ATI: Cancer Chapters 79-83
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Questions and Answers

What is the purpose of screening and early diagnosis in cancer care?

  • To increase the risk of metastasis
  • To eliminate all forms of cancer
  • To provide health education
  • To minimize complications associated with carcinoma (correct)
  • How is cancer named when it metastasizes to another organ?

  • Based on the type of treatment received
  • Based on the origin in which it started (correct)
  • Based on the location it has spread to
  • Based on the symptoms presented
  • Which dietary component should be limited to maintain a healthy lifestyle to reduce cancer risk?

  • Nitrates and nitrites (correct)
  • Complex carbohydrates
  • Fiber
  • Healthy fats
  • What lifestyle choice is advised to avoid in order to lower cancer risk?

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

    What is chemoprevention?

    <p>The use of medications to disrupt cancer development (C)</p> Signup and view all the answers

    Which of the following should be limited to one drink per day for females?

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

    What role does physical activity play in cancer prevention?

    <p>It helps maintain a healthy body weight (B)</p> Signup and view all the answers

    What should be done to reduce the risk of skin cancer?

    <p>Use personal protective equipment (A)</p> Signup and view all the answers

    At what age should males with average risk begin prostate screening?

    <p>50 years (B)</p> Signup and view all the answers

    Which virus is primarily responsible for increasing the risk of cervical cancer?

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

    Which of the following is a recommended method for fecal testing?

    <p>Fecal immunochemical test (C)</p> Signup and view all the answers

    What dietary factors are associated with an increased risk of certain cancers?

    <p>High in fat and red meat (D)</p> Signup and view all the answers

    At what frequency should clients aged 30 to 65 receive Pap tests if combined with an HPV DNA test?

    <p>Every 3 years (A)</p> Signup and view all the answers

    Which of the following factors does NOT increase the risk of stomach cancer?

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

    What age is recommended for starting prostate screening for high-risk males?

    <p>45 years (D)</p> Signup and view all the answers

    Which of the following sexual lifestyles is associated with increased cancer risk?

    <p>Having multiple sexual partners (A)</p> Signup and view all the answers

    At what age should a client begin annual mammograms?

    <p>At age 40 (D)</p> Signup and view all the answers

    How often should clients aged 30 to 65 have a Pap test according to current recommendations?

    <p>Every 5 years (C)</p> Signup and view all the answers

    What does well-differentiated tumor cells indicate about their growth pattern?

    <p>They look much like normal cells and grow slowly. (B)</p> Signup and view all the answers

    At what age should a client start having colonoscopies?

    <p>At age 50 (A)</p> Signup and view all the answers

    Which nursing action is appropriate to help manage constipation related to cancer treatment?

    <p>Encourage increased fiber and fluids. (A)</p> Signup and view all the answers

    What is the recommended frequency for fecal occult tests?

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

    What is the primary concern with the presence of distant metastasis?

    <p>It complicates treatment options and prognosis. (B)</p> Signup and view all the answers

    How should meal planning be approached for clients undergoing cancer treatment?

    <p>Incorporate client preferences when possible. (A)</p> Signup and view all the answers

    What action can a client take to help ease the process of chewing and swallowing?

    <p>Use an oral anesthetic mouthwash (B)</p> Signup and view all the answers

    What challenges are presented by poorly differentiated tumor cells?

    <p>Determining the tissue of origin is difficult. (B)</p> Signup and view all the answers

    What role does a food diary play in cancer nutrition management?

    <p>It assists in monitoring changes in eating habits (A)</p> Signup and view all the answers

    Which virus is associated with lymphoma and leukemia?

    <p>HIV (A)</p> Signup and view all the answers

    What role does grading play in cancer diagnosis?

    <p>It helps assess how malignant the cancer cells are. (D)</p> Signup and view all the answers

    Which cancer is associated with Helicobacter pylori?

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

    What is the syndrome of inappropriate antidiuretic hormone (SIADH) associated with?

    <p>Excessive levels of antidiuretic hormones. (C)</p> Signup and view all the answers

    Which nutritional aspect is important for clients undergoing cancer treatment?

    <p>Ensure adequate protein, carbohydrates, and calories. (A)</p> Signup and view all the answers

    Which route of administration is considered intracavitary?

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

    What is a primary reason for using a central venous catheter for chemotherapy administration?

    <p>It reduces the risk of tissue damage from leakage. (C)</p> Signup and view all the answers

    Why should oral anticancer medications not be crushed?

    <p>It changes their chemical composition. (B)</p> Signup and view all the answers

    Which of the following statements is true regarding chemotherapy?

    <p>It can help control disease progression. (C)</p> Signup and view all the answers

    What is a vesicant?

