Med-Surg II 1 Welcome to your MSII Cancer 1. An older adult client with a history of chronic obstructive pulmonary disease (COPD) is admitted to the medical-surgical unit. The client is experiencing exacerbation of symptoms, including increased shortness of breath and decreased oxygen saturation levels. The nurse is planning care for the client and identifies the need for oxygen therapy. Which action by the nurse is most appropriate? Administer oxygen at a rate of 2 liters per minute via nasal cannula. Provide oxygen at a rate of 6 liters per minute using a non-rebreather mask. Use a Venturi mask to deliver oxygen at a precise concentration. Encourage deep breathing exercises without supplemental oxygen. None 2. An older adult client is admitted to the medical-surgical unit with a diagnosis of heart failure. The nurse is conducting an initial assessment and identifies the client's risk for impaired skin integrity. Which nursing intervention is most appropriate to address this common problem in older adults with chronic illnesses? Apply moisturizing lotion to the client's skin daily. Position the client in a 30-degree lateral position. Encourage the client to ambulate in the room every 2 hours. Use a pressure-reducing mattress for the client's bed None 3. An older adult client with a history of osteoarthritis is admitted to the medical-surgical unit. The nurse is planning care and recognizes the need to address the client's mobility challenges. Which nursing intervention is most appropriate for promoting mobility and joint function in the older adult with osteoarthritis? Encourage the client to engage in weightlifting exercises for muscle strength. Instruct the client to avoid physical activity to prevent further joint damage. Implement a regular low-impact exercise program, such as walking or swimming. Apply heat packs to the affected joints to alleviate pain and stiffness None 4. The nurse is providing care to an older adult client who presents with unexplained injuries, changes in behavior, and reluctance to communicate. The nurse suspects the possibility of elder abuse. What is the most appropriate initial action by the nurse? Document the findings and report them to the healthcare provider. Confront the family members suspected of elder abuse directly. Notify the local law enforcement agency about the suspected abuse. Discuss the concerns with the client privately in a safe environment. None 5. An older adult client is taking multiple medications for various chronic conditions. The nurse assesses the client and notes signs of confusion, dizziness, and increased falls. The nurse suspects the adverse effects of polypharmacy. What is the most appropriate nursing action? Discontinue all medications immediately to prevent further complications. Consult with the healthcare provider to review and simplify the medication regimen. Advise the client to continue taking all medications as prescribed. Administer an over-the-counter antihistamine to alleviate symptoms. None 6. A middle-aged client is seeking information about cancer prevention during a routine healthcare visit. The nurse discusses various risk factors associated with cancer development. Which statement by the client indicates a correct understanding of modifiable risk factors for cancer? "My family history doesn't matter; it's all about genetics." "I should avoid exposure to secondhand smoke to reduce my risk." "Cancer only happens to people who live in polluted urban areas." "There's nothing I can do about my age; cancer is inevitable." None 7. A nurse is providing education to a group of adults about cancer detection and screening. Which statement by a participant indicates a correct understanding of cancer screening guidelines? "I should only get screened for cancer if I experience symptoms." "Regular mammograms are recommended for women starting at age 50." "Colonoscopies are necessary every five years for individuals over 40." "Prostate-specific antigen (PSA) testing is routine for all men, regardless of age." None 8. A nurse is conducting a cancer prevention workshop for a group of adults. One participant asks about lifestyle modifications to reduce the risk of cancer. Which response by the nurse reflects accurate information regarding cancer prevention? "Smoking cessation is essential for lung cancer prevention, but diet has no impact on cancer risk." "Regular exercise and maintaining a healthy weight can lower the risk of certain cancers." "Sunscreen is only necessary for preventing skin cancer; it doesn't affect other types of cancer." "Limiting alcohol intake is irrelevant to cancer prevention; it primarily affects liver health." None 9. A nurse is assessing a client with a suspected diagnosis of cancer. What assessment finding is indicative of the potential presence of cancer? Elevated blood pressure Unexplained weight loss Increased heart