Podcast
Questions and Answers
What is the single most influential risk factor contributing to the development of cancer?
What is the single most influential risk factor contributing to the development of cancer?
- Lifestyle (correct)
- Family history
- Age
- Menopause or hormonal events
Which factor is classified as an environmental influence contributing to cancer development?
Which factor is classified as an environmental influence contributing to cancer development?
- Immunologic status
- Air pollution (correct)
- Gender
- Age
A patient in the terminal stages of cancer undergoes an operation intended to alleviate intractable pain. How is this type of intervention best described?
A patient in the terminal stages of cancer undergoes an operation intended to alleviate intractable pain. How is this type of intervention best described?
- Preventative
- Curative
- Resective
- Palliative (correct)
If a patient presents with hoarseness, which question should the nurse prioritize to gather specific details about the symptom?
If a patient presents with hoarseness, which question should the nurse prioritize to gather specific details about the symptom?
Which of the following is known to be the most common adverse effect that results from chemotherapy treatments?
Which of the following is known to be the most common adverse effect that results from chemotherapy treatments?
According to the TNM staging system, what does T1N2M1 indicate about a patient's cancer?
According to the TNM staging system, what does T1N2M1 indicate about a patient's cancer?
What is typically the first noticeable symptom associated with cancer of the larynx?
What is typically the first noticeable symptom associated with cancer of the larynx?
Which of the following findings is LEAST likely to be an early sign of breast cancer?
Which of the following findings is LEAST likely to be an early sign of breast cancer?
Which of the following scenarios represents an iatrogenic cause of cancer?
Which of the following scenarios represents an iatrogenic cause of cancer?
A nurse is educating a community group on sun safety. Which statement accurately reflects current recommendations for minimizing sun exposure?
A nurse is educating a community group on sun safety. Which statement accurately reflects current recommendations for minimizing sun exposure?
During a breast examination, a nurse palpates a lump. In which quadrant of the breast are tumors most frequently located?
During a breast examination, a nurse palpates a lump. In which quadrant of the breast are tumors most frequently located?
Which of the following statements accurately describes current guidelines for Pap smear testing?
Which of the following statements accurately describes current guidelines for Pap smear testing?
A client with advanced cancer is receiving palliative care. Which of the following best describes the focus of this type of care?
A client with advanced cancer is receiving palliative care. Which of the following best describes the focus of this type of care?
Which nursing intervention is most likely to improve the respiratory efficiency of a client with metastatic lung cancer?
Which nursing intervention is most likely to improve the respiratory efficiency of a client with metastatic lung cancer?
To minimize nausea and vomiting in a client undergoing chemotherapy, which dietary recommendation should the nurse suggest?
To minimize nausea and vomiting in a client undergoing chemotherapy, which dietary recommendation should the nurse suggest?
A client is undergoing both chemotherapy and radiation therapy. Which of the following groups of side effects is most commonly associated with these treatments?
A client is undergoing both chemotherapy and radiation therapy. Which of the following groups of side effects is most commonly associated with these treatments?
A client with liver cancer is at risk for developing several complications. Which assessment finding would be most indicative of hepatic encephalopathy?
A client with liver cancer is at risk for developing several complications. Which assessment finding would be most indicative of hepatic encephalopathy?
A child undergoing treatment for Wilm's tumor is admitted to the pediatric unit. What nursing intervention is of utmost importance when caring for this child?
A child undergoing treatment for Wilm's tumor is admitted to the pediatric unit. What nursing intervention is of utmost importance when caring for this child?
A patient with Hodgkin's lymphoma is undergoing treatment. Which of the following assessment findings would warrant immediate notification of the physician?
A patient with Hodgkin's lymphoma is undergoing treatment. Which of the following assessment findings would warrant immediate notification of the physician?
A nurse is caring for a neonate who develops jaundice within the first 24 hours of life. The bilirubin level is rapidly rising, indicating a risk for kernicterus. What should the nurse prioritize?
A nurse is caring for a neonate who develops jaundice within the first 24 hours of life. The bilirubin level is rapidly rising, indicating a risk for kernicterus. What should the nurse prioritize?
A radiation safety officer discovers a radioactive implant dislodged from a client's cervix and lying on the bed. What immediate action is most appropriate?
A radiation safety officer discovers a radioactive implant dislodged from a client's cervix and lying on the bed. What immediate action is most appropriate?
A cancer patient undergoing chemotherapy develops severe stomatitis. Which intervention is most appropriate to alleviate pain and promote oral hygiene?