    <p>A medication that causes tissue damage if leaked. (B)</p> Signup and view all the answers

    Which type of catheter is commonly used for long-term chemotherapy treatment?

    <p>Peripherally inserted central catheter (PICC) (D)</p> Signup and view all the answers

    What should be monitored at the site of administration during chemotherapy?

    <p>Evidence of infection (D)</p> Signup and view all the answers

    Who is qualified to administer chemotherapeutic medications?

    <p>Only certified individuals (B)</p> Signup and view all the answers

    What is the recommended action if a client undergoing chemotherapy has an elevated temperature?

    <p>Report it to the provider immediately. (B)</p> Signup and view all the answers

    Which of the following dietary practices can help manage nausea for chemotherapy patients?

    <p>Eating low-fat dry foods and avoiding liquids during meals. (D)</p> Signup and view all the answers

    What should clients avoid to reduce the risk of infections during chemotherapy?

    <p>Sharing personal hygiene items with others. (B)</p> Signup and view all the answers

    Which foods are recommended to be consumed by someone experiencing metallic taste due to chemotherapy?

    <p>High-protein, high-calorie foods. (B), Cold foods that do not require cooking. (D)</p> Signup and view all the answers

    Why should fresh flowers and plants be avoided in the chemotherapy client's room?

    <p>They may harbor bacteria that could lead to infections. (D)</p> Signup and view all the answers

    What practice is advised to help manage hair loss during chemotherapy?

    <p>Discuss options such as hats and wigs. (A)</p> Signup and view all the answers

    What is a key reason for washing dishes in hot, soapy water for a chemotherapy patient?

    <p>To eliminate bacteria that could cause infections. (A)</p> Signup and view all the answers

    What should clients do with liquid beverages that have been sitting at room temperature for over an hour?

    <p>Discard them immediately. (C)</p> Signup and view all the answers

    Which action is essential for a nurse to take when a client exhibits symptoms of SIADH?

    <p>Report behavioral changes to the provider (C)</p> Signup and view all the answers

    What finding associated with SIADH should raise concern for the nursing staff?

    <p>Decreased urine specific gravity (B)</p> Signup and view all the answers

    What type of fluids may be needed if a client's fluid administration is deemed insufficient?

    <p>Vasopressors (A)</p> Signup and view all the answers

    Which lab test is critical for a nurse to obtain for a patient with suspected sepsis?

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

    What symptom should a nurse associate with a potential need for fluid resuscitation?

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

    What does a client's report of weight gain indicate in relation to SIADH?

    <p>Cerebral edema that should be reported (C)</p> Signup and view all the answers

    Which of the following is NOT a sign of SIADH that a nurse should monitor?

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

    For a client presenting signs of SIADH, which intervention should be prioritized?

    <p>Monitor vital signs closely (A)</p> Signup and view all the answers

    Which finding does NOT require reporting to the provider in a client with suspected SIADH?

    <p>Urine output of 40 mL/hr (C), Increased urine specific gravity (D)</p> Signup and view all the answers

    Which clinical manifestation in a client with SIADH is most critical to report?

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

    What underlying issue may be indicated by a client reporting headaches alongside SIADH?

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

    Which cancer risks are associated with dietary choices that should be considered in client management?

    <p>High red meat consumption is associated with colorectal and pancreatic cancers (D)</p> Signup and view all the answers

    In older adult males, which types of cancer are most commonly associated with reported symptoms?

    <p>Lung, colorectal, and prostate cancers (A)</p> Signup and view all the answers

    What does dullness in lung or bowel sounds indicate during a physical assessment?

    <p>Consolidation or tumor (A)</p> Signup and view all the answers

    What should a nurse monitor for during recovery following sedation?

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

    What is indicated by an increase in liver size noted by measurement of borders?

    <p>Possible liver tumors or inflammation (D)</p> Signup and view all the answers

    How should a patient be positioned following a liver biopsy?

    <p>On their right side (B)</p> Signup and view all the answers

    What is a potential effect of withholding oral intake post-procedure?

    <p>Reduced risk of infection (A)</p> Signup and view all the answers

    What does a change in coloration, symmetry, or movement signify during an assessment?

    <p>Potential tissue abnormalities (C)</p> Signup and view all the answers

    What does the procedure of angiography help to visualize?

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

    Which of the following should a nurse reinforce if unexpected findings occur?

    <p>Information on further testing or evaluation (B)</p> Signup and view all the answers

    Which intervention is appropriate for a client with malnutrition due to cancer?

    <p>Encourage the client to consume high-calorie snacks before meals. (B)</p> Signup and view all the answers

    What finding correlates with a pathology report denoting T2-N3-MX in ovarian cancer?

