Care of patients with cancer

Which type of surgery is performed to remove tissues that are at risk of becoming cancerous?

Breast reconstruction after a mastectomy is an example of which surgery type?

What does the phrase chemo brain refer to?
Reduction in cognitive function related to chemotherapy

Which oncologic emergency is a positive sign of the effectiveness of chemotherapy?
Tumor Lysis Syndrome

Which statement made by a client allows the nurse to recognize whether the client receiving brachytherapy for ovarian cancer understands the treatment plan?
I will have a radioactive device in my body for a short amount of time.

Which manifestation of an oncologic emergency requires the nurse to contact the health care provider immediately?
New onset of fatigue
Edema of arms and hands
Dry cough
Weight gain
Edema of arms and hands

Edema of the arms and hands indicates worsening compression of the superior vena cava consistent with superior vena cava syndrome. The compression must be relieved immediately, often with radiation therapy, because death can result without timely intervention. New onset of fatigue may likely be an early manifestation of hypercalcemia, which usually develops slowly, but because it is an early manifestation, this is not the priority. Dry cough is not a manifestation that is specific to an oncologic emergency; however, it may be a side effect of chemotherapy. Weight gain could be an early sign of syndrome of inappropriate antidiuretic hormone (SIADH); although this should be addressed, it is an early sign so it is not the priority.

1. What statement indicates that the client understands teaching about neutropenia? a. “I need to use a soft toothbrush.” b. “I have to wear a mask at all times.” c. “My grandchildren may get an infection from me.” d. “I …

Which manifestations of shock are a result of compensatory mechanisms to maintain circulating blood volume? A) Edema and weight gain B) Confusion and lethargy C) Decreased urine output and thirst D) Increased pulse and respiratory rates (Chp. 37; p. 746) …

Rheumatoid Arthritis (RA) PATHOPHYSIOLOGY Inflammation of synovial membranes; destruction of bones, ligaments, tendons, cartilage, and joint capsule Osteoarthritis (OA) PATHOPHYSIOLOGY Degeneration of cartilage from wear and tear; bone spur formation Rheumatoid Arthritis (RA) JOINTS MOST COMMONLY AFFECTED Symmetrical joint involvement …

1. A client presents with elevations in triiodothyronine (T3) and thyroxine (T4) and with normal thyroid-stimulating hormone (TSH) levels. Which is the nurse’s priority intervention? a. Administer levothyroxine (Synthroid). b. Administer propranolol (Inderal). c. Monitor the apical pulse. d. Assess …

Which explanation best assists a client in differentiating type 1 diabetes from type 2 diabetes? Most clients with type 1 diabetes are born with it. People with type 1 diabetes are often obese. Those with type 2 diabetes make insulin, …

After being seen in the oncology clinic, a client with severe bone marrow suppression is admitted to the hospital. The client’s cancer therapy consisted of radiation and chemotherapy. When developing the care plan for this client, which nursing diagnosis takes …

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