Oncology Nursing Points
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Questions and Answers

What is the main purpose of antineoplastic chemotherapy?

  • To promote skin hydration
  • To cure all types of cancer
  • To kill cancer cells and/or stop their growth (correct)
  • To prevent infections in patients
  • Which of the following precautions should be taken when a patient is undergoing chemotherapy?

  • Administration of antiemetics and antihistamines if necessary (correct)
  • Regular vitamin supplementation
  • Avoiding medical check-ups
  • Encouraging high levels of physical activity
  • Which adverse effect is commonly associated with chemotherapy that affects blood components?

  • Elevated hemoglobin levels
  • Increased white blood cell count
  • Enhanced immune response
  • Low platelet count (thrombocytopenia) (correct)
  • What symptom might indicate a need for neutropenic precautions in a chemotherapy patient?

    <p>High fever</p> Signup and view all the answers

    What is a common purpose of palliative chemotherapy?

    <p>To improve comfort and relieve tumor-related symptoms</p> Signup and view all the answers

    Which action is essential for maintaining safety during chemotherapy administration?

    <p>Wearing specialized 'chemo' gloves</p> Signup and view all the answers

    What type of chemotherapy is administered before surgery to shrink tumors?

    <p>Neoadjuvant chemotherapy</p> Signup and view all the answers

    Which of the following is a key nursing concept in caring for a patient receiving chemotherapy?

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

    What is a recommended patient self-exam that should be performed monthly?

    <p>Breast self-exam or testicular self-exam</p> Signup and view all the answers

    Which type of toxic side effect can chemotherapy have on the heart?

    <p>Cardiac toxicity</p> Signup and view all the answers

    What type of cancer predominantly affects older women and can result in abdominal metastases?

    <p>Ovarian cancer</p> Signup and view all the answers

    Which gene mutations are linked to an increased risk for ovarian cancer?

    <p>BRCA-1 and BRCA-2</p> Signup and view all the answers

    What initial treatment is often required for ovarian cancer?

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

    Which procedure often requires an oophorectomy when diagnosing ovarian cancer?

    <p>Ovarian biopsy</p> Signup and view all the answers

    What is the primary focus of care for advanced stages of ovarian cancer?

    <p>Palliative care</p> Signup and view all the answers

    Which of the following is a non-specific symptom of ovarian cancer?

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

    What is a key characteristic of cervical cancer concerning its prevention?

    <p>Direct link to HPV</p> Signup and view all the answers

    Which of the following statements about ovarian cancer screening is true?

    <p>There is no established routine screening method.</p> Signup and view all the answers

    What is a typical outcome for cervical cancer if diagnosed in stages 3 or 4?

    <p>Less than 50% 5-year survival rate</p> Signup and view all the answers

    Which is a common goal of care for patients with advanced ovarian cancer?

    <p>To decrease pain</p> Signup and view all the answers

    What is a primary goal of the Gardasil vaccination?

    <p>To prevent HPV infection</p> Signup and view all the answers

    Which symptom is NOT typically associated with liver cancer?

    <p>Vaginal bleeding</p> Signup and view all the answers

    What is the surgical intervention commonly performed for early-stage cervical cancer?

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

    What is the main purpose of fractionation in radiation therapy?

    <p>To allow healthy cells to recover between treatments</p> Signup and view all the answers

    Which of the following is a common sign of liver cancer?

    <p>Itching due to bilirubin buildup</p> Signup and view all the answers

    What is the most common cancer that forms in the liver?

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

    Which statement about acute side effects of radiation treatment is correct?

    <p>They occur within about two weeks and typically resolve in less than six months.</p> Signup and view all the answers

    What distinguishes Hodgkin’s Lymphoma from Non-Hodgkin’s Lymphoma?

    <p>Presence of Reed-Sternberg cells</p> Signup and view all the answers

    What is the most common primary bone cancer found in children and young adults?

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

    What dietary restriction might be necessary for patients with liver cancer?

    <p>Decreased sodium intake</p> Signup and view all the answers

    Which treatment method is considered ideal for liver cancer but many patients are ineligible due to advanced disease?