rate Elevated blood glucose levels None 10. A nurse is providing nutritional counseling to a client undergoing cancer treatment. The client expresses concerns about maintaining adequate nutrition during chemotherapy. Which dietary recommendation is most appropriate for the nurse to provide? Increase intake of high-fiber foods to promote bowel regularity. Consume a low-protein diet to ease the workload on the kidneys. Opt for raw fruits and vegetables to maximize nutrient content. Focus on small, frequent meals and include protein-rich foods. None 11. A client undergoing radiation therapy for head and neck cancer is experiencing mucositis and difficulty swallowing. Which dietary recommendation is most appropriate for the nurse to provide to address these symptoms? Encourage the consumption of spicy foods to stimulate saliva production. Suggest a soft, bland diet with pureed or mashed foods. Advocate for the intake of hot beverages to soothe the throat. Recommend acidic foods to enhance taste perception. None 12. A nurse is caring for a client with advanced cancer experiencing severe pain. The client is currently on opioid analgesics, but the pain is not adequately controlled. What is the most appropriate nursing intervention to address the client's pain? Encourage the client to tough it out to avoid excessive medication use. Administer additional doses of the current opioid as prescribed. Suggest non-pharmacological interventions, such as guided imagery. Withhold pain medication temporarily to assess the client's pain threshold. None 13. A nurse is caring for an older adult client newly diagnosed with cancer. What gerontological considerations should the nurse prioritize when planning the client's care? Focus on aggressive and intensive treatment options to maximize outcomes. Be cautious with medication dosages due to potential age-related changes in metabolism. Encourage the client to avoid discussing the emotional aspects of cancer to reduce stress. Assume the client has limited cognitive abilities and involve family members in decision-making. None 14. A nurse is caring for a client recently diagnosed with cancer. The client expresses feelings of anxiety, fear, and uncertainty about the future. What is the most appropriate nursing intervention to provide psychosocial support to the client? Encourage the client to avoid discussing cancer-related emotions to prevent distress. Provide information on treatment options and potential side effects to alleviate anxiety. Recommend the use of relaxation techniques to cope with emotional distress. Suggest isolation from family and friends to allow the client time for personal reflection. None 15. A nurse is providing care to a client with advanced cancer receiving palliative care. The client expresses the desire to stop aggressive treatments and focus on comfort measures. What is the most appropriate nursing action in supporting the client's end-of-life care wishes? Advocate for the continuation of aggressive treatments to maximize life expectancy. Encourage the client to discuss the decision with family members before making a choice. Respect the client's autonomy and collaborate with the healthcare team to implement comfort measures. Persuade the client to reconsider and explore alternative treatment options. None 16. A nurse is caring for a client receiving chemotherapy for the treatment of cancer. The client reports experiencing severe nausea and vomiting as side effects of the chemotherapy. What is the most appropriate nursing intervention to manage the client's nausea and vomiting? Administer an antiemetic as prescribed and encourage the client to rest. Withhold the chemotherapy medication to prevent further side effects. Advise the client to increase fluid intake to dilute the effects of the chemotherapy. Suggest the client skip meals to avoid triggering nausea. None 17. A nurse is caring for a client receiving chemotherapy for the treatment of cancer. The client expresses concerns about potential side effects and asks the nurse about strategies to minimize the risk of chemotherapy-induced complications. What is the most appropriate nursing response? Administer an antiemetic as prescribed and encourage the client to rest. Withhold the chemotherapy medication to prevent further side effects. "Stay well-hydrated and follow your healthcare provider's recommendations for physical activity." "Skip any prescribed antiemetics to allow your body to naturally process the chemotherapy." None 18. A nurse is caring for a client diagnosed with chronic myeloid leukemia (CML) who is prescribed imatinib (Gleevec). The client asks the nurse about the purpose of Gleevec. What is the most accurate nursing response regarding the mechanism of action of Gleevec in the treatment of leukemia? "Gleevec directly kills leukemia cells by disrupting their DNA." B) "Gleevec enhances