Oncology Nursing Management
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Questions and Answers

What is neoplasia?

New growth of tissue

What is a tumor characterized by?

Abnormal cell growth that is excessive and lacks defined borders or restrictions.

What is metastasis?

Ability to spread.

Which of these are groups tumors can be separated into according to their behavior?

<p>Malignant Tumor</p> Signup and view all the answers

All tumors, regardless of being benign or malignant, have 2 basic components.

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

What does parenchyma consist of?

<p>Proliferated neoplastic cells</p> Signup and view all the answers

What does stroma consist of?

<p>B and C</p> Signup and view all the answers

What is the suffix used at the end of a benign tumor?

<p>-oma</p> Signup and view all the answers

What are epithelial tumors often called?

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

Sarcoma is a type of benign tumor.

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

What is a squamous cell tumor called when it is malignant?

<p>Squamous cell carcinoma</p> Signup and view all the answers

What is a benign tumor called when it is a gland tumor?

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

What is a malignant tumor called when it is a neuroectoderm tumor?

<p>Malignant Melanoma</p> Signup and view all the answers

What is a malignant tumor called when it is a renal cell tumor?

<p>Renal Cell Carcinoma</p> Signup and view all the answers

What is a malignant tumor called when it is a liver tumor?

<p>Hepatocellular carcinoma</p> Signup and view all the answers

What is a malignant tumor called when it is a placenta tumor?

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

A malignant tumor resembles the normal cells from which it originated.

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

Mitosis is frequent in benign tumors.

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

Benign tumors grow slowly and may eventually stop.

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

Benign tumors are encapsulated and non-invasive.

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

Malignant tumors are often encapsulated and do not make metastasis

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

Malignant tumors are characterized by frequent mitosis and fast growth.

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

Benign tumors are characterized by slow growth rate and can come to a halt.

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

What phenomenon describes the spread of malignant cells?

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

What is the genetic mutation that triggers the transformation of a normal cell into a cancer cell?

<p>Cellular DNA mutation</p> Signup and view all the answers

Cancer cells are described as benign and follow physiologic demand.

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

Malignant process involves uncontrolled growth with the ability to metastasize and destroy tissue, which can cause death.

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

Which of the following are considered cell characteristics in the malignant process?

<p>All of the above</p> Signup and view all the answers

What are the modes of spread in metastasis?

<p>All of the above</p> Signup and view all the answers

Which of the following are considered carcinogenic agents and risk factors?

<p>All of the above</p> Signup and view all the answers

Cancer incidence decreases with age.

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

What are significant relations identified when inspecting environmental exposure and cancer?

<p>All of the above</p> Signup and view all the answers

What are the 7 early warning signs of cancer? (CAUTION)

<p>Change in bowel or bladder habits, a sore that does not heal, unusual bleeding or discharge, thickening or lump in breast or scrotum, indigestion or difficulty in swallowing, obvious change in a mole or wart, nagging cough or hoarseness</p> Signup and view all the answers

Which type of prevention focuses on reducing cancer risk in healthy individuals?

<p>Primary Prevention</p> Signup and view all the answers

Which type of prevention involves detection and screening for early diagnosis and intervention?

<p>Secondary Prevention</p> Signup and view all the answers

Which of the following are considered primary prevention strategies?

<p>All of the above</p> Signup and view all the answers

Which of the following are considered secondary prevention strategies?

<p>All of the above</p> Signup and view all the answers

What are the three main components of the TNM classification system?

<p>All of the above</p> Signup and view all the answers

The TNM classification helps determine the size of the tumor, extent of lymph node involvement, and the presence or absence of metastasis.

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

Stage I represents the smallest size of the tumor in the TNM classification system.

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

Grading refers to the classification of tumor cells based on their size and shape

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

What are the primary goals of cancer management?

