Fundamentals of Nursing

Patricia Ann Potter; Anne Griffin Perry; Patricia A Stockert

Chapter 8 Caring for the Cancer Survivor - all with Video Answers

Educators

Chapter Questions

Problem 1

Cancer survivors are at risk for treatment-related problems. Which of the patients listed below has the greatest risk for developing such a problem?
1. An 80 -year-old woman undergoing surgery for removal of a basal cell carcinoma on the face
2. A 71 -year-old man receiving high-dose chemotherapy and radiation for an advanced-stage lymphoma
3. A 26-year-old man receiving chemotherapy for testicular cancer that is localized to the testicle
4. A 48-year-old woman receiving radiation for Hodgkin's disease that involves lymph nodes extending above and below the diaphragm

Ihuoma Tasie

Numerade Educator

01:34

Problem 2

Mr. Wallace is a 34 -year-old who is a 5-year survivor of Hodgkin's disease. He continues to have symptoms related to his chemotherapy treatment. Mr. Wallace is a computer expert and enjoys Internet discussion groups. What is the best resource a nurse can recommend to help him access a survivorship care plan?
1. Association of Cancer Online Resources
2. National Coalition for Cancer Survivorship
3. American Cancer Society
4. National Cancer Institute

Joanna Quigley

Numerade Educator

01:04

Problem 3

A nurse reviews the medical record of a 40 -year-old patient newly admitted to the medical nursing unit for evaluation of diabetes. As the nurse reviews the patient's medical history, she notices that the patient had bladder surgery 3 years ago. Which of the following assessment questions is most appropriate for the nurse to ask to determine if the patient is a cancer survivor?
1. Determining if the patient had additional surgeries recently
2. Assessing the patient's medication history
3. Determining if the surgery was cancer related
4. Assessing if the patient's parents had cancer

Joanna Quigley

Numerade Educator

01:46

Problem 4

A nurse working in a medicine clinic knows that it is important to recognize cancer survivors who are most at risk for posttreatment symptoms. Which of the following patients will likely be at greatest risk for posttreatment symptoms?
1. A 50 -year-old mother of three who was diagnosed with late-stage breast cancer and has hypertension
2. A 20 -year-old male college student diagnosed with leukemia whose father had lung cancer
3. A 32 -year-old Hispanic woman who has been diagnosed with local cervical cancer and receives Medicaid
4. A 72 -year-old African American male who had colorectal cancer with surgery, radiation, and a second round of chemotherapy because of failure of initial treatment and has diabetes

Anna Miller

Numerade Educator

01:59

Problem 5

A 41 -year-old man who underwent a craniotomy for the removal of a brain tumor 6 months ago comes to the clinic for his monthly follow-up visit. In planning your assessment, you anticipate that the patient may possibly experience which of the following late effects of surgery? (Select all that apply.)
1. Pain
2. Fatigue
3. Blurred vision
4. Difficulty breathing
5. Poor attention span

Mariana Roldan

Numerade Educator

01:28

Problem 6

To successfully assess if a patient is experiencing cognitive changes as a result of cancer treatment or complications of treatment, which of the following questions by a nurse is likely most relevant?
1. Describe for me your medication schedule.
2. How distressed are you feeling right now on a scale of 0 to $10 ?$
3. Tell me about when you first noticed symptoms from your chemotherapy.
4. Tell me what you notice differently in your ability to get work done at your office.

Dushyant Barot

Numerade Educator

01:04

Problem 7

A support group of cancer survivors is discussing cancerrelated fatigue (CRF). The survivor most likely to gain relief from CRF is the survivor who does which of the following? (Select all that apply.)
1. Takes naps during the day and evening
2. Drinks energy drinks daily
3. Exercises every other day
4. Eats a balanced diet

Joanna Quigley

Numerade Educator

09:40

Problem 8

Mr. Timmons has been receiving treatment for colon cancer on and off for a year. He received multiple chemotherapy regimens and a course of radiation. The 58 -year-old patient is able to perform his own hygiene but needs assistance from his wife to move about safely in the home because of ongoing fatigue and weakness. His wife assists him with dressing when he becomes excessively tired. This caregiving skill pattern is best described as which of the following?
1. The self-caregiving pattern
2. The collaborative care pattern
3. The family caregiving pattern
4. The team caregiving pattern

