary collection bag when it is two-thirds full.” 4. “When I’m in the shower I direct the flow of water away from my stoma.”

The nurse is monitoring a client for signs and symptoms related to superior vena cava syndrome. Which is an early sign of this oncological emergency? 1. Cyanosis 2. Arm edema 3. Periorbital edema 4. Mental status changes

The nurse manager is teaching the nursing staff about signs and symptoms related to hypercalcemia in a client with metastatic prostate cancer and tells the staff that which is a late sign of this oncological emergency? 1. Headache 2. Dysphagia 3. Constipation 4. Electrocardiographic changes

As part of chemotherapy education, the nurse teaches a female client about the risk for bleeding and self-care during the period of greatest bone marrow suppression (the nadir). The nurse understands that further teaching is needed if the client makes which statement? 1. “I should avoid blowing my nose.” 2. “I may need a platelet transfusion if my platelet count is too low.” 3. “I’m going to take aspirin for my headache as soon as I get home.” 4. “I will count the number of pads and tampons I use when menstruating.”

The community health nurse is instructing a group of young female clients about breast self-examination. The nurse should instruct the clients to perform the examination at which time? 1. At the onset of menstruation 2. Every month during ovulation 3. Weekly at the same time of day 4. 1 week after menstruation begins

The nurse is caring for a client following a mastectomy. Which nursing intervention would assist in preventing lymphedema of the affected arm? 1. Placing cool compresses on the affected arm 2. Elevating the affected arm on a pillow above heart level 3. Avoiding arm exercises in the immediate postoperative period 4. Maintaining an intravenous site below the antecubital area on the affected side

What is the primary difference on testicular examination between a spermatocele and a testicular cancer?