Prevention and Detection of Cancer: Chapter 8, Care of Patients with Cancer

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Question 1 of 6

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After providing a class on the warning signs of cancer at a local senior center, which participant response indicates an understanding of the teaching? Select all that apply. One, some, or all responses may be correct.

  • Correct
    • A persistent coughA persistent cough is a warning sign of cancer.
    • A sore that quickly healsA sore that does not heal is a warning sign of cancer.
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    • A noticeable change in a moleA noticeable change in a mole is a warning sign of cancer.
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    • Alteration in bowel or bladder habitsAlteration in bowel or bladder habits is a warning sign of cancer.
    • A 4-mm brownish colored mole since childhoodA mole larger than 6 mm is a warning sign.

Question 2 of 6

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Which American Cancer Society screening would the nurse prepare or anticipate scheduling for a 58-year-old man visiting the health care provider for a physical examination? Select all that apply. One, some, or all responses may be correct.

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    • ColonoscopyA colonoscopy is recommended every 10 years for low-risk patients.
    • Papanicolaou testThe Papanicolaou test is for women’s health.
    • Pelvic examinationA pelvic examination is for women’s health.
  • Correct
    • Digital rectal examinationA digital rectal examination is recommended for cancer screening.
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    • Fecal occult blood stool testA fecal occult blood stool test is recommended for cancer screening.
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    • Prostate-specific antigen testA prostate-specific antigen test is recommended for cancer screening.

Question 3 of 6

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Which patient characteristic may have contributed to the development of stomach cancer in a newly diagnosed patient?

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    • High sodium dietDiets heavy in salted foods contribute to the development of stomach cancer.
    • Poor dental hygienePoor oral hygiene is a risk factor for oral cancer.
    • Occupation as a minerWorking with coal is a risk factor for skin cancer.
    • History of rectal polypsHistory of rectal polyps is a risk factor for colon and rectal cancers.

Question 4 of 6

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Which statement made by the female patient indicates understanding of the nurse’s teaching about risk factors for ovarian cancer?

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    • “Because I did not conceive any biological children, I am at risk for ovarian cancer.”Having no children is a risk factor for developing ovarian cancer.
    • “My high blood pressure could be a risk factor for developing ovarian cancer.”Hypertension is a risk factor for uterine and endometrial cancers.
    • “Because I had sex with multiple different people in college, I am at risk for ovarian cancer.”Having sex with multiple partners is a risk factor for uterine and cervical cancers.
    • “I tested positive for human papillomavirus (HPV) previously, which increases my chance for getting ovarian cancer.”Testing positive for HPV increases the risk for uterine and cervical cancers.

Question 5 of 6

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Which test does the nurse anticipate being administered for a 27-year-old female patient who presents to the emergency department with irregular spotting between periods?

    • Endometrial biopsyEndometrial biopsies are typically performed on menopausal age females exhibiting signs of cancer such as bleeding or discharge.
  • Correct
    • Pap smear human papillomavirus (HPV) testThis patient is within the common age population for cervical cancer and is displaying spotting, which can be a sign of cervical cancer. To test for this, a pap smear HPV DNA test is used.
    • Fecal occult blood testFecal occult blood tests are used to diagnose colorectal cancer.
    • Digital rectal examinationDigital rectal exams are used to diagnose prostate cancer, which is only found in males.

Question 6 of 6

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Which statement, if made by the patient, indicates understanding of the teaching given by the nurse regarding a scheduled bone marrow biopsy?

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    • “Blood cells will be removed from my body with a needle.”In a bone marrow biopsy, blood samples are aspirated from the body through a needle.
    • “Once my samples are taken, a computer will analyze them to determine next steps.”Samples from a breast biopsy will be analyzed by a computer.
    • “My tissue samples will be frozen so they can be quickly examined.”Samples from a frozen section biopsy will be frozen for quick examination.
    • “A sample will be taken from my body while in the operating room (OR) so the surgeon can figure out how to treat me.”Samples from a frozen section biopsy will be taken in the OR by the surgeon to assist in determining the extent of surgery needed.