1. A nurse who is teaching smoking cessation to a group of healthy adult smokers is

NUR 108 Cancer

• A nurse who is teaching smoking cessation to a group of healthy adult smokers is

participating in what type of prevention activity?

• Primary
• Secondary
• Tertiary
• Non specific

Answer

• Primary

• The nurse teaches the client with chronic cancer pain about optimal pain control. Which of

the following recommendations is most effective for pain control?

• Get used to some pain and use less medication to avoid addiction
• Take prescribed analgesics following around-the-clock dosing to prevent recurrent pain
• Take pain medicine only when pain returns
• Take enough pain medicine around the clock to enable so you can sleep 12 hours per day to

block pain

Answer

• Take prescribed analgesics following around-the-clock dosing to prevent recurrent pain

• A client with cancer is being cared for by a new nurse. His pain is increasing in severity. The

nurse recognizes that effective pain management care plan would include the following interventions. Select all that apply

• Admin long acting or sustained release oral pain medications regularly around-the-clock
• Admin immediate-release medication for breakthrough pain
• Avoid long acting opioids due to concerns about addiction
• Use music for distraction
• Substitute acetaminophen for all narcotics to decrease risk of opioid tolerance
• Use pian rating scale to measure effectiveness of interventions

Answer A, B, D & F 1 / 3

• When assessing the client with lung cancer that appears dyspneic, the nurse observes which

of the following behaviors?

• Euphoria
• Anger
• Anxiety
• Laziness

Answer

• Anxiety

• The nurse is planning care for a 37 year old client undergoing high dose chemo. What

should the nurse consider as the most reliable early indicator of infection in a neutropenic client?

• Fever
• Chills
• Tachycardia
• Dyspnea

Answer

• Fever

• A 16 yr old client with cancer expresses concern about hair loss to their nurse. Which

statement best supports expression of the client's concerns?

• "I completely understand how you feel. Don't worry, your hair will grow back"
• "Yes that would be scary to lose your hair. You are right to feel that way"
• "If I were you, I would check the latest research on ways to promote hair growth"
• "Tell me more about your concerns"

Answer

• Tell me more about your concerns

• Cancer

Answer Uncontrolled and unregulated growth of cells 2nd most common cause of death in US 2 / 3

• Prevention and Early Detection of Cancer

Answer Limit alcohol use Get regular physical activity

Maintain a normal body weight Obtain regular colorectal screenings Avoid cigarette smoking and other tobacco use Get regular mammograms and pap tests Use sunscreen with SPF 15 or higher Practice health dietary habits, reduced fat consumption and increased fruit and vegetable consumption

• Benign Neoplasm

Answer Well differentiated

Retain most the morphologic and functional characteristics of the normal cells, but have excessive growth, no metastasis.Mode of growth - replication and mitosis, no metastasis, expansive Usually encapsulated, slightly vascular, fairly normal cell characteristics Recurrence rare

• Malignant Neoplasm

Answer Cells can invade and metastasize, abnormal growth patterns, multiple abnormal functions

Range from well differentiated to undifferentiated Major difference from benign is ability to invade other tissue and metastasize Rarely encapsulated, cells abnormal and become more unlike parent cells Moderate to marked vascularity Mode of growth is infiltrative and expansive Possible recurrence

• Grade

Answer The appearance of cells and the degree of differentiation are evaluated pathologically.Histologic examination of cell appearance

• grades used based on the degree to which the cells resemblance to original tissue
• / 3