[Exam 1/Final] Chapter 41: Bone Cancer

Question 1

Bone Cancer: What are the different types?

Answer 1

Primary and Metastatic Bone Tumors

Question 2

Bone Cancer: What are Primary Tumors?

Answer 2

Benegin tumors are more common and generally are slow glowing and present few symptoms

Question 3

Bone Cancer: What are Malignant Primary Tumors?

Answer 3

Prognosis depends on type and whether tumor has metastasized. Osteogenic sarcoma is the most common type.

Question 4

Bone Cancer: How do you treat primary bone tumors?

Answer 4

Surgery, radiation, chemo

Question 5

Bone Cancer: What are Metastatic Bone Tumors?

Answer 5

More common than primary tumors. Patients usually have another type of cancer that has spread to the bone.

Question 6

Bone Cancer - Nursing Process: Assessment includes what?

Answer 6

When did symptoms start, how is their pain, where is their pain

Do they have coping system

Are ADLs affected?

Question 7

Bone Cancer - Nursing Process: PostOp Assessment includes what?

Answer 7

Monitor VS, LOC, Neurovascular Status distally.

Question 8

Bone Cancer - Nursing Process: What lab results monitored?

Answer 8

WBC and calcium levels since surgery was on bone

Question 9

Bone Cancer - Nursing Process: Signs and symptoms of what should be monitored?

Answer 9

Hypercalcemia. This includes lethargy, decreased deep tendon reflexes

Question 10

Bone Cancer - Nursing Process: What diagnosis may be used?

Answer 10

Deficient Knowledge
Acute/Chronic Pain
RF Injury (Always position lift sheet)
Ineffective Coping
RF Low Self-Esteem

Question 11

Bone Cancer - Nursing Process: What potential problems can occur?

Answer 11

Delayed wound healing
Nutritional Deficiency
Infection
Hypercalcemia (Lethargic, Weakness, Progress Into Coma)

Question 12

Bone Cancer - Nursing Process: How to prevent infection?

Answer 12

Sterile dressing changes, prophylactic antibiotics, monitoring WBC, chekcing temp, VS’s.

Question 13

Bone Cancer - Nursing Process: What will the goals look like?

Answer 13

Knowledge and disease process
Control Pain
Absence of pathologic fractures
Effective coping
Improved self-esteem
Absence of complications

Question 14

Bone Cancer - Nursing Process: Care is similar to what?

Answer 14

Patients who have undergone orthopedic surgery

Question 15

Bone Cancer - Nursing Process: How to prevent pathologic fractures?

Answer 15

Support affected extremities at all times and handle gently

External supports or fixation devices

Restrict weight bearing

Use assistive devices