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Chapter 08 - Fundamentals of Nursing 9th edition - test bank
Nursing I (Rowan College of South Jersey)
Chapter 08: Caring for the Cancer Survivor
Chapter 08: Caring for the Cancer Survivor
Potter et al.: Fundamentals of Nursing, 9th Edition
MULTIPLE CHOICE
- A nurse is working on a cancer unit. The unit uses the National Coalition for Cancer Survivorship
definition for a cancer survivor. Which definition will the nurse use?
- Been cancer free for 5 years after diagnosis
- Been cancer free for 3 years after diagnosis
- Had cancer and is declared cancer free
- Had cancer and extends until death
ANS: D
Cancer survivorship begins at the time of cancer diagnosis, includes treatment, and extends to the rest of the person's life. Being cancer free for any length of time does not relate to the definition of a cancer survivor put forth by the National Coalition for Cancer Survivorship.
DIF:Understand (comprehension)REF:90
OBJ: Discuss the concept of cancer survivorship. TOP: Implementation
MSC: Physiological Adaptation
- A nurse is providing follow-up care for cancer survivors. Which condition should the
nurse most monitor for in these patients?
- Cancer
- Infection
- Weight gain
- Low blood pressure
ANS: A
Cancer survivors are at increased risk for cancer (either a recurrence of the cancer for which they were treated or a second cancer). The increased risk for developing a second cancer is the result of
cancer treatment, genetic factors or other susceptibility, or an interaction between treatment and susceptibility. Infection, weight gain, and low blood pressure are not common conditions for cancer survivors.
DIF:Apply (application)REF:91
OBJ: Describe the influence of cancer survivorship on patients' quality of life.TOP: Assessment MSC: Physiological Adaptation
- A nurse is assessing a cancer survivor for chemotherapy-induced peripheral neurotoxicity (CPIN).
Which assessment finding is consistent with CPIN?
- Hearing loss
- Devastating depression
- Extreme loss of motor functioning
- Numbness and tingling in hands and feet
ANS: D
Chemotherapy-induced peripheral neurotoxicity (CPIN) refers to peripheral nerve damage resulting from the effects of certain chemotherapeutic agents. Damage to large sensory nerves causes
feelings of numbness and tingling in the hands and feet. Motor function may also be affected, but usually to a lesser degree than sensory function. Hearing loss and depression are not signs and symptoms of CPIN.
DIF:Apply (application)REF:91
OBJ: Describe the influence of cancer survivorship on patients' quality of life.TOP: Assessment MSC: Physiological Adaptation
- A cancer survivor is in the intensive care unit (ICU). Some of the patient's family is from out of
town and would like to see the patient even though it is not "official" visiting hours. The patient is anxious to see family members. The nurse allows the family to visit. What is the rationale for the nurse's actions?
- The nurse disagrees with the established time for visiting.
- The nurse realizes that the patient is dying.
- The nurse feels there is no real reason to have limited visiting hours.
- The nurse believes that the visit will help relieve psychological stress.
ANS: D
Survivors who have social and emotional support systems are likely to have less psychological distress. Relationships are critical for cancer survivors. The nurse does not necessarily have
problems with the standard visiting hours. Not enough information is provided to indicate that the patient is near death, and not all patients in the ICU are dying.
DIF:Apply (application)REF:93
OBJ: Describe the influence of cancer survivorship on patients' quality of life.TOP: Implementation MSC: Psychosocial Integrity
- A nurse is taking a history on a patient with cancer. Which assessment is priority?
- Fatigue
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