cancer

Question 1

cancer treatment considerations

Answer 1

biopsy, neutropenic precautions, hospice, care for chemo, internal radiation, chemotherapy

Question 2

biopsy

Answer 2

diagnostic test
only a biopsy can confirm cancer diagnosis
excision
incision (large tumors where parts are removed for analysis)
needle biopsy (tissue samples from suspicious masses are aspirated)

Question 3

neutropenic precautions

Answer 3

no flowers
no fresh fruit
no raw veggies
wear mask, gown, gloves
avoid crowds
keep door closed
disposable equipment used

Question 4

hospice

Answer 4

can be done at home
anyone with a life expectancy of six months or less
regardless of ability to pay

Question 5

chemotherapy care

Answer 5

systemic intervention
antineoplastics (kills cancer cells)
primary, adjuvant, or neoadjuvant
given VAD (larger veins in chest, implanted in chest, dressing changed every 48 hours) or a PICC
monitor neutrophils

Question 6

chemotherapy side effects

Answer 6

finger numbness, bone marrow suppression (monitor for 100 days), NV, anorexia, GI disturbance, alopecia, mucositis (culture the lesions), stomatitis, loss of libido, impotence

Question 7

internal radiation

Answer 7

brachytherapy, sealed source, unsealed source
device inside patient can emit radiation (radioactive)

Question 8

brachytherapy

Answer 8

a device placed inside patient so the radiation comes in direct, continuous contact with tumor for specified amount of time
patient is radioactive while device is in them and on strict bedrest with bathroom privileges, low residue diet, antidiarrheal agents, given a urinary catheter

Question 9

internal radiation side effects

Answer 9

systemic nausea fatigue myelosuppression (thrombocytopenia, leukopenia, anemia)
localized (specified to radiated area): stomatitis dysgeusia (altered taste sensation), xerostomia (dry mouth)

Question 10

pt teaching/ nursing care radiation

Answer 10

wash radiated area gently with water and mild soap
avoid shaving with razors avoid exposure to sun or heat
use a soft toothbrush
normal saline rinses instead of commercial mouthwash

Question 11

cancer excision surgery

Answer 11

tumor is small and excised
removed entirely and sent to a lab for examination

Question 12

prophylactic surgery

Answer 12

preventative measure

Question 13

palliative surgery

Answer 13

done when a cure is not possible to improve quality of life

Question 14

reconstructive surgery

Answer 14

done to obtain a more desired cosmetic effect