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Nursing 3 Test 2 > Cancer > Flashcards

Cancer Flashcards

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1
Q

changes in cellular growth within the body

A

newplasms

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2
Q

the cell realizes something is wrong and destroys itself

A

apoptosis. the process of apoptosis, or cell death, may not be well developed in young children, therefore rapid growth of abnormal cells is seen

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3
Q

five cancers with familial tendancies

A

retinoblastoma, wilma tumor, multiple endocrine neoplasia, type 2 (thyroid cancer), invasive colon cancer

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4
Q

solid tumors

A

brain tumor, neuroblastoma, nephroblastoma

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5
Q

bone tumors

A

esteosarcoma, ewing sarcoma

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6
Q

soft tissue tumors

A

hodgkins and non hodgkins, rhadomyosarcoma, retinoblastoma

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7
Q

ANC desired count

A

above 1000. lower is risk for infection

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8
Q

greatest ANC count risk

A

below 500

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9
Q

radiation is contained within some sort of device like a needle or seed device which may be placed near the tumor site temporarily or permanently

A

sealed radiation

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10
Q

radiation is not contained in a device so the radiation is not configured to one ear of the body

A

unsealed

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11
Q

administration of radiation therapy by inserting a radioactive source or applicator internally into the patient to deliver a high concentrated dose to a specific site

A

brachytherapy (internal radiation therapy)

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12
Q

medications ending in what? are most vesicant

A

cin and tine

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13
Q

if patient complains of pain with IV meds always

A

stop infusion. Everything else is secondary

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14
Q

BARK SE of medications

A

Bone marrow depression. Alopecia. Retching (N/V), Fear and anxiety. Stomatitis.

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15
Q

what do you give if zofran doesn’t work

A

Reglan

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16
Q

myelosuppression

A

decreased bone marrow function

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17
Q

products of cel lysis.

A

increased uric acid

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18
Q

three chemo drugs that are especially toxic to kidneys

A

methotrexate, mitomycin, cisplatin

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19
Q

S/S: behavioral and nervous changes, headache N/V, abnormal gait, dizziness, vision and hearing changes, fatigue

A

signs of brain tumor

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20
Q

complications of brain tumor

A

infections, seizures, sensorimotor defects, hydrocephalus, growth problems, prophylactic anticonvulsants, DI, SIADH, sailor gait, various cranial nerves issues

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21
Q

T N and M classifications

A

T - primary tumor, N - regional lymph nodes, M - distamnt metastasis

22
Q

MRI education

A

remove jewelry, body piercings, metallic objects in body, braces, metal dental bridgework

23
Q

education for radiation

A

wash gently mild soap and water, use hand to wash, rinse thoroughly, don’t remove markings, dry with patting motions, no powders and lotion etc., soft clothing, belts and things on it a no no, avoid sun and heat

24
Q

fresh from brachytherapy?

A

isolation

25
Q

three basic ways to reduce radiation exposure

A

DECREASE (time spent near). INCREASE (distance from source), INCREASE shielding

26
Q

chips that light up when heated proportional to exposure

A

desimeters

27
Q

how many feet from radiation

A

6

28
Q

how many minutes per visit time for radiations

A

30

29
Q

complications of brain tumor

A

hydrocephalus, DI, SIADH, infections, seizures, growth issues, impaired cognitive function, hormone imblance

30
Q

physiological assessment of brian tumor

A

sailor gait, disturbance of cranial nerves, head tilting, nystagmus

31
Q

solid tumor outside of cranium

A

neuroblastoma

32
Q

usually location is abdomen. may also occur in adrenal, thoracic and cervical areas

A

neuroblastoma

33
Q

weight loss, abdominal distention enlarged liver. S/S depend on location

A

neuroblastoma

34
Q

Grows quickly. Associated with congenital abnormalities, hemihypertrophy, hypertension, hematuria,

A

Wilms tumor (nephroblastoma)

35
Q

poor dentation, poor bones, liver damage, portal hypertension, kyphosis and scoliosis,

A

wilms tumor

36
Q

tumor affecting skeleton of children

A

osteosarcoma (tumor on bone)

37
Q

malignant, small round tumor usually involving a long bone

A

ewing sarcoma

38
Q

seen in times of rapid growth

A

osteosarcoma

39
Q

radiation exposure is common cause, pain, night waking, adolescents, referred back or hip pain

A

osteosarcoma

40
Q

disorder of lymphoid tissue

A

hodgkin lymphoma

41
Q

fever, night sweats, weight loss, elevated leucocyte, ESR, non tender and firm nodes

A

hodgkin lymphoma

42
Q

3 times more likely in boys, malignant tumors of the lymphoreticular origin (internal framework of the lymph system), immature T cells

A

non hodgkin

43
Q

most often occurs in muscles around eyes and neck. most common soft tissue tumor in children.

A

rhadomyosarcoma

44
Q

swelling, ptosis, visual disturbances, eye movement abnormalities, rapid metastasis

A

rhabdomyosarcoma

45
Q

cats eye reflex (leukokoria/white pupil), fixed strabiamus, orbital inflammation, glaucoma

A

retinoblastoma

46
Q

pay attention to IOP

A

retinoblastoma

47
Q

blood cells release what when destroyed

A

bilirubin

48
Q

hematocrit

A

31.7-39.8%

49
Q

HGB

A

10.2-13.4 g/dL

50
Q

WBC count

A

4800-11,000

51
Q

RBC count

A

3800-5000

52
Q

platelet count

A

202-367 x 10 to the 9

Nursing 3 Test 2 (11 decks)

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