Cancer
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Questions and Answers

It is a phase in cancer cell cycle wherein the cell enlarges and synthesizes proteins to prepare for cell division.

  • S phase
  • Gap 2 phase
  • M phase
  • Gap 1 phase (correct)
  • It is the regression of a cell to an immature or undifferentiated cell type

  • Metaplasia
  • Dysplasia
  • Anaplasia (correct)
  • Neoplasia
  • A process by which normal cells are transformed into cancer cells

  • Oncology
  • Carcinogenesis/Oncogenesis (correct)
  • Oncologist
  • Carcinogen
  • It determines the size of the tumor and the existence of local invasion and distant metastasis

    <p>Staging</p> Signup and view all the answers

    It is a protein immune suppressor

    <p>P53</p> Signup and view all the answers

    Uncontrolled growth and spread of abnormal cells

    <p>Cancer</p> Signup and view all the answers

    loss of DNA control over differentiation occuring in response to adverse conditions

    <p>Dysplasia</p> Signup and view all the answers

    What phase in cancer cell cycle wherein the cell makes important proteins to be used in cell division

    <p>Gap 2 phase</p> Signup and view all the answers

    TNM stands for?

    <p>Tumor, nodes, Metastasis</p> Signup and view all the answers

    A tumor was shown to posses cells that were moderately differentiated. This is considered a?

    <p>Grade 2</p> Signup and view all the answers

    All Forms of Cancer use the same grading system?

    <p>False</p> Signup and view all the answers

    What is the meaning of cancer in situ?

    <p>The tumor is found in original place and has not spread from its original location</p> Signup and view all the answers

    The category "N" in the TNM system gives detail about?

    <p>Node</p> Signup and view all the answers

    What TNM classification has the poorest prognosis

    <p>T4N3M1</p> Signup and view all the answers

    Which stage of cancer is called metastic cancer and means the cancer has spread to other parts of the body beyond where the cancer is started?

    <p>Stage 4</p> Signup and view all the answers

    What TNM classification below best describes this finding: Very large tumor with 1 regional lymph node involvement, and spread to two regional organs?

    <p>T4N1M1</p> Signup and view all the answers

    The TNM staging system for cancer be used to help stage what type of cancer?

    <p>Colon Cancer</p> Signup and view all the answers

    it begins in the bone, cartilage, fat, muscle, connective or supportive tissue

    <p>Sarcoma</p> Signup and view all the answers

    Begins in the tissue of brain and spinal cord

    <p>CNS</p> Signup and view all the answers

    It is a permanent change in DNA nucleotide sequence, arise spontaneously from a mutagen

    <p>Mutations</p> Signup and view all the answers

    What are the 3 stages of Carcinogenesis?

    <p>Initiation, promotion, progression</p> Signup and view all the answers

    What is the primary cause of death in patient with cancer?

    <p>Infection</p> Signup and view all the answers

    The most common site for cancer caused by smoking

    <p>Bladder</p> Signup and view all the answers

    The nurse is teaching the patient ways to help prevent them from getting cancer. Which patient response indicates the need for more teaching?

    <p>&quot;I do not need to limit my alcohol intake at all.&quot;</p> Signup and view all the answers

    A nurse is caring for patient undergoing chemotherapy. Which diet would the nurse expect the patient to prescribed?

    <p>high protein and high calorie</p> Signup and view all the answers

    You are teaching a group of nursing students about the characteristics of cancer cell growth. Which of the following statements by a nursing student indicates the need for further teaching?

    <p>&quot;Cancer cells will only produce two cells at the time of mitosis.&quot;</p> Signup and view all the answers

    Which stage in the development of cancer is characterized by the reversible proliferation of altered cells?

    <p>Promotion</p> Signup and view all the answers

    Which of the following patients is experiencing one of the seven warning signs of cancer?

    <p>A 67-year-old female who has a sore that does not heal.</p> Signup and view all the answers

    What is the effect of chemotherapy on cells?

    <p>It eliminates or reduces the number of cancer cells in the primary tumor and metastatic tumor sites.</p> Signup and view all the answers

    A nurse is caring for a patient who is receiving intravesical bladder chemotherapy. Which adverse effect should the nurse monitor for?

    <p>Hematuria</p> Signup and view all the answers

    Which immune response plays a dominant role in resisting tumor growth?

    <p>Cytotoxic T cells</p> Signup and view all the answers

    A 76-year old patient who is undergoing cancer treatments comes into the emergency room with complains of weakness, muscle cramps, diarrhea, nausea, and vomiting. The patient's labs reveal hyperuricemia, hyperphosphatemia, hyperkalemia, and hypocalcemia. Which oncologic emergency is this patient most likely experiencing?

    <p>Tumor Lysis Syndrome</p> Signup and view all the answers

    The nurse should become familiar with the use of which mnemonic for his/her own knowledge and for patient teaching of warning signs associated with cancer?

    <p>CAUTION</p> Signup and view all the answers

    Which of the following cancers would not be clinically staged?

    <p>Leukemia</p> Signup and view all the answers

    Which of the following statements is NOT true about benign and malignant neoplasms?

    <p>Benign neoplasms are poorly differentiated, while malignant neoplasms are normally differentiated.</p> Signup and view all the answers

    Study Notes

    Cancer Cell Cycle

    • G1 phase: cell enlarges and synthesizes proteins to prepare for cell division
    • De-differentiation: regression of a cell to an immature or undifferentiated cell type

    Cancer Development

    • Carcinogenesis: process by which normal cells are transformed into cancer cells
    • Loss of DNA control over differentiation: occurs in response to adverse conditions

    Cancer Characteristics

    • Uncontrolled growth and spread of abnormal cells
    • Loss of differentiation: characterizes cancer cells

    Tumor Grading and Staging

    • TNM stands for Tumor, Node, Metastasis
    • TNM system determines the size of the tumor and the existence of local invasion and distant metastasis
    • Cancer in situ: cancer that remains at the site of origin
    • Category "N" in the TNM system: gives detail about nodal involvement
    • TNM classification with the poorest prognosis: M1 (distant metastasis)
    • Stage IV cancer: called metastatic cancer and means the cancer has spread to other parts of the body beyond where the cancer started

    Cancer Types

    • Cancer that begins in the bone, cartilage, fat, muscle, connective or supportive tissue: sarcoma
    • Cancer that begins in the tissue of brain and spinal cord: central nervous system cancer

    Carcinogenesis

    • Mutation: a permanent change in DNA nucleotide sequence, arises spontaneously from a mutagen
    • 3 stages of Carcinogenesis: initiation, promotion, and progression

    Cancer Complications

    • Primary cause of death in patients with cancer: metastasis
    • Most common site for cancer caused by smoking: lung

    Cancer Prevention and Treatment

    • Nurse teaching patient ways to prevent cancer: patient response indicates need for more teaching if they don't understand the importance of prevention
    • Diet for patient undergoing chemotherapy: high-calorie, high-protein diet
    • Effect of chemotherapy on cells: kills cancer cells
    • Adverse effect of intravesical bladder chemotherapy: bladder irritation

    Cancer and the Immune System

    • Immune response that plays a dominant role in resisting tumor growth: cell-mediated immunity

    Oncologic Emergencies

    • Oncologic emergency: tumor lysis syndrome (characterized by hyperuricemia, hyperphosphatemia, hyperkalemia, and hypocalcemia)

    Cancer Warning Signs

    • Mnemonic for cancer warning signs: CAUTION
    • Cancer that would not be clinically staged: brain cancer
    • Benign and malignant neoplasms: benign neoplasms do not invade surrounding tissue, whereas malignant neoplasms do

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