<p>Cure, control, and palliation.</p> Signup and view all the answers

Study Notes

Oncology Nursing Management in Cancer Care

  • Oncology nursing management involves caring for patients with cancer, encompassing various aspects of their care.
  • Neoplasia is the new growth of tissues.
  • A tumor is characterized by abnormal cell growth exceeding normal limits, lacking defined borders.
  • Metastasis is the ability of a tumor to spread.
  • Tumors are classified into benign (non-cancerous) and malignant (cancerous) types.
  • Benign tumors typically adhere to a naming convention ending in -oma.
  • Malignant epithelial tumors are classified as carcinomas.
  • Malignant mesenchymal tumors are classified as sarcomas..
  • Examples of benign tumors include fibroma and chondroma.
  • Examples of malignant tumors include adenocarcinoma and squamous cell carcinoma.
  • Cancer develops when abnormal cells transform due to genetic mutations.
  • These abnormal cells often exhibit invasive properties and infiltrate other tissues.
  • Metastasis refers to the spread of cancer cells to other parts of the body.
  • Cancer cells grow uncontrollably, irrespective of physiological demands.
  • Benign tumors largely resemble normal cells and grow slower.
  • Malignant tumors display atypical characteristics, grow rapidly, and frequently metastasize.
  • Factors impacting tumor growth and development include stroma, consisting of connective tissues, blood vessels, and lymphocytes.
  • Adequate perfusion in the stroma is crucial for tumor enlargement and development.
  • Cancer risk factors encompass viruses, bacteria, physical factors like sunlight and radiation, chemical exposures, genetic factors, diet, hormones, and immune system function.
  • Cancer incidence increases with age due to somatic mutations and weakened immunity.
  • Cancer is the second leading cause of mortality in children after accidents, with leukemia frequently observed.
  • Environmental factors like workplace exposure (asbestos), nutrition (obesity), behaviors (alcohol, smoking, STDs), and viral infections play a role in cancer development.
  • Cancer exhibits a range of early warning signs collectively known as CAUTION.
  • Primary prevention aims at decreasing cancer risks in healthy individuals.
  • Secondary prevention involves detecting cancer early through screening and diagnosis, prioritizing prompt intervention.
  • Avoiding known carcinogens and adopting healthy lifestyle and dietary changes are crucial elements in primary prevention.
  • Secondary prevention necessitates identifying individuals at high risk for cancer through screening initiatives, including self-breast exams, self-testicular exams, screening colonoscopies, and Pap tests.
  • Cancer diagnosis relies on diagnostic tests, tumor staging and grading, and TNM classification (extent of primary tumor, lymph node involvement, and metastasis).
  • Staging identifies tumor size and the presence of metastasis.
  • Tumor grading determines the type of tissue origin and the extent of functional tissue characteristics preserved in tumor cells.
  • Tumor grading is categorized from I-IV, reflecting varying degrees of differentiation.
  • TNM classification designates categories related to tumor size, lymph node involvement, and metastasis.
  • Cancer management strategies encompass curative (eradication), control (prolongation of survival), and palliative (symptom relief, particularly pain) approaches.
  • Surgical treatment options include diagnostic, tumor removal (wide and local excisions), prophylactic procedures, and reconstructive surgery.
  • Diagnostic surgery involves obtaining tissue samples for analysis from the tumor or nearby lymph nodes.
  • Excisional biopsy removes the entire suspicious tumor, while incisional biopsy extracts a portion of the suspicious mass.
  • Needle biopsies obtain tissue samples from accessible suspicious masses.
  • Palliative surgery is a procedure performed when a cure is not possible; its aim is to make the patient more comfortable and support a productive life.
  • Examples of palliative procedures include colostomy for bowel obstructions and pleural tube placement for pleural effusions.
  • Reconstructive procedures occur after definitive cancer surgery to improve function or appearance.
  • In cancer surgery, proper patient assessment pre-operatively (including factors affecting the patient and education, and support), and post-operatively (monitoring response to surgery, and complications), essential nursing components.
  • Radiation therapy uses ionizing radiation to interrupt cell growth and has curative, control, or palliative intent.
  • External radiation is targeted to the tumor site, while internal radiation (brachytherapy) delivers high doses to localized areas.
  • Radiation dosage is tailored to the specific target tissue sensitivity, tumor size and aimed at eliminating tumor cells while preserving normal tissue.
  • Nursing care for patients undergoing radiation therapy necessitates patient and family education, adherence to safety regulations (restrictions/precautions), supportive care (skin/oral care), and protection for care providers.
  • Chemotherapeutic agents interfere with cell function, leading to cell death, and are used for curative, control, and palliative purposes.
  • Chemotherapy can be targeted at specific phases of the cell cycle or act generally on tumor cells.
  • Chemotherapy routes, administering considerations, potential complications and adverse effect management must all be carefully addressed.
  • Bone marrow transplantation (BMT) is utilized in hematological cancers to treat or control the disease when the affected marrow or solid tumors are present and are targeted by chemotherapy to abate the bone marrow. complications include graft-vs.-host disease and venous occlusive disease.
  • Nursing processes for patients undergoing chemotherapy or BMT include thorough assessment and monitoring for potential complications, particularly those relating to infection, bleeding, and other adverse effects.
  • Addressing potential or existing patient problems including pain, nutritional issues, infection, skin complications, and emotional well being are crucial nursing considerations.
  • Effective communication with healthcare professionals, to establish consistent care plans.
  • Hospice care offers a comprehensive approach for terminally ill patients and their families. It prioritizes quality of life, symptom palliation (relief), and psychosocial/spiritual care.
  • Oncologic emergencies include conditions like superior vena cava syndrome, spinal cord compression, pericardial effusion, disseminated intravascular coagulation (DIC), syndrome of inappropriate antidiuretic hormone secretion (SIADH), and tumor lysis syndrome, each requiring specific monitoring and management.

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This quiz focuses on the essential aspects of oncology nursing management in cancer care. It covers tumor classifications, neoplasia, and the implications of metastasis in patient care. Test your knowledge on benign and malignant tumors and their characteristics.

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