the body's immune system to target and destroy leukemia cells." C) "Gleevec prevents the growth of blood vessels that supply nutrients to leukemia cells." D) "Gleevec inhibits tyrosine kinase activity, blocking leukemia cell proliferation." None 19. A nurse is caring for a client with chronic myeloid leukemia who is prescribed interferon alfa-2b (Intron A). The client asks the nurse about the purpose of Intron A. What is the most accurate nursing response regarding the mechanism of action of Intron A in the treatment of leukemia? A) "Intron A directly kills leukemia cells by disrupting their DNA." B) "Intron A enhances the body's immune system to target and destroy leukemia cells." C) "Intron A prevents the growth of blood vessels that supply nutrients to leukemia cells." D) "Intron A interferes with viral replication, suppressing leukemia cell proliferation." None 20. A nurse is caring for a client with hairy cell leukemia who is prescribed interferon alfa-2a (Roferon-A). The client asks the nurse about the purpose of Roferon-A. What is the most accurate nursing response regarding the mechanism of action of Roferon-A in the treatment of leukemia? "Roferon-A directly kills leukemia cells by disrupting their DNA." "Roferon-A enhances the body's immune system to target and destroy leukemia cells." "Roferon-A prevents the growth of blood vessels that supply nutrients to leukemia cells." "Roferon-A modulates immune response and inhibits leukemia cell proliferation." None 21. A nurse is caring for a client undergoing radiation therapy for the treatment of cancer. The client asks about potential side effects of radiation. What is the most accurate nursing response regarding common side effects of radiation therapy? "Radiation therapy doesn't typically cause any side effects; it's a targeted treatment." "You may experience fatigue, skin changes, and localized hair loss in the treated area." "Radiation only affects the cancer cells, so you won't feel any different during treatment." "You might notice immediate pain and discomfort, but it will subside after a few days." None 22. A nurse is caring for a client receiving chemotherapy for the treatment of cancer. The client reports experiencing severe nausea and vomiting as side effects of the chemotherapy. What is the most appropriate nursing intervention to manage the client's nausea and vomiting? Administer an antiemetic as prescribed and encourage the client to rest. Withhold the chemotherapy medication to prevent further side effects. Advise the client to increase fluid intake to dilute the effects of the chemotherapy. Suggest the client skip meals to avoid triggering nausea. None 23. A nurse is caring for a client diagnosed with chronic myeloid leukemia (CML) who is prescribed imatinib (Gleevec). The client asks the nurse about the purpose of Gleevec. What is the most accurate nursing response regarding the mechanism of action of Gleevec in the treatment of leukemia? "Gleevec directly kills leukemia cells by disrupting their DNA." "Gleevec enhances the body's immune system to target and destroy leukemia cells." "Gleevec prevents the growth of blood vessels that supply nutrients to leukemia cells." "Gleevec inhibits tyrosine kinase activity, blocking leukemia cell proliferation." None 24. A nurse is caring for a client receiving targeted therapy as part of cancer treatment. The client asks the nurse about the purpose of targeted therapy. What is the most accurate nursing response regarding the mechanism of action of targeted therapy in cancer treatment? "Targeted therapy directly kills cancer cells by disrupting their DNA." "Targeted therapy enhances the body's immune system to target and destroy cancer cells." "Targeted therapy prevents the growth of blood vessels that supply nutrients to cancer cells." "Targeted therapy inhibits specific molecules or pathways essential for cancer cell survival and growth." None 25. A nurse is caring for a client receiving antimetabolite therapy as part of cancer treatment. The client asks the nurse about the purpose of antimetabolites. What is the most accurate nursing response regarding the mechanism of action of antimetabolites in cancer treatment? "Antimetabolites directly kill cancer cells by disrupting their DNA." "Antimetabolites enhance the body's immune system to target and destroy cancer cells." "Antimetabolites prevent the growth of blood vessels that supply nutrients to cancer cells." "Antimetabolites interfere with the synthesis of DNA and RNA, inhibiting cancer cell replication." None 26. A nurse is caring for a client receiving methotrexate as part of cancer treatment. The client asks the nurse about the action of methotrexate. What is the most accurate nursing response regarding the mechanism of action of methotrexate in cancer treatment "Methotrexate directly kills cancer cells by disrupting their DNA." "Methotrexate