4092 8 Cancer

Question 1

Prostate CA: ____ metastasis is a concern

Answer 1

Bone

Question 2

Prostate CA: ___ growing

Answer 2

Slow growing

Question 3

Breast CA: Classified as invasive when it

Answer 3

penetrates the tissue surrounding the mammary gland

Question 4

Malignant exacerbation in # of wbc, usually immature. Affects bone marrow

Answer 4

Leukemia

Question 5

Malignancy of lymph node or a single chain of nodes-usually lymph nodes, tonsils, spleen and bone marrow

Answer 5

Lymphoma

Question 6

Malignant proliferation of plasma cells (B cells) and tumors within the bone. Abnormal plasma cells produce Bence Joes protein that is found in blood and urine.

Answer 6

Multiple myeloma

Question 7

Medication indicated for Acute leukemia (ALL), lymphoma, Most solid tumors

Answer 7

Doxorubin

Question 8

Cisplatin is administered via

Answer 8

IV with Mannitol

Question 9

medication Indicated for testicular, ovarian

Answer 9

Cisplatin

Question 10

Cisplatin nursing implications

Answer 10

Irritant vessicant, hydrate well before and after

Question 11

Velban, common side effect

Answer 11

constipation

Question 12

Indicated for Hodkins, non-Hodgkins, testicular cancer, Kaposi Sarcoma

Answer 12

Velban

Question 13

Methotrexate, important side effects

Answer 13

Renal Failure

Question 14

Indicated for Leukemia, Lymphoma, Osteosarcoma

Answer 14

Methotrexate

Question 15

Methotrexate nursing implications (5 things)

Answer 15

Must inform HCP vitamin usage by patient
Stay out of direct sunlight and wear sunscreen
Hydration with Sodium Bicarbonate
Check urine pH
stomatitis

Question 16

Indicated for Decreasing incidence of infection, febrile neutropenia

Answer 16

Pegfilgrastin

Question 17

Indications: Chemotherapy associated febrile neutropenia in clients with non myeloid malignancy

Answer 17

Neupogen

Question 18

Indications: ESRD, dialysis, cancer related anemia

Answer 18

Erythropoietin

Question 19

Alopecia: Hair will regrow when

Answer 19

therapy ends

Question 20

Leukopenia: do not have these things at the bedside

Answer 20

fresh fruit, plants, or flowers

Question 21

Leukopenia: Avoid use of drugs containing

Answer 21

aspirin

Question 22

Leukopenia: air should be

Answer 22

humidified

Question 23

How do you use an antiemetic

Answer 23

give it 30 min before meals

Question 24

How do you deal with Stomatitis

Answer 24

Continue brushing regularly; use soft toothbrush
Use nonirritant mouthwash
Avoid irritants to the mouth spices, alcohol

Question 25

common electrolyte problem with cancer

Answer 25

hypercalcemia

Question 26

hypercalcemia tx: stop using ____ diuretics

Answer 26

thiazide diuretics

Question 27

hypercalcemia tx: Intravenous ____ if diagnosis of myeloma or lymphoma

Answer 27

corticosteroids

Question 28

hypercalcemia tx: Rehydration with

Answer 28

Normal Saline or PO fluids

Question 29

In DIC, the PT would be

Answer 29

prolonged (because all the factors were used up so now it takes longer to clot)

Question 30

DIC: avoid activities that increase

Answer 30

ICP

Question 31

DIC: avoid clothing that is

Answer 31

constricting

Question 32

Percussion tenderness at the level of compression Hyperactive reflexes Positive Babinski signs Bilateral sensory loss

Answer 32

Spinal Cord Compression by a tumor

Question 33

Best diagnostic tool for spinal cord compression

Answer 33

MRI

Question 34

spinal cord compression tx that is reserved for patients with progressive neurologic decline during or after radiation therapy, or with spinal instability or bone fragments contributing to pain or neurologic findings

Answer 34

Laminectomy

Question 35

spinal cord compression: monitor serum ___ level

Answer 35

calcium

Question 36

Tumor Lysis Syndrome: Associated with treatment of

Answer 36

non-Hodkin’s lymphoma and acute or chronic leukemia

Question 37

Tumor Lysis Syndrome: associated with solid tumors such as

Answer 37

breast carcinoma, small lung cell

Question 38

Tumor Lysis Syndrome: Associated with agents that have potent cytotoxic activity:

Answer 38

tamoxifen, rituximab

Question 39

Tumor Lysis Syndrome: Treat with prophylactically with A____

Answer 39

Allopurinol

Question 40

Tumor Lysis Syndrome: ____ should not be administered unless there is evidence of neuromuscular irritability such as a positive Chvostek or Trousseau

Answer 40

Calcium

Question 41

Superior Vena Cava Syndrome: ____ is the most common presenting symptom

Answer 41

Dyspnea

Question 42

Superior Vena Cava Syndrome tx:

Answer 42

Thrombolytics Stent Chemo/radiation Corticosteroids/diuretics