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Chapter 11 & 18 Flashcards | StudBud
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Chapter 11 & 18
how does fatigue affect pain tolerance?
warning signs of cancer
Chapter 11 & 18
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Answers
1
warning signs of cancer
tenderness/pain
indigestion
unusual vaginal bleeding/discharge
ulcerations that don't heal
changes in mole/wart appearances
weight loss
2
how does fatigue affect pain tolerance?
fatigue decreases pain level where the body is so tired
fatigue diminishes ability to cope and increases pain
anticipatory fear causes increased pain and fatigue
causes an exaggerated pain response
3
dietary recommendations for cancer prevention
red meat
limit dressings and creamy sauces
limit added sugars and fats
smoked salmon
broccoli and carrots
turkey breast
4
chemotherapy can be adjusted to optimize effects while limiting adverse effects
False
True
5
when administering glucocorticoids what is an important nursing consideration?
strong CNS effects can occur
doses must be titrated down when stopping drug
screen for suicidal ideations
do not take with other CNS depressants
6
characteristics of benign tumors
cells resemble tissue of origin
does not spread by metastasis
progresses slow, may stop and regress
cells bear little resemblence to cells of tissue of origin
grows by invasion and infiltrates surrounding tissues
encapsulated
7
what is the best way to assess cognitve impaired clients pain level?
ask them
faces scale
look at previous behavior patterns vs. current
give them pain meds just in case
8
which cancers are prevalent in male and females?
skin
colorectal
lung
brain
9
chemical carcinogens
radiation
cell phones
tobacco smoke
chewing tobacco
10
at what point do you become aware of painful sensation?
transduction
perception
modulation
transmission
11
pain from bug bite
nociceptive pain
visceral pain
superficial somatic pain
referred pain
12
radiation education for clients
flush toilet several times after each use
use hand sanitizer after using the bathroom
maintain 2ft distance between you and others if together >2 hours
use seperate eating utensils/towels
avoid kissing and sexual contact
drink plenty of fluids
13
what is an equianalgesic dose?
PCA IV pump pain control
oral dose of med that provides the same amount of pain relief from IV route
same amount of medication prescribed to equine
local anesthetics infused into subarachnoid space
14
problems that can develop with opiates
injury risk
impaired gas exchange
constipation
dehydration
15
what is the best way to manage patients pain relief?
collaborate with each pt about their goal for level or relief/interventions
administer medication only when patient asks for it
16
privately experienced, unpleasant sensation associated with disease or injury
pain
suffering
perception
hyperalgesia
17
what is the only reliable source for quantifying pain?
if they look like they are in pain
VS changes indicate pain level
clients nonverbal actions vs. what they are saying
what client says it is
18
after receiving stem cell transplants what are clients at very high risk for?
liver damage
renal complications
infection
GI complications
19
vaccine approved in the US to prevent cervical cancer
TDap
Hepatits B vaccine
HPV
mRNA
20
inherited gene cause of cancer
aquired mutations
environmental agents
dietary substances
tumor supressor genes mutate, inactivate the functions, and causes cancer
21
NSAIDS increase risk of...
falls d/t sedative effect
serotonin syndrome
GI bleeding
respiratory depression
22
discomfort perceived in general area of the body but not in exact site where organ is loacted
visceral pain
somatic pain
referred pain
rebound pain
23
condition in which client needs an increasing large dose of drug to achieve same effect as when the drug was started
addiction
dependence
drug seeker
tolerance
24
the sentinel node is the first lymph node to which a primary tumor drains
False
True
25
clients w/ amputated limb perceive limb still exists and pain in tissues that were surgically removed
visceral pain
neuropathic pain
acute pain
nociceptive pain
26
what should you assess on every patient?
pain
SP02
BP
HR
Temp
RR
27
what is palliative surgery used for
reduce pain
increase comfort
correct defects
prolong life
28
what non drug intervention delivers bursts of electricity into skin and underlying nerves
RICE
PENS
accupuncture
TENS
29
tumors are staged and graded based on how they grow and cell type after client is treated for cancer
False
True
30
when is it appropriate to use FACES pain scale?
adult patients
dementia patients
with any patient
pediatric patients
31
pain from internal organs such as heart, lungs, kidneys
referred pain
somatic pain
visceral pain
acute pain
32
characteristics of chronic pain
nonspecific and generalized
lasts longer than 6 months
lasts less than 6 months
persists beyond healing stage
recent onset
localized and severity assoc. w/ injury
33
where are stem cells obtained in an autologus transplantation?
obtained from the client
obtained from identical sibling
obtained from relative
obtained from exact match
34
discomfort with short duration (few seconds-<6 months)
chronic pain
acute pain
visceral pain
perception
35
what is key to increase survival rates of those with cancer?
medical advancements
early detection
healthy diet/exercise
36
if entire tumor cannot be removed is referred to as...
cryosurgery
resection
chemosurgery
debulking
37
term for antineoplastics that can cause tissue necrosis of underlying tendons, nerves, vessels
teratogenics
vesicants
extravasation
infiltration
38
characteristics of malignant tumors
does not metastasize
rapid growth
cells resemble tissue of origin
metastasizes to other areas of body
cells do not resemble tissue of origin
grows by invasion and infiltrates surrounding tissues
39
dietary modifications for those receiving chemotherapy
drink cold liquids
eat slowly
avoid spicy, fatty foods
suck on hard candy if taste alterations occur
40
medications administered for reasons other than pain such as neuropathy
physical dependence
palliative sedation
medication abuse
adjuvant drug therapy
41
opioid and opiate analgesics are the best pain control option for newly post-operative clients
True
False
42
appropriate nursing action with clients development of tolerance
advise to seek help with addiction center
consult physician for dose increase
encourage client to seek non-pharm methods rather than med increase
request provider prescribe a placebo
