The Client with Cancer (The Nursing Care of Adults with Medical and Surgical Health)

The Client at Risk for Cancer 1. The nurse is preparing an educational program on breast cancer for women at an African American community center. What information is important for the nurse to consider for the discussion? 1. African American women have the lowest rate of breast cancer. 2. Most African American women are diagnosed early in the disease process. 3. Breast cancer concerns vary between socioeconomic levels of African American women. 4. African American women believe breast cancer is inevitable. 2. Which of the following clients is at highest risk for colorectal cancer? 1. The client who smokes. 2. The client who eats a vegetarian diet. 3. The client who has been treated for Crohn’s disease for 20 years. 4. The client who has a family history of lung cancer. 3. A 21-year-old client undergoes bone marrow aspiration at the clinic to establish a diagnosis of possible lymphoma. Which statement made by the client demonstrates proper understanding of discharge teaching? Select all that apply. 1. “I will take Tylenol for pain.” 2. “I do not need to inspect the puncture site.” 3. “I will not be able to play basketball for the next 2 days.” 4. “I will take aspirin if I have pain.” 5. “I can apply an ice pack or a cold compress to the puncture site.” 4. A nurse is conducting a cancer risk screening program. Which of the following clients is at greatest risk for skin cancer? 1. 45-year-old physician. 2. 15-year-old high school student. 3. 30-year-old butcher. 4. 60-year-old mountain biker. 5. A client diagnosed with testicular cancer expresses concerns about fertility. The couple desires to eventually have a family and the nurse discusses the option of sperm banking. The nurse should inform the couple that sperm banking would need to be performed: 1. Before treatment is started. 2. Once the client is tolerating the treatment. 3. Upon completion of treatment. 4. When tumor markers drop to normal levels. 6. Carcinogenesis is irreversible in which of the following stages? 1. Progression stage. 2. Promotion stage. 3. Initiation stage. 4. Regression stage. 7. Cancer prevalence is defi ned as: 1. The likelihood cancer will occur in a lifetime. 2. The number of persons with cancer at a given point in time. 3. The number of new cancers in a year. 4. All cancer cases more than 5 years old.