Cancer and Tumors Quiz

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Questions and Answers

What is a common characteristic of benign tumors?

  • They grow rapidly and invade nearby tissues.
  • They often resemble the surrounding tissue. (correct)
  • Their cells differ significantly from surrounding cells.
  • They tend to metastasize to other organs.

What is a key risk factor for developing cancer in older adults?

  • A history of smoking. (correct)
  • Having a diet high in fruits and vegetables.
  • Being female.
  • Regular physical exercise.

Which of the following cancers is associated with older male adults?

  • Ovarian cancer.
  • Breast cancer.
  • Pancreatic cancer. (correct)
  • Colorectal cancer. (correct)

How does malignant tumor proliferation typically differ from benign tumor behavior?

<p>Malignant tumors can quickly take over surrounding tissues. (C)</p> Signup and view all the answers

What impact does immunosuppression have on cancer incidence?

<p>It increases the likelihood of developing cancer. (B)</p> Signup and view all the answers

Which population is the most likely to develop breast cancer?

<p>Non-Hispanic white American females. (B)</p> Signup and view all the answers

What is one of the tests used for screening cancerous tumors?

<p>Tumor markers testing. (A)</p> Signup and view all the answers

What is a defining characteristic of cancerous cells compared to normal cells?

<p>They form new abnormal cells and blood vessels. (B)</p> Signup and view all the answers

Which factor is associated with an increased incidence of skin cancer?

<p>Burn scars or other severe skin injuries. (A)</p> Signup and view all the answers

Which type of cancer arises from mesenchymal tissue?

<p>Sarcomas (C)</p> Signup and view all the answers

What potential effect can benign tumors have on health?

<p>They can press on healthy organs and tissues. (B)</p> Signup and view all the answers

Which of the following is NOT a factor thought to trigger abnormal cell growth?

<p>Consuming healthy diets (B)</p> Signup and view all the answers

Leukemias are cancers arising from which type of cells?

<p>Blood-forming cells (D)</p> Signup and view all the answers

What is one consequence of cancer on the functional ability of tissues?

<p>Decreased functional ability in affected tissues. (B)</p> Signup and view all the answers

Which cancer type is specifically associated with the immune system?

<p>Lymphoma (B)</p> Signup and view all the answers

What kind of mutations can lead to cancer development?

<p>Both inherited and external mutations (C)</p> Signup and view all the answers

Which action is crucial for immediate management in a client exhibiting signs of sepsis?

<p>Obtaining blood cultures (D)</p> Signup and view all the answers

Which symptom is NOT characteristic of the syndrome of inappropriate antidiuretic hormone (SIADH)?

<p>Decreased urine output (D)</p> Signup and view all the answers

What type of fluids are often administered to a client requiring resuscitation measures?

<p>Crystalloid fluids (D)</p> Signup and view all the answers

Which of the following findings should be monitored in a client with suspected SIADH?

<p>Increased urine specific gravity (A)</p> Signup and view all the answers

Which nursing action may be required if fluid administration proves insufficient?

<p>Administer vasopressors (B)</p> Signup and view all the answers

Which dietary factor is commonly associated with an increased risk of cancer in adults?

<p>High processed meat intake (D)</p> Signup and view all the answers

In preparing an in-service on cancer risk factors, which aspect related to gender should be emphasized?

<p>Males have increased incidence in prostate and lung cancers (D)</p> Signup and view all the answers

Which type of preventive screening could be critical for middle-aged adults?

<p>Regular mammography and colonoscopy (D)</p> Signup and view all the answers

At what age should a client begin annual mammograms?

<p>Age 40 (B)</p> Signup and view all the answers

What is the recommended frequency for Pap tests for clients aged 30 to 65?

<p>Every 5 years (B)</p> Signup and view all the answers

When should a client begin having colonoscopies?

<p>At age 50, then every 10 years (B)</p> Signup and view all the answers

What alternative can a client choose instead of a fecal occult blood test?

<p>Stool DNA test every 3 years (B)</p> Signup and view all the answers

What is one benefit of using a food diary for clients with cancer-related malnutrition?

<p>It helps in monitoring changes in eating habits (B)</p> Signup and view all the answers

What is the purpose of using an oral anesthetic mouthwash before meals for cancer patients?

<p>To ease the process of chewing and swallowing (D)</p> Signup and view all the answers

Which virus is associated with causing lymphoma and leukemia?

<p>Epstein-Barr virus (B), HIV (C)</p> Signup and view all the answers

Which of the following cancers is associated with Helicobacter pylori infection?

<p>Stomach cancer (B)</p> Signup and view all the answers

What is the purpose of using dye or contrast during diagnostic imaging procedures?

<p>To improve the clarity of the images and visualize tumors better. (A)</p> Signup and view all the answers

What should be verified before a client undergoes a diagnostic imaging procedure?

<p>The signed informed consent form. (D)</p> Signup and view all the answers

During the recovery period after a procedure, what is essential for the healthcare provider to ensure?

<p>Adequate oxygenation during the recovery period. (A)</p> Signup and view all the answers

Which imaging technique is NOT mentioned as a method for visualizing tumors?

