After receiving report, which client diagnosed with cancer should the nurse assess first? The client diagnosed with:

stomatitis associated with laryngeal cancer.

leukemia ordered to receive an antiemetic before scheduled chemotherapy.

neutropenia just admitted with a possible infection.

breast cancer scheduled for external beam radiation that morning.

Answer and Explanation

The Correct Answer is C

A. While stomatitis can cause discomfort and complications, it is not an immediate threat compared to infection risk.
B. The client with leukemia may require monitoring, but the antiemetic is pre-emptive and not immediately critical.
C. The client with neutropenia and a possible infection poses the highest risk, as they are vulnerable to severe complications due to their compromised immune system. Immediate assessment is necessary to manage and treat potential infections promptly.
D. The breast cancer client scheduled for radiation requires care but is not in an urgent condition compared to the neutropenic patient.

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Correct Answer is C

Explanation

A. Large tumors with distant metastasis may not respond well to radiation therapy, as the effectiveness diminishes when cancer spreads beyond the primary site.
B. While radiation can be effective for superficial cancers, it is most impactful when the cancer is localized.
C. Radiation therapy is most effective for localized cancers, where the treatment can target the tumor directly without affecting surrounding healthy tissues extensively.
D. Cancer spread to multiple sites in one organ complicates treatment and may reduce the efficacy of radiation therapy, as multiple targets may require different approaches.

A. An irregular border. B. Asymmetrical shape. C. Been increasing in size. D. A diameter of less than 4 mm. E. Ecchymosis.

Correct Answer is ["A","B","C"]

Explanation

A. An irregular border is a key characteristic of potentially cancerous skin lesions, particularly melanoma. Melanomas often have uneven, poorly defined edges.
B. Asymmetry is another sign of melanoma. If one half of a lesion does not match the other in shape or size, it should be evaluated by a healthcare professional.
C. Any lesion that has been increasing in size, particularly over a short period, is a concern and should be checked. Rapid growth can be a sign of malignancy.
D. A lesion with a diameter of less than 4 mm is generally less concerning, as most cancerous lesions are larger. However, the other factors (such as asymmetry and border irregularity) are more significant for diagnosis.
E. Ecchymosis (bruising) is not typically associated with cancerous skin lesions. Skin cancers like melanoma present as new or changing moles, not bruising.

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Electrolyte	Normal Value Range
Serum sodium	135-145 mEq/L
Serum chloride	97-107 mEq/L
Serum potassium	3.5-5:3 mEq/L
Serum magnesium	1.6-2.2 mg/dL
Total serum calcium	8.2-10.2 mg/dL
lonized calcium	4.6-5.3 mg/dL
Serum phosphorus	2.5-4.5 mg/dL
Serum osmolality	275-295 mOsm/kg
Urine osmolality	250-900 mOsm/kg

After receiving report, which client diagnosed with cancer should the nurse assess first? The client diagnosed with:

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Naxlex Comprehensive Predictor Exams

The nurse is aware that radiation therapy is most effective for which type of client? A client who has cancer which is:

Correct Answer is C

Explanation

The nurse is educating adolescent high school students about when to seek medical attention regarding suspected cancerous skin lesions. Which of the following are included in the nurse's teaching? The lesion has:

Correct Answer is ["A","B","C"]

Explanation

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The nurse knows the rationale for combination chemotherapy is to:

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A nurse is teaching a health promotion class about preventing cancer. Which statement by a client indicates understanding of gastric cancer risk factors?

While performing a neurologic assessment of the older adult patient, the nurse needs to consider which age-related changes?

A client is to receive 500 mL of IV fluid over 8 hours. At what rate should the nurse set the IV pump?