    <p>Liver resection or transplantation</p> Signup and view all the answers

    Which diagnostic tool is essential for confirming a bone cancer diagnosis?

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

    What does the ALARA principle stand for in radiation therapy?

    <p>As Low As Reasonably Achievable</p> Signup and view all the answers

    What is a common symptom of leukemia that differs from lymphoma?

    <p>Bone pain</p> Signup and view all the answers

    What symptom might indicate the presence of a bone tumor, particularly if it is worse at night?

    <p>Localized sharp pain</p> Signup and view all the answers

    Which body's function is NOT related to liver cancer?

    <p>Regulating blood pressure</p> Signup and view all the answers

    What is the recommended action for a patient undergoing chemotherapy in terms of infection control?

    <p>Implement strict hand hygiene and limit visitation</p> Signup and view all the answers

    What should be monitored in patients with liver cancer due to altered metabolism?

    <p>Pain medication dosage</p> Signup and view all the answers

    Which risk factor is associated with an increased likelihood of developing bone cancer?

    <p>Previous radiation treatment</p> Signup and view all the answers

    Which lab value is typically elevated in the presence of bone tumors, particularly reflecting osteoblast activity?

    <p>Alkaline phosphatase (ALP)</p> Signup and view all the answers

    Which is a significant risk factor for developing lung cancer?

    <p>Tobacco use</p> Signup and view all the answers

    Which assessment finding is indicative of advanced liver disease?

    <p>Decreased albumin levels</p> Signup and view all the answers

    What primarily distinguishes internal radiation therapy from external radiation therapy?

    <p>Internal radiation therapy delivers isotopes that release energy as they decay.</p> Signup and view all the answers

    What is the typical age range for the diagnosis of stomach cancer?

    <p>55-80 years old</p> Signup and view all the answers

    What complication might arise from weakened bones due to a bone tumor?

    <p>Pathologic fractures</p> Signup and view all the answers

    What is a significant non-modifiable risk factor for developing multiple myeloma?

    <p>Older age</p> Signup and view all the answers

    Which bone cancer is most commonly found in teenagers and has a tendency to spread?

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

    What characteristic is typical of small cell lung cancer compared to non-small cell lung cancer?

    <p>Aggressive growth and early spreading</p> Signup and view all the answers

    What therapy is often used for leukemia patients to assess the involvement of the bone marrow?

    <p>Bone marrow biopsy</p> Signup and view all the answers

    What is a common treatment strategy for MGUS and SMM?

    <p>Watchful waiting</p> Signup and view all the answers

    Which diagnostic method is used to assess for metastasis of bone cancer?

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

    Which educational point is essential for patients undergoing chemotherapy?

    <p>Recognize potential side effects</p> Signup and view all the answers

    What is the primary goal of palliation in cancer treatment?

    <p>To improve the quality of life and manage symptoms</p> Signup and view all the answers

    Which type of cancer is most commonly associated with the Philadelphia chromosome?

    <p>Chronic Myelogenous Leukemia (CML)</p> Signup and view all the answers

    How does radiation treatment typically affect rapidly dividing cells compared to healthy cells?

    <p>Healthy cells have a greater capacity to repair damage.</p> Signup and view all the answers

    What is a common late side effect of radiation therapy?

    <p>Fibrosis or necrosis in treated areas</p> Signup and view all the answers

    What is the recommended patient education regarding oral hygiene for those undergoing chemotherapy?

    <p>Rinse the mouth with saline and avoid alcohol-based mouthwash.</p> Signup and view all the answers

    What is the most common type of bladder cancer?

    <p>Urothelial Carcinomas</p> Signup and view all the answers

    Which risk factor is directly linked to bladder cancer?

    <p>Chemical exposure such as diesel fumes</p> Signup and view all the answers

    What is the average age of diagnosis for bladder cancer?

    <p>73</p> Signup and view all the answers

    Which statement about brain tumors is accurate?

    <p>They can lead to increased intracranial pressure.</p> Signup and view all the answers

    Which treatment option is typically used to deliver medication directly into the brain?

    <p>Intrathecal chemotherapy</p> Signup and view all the answers

    What is the primary goal of a craniotomy in brain tumor treatment?

