Understanding Cancer

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Questions and Answers

Which statement accurately differentiates between acute and chronic conditions?

  • Acute illnesses typically resolve within a short period, whereas chronic conditions persist for months to years. (correct)
  • Acute illnesses always require ongoing treatment, but chronic conditions do not.
  • Acute illnesses develop gradually over time, while chronic conditions arise suddenly.
  • Chronic conditions are primarily caused by infectious agents, while acute illnesses stem from genetic factors.

A patient presents with a constellation of symptoms. Which of the following groups of symptoms is most indicative of a potential brain tumor?

  • Intermittent chest pain, shortness of breath, and palpitations.
  • Persistent morning headaches that subside after vomiting, vision and speech problems, and loss of appetite. (correct)
  • Sudden weight gain, increased appetite, and elevated mood.
  • Frequent urination, lower back pain, and blood in urine.

Which of the following statements best describes the fundamental difference between a benign and a malignant tumor?

  • Benign tumors consist of cancerous cells, while malignant tumors are composed of normal, healthy cells.
  • Benign tumors always require aggressive treatment, but malignant tumors can often be managed without intervention.
  • Benign tumors grow rapidly, whereas malignant tumors grow very slowly over time.
  • Benign tumors remain localized and do not invade surrounding tissues, while malignant tumors can spread to other parts of the body. (correct)

Which of the following is a crucial consideration for healthcare providers when promoting safety and comfort for patients undergoing cancer treatment?

<p>Adhering to radiation exposure monitoring protocols, using personal protective equipment, and communicating with patients from a distance when appropriate. (B)</p> Signup and view all the answers

A patient undergoing treatment for colon cancer reports experiencing significant weight loss, a change in bowel habits, and blood in their stool. Which action should the healthcare provider prioritize?

<p>Immediately assess the patient for potential complications, such as anemia or dehydration, and consult with the oncology team for further evaluation and management. (C)</p> Signup and view all the answers

In the context of bladder cancer, which of the following symptom clusters should prompt immediate investigation?

<p>Blood in the urine, frequent and painful urination, lower back pain, and urinary urgency. (C)</p> Signup and view all the answers

Which of the following actions demonstrates a healthcare provider's commitment to addressing the psychological and social needs of cancer patients?

<p>Actively referring patients to support groups, counseling services, and resources for financial assistance. (A)</p> Signup and view all the answers

How does radiation therapy work to combat cancer?

<p>By using high-energy rays to damage the DNA of cancer cells, preventing their growth and division (A)</p> Signup and view all the answers

What primarily distinguishes cancer from a tumor?

<p>Cancer is a disease characterized by abnormal cell growth, while a tumor is a solid mass of tissue. (C)</p> Signup and view all the answers

Considering the risk factors for cancer, which of the following lifestyle choices has the broadest impact on reducing cancer risk?

<p>Maintaining a healthy diet, engaging in regular physical activity, and avoiding tobacco use. (C)</p> Signup and view all the answers

Which of the following is the most critical reason for monitoring radiation exposure in healthcare settings when caring for cancer patients?

<p>To protect healthcare workers from the cumulative effects of radiation exposure, reducing their long-term health risks. (C)</p> Signup and view all the answers

For a patient diagnosed with lung cancer, which symptom requires immediate medical attention?

<p>Blood in sputum when coughing. (C)</p> Signup and view all the answers

In providing nursing care, what action is most important to prevent skin breakdown for a cancer patient undergoing treatment?

<p>Encouraging frequent position changes, proper hydration, and gentle skin care to maintain skin integrity. (C)</p> Signup and view all the answers

A patient with cancer is experiencing constipation due to pain relief drugs. What is the best initial intervention?

<p>Suggesting a diet high in fiber, increased fluid intake, and gentle exercise, unless contraindicated. (D)</p> Signup and view all the answers

Which statement best reflects how age impacts cancer risk?

<p>Cancer can occur at any age, but the risk generally increases with age due to accumulated genetic mutations. (C)</p> Signup and view all the answers

What strategy minimizes radiation exposure when performing necessary tasks with a cancer patient undergoing radiation therapy?

<p>Completing tasks efficiently, maintaining a safe distance when possible, and utilizing shielding. (C)</p> Signup and view all the answers

A patient undergoing chemotherapy develops diarrhea. What dietary recommendation is most appropriate?

<p>Bland, low-residue foods to reduce bowel irritation. (B)</p> Signup and view all the answers

Which personal protective equipment (PPE) is essential when entering the room of a patient receiving radiation therapy?

<p>Specialized lead apron, gloves, and shoe coverings, depending on the type of radiation and institutional protocols. (A)</p> Signup and view all the answers

Which sign or symptom is most indicative of thyroid cancer?

<p>A lump in the neck, changes in voice, and difficulty breathing or swallowing. (D)</p> Signup and view all the answers

Beyond diagnosed cancer, what other chronic conditions are listed?

<p>Arthritis, osteoporosis, angina, chronic heart failure, hypertension, influenza, pneumonia, Chronic Obstructive Pulmonary Disease (COPD) and asthma (D)</p> Signup and view all the answers

Flashcards

What are acute illnesses?

Illnesses that develop suddenly and last a short time.

What are chronic conditions?

Conditions that develop over time and can worsen, often requiring ongoing treatment.

What is cancer?

The abnormal growth of new cells that can crowd out or destroy other body tissues.