    <p>The tumor has spread to nearby lymph nodes. (A)</p> Signup and view all the answers

    At what specific age should women begin receiving Pap tests based on recommendations?

    <p>Age 30 (A)</p> Signup and view all the answers

    Which method is most effective for determining the cancer staging in a patient who underwent surgery for ovarian cancer?

    <p>Pathology analysis post-surgery. (C)</p> Signup and view all the answers

    Which statement reflects a common misunderstanding about fecal occult testing?

    <p>The test detects blood in the urine. (D)</p> Signup and view all the answers

    What nutrient-dense food strategy should be emphasized for a cancer patient?

    <p>Including protein-rich options in every meal. (A)</p> Signup and view all the answers

    Which screening procedure is recommended for average-risk individuals beginning at age 60?

    <p>Colonoscopy every 15 years. (B)</p> Signup and view all the answers

    What is the impact of using anesthetic mouthwash before meals for cancer patients experiencing oral side effects?

    <p>It helps alleviate pain and discomfort, improving food intake. (B)</p> Signup and view all the answers

    What is the primary focus of cancer treatment options?

    <p>To remove or destroy cancer cells (B)</p> Signup and view all the answers

    Which of the following is considered part of adjuvant treatment?

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

    Which client factor is least likely to influence the cancer treatment plan?

    <p>Genetic predisposition to cancer (B)</p> Signup and view all the answers

    What is a critical aspect of nursing care for clients post-surgery?

    <p>Reinforcing teaching on care for drains and wounds (B)</p> Signup and view all the answers

    Which psychological support measure is crucial for clients coping with cancer diagnosis?

    <p>Facilitating coping with body image changes (C)</p> Signup and view all the answers

    What role do supportive therapies play in cancer nursing care?

    <p>They complement medical treatment by addressing specific client needs. (C)</p> Signup and view all the answers

    Which complication should clients be monitored for after discharge from cancer treatment?

    <p>Infection or hemorrhage (B)</p> Signup and view all the answers

    What is the primary focus of interprofessional collaboration in cancer care?

    <p>To facilitate communication across healthcare providers (D)</p> Signup and view all the answers

    What should be avoided in order to prevent injury to the oral mucosa during dental hygiene?

    <p>Rinsing with alcohol-based mouthwash (C)</p> Signup and view all the answers

    Which of the following is a recommended practice for rinsing the mouth to prevent bleeding?

    <p>Using a solution of 0.9% sodium chloride (D)</p> Signup and view all the answers

    What protective measure should be taken during ambulation to prevent falls and injuries?

    <p>Wear closed-toe shoes (B)</p> Signup and view all the answers

    What should a client refrain from while managing mucositis to reduce the risk of bleeding?

    <p>Participating in contact sports (D)</p> Signup and view all the answers

    Which of the following medications should be avoided to minimize the risk of bleeding?

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

    What action is essential when dealing with body fluids contaminated with radiation?

    <p>Dispose as directed by the facility (B)</p> Signup and view all the answers

    In the case of chemotherapy-induced peripheral neuropathy, what should be monitored closely?

    <p>Sensory functions of the hands and feet (C)</p> Signup and view all the answers

    What is an appropriate action to take if an injury occurs while ambulating?

    <p>Apply cold to the area (D)</p> Signup and view all the answers

    Which of the following infections is primarily linked to an increased risk of lymphoma?

    <p>Human T‑cell leukemia virus (C)</p> Signup and view all the answers

    At what age should males with a family history of breast or colon cancer consider screening for gene mutations?

    <p>40 years (B)</p> Signup and view all the answers

    Which type of biopsy involves the removal of the entire tumor?

    <p>Excisional biopsy (A)</p> Signup and view all the answers

    Which factor is associated with increasing the risk of stomach cancer and lymphoma of the stomach lining?

    <p>High intake of preservatives (A)</p> Signup and view all the answers

    What is a key indicator for performing a sentinel lymph node biopsy?

    <p>Swelling of lymph nodes (C)</p> Signup and view all the answers

    What is the recommended frequency for fecal testing using a stool DNA test?

    <p>Every 3 years (B)</p> Signup and view all the answers

    What is the purpose of performing a punch biopsy?

    <p>To diagnose skin cancer (A)</p> Signup and view all the answers

    Which type of screening should male clients have at 50 years of age if they are at average risk?

    <p>Prostate-specific antigen (PSA) test (C)</p> Signup and view all the answers

    Which option best describes the outcome if a sentinel lymph node biopsy is negative?

    <p>Surrounding lymph nodes are assumed to be free of cancer (C)</p> Signup and view all the answers

    What lifestyle factor is strongly linked to an increased risk of cervical cancer?

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

    What common symptom could lead to the suspicion of metastasis in a cancer patient?

