Cancer Quiz 3/2/15

Question 0

Cancer invading the bone marrow can cause which affects?

Answer 0

1. Decreased RBCs
2. pathologic fractures
3. thrombocytopenia

Question 1

Which type of cancer puts patients at greatest risk for infection?

Answer 1

Leukemia

Question 2

Which statement about gastrointestinal functioning cancer are true?

Answer 2

1. Tumors may increase the metabolic rate

2. the liver is a common sight of cancer metastasis

Question 3

Which common hematologic conditions result from cancer made in the bone marrow?

Answer 3

Anemia and thrombocytopenia

Question 4

A patient asked the nurse why untreated cancers cause gastrointestinal problems. Which responses are appropriate?

Answer 4

1. A tumor in the bow can decrease your ability to absorb necessary nutrients
2. it stops absorption of necessary fat and protein enzymes
3. tumors my increased metabolic needs what you are unable to meet

Question 5

Which factors determine the type of therapy for cancer

Answer 5

1. Type and location of cancer
2. overall health of patient
3. whether the cancer has metastasized
4. family history and genetics

Question 6

Which examples illustrate appropriate prophylactic cancer surgery?

Answer 6

1. Excision of lesion’s shown on biopsy to be precancerous

2. Removal of tissue which may predispose cancer development due to family history

Question 7

What is the purpose of cytoreductive surgery for cancer?

Answer 7

Cancer control by reducing the size of the tumor

Question 8

Palliative surgery may be performed for which reason reason?

Answer 8

Relieving pain and relieving in obstruction

Question 9

For what purposes make cancer survivors need reconstructive surgery?

Answer 9

1. Breast reconstruction
2. Revision of scars and release of contractures
3. Bowel reconstruction

Question 10

What is the meaning of the inverse square law for radiation exposure?

Answer 10

The further away a person is from a radiation source the last radiation is absorbed

Question 11

Which factors are used to terminal cancer patients absorbs radiation dose?

Answer 11

1. Intensity of radiation exposure
2. proximity of radiation source of cells
3. duration of exposure

Question 12

Which statement about stereotactic body radiotherapy are true?

Answer 12

1. The greater number of normal cells are spared
2. three-dimensional to my imaging is used
3. Hi radiation doses maybe use

Question 13

Was a therapeutic dose of radiation fractionated for cancer treatment?

Answer 13

to ensure a higher cancer cell kill with less damage than normal cells

Question 14

At what point is a patient radioactive when receiving radiation treatment by telly therapy and therefore a potential danger to other people?

Answer 14

The patient is never radioactive

Question 15

What are the side effects of radiation

Answer 15

1. Alter taste sensation
2. skin changes and permanent local hair loss
3. fatigue

Question 16

For patient undergoing external radiation therapy went to the nurses instructions include?

Answer 16

1. Do not remove the markings
2. do not use lotions or ointments
3. avoid direct skin exposure to sunlight for up to a year
   3 do to not rub treated areas

Question 17

Why does the nurse wear a dosimeter when providing care to a patient receiving brachytherapy?

Answer 17

Determine the amount of radiation exposure experienced

Question 18

What are the rationales for chemotherapy is a cancer treatment?

Answer 18

Increases arrival time for the patient and systematic treatment for cancer cells that may have escaped from the primary tumor

Question 19

What is the lowest level bone marrow activity and white blood cells called?

Answer 19

Nadir

Question 20

Each chemotherapeutic agent has a specific nadir. What is important to do in giving combination therapy?

Answer 20

Avoid giving agents with like nadirs at the same time

Question 21

Chemotherapy drug dosage is based on total body surface area therefore what is important for the nurse to do?

Answer 21

When measure the patient’s height

Question 22

What does the course of chemotherapy normally include?

Answer 22

1. Variance with patient’s responses to the therapy

2. Time dosing of the therapy to minimize normal cell damage

Question 23

Most chemotherapy is administered intravenously. What are major potential complications?

