Cancer Detection and Treatment Quiz

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Questions and Answers

Which of the following methods is least likely to be effective for early cancer detection?

Yearly physical and blood examination

Annual Pap smear for sexually active women only

Annual digital rectal examination for persons over age 40

Annual chest x-ray (correct)

What surgical procedure involves the removal of the entire breast and associated muscles?

Modified radical mastectomy (correct)

Halstead surgery

Radiation therapy

Simple mastectomy

What does the 'N' in the TNM staging system for neoplasms stand for?

Neoplasm

Node (correct)

Nature

Time

Which of the following is considered a warning sign of cancer?

Presence of dry cough Signup and view all the answers

Chemotherapy should be avoided in which of the following conditions?

Severe infection Signup and view all the answers

What does TNM stand for in the context of cancer staging?

Tumor, node, metastasis Signup and view all the answers

What is the most common risk factor for laryngeal cancer?

Cigarette smoking Signup and view all the answers

Which of the following statements is true regarding warning signs of cancer?

A sore that heals slowly may indicate cancer. Signup and view all the answers

Which assessment finding would the nurse expect in a client with Hodgkin’s disease?

Enlarged lymph nodes Signup and view all the answers

Which choice correctly describes another term for a mastectomy that removes all breast tissue and lymph nodes?

Radical mastectomy Signup and view all the answers

A client receiving radiation therapy for bladder cancer reports feeling as if she is voiding through the vagina. This may indicate:

The development of a vesicovaginal fistula Signup and view all the answers

What is the purpose of administering allopurinol to a client receiving Myleran?

To prevent hyperuricemia Signup and view all the answers

Which nursing action related to handling Cytoxan should be corrected?

Air bubbles should be expelled on wet cotton Signup and view all the answers

Which characteristic is NOT associated with malignant tumors?

Encapsulated Signup and view all the answers

Which of the following symptoms is least likely related to radiation therapy side effects?

Increased appetite Signup and view all the answers

What potential complication should be monitored in a client undergoing radiation therapy for bladder cancer?

Development of a vesicovaginal fistula Signup and view all the answers

Which stage of cancer is classified as metastatic cancer, indicating that it has spread beyond its original site?

Stage IV Signup and view all the answers

What is the limited time for client contact during radiation therapy to promote safety for personnel?

1 minute Signup and view all the answers

Cyclophosphamide (Cytoxan) poses the serious side effect of:

Hemorrhagic cystitis Signup and view all the answers

A client receiving chemotherapy expresses understanding of potential therapy effects by stating:

I should notify the physician immediately if a urine color change is observed. Signup and view all the answers

Cytarabine (Ara-C) may cause a syndrome characterized by all of the following symptoms except:

Chest pain Signup and view all the answers

In which stage is a breast cancer patient with a tumor size up to 5 cm and axillary and neck lymph node involvement?

Stage III Signup and view all the answers

What is a common fatal side effect of Cyclophosphamide?

Hemorrhagic cystitis Signup and view all the answers

The statement 'I should notify the physician immediately if a urine color change is observed' indicates what?

Awareness of potential side effects Signup and view all the answers

What indicates that teaching regarding pain management has been effective for the patient with cancer?

Takes opioids around the clock on a regular schedule and uses additional doses when breakthrough pain occurs Signup and view all the answers

Which statement about the bone marrow transplant procedure is likely correct?

The transplant procedure takes place in a sterile operating room to minimize the risk for infection Signup and view all the answers

What diet choice indicates effective teaching for a patient with cancer of the liver?

Grilled chicken with vegetables Signup and view all the answers

What is the primary purpose of Interleukin-2 (IL-2) therapy in metastatic renal cell carcinoma?

To stimulate the body’s immune response against cancer cells Signup and view all the answers

Which of the following is a common misconception about opioids for cancer pain management?

Only high doses of opioids are effective for all patients Signup and view all the answers

What is an expected requirement following a hematopoietic stem cell transplant (HSCT)?

Hospitalization for several weeks Signup and view all the answers

Which option best describes the pain management strategy for patients who experience a 10/10 during cancer treatment?

Utilize opioid pain medications on a fixed schedule with as-needed doses Signup and view all the answers

What dietary approach should be recommended for a patient undergoing treatment for liver cancer?

A high-protein, high-calorie diet Signup and view all the answers

What does it indicate if a tumor has moderately differentiated cells?

Grade II Signup and view all the answers

Which category in the TNM system represents the primary tumor?

Tumor (primary) Signup and view all the answers

Which statement about tumor staging is incorrect?

Staging only identifies the size of the tumor. Signup and view all the answers

At what size do chest x-rays typically detect cancer?

When tumors are a half-inch in size or larger Signup and view all the answers

What does the category 'N' in the TNM system stand for?