<p>Fluoroscopy (A)</p> Signup and view all the answers

What is a potential nursing action during a client’s procedure involving sedation?

<p>Withholding oral intake until the client is fully alert. (D)</p> Signup and view all the answers

Which finding would increase suspicion of cancer and require further evaluation?

<p>Unexplained weight loss. (D)</p> Signup and view all the answers

What is the primary goal of performing a sentinel lymph node biopsy?

<p>To evaluate the presence of metastasis in the closest lymph nodes. (D)</p> Signup and view all the answers

What action should be taken if findings indicate potential cancer during diagnostic tests?

<p>Conduct further evaluation and testing. (B)</p> Signup and view all the answers

What is the recommended procedure for disposing of unused chemotherapy medications?

<p>Return them to the dispensary (D)</p> Signup and view all the answers

What personal protective equipment is required for those handling chemotherapy medications?

<p>Proper personal protective equipment (D)</p> Signup and view all the answers

Which route of administration is used for delivering intracicavity chemotherapy?

<p>Directly into a body cavity (A)</p> Signup and view all the answers

What is a recommended practice for dispensing oral chemotherapy medications?

<p>Use a cup and avoid direct hand contact (C)</p> Signup and view all the answers

What should be done in case of extravasation during IV chemotherapy?

<p>Notify the charge nurse for immediate treatment (A)</p> Signup and view all the answers

What is a primary benefit of intracavitary chemotherapy?

<p>Prevention of systemic adverse effects (B)</p> Signup and view all the answers

How should IV infusions of chemotherapy be monitored?

<p>Closely, with continuous observation for complications (A)</p> Signup and view all the answers

What is the primary function of the antidote in chemotherapy administration?

<p>To counteract specific medication effects (C)</p> Signup and view all the answers

Flashcards

Cancer

A neoplastic disease causing abnormal cell growth and differentiation.

Benign tumor

A non-cancerous tumor that doesn't invade other tissues or spread (metastasize).

Cancerous cell

A cell that grows and divides uncontrollably, disrupting normal tissue function.

Genetic mutations

Changes in DNA that can cause abnormal cell growth (cancer).

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Carcinoma

Cancer arising from epithelial tissue (skin, lining of organs).

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Sarcoma

Cancer arising from mesenchymal tissue (connective tissues like bone, muscle).

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Leukemia

Cancer of the blood-forming cells (bone marrow).

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Healthy diet for cancer prevention

Low-fat diet with fruits, vegetables, and lean protein.

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Low-dose helical CT risk factors

For healthy adults who are current or former smokers (55-74 years), with a 30-year pack history, either currently smoking or abstained for the last 15 years.

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Benign tumor characteristics

Slower-growing, cells similar to surrounding tissue, localized effects unless compressing vessels or nerves.

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Malignant tumor characteristics

Different cells compared to surrounding tissue, fast growth, abnormal cells proliferate widely, invading tissues, accessing blood vessels & lymph.

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Cancer risk in older adults

Highest incidence in older adults, specifically females with colorectal, breast, lung, pancreatic, and ovarian cancers; males with lung, colorectal, prostate, pancreatic, and gastric cancers.

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Immunosuppression & cancer

Increased risk of cancer in individuals with weakened immune systems.

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Skin injury & cancer

Higher incidence of skin cancer in individuals with chronic irritation or severe skin injury (burn scars).

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Breast cancer risk by race

Non-Hispanic white American females have a higher likelihood of developing breast cancer compared to other groups.

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Tumor detection methods

Laboratory tests like tumor markers (e.g., CA-125) and screening tests can aid in identifying cancerous tumors.

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Pap Test Frequency

Women aged 21-29 should have a Pap test every 3 years, while women aged 30-65 should have one every 5 years.

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Colon Cancer Screening

Individuals over 50 should undergo a colonoscopy every 10 years.

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Food Diary Use

A food diary helps monitor dietary changes observed in cancer patients with malnutrition.

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Oral Anesthetic Mouthwash

This helps soothe a client's mouth before eating, aiding in chewing and swallowing for cancer patients.

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Hepatitis B or C

These viruses can increase the risk of developing liver cancer.

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HPV and Cervical Cancer

Human papillomavirus (HPV) is a major factor in the development of cervical cancer.

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HIV and Cancer

HIV is associated with an increased risk of certain cancers, including lymphoma and Kaposi's sarcoma.

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H. pylori and Cancer

Helicobacter pylori bacteria can contribute to stomach cancer and lymphoma of the stomach lining.

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SIADH symptoms in lung cancer

Symptoms of Syndrome of Inappropriate Antidiuretic Hormone (SIADH) in a client with lung cancer can include behavioral changes, headaches, decreased urine output, and weight gain.

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SIADH finding 1

Behavioral changes can be a symptom of SIADH, a potentially serious condition in cancer patients.

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SIADH finding 2

Headaches are a possible indicator of SIADH in cancer patients.

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SIADH finding 3

Decreased urine output (e.g., 40 mL/hr) could be related to SIADH.

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SIADH finding 4

Weight gain might correlate with fluid retention, accompanying SIADH.

