Oncology Overview

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Questions and Answers

Which of the following is a sign or symptom of megaloblastic anemia?

  • Increased appetite
  • Tingling or paresthesia in the extremities (correct)
  • Hypertension
  • Headache

What is the primary treatment for microcytic anemia caused by iron deficiency?

  • Folate supplements
  • Iron and Vitamin C supplements (correct)
  • Blood transfusions
  • Vitamin B12 supplements

Which of the following is NOT a potential adverse effect of external beam radiation therapy?

  • Fatigue, malaise, anorexia
  • Stomatitis, xerostomia, mucositis, altered taste sensations
  • Local altered skin integrity (radiation dermatitis)
  • Alopecia (permanent) in all radiation sites (correct)

What is the priority nursing intervention for a patient who has undergone a bone marrow biopsy?

<p>Monitoring vital signs (B)</p> Signup and view all the answers

What is the primary characteristic of megaloblastic anemia that distinguishes it from other types of anemia?

<p>Red blood cells are larger than normal (A)</p> Signup and view all the answers

In the context of radiation therapy, what does the term 'stomatitis' refer to?

<p>Inflammation of the mouth (B)</p> Signup and view all the answers

What is the main purpose of colony-stimulating growth factors in the care of a patient with leukemia?

<p>To stimulate the production of white blood cells (D)</p> Signup and view all the answers

Which of the following is a sign of infection in a patient with leukemia?

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

What is the recommended nutritional approach for a patient with leukemia?

<p>High-calorie, high-vitamin diet (A)</p> Signup and view all the answers

Which of the following activities should a patient who has undergone a bone marrow biopsy avoid for 48 hours?

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

What is the recommended pain medication for a patient who has undergone a bone marrow biopsy?

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

Which of the following drugs is indicated for the treatment of Tumor Lysis Syndrome?

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

What is a sign of extravasation?

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

What is the characteristic cell found in Hodgkin’s lymphoma?

<p>Reed-Sternberg cell (D)</p> Signup and view all the answers

What is the most important nursing intervention for extravasation?

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

What is the primary difference between Hodgkin's lymphoma and Non-Hodgkin's lymphoma?

<p>Non-Hodgkin's lymphoma does not contain Reed-Sternberg cells (B)</p> Signup and view all the answers

What is Tumor Lysis Syndrome (TLS)?

<p>A positive sign that cancer treatment is effective (C)</p> Signup and view all the answers

What is the most important aspect of nursing care for an immunocompromised patient?

<p>Strict aseptic technique (B)</p> Signup and view all the answers

Which of the following is NOT a recommended intervention for an immunocompromised patient?

<p>Encouraging the patient to eat fresh fruits and salads (D)</p> Signup and view all the answers

What are the main life-threatening complications associated with Tumor Lysis Syndrome?

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

Which of the following chemotherapy drugs is mentioned as being particularly likely to cause extravasation?

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

Which of the following is a modifiable risk factor for colon cancer?

<p>Overweight or obese (B)</p> Signup and view all the answers

Which of the following is a common side effect of chemotherapy?

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

What is the main difference between palliative care and hospice care?

<p>Palliative care focuses on symptom control, while hospice care focuses on end-of-life care. (B)</p> Signup and view all the answers

Which of the following is a recommended intervention to reduce mucositis/stomatitis in patients receiving chemotherapy?

<p>Use a water-based lip moisturizer (A)</p> Signup and view all the answers

Which of the following is a warning sign of cancer?

<p>Sudden weight loss (A)</p> Signup and view all the answers

Which of the following statements about hospice care is TRUE?

<p>Hospice care is only provided to people with a life expectancy of less than 6 months. (C)</p> Signup and view all the answers

Which of the following is NOT a risk factor for developing nephrolithiasis?

<p>Low protein diet (B)</p> Signup and view all the answers

What is the recommended treatment duration for acute bacterial prostatitis?

<p>14 days (B)</p> Signup and view all the answers

What is the primary goal of nutrition therapy for patients with urinary tract infections?

<p>Maintain adequate hydration (D)</p> Signup and view all the answers

What is the role of a urinary antiseptic drug like nitrofurantoin in the treatment of urinary tract infections?

