20 which nursing action could the nurse delegate to

20. Which nursing action could the nurse delegate to unlicensed assistive
personnel (UAP) when caring for a patient who is using a fentanyl (Duragesic)
patch and a heating pad for treatment of chronic back pain?
a. Check the skin under the heating pad.
b. Count the respiratory rate every 2 hours.
c. Ask the patient whether pain control is effective.
d. Monitor sedation using the sedation assessment scale.
21. A patient who is using both a fentanyl (Duragesic) patch and immediate-
release morphine for chronic cancer pain develops new-onset confusion,
dizziness, and a decrease in respiratory rate. Which action should the nurse take
first?
22. The nurse reviews the medication orders for an older patient with arthritis in
both hips who reports level 3 (0 to 10 scale) hip pain while ambulating. Which
medication should the nurse offer as initial therapy?
23. The nurse on a surgical inpatient unit is caring for several patients. Which
patient should the nurse assess first? CHAPTER 15 - CANCER
A patient who is scheduled for a right breast biopsy asks the nurse the difference
between a benign tumor and a malignant tumor. Which answer by the nurse is
correct?
a. "Benign tumors do not cause damage to other tissues."

b. "Benign tumors are likely to recur in the same location."
c. "Malignant tumors may spread to other tissues or organs."
d. "Malignant cells reproduce more rapidly than normal cells."
The nurse is caring for a patient receiving intravesical bladder chemotherapy. The
nurse should monitor for which adverse effect?
The nurse is caring for a patient who smokes 2 packs/day. To reduce the patient's
risk of lung cancer, which action by the nurse is best?
The nurse should include which food choice when providing dietary teaching for
a patient scheduled to receive external beam radiation for abdominal cancer?
During a routine health examination, a 40-year-old patient tells the nurse about a
family history of colon cancer. Which action should the nurse take next?