9.A nursing assistant is taking care of a patient who had undergone liver biopsy. When should the registered nurse intervene?

a) when the nursing assistant monitors the patient's vital signs every 15 minutes for the 1st two hours after the procedureb) when the nursing assistant tellsthe patientto remain in bed for several hoursc) when the nursing assistant positionsthe patienton the left sided) when the nursing assistant checks the biopsy site forbleeding

23.Which of the following are characteristics of a client most susceptible to develop malignant melanoma?

a)dark skin, black hairb) coarse skin, black hairc) fair skin, blond haird) oily skin, brown hair40.A nurse is caring for a child after removal of a brain tumor. The nurse assesses the child for which of the following signs that would indicate that brainstem involvement occurred during the surgical procedure?

a) inability to swallowb) elevated temperaturec) alteredhearingabilityd) orthostatic hypotension41.The health education nurse provides instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which statement by a client indicates a need for further instructions?

a) I will avoid sun exposure after 3 pmb) I will use sunscreen when participating inoutdoor activitiesc) I will wear a hat, opaque clothing, and sunglasses when inthe sund) I will examine my body monthly for any lesions that may be suspicious62.The nurse is caring for a client who is a pelvic exenteration and thephysicianchanges the client's diet from NPO status to clear liquids. The nurse makes which priority assessment before administeringthe diet?

a)bowelsoundsb) ability to ambulatec) incision appearanced) urine specific gravity66.Whenassessingthe laboratory results of the client withbladder cancerand bonemetastasis, the nurse notes a calcium level of 12 mg/dl. The nurse recognizes that this is consistent with which oncological emergency?

a) hyperkalemiab) hypercalemiac) spinal cord compressiond) superior vena cavasyndrome71.The female client who has beenreceivingradiation therapy forbladder cancertells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing:

a) rupture of the bladderb) the development of a vesicovaginal fistulac) extreme stress caused by the diagnosis of cancerd) altered personal sensation as theside effectof radiation therapy74.The community nurse is conducting a health promotion program and the topic of the discussion relates to the risk factors for gastric cancer. Which risk factor, if identified by a client, indicates a need for further discussion?

a) smokingb) a high-fat dietc) foods containing nitratesd) a diet of smoked, highly salted, and spiced food

75.A gastrectomy is performed on a client with gastric cancer. In the immediate postoperative period, the nurse notes bloody drainage from the nasogastric tube. Which of the following is the appropriatenursing intervention?

a) notify thephysicianb) measure abdominal girthc) irrigate the nasogastric tubed)continueto monitor the drainage85.The oncology nurse is providing a teaching session to group of nursing students regarding the risks andcauses ofbladder cancer. Which statement by a student indicates a need for further teaching?

a)bladder cancermost often occurs in womenb) using cigarettes and coffee drinking can increase the riskc)bladder cancergenerally is seen in client older than 40d) environmental health hazards have been attributed as a cause86.The nurse is reviewing the history of a client with bladder cancer. The nurse expects to notedocumentationof which most commonsymptomof this type of cancer?

a) dysuriab) hematuriac) urgency on urinationd) frequency of urination

87.The nurse is caring for a client following intravesical instillation of an alkylating chemotherapeutic agent into the bladder for the treatment of bladdercancer. Following the instillation, the nurse should instruct the client to:

a) urinate immediatelyb) maintain strict bed restc) changepositionevery 15 minutesd) retain the instillation fluid for 30 minutes

88.The nurse is assessing the stoma of a client following a ureterostomy. Which of the following should the nurse expect to note?

a) a dry stomab) a pale stomac) a dark-colored stomad) a red and moist stoma107.A client suspected of having an abdominal tumor is scheduled for a computed tomography (CT) scan with dye injection. The nurse tells the client that:

a)the testmay be painfulb) the dye injected may cause a warm, flushing sensationc) fluids will be restricted followingthe testd) the test takes approximately 2 hours