A cancer patient undergoing chemotherapy develops severe stomatitis. Which intervention is most appropriate to alleviate pain and promote oral hygiene?
Which diagnostic procedure provides definitive confirmation of breast cancer?
Which diagnostic procedure provides definitive confirmation of breast cancer?
A client undergoing radiation therapy develops thrombocytopenia. Which nursing intervention is most important to include in the plan of care?
A client undergoing radiation therapy develops thrombocytopenia. Which nursing intervention is most important to include in the plan of care?
A patient receiving internal radiation therapy via an unsealed source asks why the nursing staff wears monitoring devices. What is the primary reason for this practice?
A patient receiving internal radiation therapy via an unsealed source asks why the nursing staff wears monitoring devices. What is the primary reason for this practice?
A nurse is caring for a patient undergoing external radiation therapy for prostate cancer. Which of the following safety measures is MOST important for the nurse to implement?
A nurse is caring for a patient undergoing external radiation therapy for prostate cancer. Which of the following safety measures is MOST important for the nurse to implement?
A patient is prescribed Sodium Phosphate (32P) for polycythemia vera. What route of administration should the nurse anticipate?
A patient is prescribed Sodium Phosphate (32P) for polycythemia vera. What route of administration should the nurse anticipate?
A patient receiving chemotherapy develops stomatitis. Which intervention is MOST appropriate for the nurse to recommend?
A patient receiving chemotherapy develops stomatitis. Which intervention is MOST appropriate for the nurse to recommend?
A patient undergoing chemotherapy with Doxorubicin HCl (Adriamycin) is being monitored for potential side effects. Which assessment finding warrants the MOST immediate intervention by the nurse?
A patient undergoing chemotherapy with Doxorubicin HCl (Adriamycin) is being monitored for potential side effects. Which assessment finding warrants the MOST immediate intervention by the nurse?
After a dose of intravenous chemotherapy, the nurse discovers that some of the drug has infiltrated into the subcutaneous tissue. What is the MOST appropriate immediate action?
After a dose of intravenous chemotherapy, the nurse discovers that some of the drug has infiltrated into the subcutaneous tissue. What is the MOST appropriate immediate action?
A patient receiving internal radiation for thyroid cancer is being discharged. Which instruction is MOST important for the nurse to emphasize to the patient and their family?
A patient receiving internal radiation for thyroid cancer is being discharged. Which instruction is MOST important for the nurse to emphasize to the patient and their family?
A patient is prescribed Methotrexate with Leucovorin. What is the PRIMARY purpose of administering Leucovorin in conjunction with Methotrexate?
A patient is prescribed Methotrexate with Leucovorin. What is the PRIMARY purpose of administering Leucovorin in conjunction with Methotrexate?
A patient receiving chemotherapy develops hyperuricemia. Which nursing intervention is MOST appropriate to address this complication?
A patient receiving chemotherapy develops hyperuricemia. Which nursing intervention is MOST appropriate to address this complication?
Which personal protective equipment is MOST essential for a nurse to wear when caring for a patient with a sealed source of radiation?
Which personal protective equipment is MOST essential for a nurse to wear when caring for a patient with a sealed source of radiation?
A patient is prescribed Tamoxifen Citrate (Nolvadex). What type of medication is Tamoxifen?
A patient is prescribed Tamoxifen Citrate (Nolvadex). What type of medication is Tamoxifen?
What is the MOST significant consideration when handling linen and other materials from a patient undergoing internal radiation therapy with an unsealed source?
What is the MOST significant consideration when handling linen and other materials from a patient undergoing internal radiation therapy with an unsealed source?
A patient is to receive Chlorambucil (Leukeran). The nurse knows this medication is what type of chemotherapy agent?
A patient is to receive Chlorambucil (Leukeran). The nurse knows this medication is what type of chemotherapy agent?
Which radiation type requires specific precautions due to its highest penetration capability?
Which radiation type requires specific precautions due to its highest penetration capability?
A patient receiving Vincristine (Oncovin) is at risk for peripheral neuropathy. Which assessment finding would indicate this potential side effect?
A patient receiving Vincristine (Oncovin) is at risk for peripheral neuropathy. Which assessment finding would indicate this potential side effect?
Which of the following is the most accurate description of 'anaplasia' in the context of oncology?
Which of the following is the most accurate description of 'anaplasia' in the context of oncology?
A patient is diagnosed with a tumor that is localized, encapsulated, and exhibits hyperplasia. Which of the following classifications best describes this tumor?
