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Flashcards in Quiz 1 Deck (11):

After several doses of chemo, a client complains of fatigue, pallor, progressive weakness, exertional dyspnea, headache and tachy. WHich NANDA nursing dx would the nurse list as the first priority

Activity Intolerance


After teaching a client about ways to reduce cancer risks, the nurse would be most likely to eval the client's understanding if the client reported a month later which of the following changes

Stopped using tanning booths
Limited alcohol to three drinks per week


the nurse accompanies the physician into the clients room and listens as the diagnosis of cancer is shared with the client and family. After the physcian answers questions and leaves the room, the nurse's best action is to

provide emotional support in coping with the diagnosis


the client is diagnosed with cancer and recieves a series of chemo. following this treatment, the nurse reads the client's medical record and learns the tumor has been designated a Stage IV, T4, N3, M1 and interprets this to mean the tumor has

metastasized and there is lymph node involvement


the nurse is caring for a thin, elderly client who was diagnosed w/ cancer and is recieving aggressive chemo. the client is experieincing acute side effects and has lost 10lbs in the past week. the nurse teaches the client to

keep a food diary and record intake
eat small frequent meals high in calories
drink liquid supplements to increase intake of nutrients


a 34y.o client who is at her annual gynecologic exam is being taught about early screening for breast cancer. the client has a sister and mother with a history of breast cancer. which action by the client demonstrates good screening techniques for someone with her family history

clinical breast exam every year


during the teaching session for a client who recently had a hysterectomy, the client states that she is nervous about taking the estrogen replacement therapy prescribed by her physician. she states tht she is worried about developing breast cancer later in life. which of the statements by the nurses will be most appropriate

the risk of breast cancer is not increased for women who have had a hysterectomy and take estrogen replacement medications


the nurse is providing education regarding early detection of breast cancer to a group of women between the ages of 30 and 40. According to recommendations from the American Cancer Society, the nurse explains that it is important for these women to

have an annual breast exam perfromed by a health care provider


the client with breast cancer has just been admited after four radiation treatments. after completing the initial assessment, the nurse determines that which of the following is an important nursing diagnosis for this client

risk for infection


the nurse is caring for a client in the physicians office who wishes to quit smoking . the client asks the nurse, "if i quit smoking will my risk of lung cancer be the same as a nonsmoker" the nurses best response

the risk of lung cancer will decline if you quit but it will be higher than for someone who never smoked


the client is a very thin emaciated 86y.o who reports the new onset of SOB. a chest x ray reveal a spot on the lungs that the physician believes is an inoperable lung cancer. the clients emaciated status would exclude the option of chemo, and the phsycian says the location of the cancer would make radiation therapy unsuccessful. in advocating for this client, the nurse would encourage the health care team to

determine the client and family's wishes regarding diagnostic testing