Nodes Signup and view all the answers

Which of the following is true about the grading systems of cancers?

Some cancers have unique grading systems. Signup and view all the answers

What does the nurse stress to a community group about cancer prevention?

Exercise, normal body weight, and a low-fat diet are important Signup and view all the answers

What does the 'M' category in the TNM system provide information about?

If the cancer has spread to other parts of the body Signup and view all the answers

What is considered the criteria for a patient to be deemed as cured from cancer?

Cancer can never be considered cured, only controlled Signup and view all the answers

What lifestyle factor is associated with an increased risk of cancer, as suggested in the content?

Obesity and lack of exercise Signup and view all the answers

In radiation therapy, which statement about promoting skin integrity is least appropriate?

Avoiding the use of ointments, powders, and lotion to the area Signup and view all the answers

What is an expected outcome following the debulking procedure for a stomach tumor attached to the liver?

Reduction in tumor size without eliminating cancer Signup and view all the answers

The TNM system helps determine which aspects of cancer?

Location, size of the tumor, and spread to lymph nodes Signup and view all the answers

What does the patient need to understand about cancer follow-up care?

Frequent follow-up examinations are required Signup and view all the answers

What is a common misconception about cancer treatment outcomes?

Surgical removal guarantees a cure Signup and view all the answers

Which statement about dietary factors is emphasized in cancer prevention?

Low-fat dietary choices can help in prevention Signup and view all the answers

Study Notes

Breast Self-Exam Timing

Best time is 7-10 days after menstruation
Not 1st day of bleeding every 6 months
Not same time each day
Not ovulation day

Testicular Cancer Prevention

Best time for self-exam is after a shower
Testicle should feel firm, not hard
Minor lumps/swelling common due to monthly hormone changes
Monthly self-exams are not recommended.

Radiation Source Patient Assignment

Rotate staff, assign a nurse who has not cared for the patient previously
Assign same nurse who cared for the patient yesterday
No special staffing restrictions for sealed radiation
Decide to assign one nurse to care for all patients on sealed radiation to provide continuous care

Leukemia Patient Nadir

Greatest risk of bleeding, platelet count can drop to 50,000 or less
Not at greatest risk for blood clots, platelet count can't exceed 500,000
Not at risk for stroke
Not necessarily in reverse isolation

Leukemia Patient Clinical Presentation

Decreased hemoglobin, hematocrit, platelets; elevated/normal white blood cells with enlarged lymph nodes
Not elevated hemoglobin, hematocrit, decreased platelets, decreased white blood cells; bradycardia
Not normal hemoglobin, hematocrit, normal platelets, increased white blood cells
Not decreased hemoglobin, hematocrit, increased platelets, elevated white blood cells

Hodgkin's Disease Misconception

Doesn't always present with bone pain in ribs, spine, pelvis
Reed-Stenberg cells are present in the lymph nodes
Positive CT scan of liver and spleen possible
Positive biopsy of lymph nodes, often cervical nodes, is essential for diagnosis

Multiple Myeloma Nursing Interventions

Encourage at least 2 liters of fluids daily
Support skeletal strength during movement
Discuss infertility issues with patient if relevant
Assist with coughing, deep breathing exercises
Administer antiembolic stockings as prescribed

Cervical Cancer Risk Factors

21-year-old with first sexual partner at age 14 and 10 or more partners
60-year-old with syphilis and smoking
32-year-old in a monogamous relationship who declined HPV vaccine
None of the patients are at risk for cervical cancer.

Breast Cancer Assessment

Masses usually felt in the upper outer quadrant beneath the nipple or in the axilla.
Women with late menarche and early menopause are at risk.
Nipple retraction can be a characteristic.
Masses are typically not painful or red.

Client Pain Assessment

Client's pain rating
Client's nonverbal cues
Pain relief after nursing intervention

Postoperative Pelvic Exenteration Diet Changes

Prioritize assessment of urine specific gravity
Assess bowel sounds
Assess incision appearance

Hodgkin's Disease Assessment

Fatigue
Weakness
Weight gain
Enlarged lymph nodes

Advanced Ovarian Cancer Symptoms

Abdominal distention
Not abdominal bleeding, diarrhea, hypermenorrhea

Bone Cancer Classification

Sarcoma

Ovarian Cancer Client Coping

Bargaining (e.g., willing to trade death for a time to see daughter graduate)

Laryngeal Cancer Risk Factors

Alcohol abuse
Cigarette smoking
Chewing tobacco use
Exposure to air pollutants

Bladder Cancer Radiation Therapy Side Effects

Altered perineal sensation
Vesicovaginal fistula

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Description

Test your knowledge on early cancer detection methods, surgical procedures like mastectomy, and TNM staging system. This quiz covers important signs, symptoms, and nursing considerations related to cancer treatment and management.