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Medsurg > Cancer > Flashcards

Cancer Flashcards

Exam 2

1
Q

Cancer- who does it effect?

A

Affects males and females

Affects all ages

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2
Q

Cancer- how is presentation?

A

Presentation varies from severe/acute to chronic

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3
Q

Cancer: What are clinical features?

A

Type
Staging
Molecular characteristics

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4
Q

Cancer Epidemiology: What is the leading cause of death worldwide?

A

Cancer is the leading cause of death worldwide

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5
Q

Cancer EPIDEMIOLOGY: What are the most common types of cancer globally?

A

Most common types of cancer globally:

Lung,
Breast,
Colorectal,
Stomach
Prostate

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6
Q

Cancer EPIDEMIOLOGY: What can lead to cancer disease patterns?

A

Carcinogen exposure varies leading to different cancer disease patterns

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7
Q

Cancer prevalence in the US: What percent of cancers are diagnosed in 55+ adults?

What is the greatest incidence of cancers?

A

78% of all cancers diagnosed in older adults aged 55+ years

Greatest incidence are prostate, breast, and lung

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8
Q

Cancer Epidemiology:

Risk Factors of Cancer: What is the most common risk for cancer?

A

Most common risk factor for cancer is exposure to a carcinogen

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9
Q

Cancer Epidemiology:

Risk Factors of Cancer: What to know about carcinogens and risk of cancer?

A

Carcinogens alone are unlikely cancers triggers

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10
Q

Cancer Epidemiology:

What influences cancer development?

A

Environmental, hormonal, lifestyle factors; infectious disease; medications; immune status; and nutrition

Advanced age and genetic predisposition

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11
Q

Cancer pathophysiology:
Carcinogenesis: What does it begin with?

A

Begins with carcinogen exposure

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12
Q

Cancer Pathophysiology:

What does carcinogenesis trigger?

A

Subsequently triggers single or multiple gene mutations

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13
Q

Cancer Pathophysiology:

What happens with mutated cells?

A

Mutated cells are not detected by the immune system

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14
Q

Cancer Pathophysiology:

What happens with mutated cells that are not detected by the immune system?

A

Proliferate and progress into cancer

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15
Q

Cancer Pathophysiology:

What are the hallmark characteristics of cancer?

A
  1. Uncontrolled cell growth
  2. Alteration in cell differentiation
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16
Q

Two main categories that cancer cells are divided into:

A
  1. Solid Tumors
  2. Hematological malignancies
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17
Q

What is the reason why cancer cells are able to spread?

A

Because of the lymphatic system

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18
Q

Cancer: 3 Subcategories of hematological malignancies

A
  1. Leukemia
  2. Lymphoma
  3. Multiple myeloma
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19
Q

How is cancer further classified by?

A

Further classified by organ/system of origin

20
Q

Cancer STAGING: What is considered?

A

Considers the size of the tumor, burden of the disease, and extent of disease spread

21
Q

Cancer STAGING: What is it used for?

A

Used to plan patient assessment, clinical management, and treatment strategies

22
Q

Cancer Staging: How is Solid Maligancy Staging done?

A

Tumor size (T)
Number of lymph nodes involved (N)
Presence of metastases (M)

23
Q

Cancer Staging: How is it staged?

A

Cancer generally staged along a continuum

24
Q

Cancer Staging: What are the stages?

A

Stage I
Stage II
Stage III
Stage IV

25
Q

Cancer Staging: Stage I

A

Stage I — Small tumor without obvious spread outside the organ

26
Q

Cancer Staging: Stage II

A

Stage II — Invasion of tissues or involvement of local lymph nodes

27
Q

Cancer Staging: Stage III

A

Stage III — Large or locally invasive tumors

28
Q

Cancer Staging: Stage IV

A

Stage IV — cancers that have metastasized

29
Q

Stages of Cancer Cell Metastasis:

What are the three types of symptoms:

A
  1. CAUTION symptoms
  2. Constitutional signs
  3. Malignancy-specific signs and symptoms
30
Q

What are CAUTION symptoms?

A

Change in bowel or bladder habits

A sore that just won’t heal

Unusual bleeding or discharge

Thickening of lymph nodes in the breast or any other area

Indigestion or difficulty swallowing

Obvious changes in warts or moles

Nagging cough or hoarseness

31
Q

What are constitutional signs/vague signs of cancer?

A

Fatigue

Unexplained weight loss

Fever with cause unknown

Night sweats

32
Q

Cancer Prevention:

A

Risk factor modification

Immunization

Chemoprevention

33
Q

Cancer PREVENTION:

Secondary prevention

A

Noninvasive screening tests

Evaluation of family history for genetic syndromes

34
Q

Cancer PREVENTION:

Tertiary prevention

A

Reducing morbidity and mortality

Treatment and management of side effects (after it has been diagnosed)

35
Q

DIAGNOSING CANCER: What is done?

A

Laboratory tests

Imaging

Biopsy

Endoscopic procedures

36
Q

DIAGNOSING CANCER:

Diagnostic evaluation dependent upon:

A

Suspected cancer subtype,

possible disease location, and

expected extensiveness of the disease

37
Q

Cancer TREATMENT:
What does it vary by?

A

Varies according to cell type and stage of disease

38
Q

Cancer TREATMENT:

If cancer is not curable, what should be the goal?

A

If not curable, goal may be to reduce tumor burden, or prevent progression

39
Q

Cancer Treatment: What could be the three things done for non-curable cancer?

A

Remission
Oncogene
Palliation

40
Q

What are PSA markers used for?

A

PSA is used to diagnose prostate cancer.

41
Q

Three mainstream treatments for cancer?

A
  1. Surgical procedures
  2. Radiation therapies
  3. Medical treatments
42
Q

Cancer Treatment: What is the primary treatment for a solid tumor?

A

Removing tumor is the primary treatment

43
Q

Cancer Treatment: What kind of therapy is radiation therapy? What is it used to do?

A

Localized therapy

Destroy the DNA structures of cancer cells

44
Q

Cancer Treatment: What type of person should NOT be taking care of a patient on radiation?

A

A pregnant person

45
Q

Cancer Treatment: What should you NOT do to radiation site? What should you do?

A

You shouldn’t be rubbing any types of creams.

You should be checking for skin integrity before and after they go to, any type of radiation treatment.

46
Q

Cancer Treatment: How is oral chemotherapy given?

A

It is a two nurse sign off

You double glove and you wear special gloves when you give any type of chemotherapy

Make sure consent is signed

Make sure there is an order in the chart

47
Q

NURSING MANAGEMENT: What are the three medications you give to someone before they are leaving to have therapy?

A
  1. Fluids
  2. Benadryl
  3. Anti-nausea medication

Medsurg (21 decks)

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