NCLEX Review Questions on Cancer (56-60)

NCLEX Review Questions on Cancer

56. The nurse is caring for a client with an internal radiation implant. When caring for the client, the nurse should observe which of the following principles?

a) limit the time with the client to 1 hour per shift
b) do not allow pregnant women into the client's room
c) remove the dosimeter badge when entering the client's room
d) individuals younger than 16 years old may be allowed to go in the room as long as they are 6 feet away from the client

57. A cervical radiation implant is placed in the client for the treatment of cervical cancer. The nurse initiates what most appropriate activity order for this client?

a) bed rest
b) out of bed ad lib
c) out of bed in a chair only
d) ambulation to the bathroom only



58. The client is hospitalized for insertion of an internal cervical radiation implant. While giving care, the nurse finds the radiation implant in the bed. The initial action by the nurse is to:

a) call the physician
b) reinsert the implant into the vagina immediately
c) pick up the implant with gloved hands and flush it down the toilet
d) pick up the implant with long-handled forceps and place it in a lead container

59. The nurse is caring for a client experiencing neutropenia as a result of chemotherapy and develops a plan of care for the client. The nurse plants to:

a) restrict all visitors
b) restrict fluid intake
c) teach the client and family about the need for hand hygiene
d) insert an indwelling urinary catheter to prevent skin breakdown

60. The nurse is reviewing the laboratory results of a client receiving chemotherapy whose platelet count is 10,000 cells/mm3. based on this laboratory value, the priority nursing assessment is which of the following?

a) assess skin turgor
b) assess temperature
c) assess bowel sounds
d) assess level of consciousness




NCLEX Review Questions on Cancer:
ANSWERS AND RATIONALE

56) B

- The time that the nurse spends in a room of a client with an internal radiation implant is 30 minutes per 8-hour shift. The dosimeter badge must be worn when in the client’s room. Children younger than 16 years of age and pregnant women are not allowed in the client’s room.

57) A

- The client with a cervical radiation implant should be maintained on bed rest in the dorsal position to prevent movement of the radiation source. The head of the bed is elevated to a maximum of 10 to 15 degrees for comfort. The nurse avoids turning the client on the side. If turning is absolutely necessary, a pillow is placed between the knees and, with the body in straight alignment, the client is logrolled.

58) D

- A lead container and long-handled forceps should be kept in the client’s room at all times during internal radiation therapy. If the implant becomes dislodged, the nurse should pick up the implant with long-handled forceps and place it in the lead container. Options A, B, and C are inaccurate interventions.

59) C

- In the neutropenic client, meticulous hand hygiene education is implemented for the client, family, visitors, and staff. Not all visitors are restricted, but the client is protected from persons with known infections. Fluids should be encouraged. Invasive measures such as an indwelling urinary catheter should be avoided to prevent infections.

60) D

- A high risk of hemorrhage exists when the platelet count is less than 20,000 cells/mm3. Fatal central nervous system hemorrhage or massive gastrointestinal hemorrhage can occur when the platelet count is less than 10,000 cells/mm3. The client should be assessed for changes in level of consciousness, which may be an early indication of an intracranial hemorrhage. Option B is a priority nursing assessment when the white blood cell count is low and the client is at risk for an infection. Although options A and C are important to assess, they are not the priority in this situation.


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