Term
| The client has cancer. He asks the nurse where cancer comes from. What is the best explanation by the nurse? |
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Definition
| Cancer cells are your body's cells that have lost the ability to self-destruct. |
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Term
| The nurse teaches a support group about the causes of cancer for families of individuals with cancer. The nurse evaluates learning has occurred when the clients make which statement(s)? Select all that apply. |
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Definition
1."Some cancers have a strong genetic component."
2."Cancers have a very strong environmental component."
3."Cancer can result from damaged, tumor-suppressor genes." |
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Term
| The client has recently been diagnosed with cancer. DThe nurse develops a plan to teach the client about the most effective treatment(s) for cancer. What will the best plan(s) of the nurse include? Select all that apply. |
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Definition
1. Surgery
2. Chemotherapy
3. Radiation therapy |
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Term
| The nursing instructor teaches student nurses about chemotherapy for cancer. Which statement best explains why lung cancers are less sensitive to antineoplastic agents than other types of cancers? |
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Definition
| 1."Lung cancer cells have a low-growth fraction, which means there isn't much difference between the number of replicating and resting cells." |
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Term
| The client receives tamoxifen (Nolvadex) for treatment of breast cancer. She asks the nurse why the medicine works. What is the best response by the nurse? |
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Definition
| "Tamoxifen (Nolvadex) works by blocking estrogen receptors on breast tissue." |
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Term
| The nurse assesses several clients for their potential risk for developing cancer. Which client does the nurse assess to be at highest risk for developing cancer? |
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Definition
| The client who is a social drinker and eats red meat three times per week |
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Term
| The client receives cyclophosphamide (Cytoxan) as treatment for cancer, and is experiencing oral irritation as an adverse effect. What does the best plan of the nurse include as it relates to providing oral comfort? |
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Definition
| Teach the client to avoid extreme temperatures of food selections. |
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Term
| The female client has experienced alopecia due to chemotherapy. She is distraught and feels that no one will want to look at her. What will the best plan of the nurse include? |
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Definition
| Plan to discuss the client's feelings about the effects of her hair loss. |
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Term
| The client receives cisplatin (Platinol) as therapy for cancer. Which assessment finding would prompt the nurse to contact the client's physician immediately? |
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Definition
| A temperature greater than 10I°F. |
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Term
| The client receives cyclophosphaniide (Cytoxan). DThe nurse evaluates the client's laboratory work. Which laboratory finding would support canceling the client's next treatment with this drug? |
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Definition
| Platelet count of 8,000/mm |
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Term
The client receives cyclophosphamide (Cytoxan).DThe nurse assesses for side
effects of this drug. Which side effects are a primary concern for the nurse? |
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Definition
| Fever, chills, and fatigue |
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Term
| The client receives chemotherapy and frequently complains of a headache. What will the best plan of the nurse include? |
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Definition
| Plan to administer acetaminophen (Tylenol). |
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Term
| The client receives chemotherapy and experiences alopecia.DThe nurse completes teaching about this side effect, and evaluates learning has occurred when the client makes which statement? |
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Definition
| "Hair will re-grow, but it may change in appearance or color." |
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Term
| The client experiences nausea and vomiting soon after chemotherapy treatments. What is the best action by the nurse? |
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Definition
| Administer an antiemetic 1-2 hours before chemotherapy. |
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Term
| The client receives several chemo therapeutic agents as treatments for cancer. The client asks the nurse why he needs so many drugs. What is the best response by the nurse? |
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Definition
| "Using multiple drugs will help kill more of the cancer." |
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Term
| In understanding the difference between normal cells and cancer cells, the nurse knows that cancer is the result of: |
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Definition
| Suppressor genes stopping cell growth for cell division. |
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Term
| In understanding the growth fraction as it pertains to the success of chemotherapy, the nurse knows that the growth fraction is a ratio of: |
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Definition
| The number of replicating cells to the number of resting cells. |
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Term
| An important nursing consideration for clients receiving alkylating agents is: |
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Definition
| Monitoring CBC with differential, |
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Term
| In providing education to clients receiving hormones or hormone antagonists, the most important monitoring to be done by the nurse and/or client is to: |
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Definition
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Term
| The main mechanism of action of alkylating agents is: |
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Definition
They change the shape of the DNA double helix and prevent nucleic acid
from completing normal cell division. |
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