Medical Surgical Midterm Exam 2 - Questions and Answers, Complete Solutions

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Medical Surgical Midterm Exam 2 - Questions and Answers, Complete Solutions Which statement regarding cancer patients and their families is true? A) Having the family around the client as much as pos... sible is always beneficial B) Its important to find a healthy balance in terms of the patient's family time and the patient's alone time C) The families risk for caregiver burnout decreases when the family member is diagnosed with cancer D) The family always knows what's best for the patient The nurse is teaching a client about proper skin care for external radiation treatments. The nurse knows the client understands when the client states: A) "I will wash the area daily with a butadiene solution" B) "I will keep the area covered with an occlusive dressing" C) "I will wear clothing that does not place pressure on the area" D) "I will apply my usual dry skin lotion to the area" A client who is receiving chemotherapy for lung cancer has a very low neutrophil count. Which of the following instructions should be given to the client on discharge? A) Avoid using a manual razor to shave B) Avoid large groups C) Avoid using power tools D) Avoid eating spicy food A nurse is caring for a client who has developed mucositis. The client is being discharges. What discharge instruction should the nurse provide to the client. A) The client should drink iced liquids before each meal B) The client should rinse his/her moth with a commercial mouth wash after every meal. C) The client should rinse his/her mouth with a solution of saline after each meal. D) The client should firmly brush his/her teeth after each meal. The nurse is caring for a client who received an allogenic bone marrow transplant. This type of transplant involves receiving cells from which type of donor? A) An identical twin B) The client C) An Unrelated donor D) A mixture from multiple donors Which of the following is the most common type of breast cancer (80% of cases) and occurs in the milk ducts of the breast? A) Ductal Carcinoma In Situ B) Invasive Ductal Carcinoma C) Infiltrating Lobular Carcinoma D) Paget's Disease Which of the following breast cancers is most commonly diagnosed during pregnancy with the tell tale sign being redness on the chest? A) Ductal Carcinoma In Situ B) Invasive Ductal Carcinoma C) Infiltrating Lobular Carcinoma D) Paget's Disease Which of the following breast cancers causes a crusty scaling around the nipple? A) Ductal Carcinoma In Situ B) Invasive Ductal Carcinoma C) Infiltrating Lobular Carcinoma D) Paget's Disease What genes have been linked to the development of breast cancer? (Select all that apply) A) PSA B) BRACA 1 C) BRACA 2 D) CA125 E) AFP B and C Which of the following patients is at the highest risk of developing breast cancer? A) A male patient who's grandmother died of cancer at 86 B) A female taking estrogen for menopausal symptom management C) A 23-year-old female patient on birth control who's aunt and mother had breast cancer pre-menopause D) A transgender female taking hormone therapy Based off a patients symptoms, assessment data, and blood work results, the nurse suspects the client to have breast cancer. What diagnostic test would confirm this assumption? A) Ultrasound B) Biopsy C) Mammogram D) All of the above What is the most common sign/symptom of breast cancer? A) Inverted nipple B) Redness, swelling, and increased warmth of the nipple or breast skin C) Lump/Swelling in the underarm D) Swollen lymph node above the clavicle Which of the following symptoms is indicative of advanced breast cancer? A) Nipple discharge other than breast milk B) Redness, swelling, and increased warmth of the nipple or breast skin C) Lump/Swelling in the underarm D) Swollen lymph node above the clavicle The extension of breast tissue into the axilla; site of many lymph nodes and the most common site of breast cancer development Tail of Spence What quadrant of the breast is breast cancer most likely to develop in? A) Upper inner quadrant B) Lower inner quadrant C) Lower outer quadrant D) Upper outer quadrant E) The nipple Which of the following would determine how well chemotherapy will work in an oncology patient? A) Lifestyle B) Hormone receptor status C) Stress D) HER2 Status A patient with breast cancer receives the news that she has a positive HER2 status. How will this influence her treatment? A) The cancer will be harder to cure or more likely to come back B) The cancer will be easier to cure and less likely to come back C) The cancer will be difficult to cure but very unlikely to return D) The cancer will be easy to cure but likely to come back A 23-year-old female has breast cancer that is growing very rapidly. Which of the following is most likely to be found in this patient? A) Negative HER2 status B) Positive hormone receptor status C) Positive HER2 status D) Negative hormone receptor status The removal of a lump/tumour; an option of treatment for breast cancer although there is an increased risk for reoccurrence Lumpectomy The removal of the whole breast; a treatment option for breast cancer Mastectomy Swelling due to an abnormal accumulation of lymph fluid within the tissues; patients who receive mastectomys develop ________ since their lymph nodes are removed with their breast Lymphedema The nurse is caring for a patient who's post-op from a mastectomy of the left breast. What should the nurse consider regarding care for this patient? A) They will regain normal function in their left arm within 2-3 weeks B) Blood pressure should only be taken on the right arm C) Apply pressure to the left arm to prevent lymphedema D) Having abnormal function of the arm post-mastectomy is an alarming sign Cancerous tumor of glandular tissue; accounts for 95% of colorectal cancer (AKA polyps) Adenocarcinoma TRUE OR FALSE: The exact cause of colorectal cancer is unknown but we do know incidence increases with age True Rectal polyps can arise from what virus? A) Hepatitis B B) Hepatitis C C) HIV D) HPV Which of the following patients is at the highest risk for developing colorectal cancer? [Show More]

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