Oncology and Palliative Care Quiz
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Questions and Answers

Which of the following is NOT considered a warning sign of cancer?

  • Thickening or lump in the breast
  • Unexplained weight gain (correct)
  • Obvious change in a wart or mole
  • Sore throat that doesn't heal
  • Which lifestyle factor is least likely associated with an increased risk for colon cancer?

  • Consumption of processed foods
  • Age 50+
  • Obesity
  • High aerobic activity (correct)
  • What distinguishes hospice care from palliative care?

  • Hospice care is for patients with a prognosis of less than 6 months to live. (correct)
  • Palliative care is only available in hospitals.
  • Hospice care requires life-sustaining treatment.
  • Palliative care is limited to symptom management only.
  • Which of the following interventions is most important for managing anemia in chemotherapy patients?

    <p>Using bleeding precautions (A)</p> Signup and view all the answers

    What does extravasation refer to in the context of chemotherapy treatment?

    <p>Leakage of chemotherapy drugs into surrounding tissue. (D)</p> Signup and view all the answers

    A patient presents with facial edema, engorged blood vessels, and dyspnea. Which of the following conditions is MOST likely the cause of these symptoms?

    <p>Superior vena cava syndrome (B)</p> Signup and view all the answers

    A patient with a range of 2,600 should receive which of the following treatments?

    <p>Hold chemotherapy and procedure (B)</p> Signup and view all the answers

    What is a key difference between Hodgkin's and non-Hodgkin's lymphoma?

    <p>Hodgkin's lymphoma involves Reed-Sternberg cells. (C)</p> Signup and view all the answers

    Which of the following is NOT a common manifestation of Superior Vena Cava Syndrome?

    <p>Enlarged painless lymph nodes (B)</p> Signup and view all the answers

    A patient undergoing sealed radiation therapy is considered radioactive. Which of the following is TRUE about their excreta?

    <p>Their excreta is not radioactive. (B)</p> Signup and view all the answers

    What is the maximum duration to transfuse blood?

    <p>4 hours (A)</p> Signup and view all the answers

    Which of the following is NOT a symptom of hemolytic reactions?

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

    In the context of renal function monitoring, what specific gravity indicates dehydration?

    <blockquote> <p>1.030 (A)</p> </blockquote> Signup and view all the answers

    What is a common treatment for uncomplicated urinary tract infections?

    <p>3 days of high dose antibiotics (A)</p> Signup and view all the answers

    What complication can occur with TURP procedures?

    <p>Sudden decrease in urine output (C)</p> Signup and view all the answers

    Which intervention should be taken first when a transfusion reaction occurs?

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

    What symptom is commonly associated with epididymitis?

    <p>Fever and chills (D)</p> Signup and view all the answers

    Which of the following is an important precaution when using contrast dye in diagnostic testing?

    <p>Assess for allergies to iodine (A)</p> Signup and view all the answers

    In nephrolithiasis, what is a common treatment recommendation?

    <p>Ambulate regularly (D)</p> Signup and view all the answers

    What laboratory value indicates impaired renal function?

    <p>Creatinine &gt; 1.3 (A)</p> Signup and view all the answers

    A patient with leukemia is receiving induction therapy. What is the primary goal of this therapy?

    <p>To achieve a rapid and complete remission (D)</p> Signup and view all the answers

    Which of the following interventions is appropriate for a patient with leukemia who is neutropenic?

    <p>Using a soft bristle toothbrush for oral hygiene (C)</p> Signup and view all the answers

    A patient receiving a bone marrow transplant is at risk for developing which of the following complications?

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

    Which of the following medications is used to manage hyperuricemia in a patient with tumor lysis syndrome?

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

    A patient with leukemia is receiving chemotherapy. What is the most appropriate nursing intervention to prevent infection?

    <p>Using a sterile technique for all procedures (D)</p> Signup and view all the answers

    Which of the following signs and symptoms indicates a potential IV infiltration?

    <p>Burning or pain at the IV site (A)</p> Signup and view all the answers

    Which of the following interventions is appropriate for a patient with tumor lysis syndrome?

    <p>Administering 3L of fluid per day (A)</p> Signup and view all the answers

    What does ANC stand for and what does it indicate?

