Oncology Flashcards Preview

NCLEX > Oncology > Flashcards

Flashcards in Oncology Deck (31):
1

Woman clinical breast exam

every year over 40, 20-39 every 3 years

2

Woman pap test

every 3 years

3

CAUTION

C: change in bowel or bladder movements
A: a sore throat that won't go away
U: unusual bleeding/ discharge
T: thickening/ lump in breast
I: indigestion or difficulty swallowing
O: obvious change in wart or mole
N: nagging cough or hoarseness

4

If radioactive implant dislodges itself...

Gloves, forceps, lead-lined container

5

Can onco patients have raw fruits and veggies?

No

6

What kind of water can onco pt have?

Fresh (less than 15 min out)

7

Dx uterine cancer

CA-125 to rule out ovarian involvement,
endometrial biopsy
dilation and curetage

8

Hysterectomy: avoid what position post op

high fowler

9

Apart from hysterectomy,radio and chemo, for uterine cancer...

estrogen inhibitors

10

can post-op hysterectomy wear girdles?

no

11

signs and sx lung cancer

chest pain, hoarseness, pleuritic pain on inspiration, dyspnea, diminished endurance, hemoptysis, cough

12

Dx lung cancer

bronchoscopy, sputum specimen, CT, MRI

13

Bronchoscopy, watch for

respiratory dep, hoarseness, dysphagia, sub-cut emphysema.

14

Total laryngectomie:

epiglottis, thyroid cartillage, vocal cords

15

Total laryngectomie: position post-op:

mid-fowler

16

Total laryngectomie: post-op care

NG feeding to protect suture line, watch for carotid artery rupture, frequent mouth care

17

most frequent site for metastasis colorectal cancer

liver

18

risk colorectal cancer

genetic, inflammatory bowel diseases, refined carbs, red meat, low finer, high fat, chronic constipation, fried and broiled foods

19

screening colorectal cancer

occult blood testing (50)

20

risk bladder cancer

smoking

21

sx bladder cancer

hematuria

22

dx bladder cancer

cystoscopy

23

post-op ill conduit

hourly output, may be impotent, 2000-3000 cc/day flush out conduit, mucus is normal, change appliance AM

24

2 lab tests to see if metastasis to the bones

alkaline and acid phosphatase

25

TURP, absolutely need to make sure kidneys don't clog up

continuous bladder irrigation

26

what is a orchiectomy

take out testicles

27

post-op TURP

no sitting, driving, strenuous exercise, solace, increase fluids to flush blood, att urine retention, temporary incontinence is expected.

28

risk stomach cancer

h pylori, achlorhydria, pernicious anemia, picked foods, salted meat/ fish, salt, billroth II, tobacco, alcohol

29

gastrectomy what position post-op

fowler

30

test for b12 anemia

schillings (urinary)

31

why pt anemic gastrectomy?

no stomach = no intrinsic factor= can't absorb PO b12= can't make good rbc= anemia