enhances the body's immune system to target and destroy cancer cells." "Methotrexate prevents the growth of blood vessels that supply nutrients to cancer cells." "Methotrexate inhibits dihydrofolate reductase, interfering with DNA synthesis in cancer cells." None 27. A nurse is caring for a client receiving cytarabine as part of cancer treatment. The client asks the nurse about the action of cytarabine. What is the most accurate nursing response regarding the mechanism of action of cytarabine in cancer treatment? "Cytarabine directly kills cancer cells by disrupting their DNA." "Cytarabine enhances the body's immune system to target and destroy cancer cells." "Cytarabine prevents the growth of blood vessels that supply nutrients to cancer cells." "Cytarabine interferes with DNA synthesis by inhibiting pyrimidine production in cancer cells." None 28. A nurse is caring for a client receiving mercaptopurine as part of cancer treatment. The client asks the nurse about the action of mercaptopurine. What is the most accurate nursing response regarding the mechanism of action of mercaptopurine in cancer treatment? "Mercaptopurine directly kills cancer cells by disrupting their DNA." "Mercaptopurine enhances the body's immune system to target and destroy cancer cells." "Mercaptopurine prevents the growth of blood vessels that supply nutrients to cancer cells." "Mercaptopurine interferes with purine synthesis, inhibiting DNA and RNA synthesis in cancer cells." None 29. A nurse is caring for a client with prostate cancer who is prescribed a gonadotropin-releasing hormone (GnRH) agonist. The client asks the nurse about the purpose of this medication. What is the most accurate nursing response regarding the mechanism of action of GnRH agonists in the treatment of prostate cancer? "GnRH agonists directly kill prostate cancer cells by disrupting their DNA." "GnRH agonists enhance the body's immune system to target and destroy prostate cancer cells." "GnRH agonists prevent the growth of blood vessels that supply nutrients to prostate cancer cells." "GnRH agonists suppress the production of testosterone, inhibiting prostate cancer growth." None 30. A nurse is providing care to a client prescribed with flutamide (Eulexin) as part of prostate cancer treatment. The client asks the nurse about the purpose of Eulexin. What is the most accurate nursing response regarding the mechanism of action of Eulexin in the treatment of prostate cancer? A) "Eulexin directly kills prostate cancer cells by disrupting their DNA." B) "Eulexin enhances the body's immune system to target and destroy prostate cancer cells." C) "Eulexin prevents the growth of blood vessels that supply nutrients to prostate cancer cells." D) "Eulexin blocks the action of androgens, inhibiting prostate cancer growth." None 31. A nurse is caring for a client with breast cancer who is prescribed tamoxifen (Nolvadex). The client asks the nurse about the purpose of Nolvadex. What is the most accurate nursing response regarding the mechanism of action of Nolvadex in the treatment of breast cancer? "Nolvadex directly kills breast cancer cells by disrupting their DNA." "Nolvadex enhances the body's immune system to target and destroy breast cancer cells." "Nolvadex prevents the growth of blood vessels that supply nutrients to breast cancer cells." "Nolvadex blocks estrogen receptors, inhibiting breast cancer cell proliferation." None 32. A nurse is caring for a postmenopausal client with hormone receptor-positive breast cancer who is prescribed anastrozole (Arimidex). The client asks the nurse about the purpose of Arimidex. What is the most accurate nursing response regarding the mechanism of action of Arimidex in the treatment of breast cancer? "Arimidex directly kills breast cancer cells by disrupting their DNA." "Arimidex enhances the body's immune system to target and destroy breast cancer cells." "Arimidex prevents the growth of blood vessels that supply nutrients to breast cancer cells." "Arimidex inhibits aromatase, reducing estrogen production and suppressing breast cancer growth." None 33. A nurse is caring for a client diagnosed with HER2-positive breast cancer who is prescribed trastuzumab (Herceptin). The client asks the nurse about the purpose of Herceptin. What is the most accurate nursing response regarding the mechanism of action of Herceptin in the treatment of breast cancer? A) "Herceptin directly kills HER2-positive breast cancer cells by disrupting their DNA." B) "Herceptin enhances the body's immune system to target and destroy breast cancer cells." C) "Herceptin prevents the growth of blood vessels that supply nutrients to breast cancer cells." D) "Herceptin targets HER2 receptors, inhibiting signal pathways and suppressing breast cancer growth." None Time's up Post navigation Previous Previous post: Fundamental 11Next Next post: Med-Surg II 2