    <p>Absolute Neutrophil Count, indicates the patient's immunity (A)</p> Signup and view all the answers

    What is the appropriate positioning for a patient undergoing a pneumonectomy?

    <p>Lateral decubitus with remaining lung on top (C)</p> Signup and view all the answers

    What is the primary cause of microcytic anemia?

    <p>Chronic blood loss (B)</p> Signup and view all the answers

    In which condition is the administration of platelet transfusions contraindicated?

    <p>Autoimmune hemolytic anemia (D)</p> Signup and view all the answers

    Which symptom is most commonly associated with B12 deficiency?

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

    What should be monitored regularly in patients undergoing treatment for sickle cell disease?

    <p>CBC and Cl levels (C)</p> Signup and view all the answers

    What adverse effect is specifically associated with whole brain radiation therapy?

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

    Which dietary component is NOT typically recommended for increasing iron intake?

    <p>Industrial bakery products (C)</p> Signup and view all the answers

    What is the first-line treatment for patients with autoimmune hemolytic anemias?

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

    What is a significant risk factor associated with therapeutic phlebotomy?

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

    What is crucial to do before starting a blood transfusion?

    <p>Perform a crossmatch of blood (A)</p> Signup and view all the answers

    Flashcards

    7 warning signs of cancer

    Signs indicating potential cancer, such as unusual bleeding or unexplained weight loss.

    Palliative care

    Care focusing on managing symptoms and providing psychological support.

    Hospice care

    End-of-life care for those with less than 6 months to live, focusing on comfort.

    Extravasation

    Leakage of chemotherapy drug into surrounding tissue from a blood vessel.

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    Risk factors for colon cancer

    Lifestyle and genetic factors that increase colon cancer risk, including red meat and obesity.

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    Hodgkin's lymphoma

    A type of lymphoma marked by Reed-Sternberg cells, usually causing large, painless lymph nodes.

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    Non-Hodgkin's lymphoma

    All lymphoid cancers without Reed-Sternberg cells, common in older age.

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    Superior vena cava syndrome

    A condition caused by the obstruction of SVC, leading to facial edema and other symptoms.

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    BRCA 1 and 2 treatments

    Management options include prophylactic mastectomy and oophorectomy for early detection.

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    Sealed radiation therapy

    A type of brachytherapy where radiation is implanted in a specific area.

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    Adverse effects of radiation

    Negative physical responses to radiation exposure, include fatigue and skin integrity issues.

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    Iron deficiency anemia

    A condition with lower iron, causing microcytic anemia and fatigue.

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    B12 deficiency symptoms

    Includes spoon-shaped nails, cold sensitivity, and red beefy tongue due to lack of B12.

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    Sickle cell disease prevention

    Avoid stress, dehydration, and extreme temperatures to prevent sickle cell crises.

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    Thrombocytopenia

    A condition with low platelet count (<150,000), leading to bleeding issues.

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    Therapeutic phlebotomy

    A procedure to remove blood, often due to high hemoglobin or iron levels.

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    Managing sickle cell pain

    Prioritize pain management, hydration, and oxygen during crises.

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    Medication for B12 deficiency

    B12 deficiency requires lifelong treatment with monthly injections.

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    Blood transfusion protocol

    Includes crossmatching, documenting consent, and monitoring vitals before transfusion.

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    Side effects of radiation on skin

    Includes dermatitis and alopecia, particularly with whole brain radiation.

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    Resistance to IV fluid flow

    Difficulty in fluid administration indicated by pain, burning, or edema at the site.

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    Tumor lysis syndrome

    A condition caused by rapid breakdown of cancer cells releasing contents like potassium and uric acid into the blood.

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    Hyperkalemia

    An elevated level of potassium in the blood, often seen in tumor lysis syndrome.

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    Neutropenic precautions

    Measures taken to protect immunocompromised patients from infections, including hygiene and visitor limitations.

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    Bone marrow biopsy care

    Includes explaining the procedure, ensuring sterile technique, and monitoring for complications.

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    No live vaccines for immunocompromised

    Immunocompromised patients and their households should avoid live vaccines for two years to prevent serious infections.

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    ANC (Absolute Neutrophil Count)

    A measure of how many neutrophils are in the blood, indicating a patient's immune status.

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    Induction therapy in leukemia

    First phase of treatment aimed at achieving rapid and complete remission using combination chemotherapy.