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

    What is an important nursing action prior to performing any biopsy?

    <p>Obtain signed informed consent (A)</p> Signup and view all the answers

    What should clients aged 30 to 65 ideally receive along with a Pap test?

    <p>An HPV DNA test every 5 years (D)</p> Signup and view all the answers

    What demographic factor significantly increases the risk of developing certain cancers?

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

    What is typically evaluated in patients undergoing bone marrow aspiration?

    <p>Signs of leukemia and lymphoma (B)</p> Signup and view all the answers

    Which of the following biopsies requires a circular instrument to sample tissue?

    <p>Punch biopsy (A)</p> Signup and view all the answers

    What does dullness in the lungs during a physical assessment typically indicate?

    <p>Consolidation or tumor in the lungs (B)</p> Signup and view all the answers

    What is the significance of monitoring coagulation studies in patients with potential cancer?

    <p>To assess the risk of bleeding (D)</p> Signup and view all the answers

    Which of the following actions is NOT appropriate after a liver biopsy?

    <p>Encouraging oral intake immediately (B)</p> Signup and view all the answers

    In the context of cancer screening, what might elevated liver function tests suggest?

    <p>Cancerous changes or inflammation of the liver (D)</p> Signup and view all the answers

    What findings during an assessment could lead to further testing for a suspected cancer diagnosis?

    <p>Presence of masses or tissue abnormalities (A)</p> Signup and view all the answers

    What should be the immediate nursing intervention if a client shows signs of bleeding after a procedure?

    <p>Reinforce dressings and monitor vital signs (A)</p> Signup and view all the answers

    Which assessment finding is most concerning when monitoring a client under sedation?

    <p>Marked hypotension and tachycardia (B)</p> Signup and view all the answers

    Why is it important to provide a safe environment for a client recovering from sedation?

    <p>To prevent falls and injury due to impaired judgment (D)</p> Signup and view all the answers

    What is the most appropriate recommendation for a client beginning cancer screenings at age 45?

    <p>Schedule a mammogram every 2 years. (D)</p> Signup and view all the answers

    What intervention is NOT advisable for a client with malnutrition due to cancer?

    <p>Encourage fluid intake during meals. (B)</p> Signup and view all the answers

    What does the notation T2‑N3‑MX indicate about the patient's ovarian cancer?

    <p>The tumor is large and has spread to nearby lymph nodes. (D)</p> Signup and view all the answers

    Which of the following statements regarding cancer screenings is incorrect for women starting at age 30?

    <p>Colorectal screenings should start at age 50. (A)</p> Signup and view all the answers

    What is the benefit of using an anesthetic mouthwash before meals for a client with cancer-related malnutrition?

    <p>It reduces oral pain and discomfort. (A)</p> Signup and view all the answers

    What should a nurse monitor for a patient who has undergone surgery for ovarian cancer and presented with T2‑N3‑MX findings?

    <p>Presence of nodules in the lymph nodes. (A)</p> Signup and view all the answers

    Which intervention is least likely to benefit a client experiencing severe malnutrition post-cancer treatment?

    <p>Encouraging nutrient-dense foods early in the meal. (B)</p> Signup and view all the answers

    For optimal management of nutritional intake in oncology patients, which practice should be avoided?

    <p>Eating fluids with meals to enhance satiety. (B)</p> Signup and view all the answers

    What is a potential first sign of an allergic reaction to contrast dye during imaging procedures?

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

    Which tumor marker is specifically associated with detecting prostate cancer?

    <p>Prostate-specific antigen (PSA) (B)</p> Signup and view all the answers

    What is the primary advantage of using MRI over CT scans in imaging?

    <p>Use of magnetic fields instead of radiation (B)</p> Signup and view all the answers

    Which of the following is a common sample type collected for genetic testing related to cancer risk?

    <p>Saliva sample (A)</p> Signup and view all the answers

    Which imaging technique utilizes sound waves to assess internal structures?

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

    What is the significance of positive results in genetic testing for cancer markers such as BRCA1 and BRCA2?

    <p>Denotes an increased risk of certain cancers (B)</p> Signup and view all the answers

    How does computerized axial tomography (CT) aid in cancer evaluation?

    <p>Provides x-ray images from varying angles for cross-sectional analysis (C)</p> Signup and view all the answers

    Which of the following describes a key function of tumor marker assays?

    <p>Detects abnormal protein levels in various body fluids (C)</p> Signup and view all the answers

    What is a primary benefit of using a central venous catheter over a peripheral IV for chemotherapy?

    <p>They reduce the risk of medication leakage and tissue damage. (A)</p> Signup and view all the answers

    What is a critical reason for not crushing, splitting, or chewing oral anticancer medications?