A patient is diagnosed with a tumor that is localized, encapsulated, and exhibits hyperplasia. Which of the following classifications best describes this tumor?
Which of the following is the most likely route of metastasis for a sarcoma?
Which of the following is the most likely route of metastasis for a sarcoma?
Which of the following factors is least associated with an increased risk of cancer?
Which of the following factors is least associated with an increased risk of cancer?
A 55-year-old male patient with a history of smoking and asbestos exposure is undergoing lung cancer screening. Which of the following secondary prevention methods is most appropriate for early detection in this patient?
A 55-year-old male patient with a history of smoking and asbestos exposure is undergoing lung cancer screening. Which of the following secondary prevention methods is most appropriate for early detection in this patient?
A patient who is a known smoker is concerned about developing cancer. What would be the most important recommendation you can make regarding cancer prevention?
A patient who is a known smoker is concerned about developing cancer. What would be the most important recommendation you can make regarding cancer prevention?
Which of the following assessment findings would be most indicative of a potential malignancy, according to the CAUTION US acronym?
Which of the following assessment findings would be most indicative of a potential malignancy, according to the CAUTION US acronym?
A patient's pathology report indicates a tumor staged as T2, N1, M0. What does this staging most likely suggest about the cancer?
A patient's pathology report indicates a tumor staged as T2, N1, M0. What does this staging most likely suggest about the cancer?
Which of the following statements best describes the significance of tumor grading in oncology?
Which of the following statements best describes the significance of tumor grading in oncology?
During the 'promotion' stage of carcinogenesis, what primarily occurs?
During the 'promotion' stage of carcinogenesis, what primarily occurs?
A patient newly diagnosed with cancer is in denial about their diagnosis. Which of the following nursing interventions is most appropriate initially?
A patient newly diagnosed with cancer is in denial about their diagnosis. Which of the following nursing interventions is most appropriate initially?
Which nursing action is most important when assisting a patient who is coping with a new cancer diagnosis?
Which nursing action is most important when assisting a patient who is coping with a new cancer diagnosis?
What is the primary goal of therapeutic communication during the intervention phase of cancer management?
What is the primary goal of therapeutic communication during the intervention phase of cancer management?
A patient is diagnosed with adenocarcinoma. Which tissue type is most likely the origin of this cancer?
A patient is diagnosed with adenocarcinoma. Which tissue type is most likely the origin of this cancer?
A patient presents with a tumor that has invaded adjacent tissues and spread to distant sites. Which stage best represents the patient's condition?
A patient presents with a tumor that has invaded adjacent tissues and spread to distant sites. Which stage best represents the patient's condition?
What is the primary rationale behind combining multiple drugs in cancer therapy?
What is the primary rationale behind combining multiple drugs in cancer therapy?
Which of the following side effects is commonly associated with chemotherapy and radiation (C&R) treatments?
Which of the following side effects is commonly associated with chemotherapy and radiation (C&R) treatments?
A patient undergoing cancer treatment experiences a significant decrease in bone marrow activity. Which of the following complications is LEAST likely to arise as a direct result?
A patient undergoing cancer treatment experiences a significant decrease in bone marrow activity. Which of the following complications is LEAST likely to arise as a direct result?
A patient with cancer is undergoing treatment and expresses feelings of loss related to changes in their physical appearance due to surgery and medication. Which aspect of this patient's experience is being described?
A patient with cancer is undergoing treatment and expresses feelings of loss related to changes in their physical appearance due to surgery and medication. Which aspect of this patient's experience is being described?
What is the primary emphasis of hospice care for terminally ill cancer patients?
What is the primary emphasis of hospice care for terminally ill cancer patients?
A patient is diagnosed with a brain tumor and is experiencing increased intracranial pressure (ICP). Which of the following signs and symptoms would the nurse expect to observe?
A patient is diagnosed with a brain tumor and is experiencing increased intracranial pressure (ICP). Which of the following signs and symptoms would the nurse expect to observe?
What is the primary cause associated with cancer of the larynx?
What is the primary cause associated with cancer of the larynx?
Which type of lung cancer is most prevalent?
Which type of lung cancer is most prevalent?
A female patient discovers a non-tender, fixed lump in the upper outer quadrant of her breast. What other assessment finding would be most concerning and warrant immediate investigation for potential breast cancer?
A female patient discovers a non-tender, fixed lump in the upper outer quadrant of her breast. What other assessment finding would be most concerning and warrant immediate investigation for potential breast cancer?
