Care of patients with cancer

Question 1

Radiation Care
water temp?
Ice?

Answer 1

warm temp

no ice

Question 2

Which specific bone structures, if radiatiated, cause fractures?

Answer 2

iliac crest/sternum (sites with bone marrow

Question 3

most important intervention for chemotherapy?

Answer 3

prevent extravastion

Question 4

when does hypersensitivity to chemo occur?

Answer 4

15-30 min

Question 5

What does extravasation look like?

Answer 5

no blood return on IV
resistance of flow
burning, pain, swelling, redness

vs hypersensitivity will itch and flare (same: swelling and redness)

Question 6

intervention for extravasation?

Answer 6

cold/warm compress
discontinue
aspirate
apply antidote

Question 7

how often do you assess pt undergoing chemo?

Answer 7

Q 8

Question 8

how often does a chemo patient need hygiene?

Answer 8

Q12 *important

Question 9

early s/s of decreased platelet levels

Answer 9

petechiae - purple blood vessels

ecchymosis - discolored from bleeding underneath

Question 10

precaution for patient receiving oxaliplatin

Answer 10

avoid cold fluids or temperature extremes

Question 11

SE of hormonal manipulation (for CA tx)

Answer 11

opposite sexual phenotype appearance
venous thromboembolism
acne
hypercalcemia - weakens bones
liver dysfunction

Question 12

how does targeted therapy work?

Answer 12

blocks signal for turning on cell division genes

Question 13

if pt is hemorrhaging ___ is tx

Answer 13

cryoprecipitate clotting factors

Question 14

s/s of mild SIADH

Answer 14

weakness, muscle cramps, loss of appetite, fatigue

Question 15

s/s of SIADH after sodium levels drop below 110

Answer 15

seizures, coma and death

Question 16

how often should you monitor for s/s of fluid overload in SIaDH

Answer 16

Q2

Question 17

immunotherapy: interleukins

Answer 17

charge up/stimulate immune system (cause inflammation)

Question 18

immunotherapy: interferons

Answer 18

slow down tumor cell division

Question 19

immunotherapy: thalidomide

Answer 19

reduce tumor angiogenesis (blood vessel development) factor aka reduces the spread

Question 20

SE of immunotherapy

Answer 20

generalized/severe inflammatory read
fluid retention
fever
peripheral neuropathy
skin problems

Question 21

early s/s of spinal cord compression

Answer 21

located in the periphery

Question 22

nursing interventions for hypercalcemia

Answer 22

increase water intake (flushes calcium out)

maintain calcium intake w/o restrictions

Question 23

s/s of Superior vena cava syndrome

Answer 23

early = facial edema (esp. around the eyes)

and stroke sign inflammation of the throat (tightness around collar of a shirt)

Question 24

very aggressive kind of lung cancer, worst kind

Answer 24

small cell lung cancer

Question 25

right sided colon lesions cause what s/s

Answer 25

dull abdominal pain

melena - (black stool)

Question 26

left sided colon lesions cause what s/s

Answer 26

intestinal obstruction (fecal oozing, pain, distension)
bright red blood

Question 27

most common type of tumor

Answer 27

meningioma

Question 28

which types of brain tumors should u get removed since they affect functioning

Answer 28

glioma

meningiomas

Question 29

most helpful diagnostic tool for brain tumor

Answer 29

MRI