Oncology Study Notes Quiz

Oncology Drills Study Notes

• Pain Management for Bone Metastasis: Mr. Perez is in continuous bone pain from cancer metastasis. Pain medication relief is limited, and he refuses to move. The nurse should prioritize gentle assistance with care and reassure the patient.

• Radiation Therapy Complications: A client with breast cancer receiving radiation therapy is experiencing fatigue, apathy, and difficulty concentrating. These symptoms are consistent with fatigue, not hypocalcemia, radiation pneumonitis, or advanced breast cancer.

• 5-Fluorouracil (5FU) Chemotherapy: 5FU is used as an adjunct to surgery. Chemotherapy affects both normal and tumor cells, and is frequently used as a palliative measure, not a cure.

• Laryngeal Cancer Manifestations: Early signs of laryngeal cancer include hoarseness. Stomatitis, airway obstruction, and dysphagia are not early indicators.

• Myasthenia Gravis and Immunosuppressive Therapy: Immunosuppressive therapy for myasthenia gravis promotes the removal of antibodies that impair neuromuscular impulse transmission. It decreases the production of auto-antibodies attacking acetylcholine receptors.

• Irreversible Stage of Carcinogenesis: Progression stage of carcinogenesis is considered irreversible.

• Early Adaptation in Renal Carcinoma: Early adaptation in clients with renal carcinoma is not detailed.

• Hodgkin's Disease Biopsy: Post-excisional cervical lymph node biopsy, priority nursing assessments include vital signs, airway, and incision site. Level of consciousness comes later.

• Cancer Patient Nutrition: Clients undergoing chemotherapy often have difficulty with the taste or appeal of food. The nurse should provide oral care and discuss the client's concerns with healthcare providers.

• Orchiectomy Procedure: An orchiectomy involves surgical removal of a testicle, not the scrotum, related lymph nodes, or a portion of the penis.

• Barium Enema Preparation: Clients undergoing barium enema prior to a colon cancer evaluation should be instructed to swallow radiopaque tablets for the evening before the procedure. Laxatives and cleansing enemas may be given the night before, but these notes specifically suggest radiopaque tablets an evening prior and a no-CBR protocol the day of.

• Colon Cancer Prevention: Including more fresh fruits and vegetables in one's diet is a positive approach to colon cancer prevention.

• Pheochromocytoma Assessment: When a client is experiencing symptoms of Pheochromocytoma (e.g., sweating, palpitation, headache), first priority is to obtain blood pressure since these are symptoms consistent with a life-threatening situation. Pulse, pupil reaction, and grip strength are not the top concerns.

• Malignant Melanoma Assessment: A malignant melanoma lesion is characterized by asymmetry, irregular borders, and an uneven color.

• Hospice Care for Cancer Clients: Nurses planning care for clients in hospice should prioritize a nursing diagnosis related to the client's emotional well-being (i.e. anticipatory grieving, anxiety, or altered self concept) and the outcome that includes ways the client can address these feelings.

• Discharge Instructions for Squamous Cell Carcinoma of the Lip: Discharge instructions should include monitoring for any sores that do not heal around the mouth.

• Nursing Prioritization in Outpatient Surgery: The nurse should prioritize the client who is most in need, and that likely has the most urgency (for example: patient who had surgery 3 hrs prior vs. patient waiting to have surgery a couple hours later in the day = priority is given to the immediate post-op).

• Modifiable Risk Factors for Bladder Cancer: Cigarette smoking is a modifiable risk factor for bladder cancer. Pelvic radiation therapy, previous exposure to chemicals and parasitic infections of the bladder are not directly modifiable choices.

• Testicular Cancer: Teaching clients performing self-examination on their testicles should include performing the exam while lying down. Checking after a shower is a good practice.

• Risk Factors for Gastric Cancer: A high-calorie diet, smoked, highly salted and spiced food, and nitrates in one's diet are considered risk factors.

• Nursing Actions for Clients Refuse to Eat: Instead of insisting the client eat, focus on providing oral care and addressing concerns about the taste or appeal of food.

• Anticipated Side-Effects of Chemotherapy: Client receiving chemotherapy may experience nausea or vomiting.

• Common Lung Cancer Symptoms: The most common symptom of lung cancer for clients in smoking cessation classes is coughing and pain management.

• Cancer Pain Management: When treating cancer pain, administering a narcotic with non-narcotic is a powerful combination to enhance pain relief.

• Cancer Chemotherapy and Palliative Care: Cancer chemotherapy primarily aims at providing palliative care, not a cure.

• Cancer Chemotherapy and Risk Factors: The combination of chemotherapy and risk factors associated with cancer are not listed here.

• Nursing Care for clients with Testicular Cancer: Maintaining good hygiene is a key element to promote healthy skin, especially in those undergoing treatment.

• Discharge Instructions for Ileal Conduit: Teaching should include skin care and pouching procedures.

• Nursing Prioritization for Clients with Cancer: While many factors are important, the priority is usually the client who is most unstable or in immediate danger (e.g., patient needing a specific medication, acute pain, etc.).

• Pain Assessment: The nurse should assess the client's pain using various measurement scales, and nonverbal cues. The nurse's impression of pain is not the primary factor.

• Client Teaching After Radiation Therapy: Nurses providing instructions should emphasize the need to keep the stoma (surgical opening) clean and dry and avoid excessive heat or pressure in that area to avoid discomfort.

• Risk Assessment Following Diagnosis of Breast Cancer: Risk assessment should consider client expectations and doubts and keeping visitors to a minimum as well as addressing psychosocial factors.

• Discharge Instructions for Lymphedema Prevention: To help prevent lymphedema following mastectomy, the nurse should educate clients to support the affected arm above the heart level, use loose-fitting clothing, and avoid repetitive movements for approximately 6 weeks after the surgery.

• Nursing Care for Clients Receiving Internal Radiation: Nurses should not allow pregnant women (or women of childbearing age) to enter the client's room without appropriate protection. The amount of time spent in the room is not the critical factor, since the primary risk is the exposure to radiation for those who are most at-risk for pregnancy. Use of proper safety precautions is the main priority.

• Answer Key (Assessment Questions): Separate this from the above list to indicate the correct answer for each question.

Test your knowledge on key oncology concepts, including pain management for bone metastasis, radiation therapy complications, and chemotherapy with 5-Fluorouracil. This quiz covers important manifestations of various cancers and treatments for conditions like Myasthenia Gravis. Perfect for students and professionals in the medical field.