16. After receiving chemotherapy for lung cancer, a client's platelet count falls to 98,000/cu.mm. What term should the nurse use to describe this low platelet count?
17. Which of the following should the nurse include when providing health teachings for patients at risk of developing prostatic cancer?
a) participate in smoking cessation program
b) perform monthly self-testicular examination
c) maintain daily walking exercise
d) undergo monthly digital rectal examination
18. Which of the following questions should the nurse ask in a client who is at risk for breast cancer?
a) does your family have a history of multiple gestation?
b) does your family have a history of ovarian cancer?
c) does your family have a history of early menopause?
d) does your family have a history of late menarche?
19. Which of the following client history increases risk for anorectal cancer?
a) chronic constipation
b) high fiber diet
c) alcohol abuse
d) chronic inflammatory bowel disease
20. A client will be for uterine radium implant. Which of the following statement when made by the client indicates the need for further teaching?
a) my sister is coming to stay with me today after implant insertion
b) I will be in bed for the duration of the treatment
c) I will have a foley catheter in place
d) I will have enema before the procedure
ANSWERS AND RATIONALE
16) thrombocytopenia
- the normal thrombocyte count is 150,000 to 450,000/ cu.mm.
17) A
- smoking increases risk for prostatic cancer. Choice B is done to detect cancer of the testes. Choice D, digital rectal examination is recommended annually, not monthly.
18) B
- history of cancer of the reproductive system (cancer of the uterus, cervix, and ovaries) increase risk for breast cancer.
19) D
- chronic inflammatory bowel disease are primarily associated with anorectal cancer.
20) A
- the client on internal radiation therapy should be on isolation to prevent radiation contamination of other people.
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