Advance Oncology Nursing Flashcards

The 32-year-old patient sees the nurse for the first time following having a left mastectomy. When asked how she is doing, the woman replies that her appetite is still not great, she is not sleeping well since she waits to go to bed until her husband is asleep, and she is quite eager to start working again. Which nursing interventions from the list below should the nurse look into to address the client's present needs?

Answer: Ask open-ended questions about sexuality issues related to her mastectomy

The client's comments seem to indicate that by waiting until her spouse is sleeping before going to bed, she is avoiding intimacy with him. It is appropriate for a client who has had a mastectomy to talk about sexuality difficulties.

Disseminated intravascular coagulation (DIC) is one of the most dangerous blood coagulation side effects for cancer patients and those receiving cancer therapy. This bleed disorder's most typical cause is:

Answer: Sepsis

The Hageman factor, also known as coagulation factor XII, is activated by bacterial endotoxins generated by gram-negative bacteria. By inhibiting coagulation through the homeostasis pathway, this substance also promotes fibrinolysis.

An operation called a pneumonectomy is occasionally required to treat non-small-cell lung cancer. When performing a pneumonectomy, removal of:

Answer: An entire lung field

An full lung field is removed during a pneumonectomy, which is used to treat non-small cell lung cancer that has not spread outside of the lung tissue. Patients who will have sufficient lung function in the unaffected lung are candidates for the procedure.

Nine days after chemotherapy, a 36-year-old cancer patient exhibits warning signs of impending septic shock. Which of the following would the nurse anticipate to be present?

Answer: Low-grade fever, chills, tachycardia

One would anticipate that the patient will have compromised immunity nine days following chemotherapy. Changes in heart function, vascular resistance, cellular metabolism, and capillary permeability are reflected in the clinical manifestations of shock. Tachycardia, flushing, and a low-grade temperature could be the first indications of shock.

Which of the following best describes the nursing intervention for a patient with pruritus brought on by cancer or treatment-related itching?

Answer: Medicated cool baths

Nursing interventions that prevent vasodilation, lessen anxiety, and maintain skin integrity and hydration all help to lessen the discomfort of pruritus. Salicylic acid or colloidal oatmeal baths can provide comforting short relief.

For recurrent breast cancer, a 56-year-old lady is currently undergoing radiation treatment to the chest wall. She makes a phone call to her doctor to let them know that she is having chest pain, burning, and difficulty swallowing. Which of the following radiation therapy side effects is A. She likely has radiation enteritis, therefore what's causing her symptoms?

Answer: Esophagitis

Esophagitis is a typical side effect of radiation therapy for the chest wall and is characterized by difficulty swallowing, pain, and tightness in the chest.

A male patient is hospitalized to an acute care center with a cerebellar brain tumor. Risk of damage is the nursing diagnostic made by the nurse. Which term should the nurse add as a "related-to" to finish the nursing diagnosis statement?

Answer: Related to impaired balance

A patient with a cerebellar brain tumor may experience balance issues, abnormal walking patterns, and lack of coordination.