Cancer Chronic

Question 1

Collaborative care control phase

Answer 1

Management phase during the cancer treatment

Question 2

palliative care

Answer 2

comfort and control of symptoms

Question 3

examples of palliative care given for cancer

Answer 3

feeding tube, surgery, infusions (RBC, platelets, etc)

Question 4

Independent ( no orders) nursing care for palliative care

Answer 4

healing touch, massage, positioning.

Question 5

Immunotherapy / biologiccal response modifiers are

Question 6

How is Radiation therapy used and most common type of treatment

Answer 6

high energy x rays to destroy cancer. most common type is external therapy (tele-theraphy)

Question 7

example of hormone therapy

Answer 7

Tamoxifen is a estrogen blocker for breast cancer.

HER2 positive means that the tumor feeds off of estrogen so we need to block the nutrients from letting cancer grow

Question 8

can tumors secrete their own hormones?

Answer 8

yes

Question 9

What is the treatment for cancer pts who’s tumors secrete their own hormones

Answer 9

block the hormones being secreted and base cancer treatment around that

Question 10

antineoplactic medicine

Answer 10

aka chemotherapy: cytotoxic medicine that kills all cells

today we use both chemotherapy and targeted therapy

Question 11

What is the most important goal as a nurse with cancer patients

Answer 11

Education about the treatment and options

Question 12

chemotherapy rescue medication

Answer 12

given within 30 minutes to 24 hours to detox the body from the chemo med
Ifofphamide - and mesna (mesna is a rescue drug that prevents hemastastitis or urinary hemorrhage that is caused by Ifofphamide)

Question 13

What is a rescue drug

Answer 13

a drug that prevent a severe side effects of chemotherapy (antineoplastic therapy)… Usually aggressive chemotherapy

Question 14

CSF colony stimulating factor drug*

Answer 14

stimulating proliferation of WBC

Question 15

What does clean lines mean when it comes to surgical removal of a tumor

Answer 15

“they got it all” and the tumor is no longer there

Question 16

why do we use a combination of chemotherapy?

Answer 16

given a combo to treat more

Question 17

cytoprotectants are also known as

Answer 17

rescue drugs

Question 18

routes of chemotherapy

Answer 18

PO (pill), Cavity (spinal, bladder, parenteral, IM, subq)

Question 19

PPE for nurses

Answer 19

leak and spill proof scrubs (blue) for getting drugs
double glove whenever around chemo meds
goggles

Question 20

chemo precautions to teach patient

Answer 20

most concentrated in urine and poop, but can be found in sweat and saliva.

flush twice with chucks

Question 21

side effects of chemo

Question 22

What is ANC

Answer 22

absolute neutrophil count

• important for measuring mature White blood count and how well they will be able to fight off infections

Question 23

ANC equation

Answer 23

(%segmented + %bands) X total WBC
Find the % of s and B cells of the total count

Segmented cells and band cells - are one away from fully mature neutrophils
nurses give a shit when its <1000 for neutropenic precautions (bubble boy)

Question 24

Extravasation

Answer 24

tissue loss because they let it leak into the tissues!!!!

Question 25

vesicant

Answer 25

agents that cause blistering

Question 26

Naidir

Answer 26

lowest point of their wbc, rbc, platelet count during treatment

Question 27

Complications of stem cell transplants

Answer 27

cytolomegalo virus (CMV) attack the eyes
Graft-vs-host disease
Failure to graft

Question 28

Graft versus Host disease

Answer 28

Body recognizes stem cells and attack them: gut skin, liver, intestines are usually affected

Question 29

primary goal for someone with immunosuppression therapy

Answer 29

Free of infections

Question 30

goals for immunosupression

Answer 30

neutrophils and put them on neutropenic precautions (no fresh fruit or flowers, reverse isolation) administering CSF,

Question 31

priority interventions for thrombocytopenia

Answer 31

Prevent bleeding. DO NOT GIVE VACCINES.

Question 32

Priority goals for thrombocytopenia

Answer 32

Monitor for falls

Question 33

signs of bleeding

Answer 33

bleeding from nose, in the poop, in the urine, and obviously fucking bruises

Question 34

priority interventions for a client with stomatitis, mucositis and or esophagitis

Answer 34

oral hygiene, soft toothbrush, viscus lidocaine, use of straws, avoid alcohol based Listerine, soft foods, micastatin (antifungal oral wash)

Question 35

priority interventions for a client with stomatitis, mucositis and or esophagitis

Answer 35

oral hygiene, soft toothbrush, viscus lidocaine, use of straws, avoid alcohol based Listerine, soft foods, micastatin (antifungal oral wash)

Question 36

cancer related anorexia-cachexia syndrome interventions for nursing

Answer 36

Weight maintenance, frequent small meals, medical marijuana, give them what tastes good, avoid unpleasant sights

Question 37

What are independent nursing techniques (orders) for cancer related pain and fatiuge

Answer 37

cluster care, pain management, PCA pump

Question 38

What kind of cancer is acute myeloid leukemia?

What does it cause?

Answer 38

Blood and bone marrow cancer comes from bone marrow.

Low RBC, WBC, and platelets

Question 39

Is lymph node enlargement painful in Hodgkin lymphoma?

Answer 39

No

Question 40

Absorption of oral iron will be impaired by what foods?

Answer 40

Coffee, tea, eggs and milk

Question 41

Multiple myeloma laboratory findings

Answer 41

Increase in serum protein, hypercalcemia, hyperuricemia, and protein in urine, anemia

Question 42

What interventions should nurse give someone with caregiver strain for cancer

Answer 42

1. Educate family on meds
   (Family members benefit from Increased education what to expect)
2. Allow them to express feelings
3. Suggest support for household maintenance

Question 43

Early a symptom of Hodgkin’s lymphoma

Answer 43

Cervical or neck - non painful lymph enlargement