What dietary factors are most strongly linked to an increased risk of stomach cancer?
What dietary factors are most strongly linked to an increased risk of stomach cancer?
A patient is scheduled for a Billroth II procedure following a diagnosis of stomach cancer. What is the primary purpose of this surgical intervention?
A patient is scheduled for a Billroth II procedure following a diagnosis of stomach cancer. What is the primary purpose of this surgical intervention?
A patient diagnosed with colon cancer has a history of a diet low in fiber and high in cholesterol. The physician mentioned that the patient has 'POLYPS'. What signs and symptoms does this patient potentially exhibit?
A patient diagnosed with colon cancer has a history of a diet low in fiber and high in cholesterol. The physician mentioned that the patient has 'POLYPS'. What signs and symptoms does this patient potentially exhibit?
A child is diagnosed with Wilms' tumor. What is a crucial nursing intervention?
A child is diagnosed with Wilms' tumor. What is a crucial nursing intervention?
A patient has been prescribed Filgrastim (Neupogen) during chemotherapy. What is the expected primary outcome of this medication?
A patient has been prescribed Filgrastim (Neupogen) during chemotherapy. What is the expected primary outcome of this medication?
In Hodgkin's lymphoma, which unique characteristic distinguishes it from non-Hodgkin's lymphoma?
In Hodgkin's lymphoma, which unique characteristic distinguishes it from non-Hodgkin's lymphoma?
Flashcards
Oncogenes
Oncogenes
Genes that can cause normal cells to become cancerous when altered.
Proto-oncogenes
Proto-oncogenes
Repressed genes that can be activated by risk factors to become oncogenes.
Anaplasia
Anaplasia
Cells that do not resemble their tissue of origin in structure or function.
Metaplasia
Metaplasia
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Carcinoma
Carcinoma
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Neoplasm
Neoplasm
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Dysplasia
Dysplasia
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Hyperplasia
Hyperplasia
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Squamous cell carcinoma
Squamous cell carcinoma
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Leukemia
Leukemia
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Benign Tumor
Benign Tumor
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Malignant Tumor
Malignant Tumor
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Metastasis
Metastasis
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Carcinogenesis
Carcinogenesis
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Staging and Grading
Staging and Grading
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Early sign of Larynx Cancer?
Early sign of Larynx Cancer?
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Common Type of Lung Cancer?
Common Type of Lung Cancer?
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NOT an Early Sign of Breast Cancer?
NOT an Early Sign of Breast Cancer?
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Early sign of Stomach Cancer?
Early sign of Stomach Cancer?
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T1N2M1 Means?
T1N2M1 Means?
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Question for Hoarseness of Voice?
Question for Hoarseness of Voice?
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Common Adverse Effect of Chemotherapy?
Common Adverse Effect of Chemotherapy?
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Single Most Important Risk Factor for Cancer?
Single Most Important Risk Factor for Cancer?
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Alpha Particle
Alpha Particle
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Beta Particle
Beta Particle
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Gamma Ray
Gamma Ray
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Chemotherapy Action
Chemotherapy Action
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Cytotoxic Agent
Cytotoxic Agent
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Alkylating Agents
Alkylating Agents
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Vinca Alkaloids
Vinca Alkaloids
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Antimetabolites
Antimetabolites
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Antibiotic (Cancer Treatment)
Antibiotic (Cancer Treatment)
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Hormone Therapy (Cancer)
Hormone Therapy (Cancer)
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Immune Agents (Cancer)
Immune Agents (Cancer)
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Goal of Cancer Treatment
Goal of Cancer Treatment
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Nephrotoxicity
Nephrotoxicity
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Stomatitis
Stomatitis
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Film Badge
Film Badge
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Iatrogenic Cause
Iatrogenic Cause
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Peak Sun Exposure
Peak Sun Exposure
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Breast Tumor Location
Breast Tumor Location
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Pap Smear Frequency
Pap Smear Frequency
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Diaphragmatic Breathing
Diaphragmatic Breathing
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Pursed Lip Breathing
Pursed Lip Breathing
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Nausea Diet
Nausea Diet
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Chemo/Radiation Side Effects
Chemo/Radiation Side Effects
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Reasons for Combining Drugs
Reasons for Combining Drugs
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Alopecia
Alopecia
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Bone Marrow Depression
Bone Marrow Depression
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Hospice Care
Hospice Care
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Breast Cancer Signs
Breast Cancer Signs
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Stomach Cancer
Stomach 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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Wilm's Tumor
Wilm's Tumor
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Skin Cancer Prevention
Skin Cancer Prevention
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Filgrastim (Neupogen)
Filgrastim (Neupogen)
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Laryngeal Cancer Signs
Laryngeal Cancer Signs
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Lung Cancer Signs
Lung Cancer Signs
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Colon Cancer
Colon Cancer
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Kernicterus
Kernicterus
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Adenopathy
Adenopathy
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Whipple's Procedure
Whipple's Procedure
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FNAB (Fine Needle Aspiration Biopsy)
FNAB (Fine Needle Aspiration Biopsy)
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Thrombocytopenia
Thrombocytopenia
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Nagging Cough (Cancer Warning)
Nagging Cough (Cancer Warning)
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Study Notes
- These notes cover common terminologies in oncology, cancer cell characteristics, cancer classifications, etiology, predisposing factors, early detection methods, warning signs, diagnostic exams, staging, client reactions, interventions, treatment options like surgery, radiation and chemotherapy, and specific cancers.
