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Cancer-Concept Review Flashcards | StudBud
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Cancer-Concept Review
Cancer-Concept Review
29 terms
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StudBud Administration
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77 plays
For NUR 213
Flashcards
29 cards
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Practice quiz
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Host live
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Questions
29
Answers
1
Mastectomy pt says "my breast was too saggy anyway. HA" The nurse sees her crying later. What should the nurse do
first?
encourage her to accept body changes by looking at the surgical site
Sit with the woman and encourage her to express her feelings and concern
Invite a breast cancer survivor who successfully coped with mastectomy
suggest participating in a support group sponsored by the Cancer society
2
Which patient with cancer has the greatest risk for infection?
Diagnosed with prostate cancer 3 years ago
Recently diagnosed with breast cancer
Has lung cancer with a persistent cough
Has leukemia with neutropenia
3
Which of the following are side effects of radiation?
(Select all that apply)
.
Skin changes and permanent hair loss
Fatigue
Diarrhea and tooth loss
Altered taste and sensation
4
Which cancer patient is the
most
likely candidate for reconstructive surgery?
Has severe back pain and decreased sensation in lower extremities
Requires lymph node removal for possible metastasis of primary tumor
Has significant scarring of the face & neck after completing treatments
Has leukemia that is not responding to transfusion therapy
5
For a client receiving radiation therapy what do the nurses instructions include?
(Select all that apply)
.
Avoid direct skin exposure to sunlight for up to one year
Do not use lotions or ointments
Do not remove the markings
Gently rub treated areas to stimulate circulation
6
A client is taking oprelvekin (Neumega). Which assessment data finding indicates that the therapy is working?
Nausea and vomiting are relieved
Weight has increased by 2 pounds
Platelet count is increasing
Hemoglobin level is normalizing
7
What is the
most
important intervention related to extravasation of IV chemotherapy?
Frequently monitor the access site to prevent leakage of large volumes
Check institutional policy to see if warm or cold compresses are prescribed
Advocate that an implanted port be established prior to administration
Identify the specific antidote and make sure it is readily available
8
Which example best illustrates appropriate prophylactic cancer surgery?
Partial removal of a tumor to provide pain relief
Removal of breast tissue for family history of breast cancer
Biopsy of lumph node at a site distal to primary tumor
Breast reconstruction after bilateral mastectomy
9
Cancer surveillance for high-risk women is used to detect cancer early. What type of prevention is this?
Prophylactic
Primary
Tertiary
Secondary
10
What is the most typical schedule for radiation therapy?
Small doses of radiation given several days apart to minimize side effects
Small doses of radiation given on a daily basis for a set time period
Large doses administered monthly for a set period of months
Large one-time dose of radiation given after completing chemotherapy
11
The client is on ondansetron to treat chemo-induced nausea. Which side effect should the nurse monitor?
Polyuria
Headache
Photosensitivity
Edema
12
The client has a lesion that is 1-cm, raised, flesh-colored w/pearly white borders. Which type of skin CA is suspected?
Malignant melanoma
Basal cell carcinoma
Squamous cell carcinoma
Actinic keratosis
13
Which medication should be given concurrently with cyclophosphamide IV, to prevent an adverse effect of the medicaiton?
H1 receptor antagonist, such as diphenhydramine
Uroprotectant agent, such as mesna
Opioid, such as morphine
Loop diuretic, such as furosemide
14
Chemo drug dosage is based on total body surface area (TBSA); therefore, what assessment will the nurse perform?
Measure abdominal girth
Measure the client's height and weight
Calculate body mass index
Compare the clients weight to a nomogram
15
The cancer client has a gram-negative infection and is bleeding from several sites. The nurse suspects which condition?
SIADH
Sepsis
DIC
Anemia
16
Client w/ lymphoma reports severe facial swelling, tightness of gown collar, & epistaxis. What is the complication?
Tumor lysis syndrome
Cancer-induced hypercalcemia
Superior vena cava syndrome
Congestive heart failure
17
The nurse hears that the cancer patient has cachexia. Which assessment will the nurse plan based on this report?
Mental status and cognition
Appetite and nutritional intake
Sensation and pulses in extremities
Ability to ambulate independently
18
Who should the charge nurse assign to administer IV chemotherapy?
Any nurse who studied pharmacology and has IV therapy training
Licensed practical nurse with years of experience in giving medications
Registered nurse who completed an approved chemotherapy course
Advanced-practice nurse who specializes in oncology education
19
The client has breast cancer with bone metastasis. Which lab result would the nurse expect to see?
Decrease in blood glucose
Increase in serum calcium level
Increase in platelet count
Decrease in serum sodium level
20
What technique is used in oral care for a client with stomatitits?
Apply petrolatum jelly to lips after each mouth care
Use commercial mouthwashes and glycerin swabs to refresh mouth
Brush teeth and tongue with a hard-bristled toothbrush every 8 hours
"Swish and spit" room temperature tap water at least four times a day
21
What is the only definitive test for leukemia?
Chromosome analysis
CD33
Bone marrow biopsy
Genetic markers
22
What is the major side effect that limits the dose of chemotherapy?
"chemo-brain"
nausea and vomiting
peripheral neuropathy
bone marrow suppression
23
Philadelphia chromosome (translocation of chromosomes 22 & 9) bcr/abl transl. is with which type of leukemia
primarily
?
Acute Lymphocytic Leukemia
Chronic Myeloid Leukemia
Acute Myeloid Leukemia
Chronic Lymphocytic Leukemia
24
Which of the following adverse effects of tamoxifen should the nurse teach to the client with a new prescription for it?
Difficulty swallowing
Irregular heart beat
Abnormal uterine bleeding
Yellow sclera or dark-colored urine
25
The client is receiving combination chemo for breast CA. Which finding should the nurse report to the provider?
Hemoglobin 12g/dL
Platelets 155,000/mm3
RBC 5 million/mm3
WBC 2,300/mm3
26
A normal lymphocyte count is which one of the following values?
2-8%
1-4%
55-70%
20-40%
27
Clients on neutropenic precautions should be in a positive air pressure room.
False
True
28
The client has a sealed radioactive implant. Which action should the nurse
avoid
?
Placing a "Caution: Radioactive Material" sign on the room door
Saves all dressings and bed linens in the client's room
Wear a lead apron while providing care, but turns away from the client
Wear a dosimeter film badge at all times while caring for the client
29
Client is POD4 from R radical mastectomy. Which activity would be
most difficult
for client to perform w/ her R hand.
Buttoning her blouse
Combing her hair
Brushing her teeth
Eating her breakfast