question

A patient has thrombocytopenia from the cancer and cancer treatments. Which condition should the nurse monitor for in this patient?

answer

Hemorrhage

question

When cancer extends to distant tissues and organs, what term should the nurse use?

answer

Metastasis

question

A patient has a Helicobacter pylori infection. Which type of cancer should the nurse assess for in the patient?

answer

Gastric cancer

question

What screening test can the nurse suggest to a patient who wants to detect cervical cancer early?

answer

Pap test/smear

question

A patient has chronic active hepatitis B infection. Which type of cancer should the nurse assess for in the patient?

answer

Liver

question

Normally, the tumor suppressor gene p53 induces _____

answer

Apoptosis

question

Which alteration in metabolism does the nurse expect to find in people with cancer?

answer

Increased basal metabolic rate

question

The retinoblastoma gene is what type of gene?

answer

Tumor-suppressor gene

question

A patient has a tumor that has distant lymph node involvement but no evidence of distant metastasis to other tissues. How will this be classified on the chart?

answer

Stage III

question

A patient is experiencing leukopenia from cancer and chemotherapy treatment. Which condition should the nurse assess for in this patient?

answer

Infection

question

A patient is experiencing the wasting syndrome associated with cancer and cancer treatment. What term should the nurse use when documenting this finding?

answer

Cachexia

question

A normal, non mutant gene is known as a(n) _____

answer

Proto-oncogene

question

Refers to cancer cells that have not invaded the surrounding tissue

answer

In situ

question

The genes that maintain gene integrity

answer

Caretaker genes

question

When an oncologist determines the size of the tumor, the degree of node involvement, and the extent of distant metastasis, what is the oncologist doing?

answer

Staging

question

A patient has colorectal cancer with chronic bleeding and iron deficiency. Which lab tests are most important for the nurse to monitor? (2)

answer

Red blood cell count and hemoglobin

question

Cancer cells ensure adequate supply of oxygen and nutrients by releasing:

answer

Angiogenic factors

question

Chemotherapeutic agents primarily target:

answer

All rapidly dividing cells

question

While a nurse is reviewing lab results, the patient's BRCA1 is elevated. What type of cancer does the nurse suspect the patient has?

answer

Breast

question

Neuromuscular dysfunction and the release of inflammatory mediators such as tumor necrosis factor and interleukin-1 are thought to be responsible for which of the following assessment findings of cancer?

answer

Fatigue

question

When a cancer patient has a hemoglobin of 8 mg/dL, what condition will the nurse observe documented on the chart?

answer

Anemia

question

A patient originally had cancer in the liver and the cancer is now in the lungs. What stage will the nurse observe documented on the chart?

answer

IV (4)

question

A patient has a mutation in the APC gene. Which type of cancer will the nurse monitory for in this patient?

answer

Colon

question

_____ therapy will help shrink the tumor before surgery

answer

Neoadjuvant therapy

question

Condition in which patient loses hair from chemotherapy treatment

answer

Alopecia

question

_____ tumors have a tendency to invade surrounding tissues

answer

Malignant

question

A leading cause of death in developed worlds

answer

Cancer

question

The process of triggering new blood vessel formation in tumors

answer

Angiogenesis

question

Loss of cellular differentiation

answer

Anaplasia

question

A cancer patient is experiencing pain. The nurse wants the patient to be independent in managing the pain. Which technique should the nurse implement?

answer

Individual-controlled analgesia

question

Benign tumors are usually surrounded by a(n) _____

answer

Capsule

question

Cancer that originated in the blood-forming cells

answer

Leukemia

question

A patient is receiving ondansetron. Which assessment finding will cause the nurse to administer this drug?

answer

N/V

question

Aggregation of cancer cells that accumulates faster than its non-mutant neighbors

answer

Clonal expansion

question

The process of when a piece of a chromosome is moved to another chromosome

answer

Translocation

question

A factor that contributes to the tissue loss in cancer wasting is the release of _____

answer

Cytokines

question

The normal function of _____ in an individual without cancer is to control production of anti-growth signals

answer

Tumor suppressor genes

question

For metastasis to occur, tumors cells must be capable of:

answer

Surviving in the bloodstream

question

A patient has metastatic cancer and is receiving chemotherapy and radiation therapy. What is the priority complication the nurse should assess for in this patient?

answer

Infection

question

Which patient will the nurse monitor most often even though the tumor is benign? The benign tumor is located in the:

answer

Skull/cranium

question

A patient with cancer has poor muscle functioning and fatigue. Which cytokines/inflammatory mediators does the nurse suspect is causing these problems? (2)

answer

Tumor necrosis factor and interleukin-1

question

Decreased cell adhesions is necessary for _____ to occur

answer

Metastasis

question

While assessing a patient with cancer, which of the following is the most commonly reported symptom?

answer

Fatigue

question

An oncologist is using the TNM system to stage a cancer tumor. The nurse realizes the N will denote:

answer

Nodes

question

Which treatment to help cancer-related or chemotherapy-related anemia should the nurse discuss with the patient?

answer

Erythropoietin

question

An oncologist is describing the process of gene silencing. Which process with the oncologist discuss?

answer

DNA methylation

question

A genetic event capable of activating oncogenes

answer

Amplification

question

Unregulated proliferation of cancer cells would occur with a mutation of ____

answer

RAS

question

If a patient experiences cancer-causing mutations of a proto-oncogene, what result does the nurse expect to occur?

answer

Increased cell division

question

Sarcomas are cancers that arise from _____

answer

Connective tissues

question

A patient is receiving _____ for cervical cancer; this therapy involves a radiation source inserted internally into the cervix

answer

Brachytherapy

question

This type of therapy is given after cancer surgery

answer

Adjuvant therapy

question

A cancer patient is complaining of pain. Which pharmacologic therapy for pain management will the nurse implement?

answer

Narcotics/opioids

question

Which of the following viruses will the nurse expect to see on the lab report of a patient who has developed cervical cancer?

answer

Human papilloma virus

question

The most common tumor suppressor gene mutation that causes cancer by resisting apoptosis is in:

answer

p53

question

A patient is experiencing paraneoplasmic syndrome. _____ are probably causing the signs and symptoms.

answer

Hormones

question

Works by using ionizing radiation to damage the cancer cell's DNA

answer

Radiation therapy

question

The RAS cell is what type of cell?

answer

Proto-oncogene

question

Besides monitoring for diminished physical energy, what other assessment findings should the nurse assess for in a patient with cancer-related fatigue?

answer

Depression

question

Immortality in cancer cells is obtained through the production of _____

answer

Telomerase

question

One possible cause of the fatigue related to cancer and cancer therapy is _____

answer

Malnutrition

question

Non-pharmacologic therapies such as _____ and _____ are effective for cancer pain management

answer

Meditating and relaxation

question

Cancer pain management requires a _____ and _____ approach

answer

Multimodal and multidisciplinary

question

When first diagnosed with cancer, many individuals say that _____ is their biggest fear

answer

Severe pain

question

T/F: Most patients with cancer experience pain early in the disease process

answer

False

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