Common Oncology Terms
- Oncogenes are cancer genes capable of altering normal cells.
- Proto-oncogenes are repressed oncogenes activated by etiologic and risk factors.
- Anaplasia is when cells lose resemblance to their original tissues.
- Metaplasia is when one cell type is replaced by another.
- Carcinoma is a cancer cell that originates from epithelial cells and can metastasize.
- Neoplasm refers to the growth of new tissue, also known as a tumor.
- Dysplasia involves alterations in the size, shape, and organization of cells.
- Hyperplasia indicates an increase in the number of normal cells.
Cancer Cell Classifications
- Tumors can be benign (localized, encapsulated, slow growth, no metastasis) or malignant (systemic, non-encapsulated, rapid growth, with metastasis and harmful).
- Benign tumors can be adenomas (glandular tissue), osteomas (bone), neuromas (nerve cells), or fibromas (fibrous tissue).
- Squamous cell carcinoma originates from surface epithelial cells.
- Adenosarcoma occurs in glandular epithelial tissue.
- Fibrosarcoma affects fibrous connective tissue.
- Liposarcoma affects adipose tissue.
- Chondrosarcoma arises from cartilage.
- Osteosarcoma arises from bone.
- Hemangiosarcoma affects blood vessels.
- Lymphangiosarcoma affects lymph vessels.
- Leiomyosarcoma affects smooth muscles.
- Rhabdomyosarcoma affects striated muscles.
- Glioma affects glial cells.
- Neurolemic sarcoma affects nerve sheaths.
- Leukemia affects the blood.
Cancer Etiology and Predisposing Factors
- The exact cause of cancer is unknown.
- Viruses, like those causing liver cancer or Burkitt's lymphoma, are implicated.
- Chemical agents such as tar, asphalt, arsenicals, fuels, and oil can cause cancer.
- Certain drugs, including chemotherapeutic agents, may contribute to cancer development.
- Physical agents like radiation are known to induce cancer.
- Cancer risk increases with age (60% of clients are over 65).
- Breast cancer is more common in women, while prostate cancer is more common in men.
- Geographic location is a factor, with higher rates of stomach cancer in Japan.
- Occupation, such as factory work (lung cancer).
- A family history of breast, ovarian, or colon cancer increases risk.
- Diet (cured and salted foods) and stress (decreased immune system) are potential factors.
- Precancerous lesions like moles and polyps may develop into cancer.
Early Cancer Detection (Secondary)
- Early detection methods include chest X-rays and sputum cytology for lung cancer.
- Physical exams are recommended annually for individuals over 40.
- Exams should include assessment of skin, lymph nodes, mouth, thyroid, breasts, testes, rectum, and prostate.
- Oral exams should be conducted annually.
- TSE (testicular self-exam) should be performed monthly following a shower.
- Digital rectal exams are recommended annually for those 40 and older.
- Sigmoidoscopies should be done every 5 years for those 50 and older if previous results are negative.
- Fecal occult blood tests are recommended based on a doctor's advice.
- Breast self-exams (BSE) should be performed monthly.
- Clinical breast exams should be done by a physician every 3 years for those 20-40.
- Mammography is recommended once for those 35-40, then yearly for those over 50.
- Pap smears are recommended starting at age 18 and all sexually active women, then yearly after 3 negative results.
- Pelvic exams are done at the same time as Pap smears.
- Endometrial tissue sampling is done during menopause.
Cancer Risk Factors
- Smoking is a major risk factor for lung cancer.