    <p>To completely remove the tumor</p> Signup and view all the answers

    Which patient symptom is often the first sign of bladder cancer?

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

    Which type of brain tumor originates from glial cells?

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

    What can trigger the growth of bladder cancer cells?

    <p>Cigarette smoke</p> Signup and view all the answers

    Which of the following is not a treatment modality for bladder cancer?

    <p>Radiofrequency ablation</p> Signup and view all the answers

    What is a common side effect of brain tumor treatments such as chemotherapy?

    <p>Hair loss</p> Signup and view all the answers

    What type of bladder cancer is formed from chronic irritation, for example, from catheters or infections?

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

    How can a cerebrospinal fluid (CSF) blockage impact brain tumors?

    <p>It may cause an increase in intracranial pressure.</p> Signup and view all the answers

    Which of the following is not a sign of bladder cancer spread?

    <p>Difficulty breathing</p> Signup and view all the answers

    Study Notes

    Oncology Nursing Points

    • Overview: Warning signs of cancer (CAUTION) include: changes in bowel pattern, a sore that doesn't heal, unusual bleeding, thickening of breast/testicles/skin, indigestion, obvious change in mole, nagging cough, unexplained anemia, and sudden unexplained weight loss.
    • Nursing Points - General: All cancer diagnoses need biopsy/histologic examination (gold standard). Cancer staging uses the TNM system (Tumor, Node, Metastasis) with categories like Tis, NO, MO for localized cancer.
    • TNM Staging: Detailed descriptions of tumor size (T1, T2, T3, T4), lymph node involvement (N0, N1, N2, N3), and metastasis (M0, M1) are used to stage cancer. The different categories of T, N, and M describe the extent of the cancer.
    • Mitosis & Apoptosis: Mitosis is normal cell division for growth and repair, while apoptosis is programmed cell death.
    • Benign vs. Malignant: Benign tumors do not spread to other tissues or organs, while malignant tumors can invade and spread.
    • Assessment - Testicular Cancer: Instruction on monthly testicular self-examination is essential.
    • Assessment - General: Functional status, fatigue, constipation/diarrhea, nausea/vomiting, mucositis needs to be assessed from the patient at every encounter. Assess for weight loss, infection- risk factors, nutritional needs and complications.
    • Other Topics: Detailed information regarding specific cancer types such as cervical, breast, prostate, testicular, and others include risk factors, screening, and therapeutic details were covered in subsequent pages.

    Cervical Cancer

    • Overview: Regular gynecological exams with Pap smears are crucial for early detection. Annual exams are recommended if abnormal results occur.
    • Risk Factors: Early menarche and late menopause are risk factors. A breast self-exam needs to be done monthly.
    • Assessment: Mammograms once a year are recommended for individuals over 40.
    • Therapeutic Management: Chemotherapy precautions, neutropenia, and leukopenia are also notable topics.

    Prostate Cancer

    • Overview**: Regular prostate exams starting at age 50 are essential.
    • Therapeutic Management: Chemotherapy precautions, neutropenia and leukopenia need to be considered.

    Chemotherapy

    • Overview: Agents against abnormal cells aimed at stopping or killing abnormal growth.
    • Nursing Points - General: Chemotherapy can cause several side effects, including myelosuppression (reduced blood counts) which leads to increased risk of infection. Nadir is when blood counts are at their lowest point.

    Radiation Therapy

    • Overview: Radiation therapy destroys cancer cells by delivering high-energy particles. This can cause side effects that impact patients' ability or capacity to complete ADLs.
    • Nursing Points - General: Different types of radiation therapy (EBRT and others) and its potential side effects were covered. This treatment causes fatigue, irritation of skin around treatment area, and can cause site-specific side effects due to the treatment area.

    Other Cancer Types

    • Specific information was provided in the document for different cancer types. Risk factors, screening, treatment, and assessment strategies are included for each type.

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    Oncology Nursing Points PDF

    Description

    This quiz covers essential oncology nursing points, including the warning signs of cancer, the importance of biopsy in diagnoses, and detailed information on the TNM staging system. Understand the differences between benign and malignant tumors, as well as the processes of mitosis and apoptosis. Review these critical concepts to enhance your nursing knowledge in oncology.

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