Terminology
Is an orderly, genetically programmed cell death
What is Apoptosis?
These are the things that are contraindicated for the radiated site.
What are talcum powder, perfumed lotions, aloe with alcohol, sunscreen or straight razor?
After receiving chemotherapy for lung cancer, a clients platelet count falls to 98000 microliters. What term should the nurse use to describe this platelet count?
A. Anemia
B. Leukopenia
C. Thrombocytopenia
D. Neutropenia
What is C. or thrombocytopenia
A female client with cancer is receiving chemotherapy and develops thrombocytopenia. The nurse identifies which intervention as the highest priority in the nursing plan of care?
A. monitoring temperature
B. ambulation three times daily
C. monitoring the platelet count
D. monitoring for pathological fractures
What is monitoring the platelet count or what is C
In addition to preventing cancer, this type of screening exam can detect colorectal cancer early?
What is colonoscopy?
A biopsy is?
A. the use of chemicals as a systemic therapy for cancer
B. the removal of a tissue sample
C. the emission and distribution of energy through a medium
D. a type of an x-ray
What is B. or What is removal of a tissue sample
Rationale: a biopsy is removal of a tissue sample for pathological review
These are the instructions clients are given regarding the care of their skin when receiving external radiation.
What is "do not wash off the markings, inspect the skin daily, keep the skin dry, wash radiation site with with mild soap and water, pat dry with soft towel, report areas of breakdown and dress with non-adherent dressings and paper tape, wear soft, loose clothing. No belts, bulkes, straps, or anything that binds or rubs the skin over the radiated site
The nurse is caring for a client following a modified radical mastectomy. Which assessment finding indicates that the client is experiencing a complication related to the surgery
A. pain at the incision site
B. 4+ arm edema on the operative side
C. sanguineous drainage to JP drain
D. complaints of increased sensation near the operative Site
What is B or what is 4+ arm edema
The nurse is teaching the client about breast self-examination. The client asks "What area of the breast is cancer more likely to occur"?
A. In the nipple area
B. In the inferior aspect
C. Near the sternal border
D. In the upper outer Quadrant
What is D or what is in the upper outer quadrant?
The most common type of leukemia in older adults is chronic Lymphocytic Leukemia. How is it usually found prior to diagnosis?
What is found when doing exam for something else?
A neoplasm can best be described as?
A. a tumor lacking structural differentiation
B. the production of cancer
C. any abnormal growth of new tissue that may be harmless (benign) or cancerous (malignant)
What is C. or what is any abnormal growth of new tissue that may be benign or cancerous?
Rationale: A neoplasm is the abnormal proliferation of cells.
These are the instructions clients are given when receiving internal implanted radiation (Brachytherapy)
What is protecting others from radiation by avoiding pregnant women, children, and infants. sleep alone for 7days, clean own eating utensils, wipe off toilet seat, avoid prolonged contact with caregiver?
Complication common in lung cancer causes facial, neck, upper body, and arms/hands swelling
What is superior vena cava syndrome
The nurse is caring for a female client experiencing neutropenia as a result of chemotherapy and develops a plan of care for the client. The nurse plans to:
A. restrict all visitors
B. restrict fluid intact
C. teach the client and family about the need for hand hygiene
D. insert an indwelling urinary catheter to prevent skin breakdown
What is C or teaching the family about hand hygiene?
Tamoxifen is medication used to treat breast cancer. How does this medication work?
What is blocks estrogen receptors on hormone dependent tumors?
Brachytherapy consist of:
A. insertion of radioactive materials directly into the tumor
B. Implantation of radioactive materials in close proximity adjacent to the tumor
C. Radiation from a mega-volt treatment machine
D Both A and B
What is D. or What is a and b insertion of radioactive materials directly into the tumor and implantation of radioactive materials in close proximity adjacent to the tumor
These are restrictions regarding the visitors for a patient with internal radiation?
What is no pregnant women and no children. Others can visit for 30 minutes and they must keep 6 feet away from the client at all times
Depression of cell production in the bone
What is bone marrow suppression or myelosuppression
Patient with lung cancer had a lobectomy, this will be used to help keep partial lung inflated
What is a chest tube?
Tumor lysis syndrome is common in patients receiving chemotherapy for leukemia and lymphoma. Explain this and include manifestation.
What is cellular lysis that leads to the release of intracellular contents into the circulation, causing hyperkalemia, hyperuricemia, and hyperphosphatemia
This refers to the study of tumors and their treatment/management
What is oncology?
The nurse wears this to indicate how much radiation exposure they have developed
What is a dosimeter?
Absolute neutrophil count(ANC) of 1000 is
What is neutrorpenia which increases risk for infection
Most lung cancer starts in the lining of this part of the lungs.
What is the bronchi?
Within 3 months After stem cell transplant, donor T-cells attacking and destroying vulnerable host cells.
What is Acute graft-versus host disease?
Acute graft-versus host disease occurs within 3 months following stem cell transplant marked by pruritic, macropapular rash on hands and feet to the whole body, jaundice, nausea, vomiting, diarrhea, and dry eyes
If chronic longer than 3 mo after transplant chronic pain, fatigue, weakness, and shortness of breath