    <p>Doing so may increase their toxicity. (B)</p> Signup and view all the answers

    What is a common complication to monitor for at the site of administration during chemotherapy?

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

    Which type of catheter is specifically designed for long-term chemotherapy administration?

    <p>Implanted port (A)</p> Signup and view all the answers

    What is a significant characteristic of vesicants that requires careful administration?

    <p>They can cause severe damage to skin and muscle if leaked. (A)</p> Signup and view all the answers

    What is a primary purpose of chemotherapy in patients with terminal illness?

    <p>To control disease progression or provide palliative care. (C)</p> Signup and view all the answers

    Which statement is true regarding the administration of chemotherapeutic agents?

    <p>Specialized certification is required for administration. (A)</p> Signup and view all the answers

    Flashcards

    Metastasis

    The spread of cancer cells from the original site to other parts of the body through lymph and blood vessels.

    Metastatic Cancer

    Cancer that has spread to a different part of the body.

    Early Diagnosis

    Finding cancer at an early stage, essential for successful treatment.

    Healthy Lifestyle (Cancer Prevention)

    Practices that reduce the risk of developing cancer, like balanced diet, avoiding tobacco, and exercising.

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    Cancer Cell Invasion

    Cancer cells' ability to penetrate neighboring tissues.

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    Chemoprevention

    Using medicine or other substances to stop cancer development.

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    Screening

    Checking for cancer early, often through tests.

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    Risk Factors (Cancer)

    Factors that increase the chance of cancer, such as tobacco use, unhealthy diet, and lack of exercise

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    Cancer Risk Factors

    Factors that increase the chance of developing cancer.

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    Viral Infections (Cancer Risk)

    Certain viruses, like HPV, Epstein-Barr, and HIV, can increase the risk of specific cancers.

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    Diet (Cancer Risk)

    A diet high in certain substances (e.g., fat, red meat) and low in fiber may increase some cancer risks.

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    Prostate Screening Age

    Men should talk to their doctor about prostate screening around age 50, adjusting the age based on personal risk.

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    Pap Smear Schedule

    Women should get Pap smears at certain ages and intervals to screen for cervical cancer.

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    Fecal Testing for Blood

    Regular fecal tests to check for blood in the stool, to detect potential colon cancer early.

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    HIV, Cancer Link

    Infection with HIV increases the risk of some cancers, including lymphoma and Kaposi's sarcoma.

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    Genetic Testing (Cancer)

    Tests for gene mutations that can increase a person's chances of getting certain cancers(e.g., breast or colon).

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    Annual mammograms

    A type of X-ray used to detect breast cancer in women

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    Colonoscopy screening

    A procedure to examine the colon for cancer

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    Pap test frequency (30-65)

    A Pap test should be done every 5 years for women aged 30-65

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    Pap test frequency (21-29)

    A Pap test should be done every 3 years for women aged 21-29

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    Fecal occult blood test

    A test to detect hidden blood in a stool sample.

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    Stool DNA test

    Checks stool for genetic material linked to colorectal cancer.

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    Food diary for malnutrition

    Track eating habits to monitor nutrition of patients with cancer

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    Oral anesthetic mouthwash

    Soothes mouth pain and eases chewing/swallowing

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    Metastasis (M)

    The spread of cancer cells to distant parts of the body.

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    Distant Metastasis (M1)

    Cancer cells have spread to distant parts of the body.

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    Well-Differentiated Cancer Cells

    Cancer cells that look similar to normal cells and grow slowly.

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    Poorly Differentiated Cancer Cells

    Cancer cells that do not look like normal cells and grow quickly, spreading easily.

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    Cancer Grading (GX, G1, G2, G3)

    Classifying cancer based on how abnormal the cancer cells look.

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    Prognosis

    The likely outcome or course of a disease.

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    Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

    A condition where the body produces too much antidiuretic hormone, causing the body to retain too much water.

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    Constipation

    Difficulty in passing stools, often related to cancer or cancer treatments.

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    Intracavitary Chemotherapy

    Chemotherapy delivered directly into a body cavity, like the abdomen, bladder, or spinal cavity.

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    Intraperitoneal Chemotherapy

    Chemotherapy administered directly into the abdominal cavity.

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    Intravesicular Chemotherapy

    Chemotherapy delivered directly into the bladder.

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    Intrapleural Chemotherapy

    Chemotherapy administered directly into the pleural space, which surrounds the lungs.

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    Intrathecal Chemotherapy

    Chemotherapy delivered directly into the spinal cavity.

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    Central Venous Catheter

    A long-term IV catheter inserted into a large vein, usually in the chest, for chemotherapy administration or blood testing.

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    Peripherally Inserted Central Catheter (PICC)

    A type of central venous catheter inserted into a peripheral vein in the arm and threaded up to a large vein in the chest.

