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The patient has mouth pain 10 days after receiving chemotherapy. On inspection, the nurse finds the inside of the mouth is erythematous, edematous, and dry. The most likely problem is

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stomatitis

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The patient has metastatic breast cancer with involvement in her L5 vertebral body. She is paralyzed from the waist down with incontinence of stool and urine. She is undergoing radiation therapy for spinal cord compression. What is an appropriate nursing diagnosis?

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Risk for impaired skin integrity, related to prolonged immobility and incontinence

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A 58 year old patient with colon cancer is receiving combined radiation and chemotherapy. He has diarrhea, this is related to the

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treatment's irritating effect on the mucosa of the GI tract

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The current recommendation for first-time baseline mammogram is asymptomatic women is

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at ages 35 to 39

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what are considered cancer-screening activities

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1. performing a risk factor assesment and physical 2. Giving a patient instructions for performing the est for fecal occult blood 3. Instructing a patient in self examination of the skin or oral cavity

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The patient has terminal lung cancer. To maintain optimal pain control, oral analgesics generally should be given

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at scheduled intervals

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Cancer prevention and health promotion behaviors for patients with cancer

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are increasingly important with the growing population of cancer survivors

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The patient has been diagnosed with stage 1 breast cancer. She is receiving adjuvant chemotherapy and radiation therapy following a lumpectomy. Which point about alopecia should not be made?

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All chemotherapeutic agents result in alopecia

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A 61 year old patient is receiving chemotherapy. The patient becomes anemic and has petechiae and ecchymoses scattered over her upper trunk, especially her arms. What side effect is the patient experiencing

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Bone marrow suppression

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Before the insertion of a cervical implant, the nurse tells the patient what to expect while it is in place. Which statement is accurate?

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Nurses will always be available, but they will spend only a short time at your bedside

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A 24 year old patient has been receiving chemotherapy for acute lymphoblastic leukemia. Which statement indicates that he understands discharge teaching concerning leukopenia?

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"I should avoid close contact with people who might give me an infection

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A 42 year old patient has palpated a small lump on her left breast during her monthly BSE. She has scheduled an appointment with her physician. Which test will be used to make a definite diagnosis of a benign or malignant tumor of her breast?

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Biopsy

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The nurse educator is discussing the importance of the reduction of carcinogens in primary prevention of cancer. Which risk factor is considered significant in numerous types of cancer?

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smoking

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A therapeutic approach by the nurse to assist a terminally ill cancer patient in the management of his pain is that:

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pain is what the patient says it is

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Which statement by a chemotherapy patient who has a low WBC count, a low platelet count, and a hemoglobin measurement of 5.6g/dL, would indicate the need for further teaching

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I've been very constipated and need an enema

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Which is a biologic modifier that is a breakthrough in treating patients with neutropenia and is used prophylactically for patients at risk for neutropenia?

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Colony-stimulating factor (CSF)

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According to the American Cancer Society, what would have the greatest influence in reducing the risk of lung cancer?

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Cessation of smoking

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Aggressive chemotherapy to decrease the growth of rapidly progressive malignant tumors causes destruction of a large number of rapidly dividing malignant cells and increases the risk of which complication? (The drug allopurinol and hydration help control the metabolic complication that may occur)

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Tumor lysis syndrome

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The nursing diagnosis of imbalanced nutrition: less than body requirements is often seen in chemotherapy patients as a result of

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stomatitis, anorexia, vomiting and diarrhea

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What points are important in educating the patient and the family in prevention of constipation?

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1. Opioids may cause constipation, so laxatives must be given with opioids 2. Patients who are not eating continue to produce waste in the bowel and get impacted with feces 3. High fluid intake should be maintained 4. If possible, eating foods high in fiber is helpful

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A patient has a vaginal radiation implant in place. The nurse would

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monitor vital signs every 4 hours and report temperature greater than 100 degrees F.

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In the nursing interventions of a patient receiving external radiation therapy for a malignancy, the nurse must remember to

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instruct the patient to avoid irritating the "ports" by not lying on that part of the body and not wearing constricting clothing

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The patient has a history of oat cell carcinoma of the lung and is being treated with chemotherapy. His WBC count is 2.5/mm3. The nurse's primary concern would be

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prevention of infection

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A 63 year old patient has a diagnosis of cancer of the prostate gland with metastasis and is experiencing cachexia. This state is best described by which characteristic?

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Poor health, malnutrition, weakness, and emaciation

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Carcinogen

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any agent or substance that causes cancer

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mammography

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radiographic examination of the breast

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Pathogenesis

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the development of morbid conditions or of disease

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Thrombocytopenia

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decrease in platelets

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Leukopenia

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reduction of WBCs

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Metoclopramide (Reglan) is an antiemetic that is helpful in preventing chemotherapy-induced emesis. This action:

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1. Blocks dopamine receptors in chemoreceptor trigger zone of CNS 2. Accelerates gastric emptying 3. Stimulates motility of the upper GI tract

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The destruction of cancer cells results in the release of what factors into systemic circulation?

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1. Postassium 2. Uric acid 3. Phosphorus

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The TNM staging classification stages cancer according to:

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tumor size, lymph node involvement, any metastasis

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Using the TNM staging classification system, a tumor staged as T4N3M1 would mean

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large tumor, lymph node involvement, and distant metastasis

Care of Patient w/ Cancer Ch. 17 Review Questions – Flashcards

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