Lara Gossage

Numerade Educator

01:01

Problem 9

Fill in the Blank. The period during which a cancer patient goes into remission following the basic, rigorous course of chemotherapy and enters a phase of watchful waiting, is called

Asma Venkitta

Numerade Educator

01:28

Problem 10

A nurse in an oncology outpatient clinic has been seeing a woman and her husband since the woman was diagnosed with breast cancer. Sometimes the husband appears supportive, asking questions about his wife's care. At other times the husband seems easily distracted and uninterested. The nurse decides to reassess the psychosocial condition of the patient and her husband. Which of the following questions best elicits needed psychosocial information?
1. "In what way does the pain you have affect you on a daily basis?"
2. "Describe to me what you eat in a typical day.
3. "Tell me how you think you and your husband are dealing with your cancer.
4. "Are the two of you having any relational difficulties because

Dushyant Barot

Numerade Educator

04:10

Problem 11

Katie, a child in remission for leukemia, and her mother come to the pediatrician's office for a routine physical examination. The nurse asks Katie about whether she is having continued symptoms. Her mom says," I don't know why you want all of this information about Katie's cancer treatment. The leukemia is gone." The best response from the nurse in support of the child and mother would be:
1. "The doctor likes to keep the records complete on all of her patients."
2. "Just because Katie is in remission does not mean that it will stay that way"
3. "It is common for children to have delayed effects from treatment, so we need to know this to plan Katie's care properly."
4. "I understand your concern. If you don't want to provide the information, sign this release form."

Rashmi Sinha

Numerade Educator

04:30

Problem 12

Mr. Stewart is a 62 -year-old patient diagnosed with prostate cancer who underwent surgical removal of the prostate 3 days ago. He lives with his wife at home. The nurse is planning to provide discharge instructions for the patient. What would be the most effective initial question to ask of the patient and family in determining the approach to discharge instructions?
1. "Mr. Stewart, have you had surgery in the past?"
2. "The doctor has ordered you to go home with a urinary catheter. Tell me how you think you can manage this."
3. "Mrs. Stewart, do you find it difficult to look at your husband's incision? If so, tell me how you feel."
4. "Mr. Stewart, describe for me how much your wife normally helps you at home and what you can do on vour own."

James Kiss

Numerade Educator

03:42

Problem 13

A 62 -year-old patient is being admitted to a surgical unit for a total hip replacement. The nurse reviews his medical record and learns that the patient has a history of impaired liver function and paresthesias in his feet. After assessing the patient's medical history further, the nurse is not sure what caused the liver impairment or paresthesia. To clarify, an appropriate question to ask the patient is which of the following?
1. "Have you been treated for cancer in the past?"
2. "What is the nature of your liver problem?"
3. "Has the doctor discussed with you whether your liver problems will affect your recovery from surgery?"
4. "How long have you had the numbness and tingling in your feet?"

Ben Nicholson

Numerade Educator

04:12

Problem 14

Ben, a 3 l-year-old nursing student, is caring for Maria, a 45-year-old Latina woman who is receiving chemotherapy following surgery for breast cancer. Based on the evidence about cultural influences on cancer patients, Ben knows that which factor will likely influence this patient's ability to cope with her cancer?
1. Transportation resources to the oncology clinic
2. Whether the patient's physician is male or female
3. The stigma family members place on cancer
4. The level of social support available to the patient

Ihuoma Tasie

Numerade Educator

02:30

Problem 15

Caring for a patient with cancer is unique because of the effects of the disease and associated treatment. An understanding of a patient's symptom experience is critical and best revealed by a nurse asking which of the following questions? (Select all that apply.)
1. "What symptoms do you think you are having as a result of your cancer?"
2. "Describe for me how the symptoms affect you in your daily life.
3. "Let's focus on your pain. Tell me how it affects you.
4. "Can you describe for me how your family provides care for your symptoms?"

Mishal Gul

Numerade Educator