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    Implanted Port

    A small, surgically placed device under the skin that allows for easy access to a central vein for long-term chemotherapy administration.

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    Chemotherapy & Nausea

    Many chemotherapy medications can cause nausea and vomiting. Medications can be given beforehand to prevent these side effects.

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    Chemotherapy & Mouth Care

    To prevent infection during chemotherapy, it's important to practice good oral hygiene, including using a separate toothbrush for each use.

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    Chemotherapy & Food Choices

    During chemotherapy, it's crucial to avoid foods that can increase nausea and discomfort, including raw fruits and vegetables, undercooked meats, and spicy foods.

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    Chemotherapy & Alopecia

    Hair loss is a common side effect of chemotherapy. This is usually temporary and can vary in severity, affecting hair on the head, body, and even lashes.

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    Reducing Nausea

    Nausea can be reduced during chemotherapy by eating small, frequent meals, opting for cold foods, and avoiding strong smells.

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    Chemotherapy & Infection Risk

    Chemotherapy weakens the immune system, making patients more susceptible to infections. It's important to avoid crowds and potential sources of bacteria.

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    Chemotherapy & Temperature Monitoring

    During chemotherapy, regular temperature checks are crucial, as even slightly elevated temperatures can indicate infection.

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    Chemotherapy & Support

    Patients undergoing chemotherapy need support in managing side effects, adjusting to changes, and coping with emotions.

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    What type of cancer can HPV cause?

    HPV (Human Papillomavirus) can cause cervical cancer.

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    What type of cancer can EBV cause?

    EBV (Epstein-Barr Virus) can cause nasopharyngeal cancer and Burkitt's lymphoma.

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    What type of cancer can Helicobacter pylori cause?

    Helicobacter pylori can cause stomach cancer.

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    How often should a Pap test be done?

    A Pap test should be done every 5 years starting at age 30.

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    How often should a colonoscopy be done?

    A colonoscopy should be done every 10 years, beginning at age 50.

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    How often should a fecal occult blood test be done?

    A fecal occult blood test should be done every year.

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    What is a food diary?

    A food diary is used to track what a patient eats and drinks to evaluate their nutrition.

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    What is a ferritin level?

    Ferritin is a protein that stores iron in the body. A ferritin blood test is used to evaluate iron stores, which are often low in patients with cancer.

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    SIADH Manifestations

    A condition where the body inappropriately produces too much antidiuretic hormone, leading to water retention, low sodium levels, and symptoms like headache, nausea, confusion, and seizures.

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    SIADH in Lung Cancer

    Lung cancer can cause SIADH by producing a tumor that secretes antidiuretic hormone, leading to water retention and low sodium levels.

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    Resuscitation in Sepsis

    In sepsis, the body's response to infection leads to widespread inflammation and blood vessel dilation, resulting in low blood pressure and insufficient oxygen delivery to tissues.

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    Sepsis Treatment

    Treatment for sepsis involves rapid fluid resuscitation to restore blood volume and blood pressure, blood cultures to identify the causative organism, broad-spectrum antibiotics to combat infection, and potentially vasopressors to maintain blood pressure.

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    Cancer Risk Factors: Diet

    Dietary choices can influence cancer risk. Consuming a diet high in saturated fat, red meat, and processed foods, and low in fruits, vegetables, and fiber, increases the risk for certain cancers.

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    Cancer Risk Factors: Lifestyle

    Lifestyle factors, such as smoking, heavy alcohol consumption, lack of physical activity, and exposure to certain environmental toxins, can increase the risk of developing various cancers.

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    Cancer Risk Factors: Racial Background

    Certain racial groups have a higher risk of developing specific cancers. For example, African Americans have a higher risk of prostate cancer compared to other racial groups.

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    Cancer Screening Prevention

    Regular cancer screenings, such as mammograms for breast cancer, Pap smears for cervical cancer, and colonoscopies for colorectal cancer, are crucial for early detection and treatment.

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    SIADH

    Syndrome of Inappropriate Antidiuretic Hormone. This condition causes the body to retain too much water, leading to symptoms like headache, weight gain, and low urine output.

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    SIADH & Urine Output

    A urine output of 40 mL/hr is a normal finding in SIADH, indicating the body's attempt to retain water. This finding does not require immediate reporting.

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    SIADH & Weight Gain

    Weight gain can be a sign of cerebral edema, a swelling of the brain, in SIADH. Report this symptom to the provider immediately.

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    SIADH & Headache

    Headache is a common symptom of SIADH, indicating fluid buildup in the brain. This symptom should be reported to the provider.

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    SIADH & Urine Specific Gravity

    An increased urine specific gravity is consistent with SIADH, indicating concentrated urine due to fluid retention. It does not require reporting.