Answer 23

1. Tissue damage

2. Extravastion

Question 24

What is the major side effect that limits the dose of chemotherapy?

Answer 24

Dry desquamation of the skin

Question 25

The nurse administering a vesicant must be prepared for complications and must have knowledge of which information?

Answer 25

Antidote in the correct method of documentation for extra vacation

Question 26

When thinning are lots of hair is a known side effect of the drug being administered what does the nurse do?

Answer 26

Have the patient use gentle hair shampoo and help the patients like wigs turbines are scarves

Question 27

Which statements are true regarding nausea and vomiting related to chemotherapy administration?

Answer 27

1. It is a common side effect of Emetogenic agents | 2. It usually last for one or two days after administration

Question 28

Phrase best describes stomatitis?

Answer 28

Sores located in the mouth

Question 29

Because of the rapid cell division in the gastrointestinal tract, what is the effect of chemotherapy?

Answer 29

Causes cells to be killed more rapidly than they can be produced

Question 30

What techniques are included in oral care for a patient with stomatitis?

Answer 30

1. Observation 2. Saline mouthwash 3. Petrolatum jelly to lips after each mouth care

Question 31

Bone marrow suppression causes a decrease in which bodily components to occur?

Answer 31

1. Leukocytes 2. Erythrocytes Platelets

Question 32

Which clinical manifestations of the nurse expect in a patient with chemotherapy induced bone marrow suppression?

Answer 32

Fatigue bleeding gums and pallor

Question 33

The nurse is responsible for teaching both immunosuppressed patients in the family about health promoting activities. Which are the most important activities to teach?

Answer 33

1. Handwashing | 2. Illuminating fresh fruit from the patients diet

Question 34

The biological response modifiers have which positive effects on patients receiving chemotherapy?

Answer 34

1. Less risk of life-threatening infections | 2. able to tolerate higher doses of chemotherapy

Question 35

Side effects of interleukin therapy can be dramatic. The patient may need to be treated in a critical care unit for which side effects?

Answer 35

1. Fluid shifts 2. severe inflammatory reaction 3. capillary leak 4. tissue swelling

Question 36

What are common immediate reactions to biological response modifier therapy?

Answer 36

Fever, chills, rigor, malaise

Question 37

Patient with cancer tells the nurse she has numbness and weakness in her legs. What is the nurses best response?

Answer 37

Are you having any back pain?

Question 38

Which interventions as a nurse implement for a patient receiving chemotherapy to prevent the serious side effects of sepsis and disseminated intravascular coagulation?

Answer 38

1. Strict handwashing 2. Monitoring of white blood cells and clotting factors 3. Education of the patient and family 4. Frequent thorough patient assessment

Question 39

Patient with lymphoma reports severe facial swelling, tightness of the down collar, and at the taxis. Which complication does the nurse suspects?

Answer 39

Superior vena cava syndrome

Question 40

Which severe side effects of chemotherapy may cause a patient's death?

Answer 40

1. Sepsis | 2. Disseminated intravascular coagulation

Question 41

The patient has a diagnosis of cancer with the gram-negative infection. The nurse assesses bleeding from many sites throughout the body. For what condition is the nurse expect to perform nursing interventions?

Answer 41

Disseminated intravascular coagulation

Question 42

Patient diagnosed with bone cancer reports fatigue, loss of appetite, and constipation. Which laboratory results of the nurse report immediately?

Answer 42

Calcium level of 10.5

Question 43

Patient with advanced breast cancer reports severe back pain and leg weakness. Based on the symptoms, what does the nurse suspect?

Answer 43

Spinal cord compression

Question 44

The client was admitted to the hospital with Mentasta cancer has a temperature of the hundred .4, distended abdomen, and of Domino pain. The client asked the nurse do you think that I'm going to have surgery? How should the nurse respond?

