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Questions and Answers
Which of the following is NOT considered a warning sign of cancer?
Which of the following is NOT considered a warning sign of cancer?
Which lifestyle factor is least likely associated with an increased risk for colon cancer?
Which lifestyle factor is least likely associated with an increased risk for colon cancer?
What distinguishes hospice care from palliative care?
What distinguishes hospice care from palliative care?
Which of the following interventions is most important for managing anemia in chemotherapy patients?
Which of the following interventions is most important for managing anemia in chemotherapy patients?
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What does extravasation refer to in the context of chemotherapy treatment?
What does extravasation refer to in the context of chemotherapy treatment?
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A patient presents with facial edema, engorged blood vessels, and dyspnea. Which of the following conditions is MOST likely the cause of these symptoms?
A patient presents with facial edema, engorged blood vessels, and dyspnea. Which of the following conditions is MOST likely the cause of these symptoms?
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A patient with a range of 2,600 should receive which of the following treatments?
A patient with a range of 2,600 should receive which of the following treatments?
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What is a key difference between Hodgkin's and non-Hodgkin's lymphoma?
What is a key difference between Hodgkin's and non-Hodgkin's lymphoma?
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Which of the following is NOT a common manifestation of Superior Vena Cava Syndrome?
Which of the following is NOT a common manifestation of Superior Vena Cava Syndrome?
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A patient undergoing sealed radiation therapy is considered radioactive. Which of the following is TRUE about their excreta?
A patient undergoing sealed radiation therapy is considered radioactive. Which of the following is TRUE about their excreta?
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What is the maximum duration to transfuse blood?
What is the maximum duration to transfuse blood?
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Which of the following is NOT a symptom of hemolytic reactions?
Which of the following is NOT a symptom of hemolytic reactions?
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In the context of renal function monitoring, what specific gravity indicates dehydration?
In the context of renal function monitoring, what specific gravity indicates dehydration?
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What is a common treatment for uncomplicated urinary tract infections?
What is a common treatment for uncomplicated urinary tract infections?
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What complication can occur with TURP procedures?
What complication can occur with TURP procedures?
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Which intervention should be taken first when a transfusion reaction occurs?
Which intervention should be taken first when a transfusion reaction occurs?
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What symptom is commonly associated with epididymitis?
What symptom is commonly associated with epididymitis?
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Which of the following is an important precaution when using contrast dye in diagnostic testing?
Which of the following is an important precaution when using contrast dye in diagnostic testing?
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In nephrolithiasis, what is a common treatment recommendation?
In nephrolithiasis, what is a common treatment recommendation?
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What laboratory value indicates impaired renal function?
What laboratory value indicates impaired renal function?
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A patient with leukemia is receiving induction therapy. What is the primary goal of this therapy?
A patient with leukemia is receiving induction therapy. What is the primary goal of this therapy?
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Which of the following interventions is appropriate for a patient with leukemia who is neutropenic?
Which of the following interventions is appropriate for a patient with leukemia who is neutropenic?
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A patient receiving a bone marrow transplant is at risk for developing which of the following complications?
A patient receiving a bone marrow transplant is at risk for developing which of the following complications?
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Which of the following medications is used to manage hyperuricemia in a patient with tumor lysis syndrome?
Which of the following medications is used to manage hyperuricemia in a patient with tumor lysis syndrome?
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A patient with leukemia is receiving chemotherapy. What is the most appropriate nursing intervention to prevent infection?
A patient with leukemia is receiving chemotherapy. What is the most appropriate nursing intervention to prevent infection?
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Which of the following signs and symptoms indicates a potential IV infiltration?
Which of the following signs and symptoms indicates a potential IV infiltration?
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Which of the following interventions is appropriate for a patient with tumor lysis syndrome?
Which of the following interventions is appropriate for a patient with tumor lysis syndrome?
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What does ANC stand for and what does it indicate?
What does ANC stand for and what does it indicate?
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What is the appropriate positioning for a patient undergoing a pneumonectomy?
What is the appropriate positioning for a patient undergoing a pneumonectomy?
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What is the primary cause of microcytic anemia?
What is the primary cause of microcytic anemia?
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In which condition is the administration of platelet transfusions contraindicated?
In which condition is the administration of platelet transfusions contraindicated?
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Which symptom is most commonly associated with B12 deficiency?
Which symptom is most commonly associated with B12 deficiency?
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What should be monitored regularly in patients undergoing treatment for sickle cell disease?
What should be monitored regularly in patients undergoing treatment for sickle cell disease?
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What adverse effect is specifically associated with whole brain radiation therapy?
What adverse effect is specifically associated with whole brain radiation therapy?
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Which dietary component is NOT typically recommended for increasing iron intake?
Which dietary component is NOT typically recommended for increasing iron intake?
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What is the first-line treatment for patients with autoimmune hemolytic anemias?
What is the first-line treatment for patients with autoimmune hemolytic anemias?
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What is a significant risk factor associated with therapeutic phlebotomy?
What is a significant risk factor associated with therapeutic phlebotomy?
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What is crucial to do before starting a blood transfusion?
What is crucial to do before starting a blood transfusion?
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Flashcards
7 warning signs of cancer
7 warning signs of cancer
Signs indicating potential cancer, such as unusual bleeding or unexplained weight loss.
Palliative care
Palliative care
Care focusing on managing symptoms and providing psychological support.
Hospice care
Hospice care
End-of-life care for those with less than 6 months to live, focusing on comfort.
Extravasation
Extravasation
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Risk factors for colon cancer
Risk factors for colon cancer
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Hodgkin's lymphoma
Hodgkin's lymphoma
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Non-Hodgkin's lymphoma
Non-Hodgkin's lymphoma
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Superior vena cava syndrome
Superior vena cava syndrome
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BRCA 1 and 2 treatments
BRCA 1 and 2 treatments
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Sealed radiation therapy
Sealed radiation therapy
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Adverse effects of radiation
Adverse effects of radiation
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Iron deficiency anemia
Iron deficiency anemia
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B12 deficiency symptoms
B12 deficiency symptoms
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Sickle cell disease prevention
Sickle cell disease prevention
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Thrombocytopenia
Thrombocytopenia
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Therapeutic phlebotomy
Therapeutic phlebotomy
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Managing sickle cell pain
Managing sickle cell pain
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Medication for B12 deficiency
Medication for B12 deficiency
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Blood transfusion protocol
Blood transfusion protocol
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Side effects of radiation on skin
Side effects of radiation on skin
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Resistance to IV fluid flow
Resistance to IV fluid flow
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Tumor lysis syndrome
Tumor lysis syndrome
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Hyperkalemia
Hyperkalemia
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Neutropenic precautions
Neutropenic precautions
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Bone marrow biopsy care
Bone marrow biopsy care
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No live vaccines for immunocompromised
No live vaccines for immunocompromised
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ANC (Absolute Neutrophil Count)
ANC (Absolute Neutrophil Count)
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Induction therapy in leukemia
Induction therapy in leukemia
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Blood Transfusion Reactions
Blood Transfusion Reactions
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Febrile Reaction
Febrile Reaction
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Hemolytic Reaction
Hemolytic Reaction
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Circulatory Overload
Circulatory Overload
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Chronic Prostatitis
Chronic Prostatitis
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Symptoms of Pyelonephritis
Symptoms of Pyelonephritis
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Nephrolithiasis
Nephrolithiasis
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UTI Prevention
UTI Prevention
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BUN Levels
BUN Levels
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Diagnosis Check for Allergies
Diagnosis Check for Allergies
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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!