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    What is adjuvant treatment?

    Adjuvant treatment is therapy given in addition to the primary treatment to reduce the risk of cancer recurrence.

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    What are some examples of adjuvant therapies?

    Adjuvant therapies include hormone therapy, radiation therapy, targeted therapies, immunotherapy, and chemotherapy.

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    What does palliative care focus on?

    Palliative care focuses on improving the quality of life for patients with cancer by managing symptoms and providing emotional support.

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    What's the goal of cancer treatment?

    Cancer treatment aims to remove or destroy cancer cells and prevent further abnormal cell growth and differentiation.

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    What are common postoperative complications?

    Postoperative complications include infection, fluid or electrolyte imbalance, hemorrhage, thromboembolism, inadequate oxygenation, and shock.

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    What are key aspects of nursing care for clients with cancer?

    Nursing care includes collaboration with supportive therapies and services, counseling, and transfer of care to another provider at discharge.

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    What is the role of interprofessional collaboration in cancer care?

    Interprofessional collaboration involves working together with other healthcare professionals, such as therapists, support groups, and family members.

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    Why is client education crucial after cancer treatment?

    Client education is important so patients can monitor for complications, manage their care, and access support resources.

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    Liver Function Tests

    Blood tests that measure the health and activity of the liver. Elevated levels can indicate liver cancer or metastasis from other cancers like colorectal cancer.

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    X-rays in Cancer Screening

    A diagnostic technique that uses electromagnetic radiation to visualize internal body structures. Used to detect abnormalities in the lungs, breasts, and other organs.

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    Angiography

    A medical imaging technique that uses dye and X-rays to visualize blood vessels. Helps map arteries, veins, and lymphatic vessels for cancer diagnosis and treatment planning.

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    Dullness in Lungs

    An abnormal sound heard during percussion of the chest, indicating consolidation (fluid or tissue buildup) or tumor growth in the lungs.

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    Increased Liver Size

    A sign of inflammation or tumor growth in the liver, detected during palpation or percussion of the abdominal area.

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    Bleeding Complications

    A possible complication after cancer procedures, indicated by visible staining of dressings, hypotension (low blood pressure), and tachycardia (fast heart rate).

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    Aseptic Technique

    A set of practices used to prevent infections during medical procedures, including hand hygiene, sterile equipment, and minimizing contamination.

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    Safe Environment for Recovery

    Creating a safe and comfortable environment for patients after procedures, minimizing risks and ensuring optimal recovery.

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    Mucositis

    Inflammation and sores in the mouth, often caused by chemotherapy or radiation therapy.

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    Preventing Bleeding with Mucositis

    To prevent bleeding in patients with mucositis, use an electric razor and soft-bristled toothbrush, avoid blowing your nose vigorously, and ensure dentures fit well.

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    Peripheral Neuropathy

    Damage to the nerves in the hands and feet, often caused by chemotherapy.

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    Managing Peripheral Neuropathy

    Nurses monitor for signs of neuropathy like loss of sensation, orthostatic hypotension (blood pressure drops when standing), loss of taste, and constipation.

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    Radiation Contamination

    Internal radiation therapy can contaminate body fluids, which need to be disposed of appropriately.

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    Cytoprotectants

    Medications used to protect against harmful effects of radiation therapy, such as dry mouth.

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    Preventing Injury When Ambulating

    To prevent injuries in patients who may be weak from cancer treatment, wear closed-toe shoes, remove tripping hazards at home, and apply cold to areas if an injury occurs.

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    Infection Control

    Take medications as prescribed to control infection, such as nystatin suspension and acyclovir.

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    Pap Test Frequency

    Women aged 30-65 should have a Pap test every 5 years to screen for cervical cancer.

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    Colonoscopy Frequency

    People should have a colonoscopy every 10 years, starting at age 50, to screen for colorectal cancer.

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    Fecal Occult Blood Test Frequency

    A fecal occult blood test should be done annually to check for blood in the stool, a potential indicator of colorectal cancer.

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    Malnutrition in Cancer

    Cancer can cause malnutrition due to various factors like appetite changes, nausea, and difficulty swallowing.

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    Ferritin Levels in Cancer

    Ferritin is a protein that stores iron in the body. A ferritin blood test can help assess iron stores, which are often low in cancer patients due to malnutrition and other factors.

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    T2-N3-MX

    This diagnostic notation in a pathology report refers to the staging of a tumor. T2 indicates a moderately sized tumor, N3 means cancer has spread to three or more nearby lymph nodes, and MX means the cancer's spread to other areas in the body is unknown.

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    SIADH Symptoms

    SIADH (Syndrome of Inappropriate Antidiuretic Hormone) causes the body to retain too much water, leading to symptoms such as headache, confusion, nausea, and seizures.

