NCLEX Review Questions on Cancer 96 -100

NCLEX Review Questions on Cancer

96. The client is preparing for discharge from the hospital after radical vulvectomy. The nurse plans to teach this client that which of the following activities is acceptable after discharge because it will no precipitate complications?

a) sexual activity
b) walking
c) sitting for lengthy periods
d) driving a car

97. The nurse has admitted a client to the clinical nursing unit following a modified right radical mastectomy for the treatment of breast cancer. The nurse plans to place the right arm in which of the following positions?

a) elevated above shoulder level
b) elevated on a pillow
c) level with the right atrium
d) dependent to the right atrium



98. The nurse instructs the client in breast self-examination (BSE). The nurse tells the client to lie down and to examine the left breast. The nurse instructs the client that while examining the left breast, she should place a pillow under the :

a) right shoulder
b) left shoulder
c) small of the back
d) right scapula

99. The nurse is teaching breast self-examination (BSE) to a client who has had a hysterectomy. The appropriate instruction regarding when the BSE should be performed is:

a) 7 to 10 days after menses
b) just before menses begins
c) at ovulation time
d) at a specific day of the month and on that same day every month thereafter

100. The 32 y/o female client has a history of fibrocyctic disorder of the breasts. The nurse interviewing the client asks whether the breast lumps are more noticeable:

a) in the spring months
b) in the autumn
c) after menses
d) before menses




NCLEX REVIEW QUESTIONS ON CANCER:
ANSWERS AND RATIONALE

96) B

- The client should resume activity slowly, but walking is a beneficial activity. The client should know to rest when fatigued. Activities to be avoided include driving, heavy housework, wearing tight clothing, crossing the legs, and prolonged standing or sitting. Sexual activity is prohibited for 4 to 6 weeks after surgery.

97) B

- The client’s operative arm should be positioned so that it is elevated on a pillow, and not exceeding shoulder elevation. This promotes optimal drainage from the limb, without impairing the circulation to the arm. If the arm is positioned flat (option C) or dependent (option D), this could increase the edema in the arm, which is contraindicated because of lymphatic disruption caused by surgery.

98) B

- The nurse would instruct the client to lie down and place a towel or pillow under the shoulder on the side of the breast to be examined. If the left breast is to be examined, the pillow would be placed under the left shoulder.

99) D

- If the client has had a hysterectomy or is no longer menstruating, the breast self-examination (BSE) should be performed on the same day every month. Options A and B are inappropriate because the client who had a hysterectomy would not be menstruating. It is best not to perform the BSE at ovulation time because of the hormonal changes that occur.

100) D

- The nurse assesses the client with fibrocystic breast disorder for worsening of symptoms (breast lumps, painful breasts, and possible nipple discharge) before the onset of menses. This is associated with cyclical hormone changes.


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