Oncology I
The average time for blood cells to recover after chemotherapy is:
21 days
Multiple myeloma is a malignant neoplastic disease of the ______.
Bone Marrow
An anxious patient enters the emergency department with angioedema of the lips and tongue, dyspnea, urticaria, and wheezing after having eaten a peanut butter sandwich. What should be the nurse’s first intervention?
Provide oxygen per nonrebreathing mask
The nurse is caring for a patient with a history of numerous allergies. What is the most important teaching concept?
Avoidance of the allergen
Which body system is responsible for recognizing and destroying malignant cells?
The body’s immune system
The nurse is teaching a patient with a WBC count of 1,400/mm3. Which statement indicates understanding of the teaching by the patient?
“I will avoid crowded places.”
The Reed-Sternberg cell is the hallmark diagnostic indicator for _________ disease.
Hodgkin’s Lymphoma
What compound in the blood carries oxygen to the cells from the lungs, and carbon dioxide away from the cells to the lungs?
Hemoglobin
Included in the pathology report for a patient’s biopsy is the phrase “margins clear”. Based upon your knowledge, which of the following type of biopsy was performed to yield little or no margin of surrounding normal tissue?
Excisional
The process of immunity through a controlled exposure to an attenuated organism to stimulate the production of antibodies is _____________.
Immunization
You are providing education to your patient who is soon to begin receiving adriamycin for ovarian cancer. Which of the following potential side effects should you include in her teaching?
Urine will probably turn a reddish-brown color
The nurse is aware that a person with Hodgkin disease, who has two or more abnormal lymph nodes on the same side of the diaphragm and cancer extending locally from one lymph node area into a nearby organ, would be in which stage?
Stage II
The clinician is reviewing the lab results with the patient. She is explaining the white blood cell count and informs the patient that leukopenia is defined as a WBC count of?
<4000/mm3
A PET ( positron emission tomography) is useful in the study of oncology. Some of the advantages include:
Oncologic staging is more accurate with PET
You are teaching a new mother about immunity and the reason for childhood immunizations. You explain that __________ immunity results from the passage of maternal antibodies from mother to child.
Passive (natural) immunity
In surgery, the term “debulking” refers to:
Reducing the size of the tumor
One of the first signs a patient may exhibit with multiple myeloma is ______.
Pathological bone fracture
The client is admitted to the hospital with a diagnosis of suspected Hodgkin’s Lymphoma disease. Which sign or symptom would be associated with Hodgkin’s disease?
Night sweats
The nurse stresses that when a patient produces his own antibodies against a specific antigen, that process of immunity is __________________ immunity.
Adaptive (acquired)
The nurse is caring for a patient who has had a kidney transplant. What is a priority to be included in the care of a patient with a suppressed immune system?
Meticulous aseptic techniques
One of the most common dose-limiting side effects of many antineoplastic drugs is myelosuppression, especially leukopenia. This can be extremely dangerous and even fatal to the patient because:
The patient may develop an opportunistic infection
You are explaining autoimmune disorders to a patient being tested for a possible autoimmune disease. What is the etiology of autoimmune diseases based on?
B and T cells producing autoantibodies that can cause tissue damage
A female patient, age 59, has lost 10 lb in the first 3 weeks of her chemotherapy and does not eat because she says nothing tastes good. What would be the appropriate patient problem for the plan of care?
Imbalanced nutrition: less than body requirements, related to anorexia
The term for a surgery that is done if someone is at considerable risk for a specific type of cancer, i.e., hereditary/genetic predisposition, is called:
Prophylactic/Preventive
The neutropenic patient with pneumonia is being assessed for a daily assessment. When assessing the pulmonary function, the nurse is aware of some limitations related to neutropenia, which are:
Neutropenic patients with lung infections do not demonstrate infiltrates on a chest radiograph