- Sunlight exposure (10 a.m. to 2 p.m.) increases the risk of basal/squamous cell skin cancer.
- Ionizing radiation from medical and dental X-rays is a risk factor.
- Nutrition and diet high in fats and low in fiber are implicated.
- Alcohol consumption is associated with liver, oral, and esophageal cancers.
- Chewing tobacco increases the risk of mouth, larynx, and throat cancers.
- Estrogen exposure is linked to endometrial cancer.
- Occupational hazards like nickel and asbestos contribute to cancer risk.
Warning Signs of Possible Cancer
- CAUTION:
- Change in bowel or bladder habits
- A sore that does not heal
- Unusual bleeding or discharge
- Thickening or lump
- Indigestion or difficulty swallowing
- Obvious change in a wart or mole
- Nagging cough or hoarseness
- Additional warning signs include unexplained anemia and sudden weight loss.
Cancer Diagnostic Examinations
- Diagnostic confirmation relies on biopsy (FNA, incision, excision) and staging through diagnostic exams because the earlier it is detected, the more curable it is.
- Imaging: CT scans, MRIs, PET scans
- Direct visualization techniques: bronchoscopy, gastroscopy, proctosigmoidoscopy
- Other methods: mammograms, Pap smears, UTZs, angiograms, lymphangiograms, blood studies.
Tumor Staging
- Staging uses the TNM (Tumor, Node, Metastasis) system to classify cancer extent and severity.
- T indicates the tumor size (T0-T4).
- N indicates lymph node involvement (N0-N3).
- M indicates distant metastasis (M0-M1).
- Tis - carcinoma in situ (non-infiltrating)
- Stage Examples:
- Normal TO, NO, M0
- Stage I: T1, N0, M0, < 2cm tumor; Stage II: T2, N1, M0, > 2 < 5cm tumor; Stage III: T3, N2, M0, > 5cm tumor
- Microscopic study of the cell
- The poorer the differentiation of the cells the poorer is the prognosis
Cancer – Metastatic Process
- Carcinogenesis is the process of cancer formation involving:
- initiation (exposure to carcinogens)
- promotion (carcinogenic promotion of proto-oncogenes)
- transformation (conversion to malignant cells)
- progression (malignant behavior of cells)
- Metastasis involves invasion of tissue, spread of cancer cells, establishment and growth at secondary sites.
Cancer – Client Reaction and Strategies
- The most client fear is of death upon confirmation of cancer
- Most clients usually ignored cardinal signs of cancer
- Clients use denial, rational inquiry, affect reversal, mutuality, suppression. - Mutality-share concerns and talk with other persons. - Suppression-conscious forgetting
- Can react with confrontation, redefine, passive acceptance, disengagement.
Cancer - Effective Tests
- Effective tests must be specific, reliable, economical, and acceptable to the client.
- Therapeutic communications (silence, acceptance, etc.) are important.
- Cancer management involves surgery, radiation, chemo, and immunotherapy.
Modes of Cancer Treatment
- Surgery is used for diagnosis, staging, and treatment.
- Palliative – relieves pain, airway obstruction.
- Prevention - removal of target organ
- Radiation, destroy the ability of the cell to reproduce by damaging the DNA
-Alpha particle-fast moving helium nucleus (slight penetration)
- Beta particle-fast moving electron (moderate penetration)
- Gamma ray-similar to light ray (high penetration)
- Cytotoxic drug - alkylating and antimetabolites - Alkylating Agents: Attack the DNA of rapidly dividing cell - Vinca Alkaloids: Interfere with mitosis (M phase)
- Hormone: Inhibit RNA and protein synthesis in tissues that are dependent on the opposite sex
Common Cancers
- Lung Cancer: the leading cancer
- Brain Tumor, Common: cerebellar astrocytoma, brain stem glioma, medulloblastoma (brain stem)
- Prostate Cancer: BPH is a cancer of the prostate
- Dx: elevation of CEA, PSA, AP
- Colon Cancer: low fiber high cholesterol diet, POLYPS Filgrastim (Neupogen) = stimulates neutophils production
Cancer - Radiation Safety
- To prevent or limit radiation exposure, consider the following:
- Distance is key: greater distance reduces exposure.
- Limit time spent near radiation.
- Use lead aprons and gloves
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Description
This quiz covers key aspects of oncology nursing, including cancer risk factors, environmental influences, and symptom management. It addresses cancer staging using the TNM system and common adverse effects of chemotherapy. Scenarios related to identifying early signs of breast cancer and iatrogenic causes of cancer are also included.