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VN 1105-Chapter 56: Care of the Patient with Cancer-Nursing test bank

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Chapter 56: Care of the Patient with Cancer Cooper and Gosnell: Foundations and Adult Health Nursing, 7th Edition MULTIPLE CHOICE 1.A patient has developed stomatitis from chemotherapy. What shoul... d the appropriate intervention for this condition include? a. Instruction in the following of a liquid diet b. Using a commercial mouthwash after each meal c. Cleaning teeth with a cotton swab dipped in hydrogen peroxide d. Using a soft toothbrush ANS: D The use of a soft toothbrush to clean the teeth and rinsing with normal saline or soda will prevent added dis- comfort and bleeding. PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 2029 OBJ: 13 TOP: Stomatitis KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 2.Which of the following men should be highest priority for referral for a prostate-specific antigen (PSA)? a. 43-year-old Hispanic man b. 45-year-old African American man c. 49-year-old Korean man d. 50-year-old Native American man ANS: B African American men are a high-risk population for prostate cancer. Orientals and Native Americans have a relatively low incidence of prostate cancer. PTS: 1 DIF: Cognitive Level: Analysis REF: Page 2020 OBJ: 3 TOP: PSA testing KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 3.A patient, age 56, has been advised that his prostate-specific antigen (PSA) level is elevated. The physician then performed a digital rectal examination (DRE). What should the next definitive diagnostic test be? a. CA-125 test b. Transrectal ultrasound c. Needle biopsy of the prostate d. MRI ANS: B Men over the age of 50 should be advised to have a prostate-specific antigen (PSA) test and rectal examination once a year. Two other screening methods—DRE and transrectal ultrasonography (TRUS)—are used alone and in combination in the early detection of prostate cancer. PTS: 1 DIF: Cognitive Level: Analysis REF: Page 2025 OBJ:11TOP:Prostate cancer KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity 4. How would the nurse explain to the patient who is taking cyclophosphamide (Cytoxan), an alkylating agent, about how the medication works? CONTINUED........ [Show More]

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