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    Needle Biopsy

    A procedure where a thin needle is used to remove a small sample of tissue or fluid from a tumor, often done when the tumor is near the skin surface.

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    Incisional Biopsy

    A surgical procedure where a cut is made into the skin to remove a portion of a tumor.

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    Excisional Biopsy

    A surgical procedure where a tumor is completely removed from the body.

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    Sentinel Lymph Node Biopsy

    A biopsy of the lymph node closest to a cancer, used to determine if cancer cells have spread to other lymph nodes.

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    Bone Marrow Aspiration

    A needle biopsy of the bone marrow, used to diagnose leukemia and lymphoma.

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    Punch Biopsy

    A specific type of excisional biopsy where a circular tool punches out a small portion of subcutaneous fat, commonly used in skin cancer diagnosis.

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    Lymphadenectomy

    Surgical removal of lymph nodes in the area of a cancer with positive sentinel nodes.

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    What are the potential symptoms of metastasis?

    Metastasis can cause various symptoms depending on its location. These can include swelling and tenderness in lymph nodes, masses in different parts of the body, pain, and changes in body function, such as fatigue, weakness, or anorexia.

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    HPV & Cervical Cancer

    Human Papillomavirus (HPV) infection is the main cause of cervical cancer.

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    EBV & Lymphoma

    Epstein-Barr Virus (EBV) infection has been linked to an increased risk of lymphoma.

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    Helicobacter pylori & Stomach Cancer

    Infection with Helicobacter pylori can increase the risk of stomach cancer and lymphoma of the stomach lining.

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    HIV & Cancer Risk

    HIV infection increases the risk of lymphoma and Kaposi's sarcoma.

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    Liver Function Tests (LFTs)

    Blood tests that check the health of the liver. Elevated LFTs could indicate liver cancer or cancer that has spread from elsewhere, like colorectal cancer.

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    Vesicants

    Chemotherapy medications that can cause serious damage to the skin and muscle tissue if they leak outside a vein.

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    Tumor Markers

    Proteins found in the body at higher than normal levels that can indicate the presence of cancer.

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    CT Scan

    A medical imaging technique that uses X-rays to create cross-sectional images of internal organs.

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    MRI

    A medical imaging technique that uses magnets and radio waves to create detailed images of organs and tissues.

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    Ultrasound

    A medical imaging technique that uses sound waves to create images of internal organs and structures.

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    Genetic Testing for Cancer Risk

    Tests that identify the presence of specific gene mutations that can increase the risk of developing cancer.

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    Biopsy

    A medical procedure to remove a small sample of tissue for examination under a microscope.

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    Contrast Dye

    A substance used in imaging tests to enhance the visibility of organs and tissues.

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    Nuclear Imaging

    A type of imaging that uses radioactive substances to evaluate the function of organs.

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    Study Notes

    General Principles of Cancer

    • Cancer is a neoplastic disease process involving abnormal cell growth and differentiation.
    • Normal cells have an orderly growth, division, and death cycle. Cancer cells do not.
    • Cancer cells form new blood vessels to nourish continued growth.
    • Genetic mutations cause abnormal cancerous growth.
    • Factors like viruses, chemicals, hormones, family history, and lifestyle trigger abnormal cell growth.
    • Cancer cells invade surrounding tissues and spread to other body parts.

    Body Tissues

    • Cancers can originate from any body tissue.
    • Cancerous cells disrupt the function of the affected tissue.
    • Carcinomas arise from epithelial tissue; adenocarcinomas from glandular organs
    • Sarcomas from mesenchymal tissues.
    • Leukemias from blood-forming cells; lymphomas from lymph tissue; myelomas from plasma cells.

    Health Promotion and Disease Prevention

    • Maintain a healthy diet (low-fat, increased fruits/vegetables). Limit sugar, salt, nitrates, red meats.
    • Maintain a healthy weight.
    • Avoid tobacco and limit alcohol consumption.
    • Avoid risky lifestyles (drugs, unprotected sex).
    • Avoid environmental hazards (radiation, chemicals). Use protective equipment.
    • Exercise regularly. Protect skin from UV rays. Remove at-risk tissues (moles) to prevent conversions to skin cancer.
    • Use of medications (chemoprevention) or other substances to stop or lessen cancer development.
    • Vaccination to prevent virus-related cancers (ex. HPV).

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    Description

    This quiz covers essential principles of cancer biology, including the characteristics of cancer cells and their origin in various body tissues. You'll explore how cancer disrupts normal functions and the significance of health promotion and disease prevention strategies. Test your knowledge on how factors trigger abnormal cell growth and the classifications of different cancer types.

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