<p>To kill or inhibit the growth of bacteria in the urinary tract (A)</p> Signup and view all the answers

Which of the following conditions is associated with a boggy, tender prostate, fever, and chills?

<p>Acute bacterial prostatitis (B)</p> Signup and view all the answers

What is the most common type of urinary diversion used when the bladder is removed?

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

What is the recommended treatment for non-infectious prostatitis?

<p>Alpha-blockers (A)</p> Signup and view all the answers

What is the significance of straining urine and saving stones for a patient with nephrolithiasis?

<p>To determine the type of stone for future prevention (B)</p> Signup and view all the answers

What is the recommended treatment for uncomplicated UTIs?

<p>Short, high-dose course of antibiotics, such as trimethoprim/sulfamethoxazole or fluoroquinolones (D)</p> Signup and view all the answers

Which of the following is NOT a recommended preventive measure for UTIs?

<p>Application of heat to the perineum (C)</p> Signup and view all the answers

What is a potential complication of epididymitis?

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

Which of the following medications is commonly prescribed for pain relief associated with UTIs?

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

What is a common symptom of epididymitis?

<p>Low-grade fever and chills (D)</p> Signup and view all the answers

Why are elderly patients at increased risk for UTIs?

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

Which of these is a sign of a complicated UTI?

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

What is the recommended treatment for epididymitis?

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

Flashcards

Radiation Dermatitis

Local altered skin integrity caused by radiation therapy.

Megaloblastic Anemia

Anemia due to B12 and folate deficiency, causing large red blood cells.

Symptoms of Megaloblastic Anemia

Includes fatigue, weakness, pallor, and tingling in extremities.

Microcytic Anemia

Anemia characterized by smaller red blood cells due to iron deficiency or thalassemia.

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Treatment for Microcytic Anemia

Involves iron and vitamin C supplements.

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7 Warning Signs of Cancer

Changes in bowel habits, sores that don't heal, unusual bleeding or discharge, lumps, indigestion, changes in moles, nagging cough.

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Malignant Neoplasms

Aggressive tumors that invade tissues, proliferate quickly, and can metastasize.

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Risk Factors for Colon Cancer

Obesity, smoking, alcohol use, red meat consumption; non-modifiable factors include male sex, family history, and IBD.

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Palliative Care

Symptom management throughout illness, including psychosocial and bereavement support for families.

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Hospice Care

Care for those with life expectancy of 6 months or less, focused on comfort, not curing the illness.

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Chemotherapy Side Effects

Common side effects include nausea, vomiting, alopecia, mucositis, and altered bowel elimination.

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Interventions for Chemotherapy Side Effects

Use antiemetics, assess mouth hygiene, and avoid irritating foods; pre-medicate before treatment.

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Mucositis/Stomatitis Management

Assess mouth hygiene, use soft brushes, avoid alcohol mouthwashes, and maintain oral cleanliness.

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BM Biopsy Care

Monitor for bleeding and infection; apply a sterile dressing.

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Leukemia Definition

A cancer resulting in uncontrolled production of immature white blood cells.

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ANC Importance

Absolute Neutrophil Count; low levels can delay chemotherapy treatment.

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Neutropenia

Abnormally low ANC leading to higher infection risk.

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Hodgkin's Lymphoma Signs

Presence of Reed-Sternberg cells in lymph nodes, usually unilateral.

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Non-Hodgkin's Lymphoma

Lymphoid cancers without Reed-Sternberg cells.

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Post-Biopsy Care

Elevate biopsy site, monitor vitals every 4 hours for 24 hours.

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Nutrition for Leukemia

High calorie, high vitamin meals; frequent soft meals encouraged.

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IV Broad Spectrum Antibiotics

Initial treatment for hospitalized patients with infections before specific antibiotics are available.

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Urinary Antiseptic Drug

Nitrofurantoin used to treat urinary tract infections.

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Nutrition Therapy in UTI

Importance of 3-4 L/day fluid intake and adequate calories for infection recovery.

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Chronic Infectious Prostatitis

Bladder infections lasting over 3 months, with specific symptoms.

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Signs of Acute Prostatitis

Includes fever, dysuria, nausea, and tender prostate.