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SIADH finding 5

Increased urine specific gravity suggests concentrated urine, possible with SIADH and some cancers.

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Cancer risk factors (diet)

Diet-related factors like poor nutrition, excessive intake of processed foods, and lack of fruits and vegetables can increase cancer risk.

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Cancer risk factors (lifestyle)

Lifestyle factors like smoking, excessive alcohol consumption, lack of physical activity, and environmental exposures impact cancer risk.

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Chemotherapy Administered Where?

Chemotherapy can be given in a hospital, doctor's office, clinic, or even at home.

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Chemotherapy Precautions

Chemotherapy drugs are absorbed through skin and mucous membranes, so special precautions are needed.

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Disposing of Chemo Drugs

Never throw chemotherapy drugs in the trash or sewage. Return unused drugs or dispose of them as directed by the hospital.

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Intracavitary Chemotherapy

Chemotherapy is applied directly into a body cavity like the abdomen, chest, or bladder.

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Why Intracavitary?

This method targets specific areas, reducing systemic effects while still treating the cancer.

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Intracavitary Route

Chemotherapy is often delivered via a small catheter inserted into the targeted cavity.

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Potential Side Effect of Intracavitary Chemotherapy

Local irritation can occur in the treated area, but systemic side effects are usually minimized.

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Handling Chemotherapeutic Agents

Anyone preparing, giving, or disposing of chemotherapy medications must use proper personal protective equipment.

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What are some imaging tests used to detect cancer?

Imaging tests like CT scans, MRI, PET scans, and ultrasounds can provide detailed images of organs and tissues, helping identify potential cancerous growths. They are often used in combination with other diagnostic measures.

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What is a CT scan?

A CT scan uses X-rays and a computer to create detailed cross-sectional images of the body. This allows doctors to visualize organs, tissues, and bones in great detail, helping detect tumors and other abnormalities.

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What is an MRI?

An MRI uses magnetic fields and radio waves to create detailed images of organs, tissues, and bones. It's particularly good at showing soft tissues, making it helpful in detecting cancers of the brain, spinal cord, and muscles.

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What is a PET scan?

A PET scan uses a radioactive tracer that accumulates in areas of high metabolic activity, like cancer cells. This allows doctors to see areas of increased activity, helping to detect and track cancer.

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What is an ultrasound?

An ultrasound uses sound waves to create images of organs and tissues. It's a safe and painless procedure, often used to examine the uterus, bladder, and thyroid.

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What is a biopsy?

A biopsy is a surgical procedure where a small sample of tissue is removed from the body for examination under a microscope. It's used to confirm or rule out the presence of cancer.

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What is a sentinel lymph node biopsy?

This specific type of biopsy targets the lymph node closest to the tumor. It helps determine if cancer has spread to surrounding lymph nodes, crucial for staging the cancer and planning treatment.

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What is the role of a nurse in cancer diagnostic procedures?

Nurses play a crucial role in prepping clients for these procedures, ensuring they understand the process and sign the informed consent. They also monitor clients during and after the procedure, ensuring safety and comfort.

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Study Notes

General Principles of Cancer

  • Cancer is a disease process involving abnormal cell growth and differentiation.
  • Normal cells grow, divide, and die in an orderly fashion; but cancerous cells grow, divide, and form new blood vessels to nourish their growth.
  • Genetic mutations are the cause of abnormal cancerous growth. These mutations can be inherited or caused by environmental factors.
  • Factors like viruses, physical agents, chemical agents, hormones, familial history, and lifestyle can trigger abnormal cell growth.
  • Cancer cells invade surrounding tissues and spread via lymph and blood vessels (metastasis).
  • Screening and early diagnosis are crucial for better health outcomes.
  • Certain ethnic groups have a higher risk of death from cancer than others, despite a sometimes lower risk for developing cancer.

Body Tissues

  • Cancerous cells can arise from any tissue.
  • These cells reduce the functional ability of the tissue they invade.
  • Carcinomas form in epithelial tissue.
  • Adenocarcinomas from in glandular organs.
  • Sarcomas form in mesenchymal tissue.
  • Leukemias from from blood-forming cells.
  • Lymphomas arise from lymph tissue.
  • Myelomas come from plasma cells.

Health Promotion and Disease Prevention

  • Healthy diet (low-fat, increased fruits and vegetables, lean protein) is important. Limit intake of sugar, salt, nitrates, nitrites, processed and red meats.
  • Maintain a healthy weight and avoid tobacco.
  • Limit alcohol consumption to one drink per day for females and two for males.
  • Avoid risky lifestyle choices (drugs, needle sharing, unprotected sex).
  • Avoid environmental hazards (radiation, chemicals). Wear protective equipment when necessary.
  • Regular physical activity is recommended.
  • Protect skin from UV rays.
  • Consider removal of at-risk tissue such as moles, to prevent potential skin cancer.
  • Chemoprevention (medications to disrupt cancer development) helps.
  • For example, aspirin and celecoxib can reduce the risk of colon cancer; vitamin D and tamoxifen for breast cancer risk; vaccination for HPV, and hepatitis B.

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