108.A client withliver cancerreceivingchemotherapytells the nurse that some foods on the meal tray taste bitter. The nurse would try to limit which food that is most likely to cause this taste for the client?

a) beefb) potatoesc)custardd) cantaloupe12.A client is to undergo weekly intravesicalchemotherapyforbladder cancerfor the next 8 weeks. The nurse interprets that the client understandshow to managethe urine as a biohazard if the client states to:

a) void into a bedpan and then empty the urine into the toiletb) disinfect the urine and toilet with bleach for 6 hours following a treatmentc) purchase extra bottles of scented disinfectant for daily bathroomcleansingd) have one bathroom strictly set aside for the client's use for the 8 weeks3. A male client with a cerebellar brain tumor is admitted to an acute care facility. The nurse formulates a nursing diagnosis of Risk for injury. Which related-to phrase should the nurse add to complete the nursing diagnosis statement?A. Related to visual field deficitsB. Related to difficulty swallowingC. Related to impaired balanceD. Related to psychomotor seizures

10. A female client is receiving methotrexate (Mexate), 12 g/m2 I.V., to treat osteogenic carcinoma. During methotrexate therapy, the nurse expects the client to receive which other drug to protect normal cells?A. probenecid (Benemid)B. cytarabine (ara-C, cytosine arabinoside [Cytosar-U])C. thioguanine (6-thioguanine, 6-TG)D. leucovorin (citrovorum factor or folinic acid [Wellcovorin])

18. The ABCD method offers one way to assess skin lesions for possible skin cancer. What does the A stand for?A. ActinicB. AsymmetryC. ArcusD. Assessment

19. When caring for a male client diagnosed with a brain tumor of the parietal lobe, the nurse expects to assess:A. short-term memory impairment.B. tactile agnosia.C. seizures.D. contralateral homonymous hemianopia.

24. A male client complains of sporadic epigastric pain, yellow skin, nausea, vomiting, weight loss, and fatigue. Suspecting gallbladder disease, the physician orders a diagnostic workup, which reveals gallbladder cancer. Which nursing diagnosis may be appropriate for this client?A. Anticipatory grievingB. Impaired swallowingC. Disturbed body imageD. Chronic low self-esteem

30. The nurse is preparing for a female client for magnetic resonance imaging (MRI) to confirm or rule out a spinal cord lesion. During the MRI scan, which of the following would pose a threat to the client?A. The client lies still.B. The client asks questions.C. The client hears thumping sounds.D. The client wears a watch and wedding band.

55. Mr. Miller has been diagnosed with bone cancer. You know this type of cancer is classified as:A. sarcoma.B. lymphoma.C. carcinoma.D. melanoma.

A client with bladder cancer undergoes surgical removal of the bladder and construction of an ileal conduit. Which data collection findings indicate that the client is developing complications?(2) The stoma appears dusky. (3) The stoma protrudes from the skin. (6) The client experiences sharp abdominal pain and rigidity.

A client is admitted to an acute care facility with esophageal cancer. The incidence of esophageal cancer is highest in:Black males.

A client recently diagnosed with metastatic liver cancer is admitted for hospice care. An acquaintance of the client calls the nurse to ask how the client is doing. Which response by the nurse is most appropriate?I'm not permitted to give you any information about his condition for confidentiality reasons; I'll tell him you were asking about him.

A client who reports increasing difficulty swallowing, weight loss, and fatigue is diagnosed with esophageal cancer. Because this client has difficulty swallowing, the nurse should assign highest priority to:Maintaining a patent airway.

A client with metastatic brain cancer is admitted to the oncology floor. According to the Patient Self-Determination Act of 1991 (PSDA), what is the hospital required to do concerning the execution of advance directives?Inform the client or legal guardian of his right to execute an advance directive.

A home care nurse assesses for disease complications in a client with bone cancer. The nurse knows that bone cancer may cause which electrolyte disturbance?Hypercalcemia