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Non-Infectious Prostatitis Treatment

Treatment involves alpha blockers like Hytrin and Cardura.

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Risk Factors for Nephrolithiasis

Includes family history, dehydration, obesity, and high protein diet.

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Nursing Management for Ileal Conduit

Include monitoring urine output and providing stoma care for skin health.

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Bland diet

A diet consisting of foods that are soft and non-irritating to the digestive tract.

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Alopecia

Hair loss that may occur due to chemotherapy, affecting body image.

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Extravasation

Leakage of chemotherapy drugs into surrounding tissue, causing injury.

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Tumor Lysis Syndrome (TLS)

A condition indicating effective cancer treatment, leading to rapid cell breakdown.

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Indications of Extravasation

Signs such as no blood return, resistance to flow, pain, burning, and swelling at the IV site.

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Management of Extravasation

Discontinue infusion and aspirate remaining drug; apply compresses.

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Immunocompromised Interventions

Precautions for patients with weak immune systems to prevent infection.

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TLS Treatment

Fluid intake/IV therapy, diuretics, allopurinol, insulin for potassium control.

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Asymptomatic Patients

Patients who show no symptoms despite having an infection.

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Shift to the Left

An increase in neutrophils, indicating a response to infection.

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Complicated UTI

A urinary tract infection in individuals with risk factors like pregnancy or immunocompromise.

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Uncomplicated UTI

A urinary tract infection that occurs in healthy individuals.

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Phenazopyridine

A medication that numbs the bladder and urethra, turning urine red/orange.

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Epididymitis

An infection of the epididymis often spread from urinary tract infections.

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Patient Education for UTI Prevention

Guidelines including frequent voiding, proper hygiene, and avoiding irritants.

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Epididymitis Treatment

Includes bed rest, elevation of the scrotum, and antibiotics.

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Study Notes

Oncology

  • Warning signs of cancer include changes in bowel/bladder habits, sores that don't heal, unusual bleeding/discharge, thickening/lumps, indigestion, difficulty swallowing, and changes in moles or warts.
  • Malignant neoplasms, or cancers, have aggressive characteristics, invading and destroying tissues, rapidly proliferating, and metastasizing to distant sites.
  • Modifiable risk factors for colon cancer include being overweight or obese, smoking, alcohol use, and consuming red meat.
  • Non-modifiable risk factors include male sex, a history of polyps, family history of colon cancer, Inflammatory Bowel Disease (IBD), and race (African American, Ashkenazi Jewish).
  • Differentiating between palliative and hospice care: Palliative care manages symptoms throughout illness, including bereavement care for families. Hospice care focuses on a life expectancy of 6 months or less, with a terminal illness as a primary factor.
  • Common side effects of chemotherapy include nausea, vomiting, temporary hair loss (alopecia), and mucositis/stomatitis.

Extravasation

  • Extravasation is the leakage of chemotherapy drugs into the surrounding tissue.
  • Prevention is crucial.
  • Vesicant chemotherapy agents should never be administered into peripheral veins of the hands or wrists. Central venous access devices should be used for frequent/long-term administration of these agents.
  • Indications of extravasation include absence of blood return, resistance to fluid flow, and pain, swelling, or redness at the infusion site.

Tumor Lysis Syndrome

  • Tumor lysis syndrome occurs when cancer cells are killed and their contents spill into the bloodstream, potentially leading to serious complications.
  • This is a positive sign that the cancer treatment is effective.

Hyperkalemia/Hyperuricemia

  • Hyperkalemia and hyperuricemia can have life-threatening effects on the myocardium, kidneys, and central nervous system (CNS).
  • Treatment includes at minimum increasing fluid intake, and possibly diuretics, allopurinol, sodium polystyrene sulfonate (oral/IV), glucose, and insulin. Dialysis may also be necessary.

Superior Vena Cava Syndrome

  • Superior vena cava (SVC) syndrome is a condition where the superior vena cava, a major vein in the chest, is compressed or obstructed, often by tumors.
  • Early symptoms include facial edema, especially around the eyes. As the compression worsens, more severe symptoms emerge, including swelling of the upper body, shortness of breath, and engorgement of blood vessels (JVD).

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