Answer 44

You seem concerned about having surgery

Question 45

After recovery for modified neck dissection for her or for pharyngeal cancer, the client receives external radiation to the operative site. For which most critical reaction to the radiation to the nurse assessed client for?

Answer 45

Mucosal edema

Question 46

A client expresses concern about being exposed to radiation therapy because it can cause cancer. What should the nurse emphasize when informing the client about exposure to radiation?

Answer 46

Only a small part of the body is irradiated

Question 47

A client who is to receive radiation therapy for cancer says to the nurse my family said I will get a radiation burn. What is the nurses best response?

Answer 47

A localized skin reaction usually occurs

Question 48

A nurse supplies and ice pack to a clients like for 20 minutes. What clinical indicator helps the nurse determine the effectiveness of the treatment?

Answer 48

Local anesthesia

Question 49

The nurse is caring for a client who had an insertion of radiation for cancer of the cervix. For what radium action should the nurse assessed the client?

Answer 49

Pain

Question 50

Radium inserted in the vagina have a client is now being removed. What safety precaution should the nurse employee in assisting with the radium removal?

Answer 50

Ensure that long for subs are available for removing the radium

Question 51

I nursed checking the Prandi I'm a client with the radium implant for cervical cancer observes the packing protruding from the vagina. Why must the nurse notify the healthcare provider to remove it immediately?

Answer 51

The radioactive packing will injure healthy tissue

Question 52

A nurses caring for a client who has a radium implant for cancer of the cervix. What is the priority nursing action?

Answer 52

Restricting visitors to a 10 minute stay

Question 53

Client was treated with the radium implant for cancer of the cervix what information is important for the nurse to teach the client when giving discharge instructions?

Answer 53

Return for follow-up care

Question 54

The client with an invasive carcinoma of the bladder is receiving radiation to the lower abdomen and an attempt to shrink the tumor before therapy. What does the nurse do considering the side effects of radiation?

Answer 54

Observe feces for the presence of blood

Question 55

A nurse identifies that a client receiving chemotherapy has lost weight. What are appropriate nursing interventions for this client?

Answer 55

1. Encouraging the intake a preferred foods | 2. promoting the intake of a small frequent meals 3. administering ordered anti-medics before meals

Question 56

For which side effects should the nurse assessed the client with cancer is being treated with chemotherapy agents?

Answer 56

1. Diarrhea | 2. Bleeding tendencies

Question 57

A nurse is planning care for a client with cancer was receiving the plant alkaloid then Christine. In contrast of the side effects of most chemotherapeutic agents, what is a common side effect of been Christine that the nurse must address in the client care plan?

Answer 57

Constipation

Question 58

The client receiving chemotherapy asked the nurse wine anabiotic was also prescribed. Which tissue affected by chemotherapy should the nurse consider when formulating a response?

Answer 58

Bone marrow

Question 59

A client receiving chemotherapy for cancer develops sores in the mouth and ass and is why this happened. What is the nurses best response?

Answer 59

The rapidly dividing cells of the gastrointestinal tract or damaged by the drug

Question 60

A nurse administers level Coren calcium to a client before the prescribed methotrexate. The client asked the reason for this. What effective level corn Kelsey I'm sure the nurse consider when formulating a response?

Answer 60

Supplies levels of full of acid required by blood forming organs

Question 61

A client who has breast cancer had post lumpectomy and chemotherapy and is now scheduled for radiation on an outpatient basis. What is an important nursing intervention while the client is receiving radiation?

Answer 61

Assess the radiated site daily for redness or your Tatian

Question 62

What is important nursing care for children with leukemia and chemotherapeutic protocols?

Answer 62

Having them avoid contact with infected persons

Question 63

The client is receiving been Christine. What should the nurse expect the dietary plan to include to minimize the side effects?

Answer 63

High in fluids

Question 64

A client just had a suprapubic prostatectomy. Which action should the nurse implement to prevent secondary bladder affection?

Answer 64

Change the dressing frequently