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    Blood Transfusion Reactions

    Adverse responses that can occur during or after blood transfusion, including febrile, hemolytic, allergic, bacterial, circulatory overload, and TRALI.

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    Febrile Reaction

    The most common reaction during a blood transfusion, characterized by fever, chills, and tachycardia.

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    Hemolytic Reaction

    A serious reaction to blood transfusion resulting in low flank pain, fever, and chills.

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    Circulatory Overload

    Occurs when blood is infused too quickly, leading to symptoms like dyspnea, confusion, and bounding pulse.

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    Chronic Prostatitis

    Bacterial infection causing inflammation of the prostate gland, can present with low-grade fever or chills.

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    Symptoms of Pyelonephritis

    Fatigue, headache, polyuria, and weight loss are common signs of upper UTI inflammation.

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    Nephrolithiasis

    The presence of kidney stones, leading to pain (knife-like), hematuria, and dysuria.

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    UTI Prevention

    Practices to avoid urinary tract infections, such as proper hygiene and increased fluid intake.

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    BUN Levels

    Blood Urea Nitrogen (BUN) levels indicate kidney function, with normal levels between 10-20 mg/dL.

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    Diagnosis Check for Allergies

    Before procedures with contrast, checking for allergies to iodine, shellfish, eggs, milk, and chocolate is crucial.

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    Study Notes

    Oncology - Warning Signs of Cancer

    • Seven warning signs of cancer include changes in bowel/bladder habits, sore throat that won't heal, unusual bleeding/discharge, thickening/lump in the breast/elsewhere, indigestion/difficulty swallowing, obvious change in a wart or mole, and nagging cough/hoarseness.
    • Unexplained weight loss can also be a symptom.

    Colon Cancer Risk Factors

    • Risk factors for colon cancer include red meat, a sedentary lifestyle, alcohol, processed foods, and age 50+.
    • Family history, obesity, smoking, and low vitamin D levels are also risk factors.
    • Inflammatory diseases are additionally linked to an increased risk.

    Differentiating Hospice and Palliative Care

    • Palliative care manages symptoms, as well as psychological and spiritual care.
    • Hospice care is for people with 6 months or less to live. It focuses on pain/symptom management.
    • Unlike palliative care, hospice does not use life-sustaining treatments, including fluids, blood, and lab testing.

    Chemotherapy Side Effects

    • Chemotherapy side effects can include mucositis/stomatitis (oral sores), anemia/pancytopenia (reduced blood cells), bleeding precautions, no acidic foods, alopecia (hair loss), and infertility/sexual alterations.

    Extravasation Treatment

    • Extravasation is the leakage of fluid (chemo drug) from a blood vessel into surrounding tissue.
    • Stop the infusion, aspirate the remaining drug from the site, and apply a cold/warm compress are the first steps.
    • Antidotes may be necessary, depending on the situation.

    Tumor Lysis Syndrome

    • Tumor lysis syndrome (TLS) occurs when cancer cells rapidly break down and release contents into the bloodstream.
    • This can cause hyperkalemia (high potassium) and hyperuricemia (high uric acid).
    • TLS is a sign that cancer treatment is effective.
    • Management includes significant fluid intake, diuretics (to eliminate excess fluids and electrolytes), and dialysis (for severe cases).

    Immunocompromised Patient Interventions

    • Interventions for immunocompromised patients include neutropenic precautions (e.g., no raw foods, hand hygiene, etc).
    • Limiting visitors, providing prophylactic antibiotics, and using a private room are also recommended.
    • Limiting activity, monitoring for infections (especially pneumonia), using caution with warm tubs baths and mild analgesics are further interventions.

    Leukemia Care

    • Leukemia care includes managing the overproduction of immature/non-functioning white blood cells (WBC) and possible pancytopenia (low WBC, red blood cells, and platelets).
    • Bleeding precautions are important.

    Infections

    • Use an electric razor, soft bristle toothbrush for oral hygiene only when needed, to prevent infection.

    Cancer Treatment Therapies

    • Induction therapy is a combination chemotherapy used to achieve remission quickly.
    • Consolidation therapy often involves stem cell transplants to eliminate any remaining cancer cells.
    • Maintenance therapy involves taking oral medications for long term management.

