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Q40. A nurse is providing teaching to a female client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?

Q15. After a 48-yr-old patient has had a modified radical mastectomy, the pathology report identifies the tumor as an estrogen-receptor positive adenocarcinoma. Which medication would the nurse plan to explain to the patient?

Q44. A nurse is caring for a client following the surgical placement of a colostomy. Which of the following statements indicates the client understands the dietary teaching? 

Q4. A nurse is preparing to administer moxifloxacin 400 mg by intermittent IV bolus over 60 min. Available is moxifloxacin 400 mg in 250 mL dextrose 5% (D5W). The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Q5. The order for chemotherapy reads: “Give asparaginase (Elspar) IV 200 units/kg/day.” The patient weighs 297 lb. The pharmacy department will prepare the medication for intravenous infusion. How much drug will be given per dose?

Q7. During a routine health examination, a 40-year-old patient tells the nurse about a family history of colon cancer. Which action would the nurse take first?

Q9. The nurse teaches a patient who is scheduled for a prostate needle biopsy about the procedure. Which statement by the patient indicates that teaching was effective?

Q1. A 48-year-old woman had a lumpectomy after being diagnosed with carcinoma in the left breast. She had her first chemotherapy treatment with cyclophosphamide 2 months ago. Today she is in the outpatient cancer treatment center for her sixth round of chemotherapy; radiation therapy is planned after the tenth chemotherapy treatment is completed. The nurse documents these findings as part of today’s admission assessment: Reports “feeling tired often.” “I have had diarrhea five or six times a day.” “I don’t have much of an appetite.” “I have noticed some blood in my urine, starting yesterday.” “My food doesn’t have any taste to it at all.” The patient has alopecia. Oral mucosa is inflamed with some ulcerations noted in the cheek areas. Vital signs: Temp. 100.5°F (38.1°C), P 88, R 12, BP 118/72 Choose the most likely options for the information missing from the statement, below, by selecting from the list of options provided.The nurse recognizes that, based on the assessment data and patient’s history, the patient is currently at risk for complications, including __________, _________, and __________.

Q16. The nurse is teaching a patient about breast self-examination. Which area on the accompanying illustration would the nurse identify as the area that most breast cancers are located?

Q2. A 48-year-old woman had a lumpectomy after being diagnosed with carcinoma in the left breast. She had her first chemotherapy treatment with cyclophosphamide 2 months ago. Today, she is in the outpatient cancer treatment center for her sixth round of chemotherapy; radiation therapy is planned after the tenth chemotherapy treatment is completed. The nurse documents these findings as part of today’s admission assessment:           Reports “feeling tired often.”           “I have had diarrhea five or six times a day.”           “I don’t have much of an appetite.”           “I have noticed some blood in my urine, starting yesterday.”           “My food doesn’t have any taste to it at all.”           The patient has alopecia.           Oral mucosa is inflamed with some ulcerations noted in the cheek areas.           Vital signs: Temperature 100.5°F (38.1°C), Pulse 88, Respirations 12, blood pressure 118/72 2. NGN Item  Select a two nursing actions ___________, ____________ and indicate which actions listed in the left column ____________, _____________, _____________, _____________ would be included in the plan of care for this patient, (implementation). Nursing Actions Implementation A) Instruct the patient to drink small amounts of water frequently.  A) Instruct the patient to drink small amounts of water frequently.  B) Suggest a referral for nutritional counseling. B) Suggest a referral for nutritional counseling. C) Instruct the patient to use a firm toothbrush to ensure complete cleaning of the oral cavity. C) Instruct the patient to use a firm toothbrush to ensure complete cleaning of the oral cavity. D) Administer antiemetics when beginning chemotherapy. D) Administer antiemetics when beginning chemotherapy. E) Administer acetaminophen before treatment with interferons, and every 4 hours after treatment. E) Administer acetaminophen before treatment with interferons, and every 4 hours after treatment. F) Monitor for ECG changes and signs of heart failure. F) Monitor for ECG changes and signs of heart failure.