What is a tumor?

A solid mass of tissue.

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What is a benign tumor?

A non-cancerous tumor that grows slowly and doesn't spread.

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What is a malignant tumor?

A cancerous tumor that grows fast and can spread to other areas.

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What does metastasize mean?

The spread of cancerous cells to other parts of the body.

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What are signs and symptoms of a brain tumor?

Headaches (especially in the morning), vision/hearing/speech problems, loss of appetite, frequent nausea/vomiting, weakness

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What are signs and symptoms of breast cancer?

Lump or thickening, changed size/shape, fluid from the nipple (bloody or not)

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What are signs and symptoms of bladder cancer?

Blood in urine, frequent/painful urination, lower back pain, urinary urgency

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What are signs and symptoms of colon cancer?

Change in bowel habits, blood in stool, weight loss

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What are signs and symptoms of lung cancer?

Cough, chest pain, trouble breathing/wheezing, blood in sputum, weight loss

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What are signs and symptoms of thyroid cancer?

Lump or Nodule in the neck, Difficulty breathing, and Swallowing, Changes in Voice

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What are the risk factors for cancer?

Age, tobacco, radiation, infections, alcohol, diet and obesity

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What are cancer treatments?

Includes surgery, chemotherapy, and radiation

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How can we promote cancer safety and comfort?

Pregnancy and age disclosure, radiation exposure monitoring, and good communication

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How can we protect ourselves when working with a patient?

Personal protection equipment, limit time with the patient, maintain distance, wash your hands

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What are the needs of cancer patients?

Pain relief and control, rest and exercise, fluids and nutrition

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Study Notes

  • Cancer is a disease
  • Ibtisam Al-anzi is a specialist

Learning Outcomes

  • The chapter will allow the reader to understand the following topics
  • Differences between acute and chronic conditions
  • Understanding cancer
  • The signs and symtpoms of cancer
  • The risk factors of cancer
  • Cancer Treatments
  • How to promote safety and comfort
  • The needs of cancer patients

Acute vs Chronic Conditions

  • Acute illnesses develop quickly but don't last long
  • Acute illnesses last days or weeks
  • Chronic conditions develop over time and can worsen
  • Chronic conditions take months or years to develop
  • Those with chronic conditions live with the illness for the rest of their lives
  • Common chronic conditions include musculoskeletal, cardiovascular, and respiratory issues, diabetes, and cancer

Understanding Cancer

  • Cancer is the abnormal growth of new cells that crowd out or destroy other body tissues
  • A tumor is a solid mass of tissue

Types of Tumors

  • Benign tumors are non-cancerous and grow slowly, not spreading to other body areas
  • Malignant tumors are cancerous and grow quickly, affecting other body areas
  • Metastasis is the spread of cancerous cells to other body parts

Cancer Signs and Symptoms

Brain Tumors

  • Symptoms include morning headaches that subside after vomiting
  • Other symptoms are vision, hearing, and speech problems,
  • Loss of appetite
  • Frequent nausea and vomiting
  • Weakness

Breast Cancer

  • Symptoms include lumps or thickening in or near the breast
  • Changes in breast size or shape
  • Fluid discharge (bloody or not) from the nipple

Bladder Cancer

  • Symptoms include blood in urine
  • Frequent and painful urination
  • Lower back pain
  • Urinary urgency

Colon Cancer

  • Symptoms include changes in bowel habits
  • Blood in stool
  • Weight loss

Lung Cancer

  • Symptoms include cough and chest pain
  • Trouble breathing and wheezing
  • Blood in sputum
  • Weight loss

Thyroid Cancer

  • Symptoms include a lump (nodule) in the neck
  • Difficulty breathing and swallowing
  • Changes in voice

Cancer Risk Factors

Age

  • Cancer can occur at any age

Tobacco

  • Risk factor includes smoking, snuff, and chewing tobacco

Radiation

  • Sources include sunlight, X-rays, and Radon gas from soil and rocks

Infections

  • Certain viruses and bacteria increase cancer risk

Alcohol

  • Increases the risk of cancers in the mouth, throat, esophagus, larynx, liver, and breast

Diet and Obesity

  • A healthy diet and physical activity may reduce risks

Cancer Treatment

  • Treatment varies depending on the type and location of the cancer, and whether it has spread
  • Cancers are treated with surgery, chemotherapy and/or radiation
  • Chemotherapy uses drugs to stop or slow the growth of cancer cells
  • Radiation uses high-energy X-rays to destroy cancer cells and or as a addition to surgery

Promoting Safety and Comfort

  • Disclose pregnancy and age
  • Inform the nurse when pregnant or under 18 to adjust assignments
  • Monitor radiation exposure
  • Communicate with patients from the doorway to minimize radiation exposure, as radiation decreases with distance
  • Wear PPE like gloves and shoe coverings
  • Work promptly to limit time in a patient's room
  • Follow the prescribed time limits for patient room visits and maintain distance
  • Remove and discard gloves and shoe coverings after exiting a treatment room
  • Wash hands after leaving the room

Cancer Patient Needs

  • Cancer patients need:
  • Pain relief
  • Rest and exercise
  • Fluids and nutrition
  • Prevention of skin breakdown
  • Prevention of bowel problems like constipation from pain-relief drugs
  • Help to manage diarrhea from some cancer treatments
  • Assistance dealing with treatment side effects
  • Psychological and social needs to be adressed

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