Oncology Study Guide

Topics: Cancer, Breast cancer, Metastasis Pages: 27 (22579 words) Published: October 7, 2014
Question 1:
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Which of the following observations should the nurse make first when the client who has had a modified radical mastectomy returns from the operating room to the recovery room? You selected:
Ensuring that the client’s airway is free of obstruction. Correct

Explanation:
The highest priority when a nurse receives a client from the operating room is to assess airway patency. If the airway is not clear, immediate steps should be taken so that the cli... (more) The highest priority when a nurse receives a client from the operating room is to assess airway patency. If the airway is not clear, immediate steps should be taken so that the client is able to breathe. Vital signs can be assessed after airway patency is assured. Assessing the patency and functioning of drainage tubes can be done after the airway is assessed and vital signs are taken. The dressing can be assessed once airway patency has been determined. (less)

Question 2:
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The nurse is preparing a community presentation on oral cancer. Which of the following is a primary risk factor for oral cancer that the nurse should include in the presentation? You selected:
Use of alcohol.
Correct

Explanation:
Chronic and excessive use of alcohol can lead to oral cancer. Smoking and use of smokeless tobacco are other significant risk factors. Additional risk factors include chronic irrit... (more) Chronic and excessive use of alcohol can lead to oral cancer. Smoking and use of smokeless tobacco are other significant risk factors. Additional risk factors include chronic irritation such as a broken tooth or ill-fitting dentures, poor dental hygiene, overexposure to sun (lip cancer), and syphilis. Use of mouthwash, lack of vitamin B12, and lack of regular teeth cleaning appointments have not been implicated as primary risk factors for oral cancer. (less)

Question 3:
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The nurse is instructing a client on how to care for skin that has become dry after radiation therapy. Which of the following statements by the client indicates that the client understands the teaching? You selected:

"It is safe to apply a nonperfumed lotion to my skin."
Correct

Explanation:
Irradiated skin can become dry and irritated, resulting in itching and discomfort. The client should be instructed to clean the skin gently and apply nonperfumed, nonirritating lot... (more) Irradiated skin can become dry and irritated, resulting in itching and discomfort. The client should be instructed to clean the skin gently and apply nonperfumed, nonirritating lotions to help relieve dryness. Taking an antihistamine does not relieve the skin dryness that is causing the itching. Heat should not be applied to the area because it can cause further irritation. Medicated ointments, especially corticosteroids, which is controversial, should not be applied to the skin without the order of the radiation therapist. (less)

Question 4:
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A nurse is administering daunorubicin (Daunoxome/Cerubidine) through a peripheral I.V. line when the client complains of burning at the insertion site. The nurse notes no blood return from the catheter and redness at the I.V. site. The client is most likely experiencing which complication? You selected:

Extravasation
Correct

Explanation:
The client is exhibiting signs of extravasation, which occurs when the medication leaks into the surrounding tissues and causes swelling, burning, or pain at the injection site. Er... (more) The client is exhibiting signs of extravasation, which occurs when the medication leaks into the surrounding tissues and causes swelling, burning, or pain at the injection site. Erythema is redness of the skin that results from skin irritation. Flare is a spreading of redness that occurs as a result of drawing a pointed instrument across the skin. Thrombosis is the formation of clot within the vascular system. (less)

Question 5:
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