    Blood Cell Counts

    • Absolute neutrophil count (ANC) is a measure of the effectiveness of an immune system against infection, with normal range 2,500–7,000.
    • A level lower than 500 may indicate the need for holding chemo or further procedures.
    • Hodgkin's lymphoma involves lymph nodes, while non-Hodgkin's lymphoma shows abnormalities other than reed-Sternberg cells.

    BRCA1/2 Positive Patients

    • Long-term surveillance is a focus for early detection
    • Prophylactic surgery (mastectomy, oophorectomy) may be considered
    • Superior vena cava syndrome, occurs when the superior vena cava is compressed/obstructed by a tumor, causing edema and other symptoms.

    Radiation Therapy

    • Sealed radiation therapy is a brachytherapy type, where radiation is precisely placed in a specific area, inside the body, and or as an implant.

    Radiation Therapy Side Effects

    • Systemic effects of radiation therapy include fatigue, malaise, anorexia (loss of appetite), bone marrow suppression (low blood cell counts), anemia (low red blood cells), leukopenia (low white blood cells), thrombocytopenia (low platelets), skin integrity problems like dermatitis and alopecia (hair loss).
    • Oral mucosa problems (e.g., mucositis/stomatitis, xerostomia) and altered taste can also occur.

    Hematological Conditions

    • Iron deficiency anemia, often microcytic (small red blood cells), can result from poor diet, blood loss, and alcoholism.
    • Vitamin B12 deficiency/folic acid deficiency anemia (macrocytic-large red blood cells) can be caused by poor absorption, diet, and some medications.
    • Autoimmune hemolytic anemias are caused by antibodies attacking red blood cells.
    • Thrombocytopenia is a condition where platelet counts fall below 150,000.

    Renal Function Monitoring

    • Specific gravity (1.003-1.050) is measured through urinalysis to assess hydration status.
    • Low specific gravity (less than 1.003) suggests overhydration.
    • High specific gravity (greater than 1.030) suggests dehydration.

    UTI Prevention and Treatment

    • Prevention of UTIs should involve proper hygiene, adequate fluid intake, avoidance of irritants (certain foods or drinks), appropriate clothing, and wiping from front to back after urination.
    • Treatment options include short-term, high-dose antibiotics for uncomplicated infections.
    • Longer courses of antibiotics are typically used for complicated infections or recurrent UTIs.
    • If epididymitis (infection of the epididymis) is suspected, it may spread from the urethra.

    Genitourinary Conditions

    •Heaviness in a testicle, edema, and the need for antibiotics, scrotal elevation, ice, and avoiding strain are common interventions. •A TURP (transurethral resection of the prostate) can resolve urinary retention or frequency from benign prostatic hyperplasia (BPH) or cancer. •Post-operative care includes monitoring for bleeding, maintaining appropriate urine output, and managing complications. •Pyelonephritis (upper UTI) can be caused by recurrent UTIs, immunosuppression, or pregnancy.

    Urinary Tract Infections (UTIs)

    • Urinary tract infections (UTIs) can manifest with symptoms such as nocturia, incontinence (involuntary urination), suprapubic/pelvic pain, and hematuria (blood in urine).
    • Prevention strategies include urination before and after sexual activity, no restrictive clothing, wiping from front to back, and no scented products.
    • Treatment involves antibiotics for a specified period depending on infection complexity.

    Urologic Conditions, Symptoms and Treatments

    • Pain, including flank pain related to groin, dysuria and frequency, are common symptoms. •Appropriate pain management, including medications, is necessary. •Treatment may include antibiotics- for 2 weeks for acute and 4-12 weeks for chronic cases. • Prostatic massage and non-infectious therapies may be utilized depending on the condition.

    Diagnostic Testing

    • Diagnostic testing might involve imaging evaluations to check for problems, assessment for allergies, pre-procedure preparations, and discontinuation of certain medications before procedures.
    • Some tests may include blood tests (BUN, Cr, GFR; CBC, blood glucose).
    • Urine tests to assess hydration status, may be important to monitor for renal stones and possible infection.

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    Description

    Test your knowledge on key topics related to oncology, including warning signs of cancer, different types of lymphoma, and the distinctions between hospice and palliative care. This quiz also covers important interventions for managing complications in chemotherapy and radiation therapy. Perfect for students and healthcare professionals alike!

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