Oncology Quiz (Week 8) & Oncology Review / Kahoot Flashcards
The school health nurse is presenting a health promotion class to a group of high school students. Which intervention addresses health promotion strategies related to the leading cause of cancer deaths in North America?
a.) Monthly breast self-exams
b.) Smoking cessation
c.) Annual colonoscopies
d.) Monthly testicular exams
b.) Smoking cessation
Which of the following would be an example of primary prevention?
a.) Yearly Papanicolaou tests
b.) Testicular self-examination
c.) Teaching patients to wear sunscreen
d.) Screening mammogram
c.) Teaching patients to wear sunscreen
A nurse caring for an adult patient who develops a mild oral yeast infection following chemotherapy should encourage the patient to do which of the following?
a.) Avoid the use of a lip lubricant.
b.) Scrub the tongue with a firm-bristled toothbrush.
c.) Avoid the use of dental floss until the stomatitis is resolved.
d.) Rinse the mouth with normal saline.
d.) Rinse the mouth with normal saline
A nurse caring for an oncology patient who develops erythema following radiation should instruct the patient to do which of the following?
a.) Apply ice to the area.
b.) Keep the area cleanly shaven
c.) Avoid using soap on the area of treatment.
d.) Apply petroleum ointment to the affected area.
c.) Avoid using soap on the area of treatment
After completing the first of bimonthly chemotherapy treatment for colorectal cancer, the nurse shares the laboratory results with the patient’s physician. The physician orders filgrastim (Neupogen) for 3 days. The nurse explains to the patient that the medication:
a.) Should be taken on an empty stomach for best absorption.
b.) Can be self-administered at home.
c.) Will be administered on 3 consecutive days prior to the next chemotherapy.
d.) Is expected to improve the patient’s anemia within 2 weeks.
b.) Can be self-administered at home.
filgrastim (Neupogen) is a medication that helps to stimulate WBC production
A patient is assessed in the oncology clinic following the administration of chemotherapy the previous week. Blood work reveals that the patient is neutropenic, necessitating hospitalization. Which of the following would the nurse anticipate when caring for this patient?
a.) Restricting fresh salad, raw fruits and uncooked vegetables in the diet.
b.) Administrating epoetin alpha (Epogen) every other day.
c.) Providing alcohol based mouthwash to be used after meals & before bed.
d.) Avoiding intramuscular injections & venipunctures.
a.) Restricting fresh salad, raw fruits, & uncooked vegetables in the diet.
Avoid fresh fruits, raw veggies, & fresh flowers
Which of the following is an example of a paraneoplastic syndrome that is seen in cancer patients?
a.) SIADH
b.) Hypercalcemia
c.) Production fo procoagulation factors contributing to venous thrombosis
d.) All of the above
d.) All of the above
Which of the following is an intervention for tumor lysis syndrome?
a.) Meticulous monitoring of renal funciton & hydration status.
b.) Assessment of dyspnea & oxygenation.
c.) Evaluation fo pulsus paradoxus, muffled heart tones, JVD, & decreased BP.
d.) All of the above.
a.) Meticulous monitoring of renal funciton & hydration status
Renal function may be impaired with certain chemotherapy and/or destruction of massive tumor load.
While the patient is receiving intravenous doxorubin hydrochloride, the nurse observes that there is swelling and pain at the IV site. Which action should the nurse take first?
a.) Apply a warm compress to the site.
b.) Stop the administration of the drug immediately.
c.) Notify the physician.
d.) Continue to administer but decrease the rate of infusion.
b.) Stop the administration of the drug immediately
A side effect of chemotherapy agents is suppression of the bone marrow. Which laboratory finding and intervention can the nurse anticipate?
a.) WBC 5,000 = place the patient in protective isolation
b.) Hemoglobin below 10 grams = administer packed RBCs
c.) Platelet count < 20,000 = avoid invasive procedures
d.) All of the above
KNOW THIS!!!
c.) Platelet count < 20,000 = avoid invasive procedures
Your patient with Stage III breast carcinoma has developed cardiac tamponade. Describe the potential symptoms. (Select all that are TRUE)
a.) Muffled heart tones
b.) Paradoxical pulse
c.) Intermittent claudication
d.) Tachycardia & jugular vein distension (JVD)
a.) Muffled heart tones
b.) Paradoxical pulse
d.) Tachycardia & JVD
Name the acupressure point used to treat chemotherapy induced nausea & vomiting.
a.) L4
b.) P3
c.) L1
d.) P6
KNOW THIS!!!!
d.) P6
Name the appropriate intervention for mucositis related to chemotherapy. (Select all that are TRUE)
a.) Use alcohol-based mouthwash to keep the area clean.
b.) Floss routinely unless platelet count falls below 40,000.
c.) Use normal saline rinses frequently for mild stomatitis.
d.) Keep dentures in unless severe mucositis develops.
b.) Floss routinely unless platelet count falls below 40,000.
c.) Use normal saline rinses frequently for mild stomatitis.
d.) Keep dentures in unless severe mucostitis develops.
What complementary therapy can an oncology patient use to prevent mucositis?
a.) Cannabis mouthwash
b.) Mistle toe & cinnamon
c.) Ginger & hand massage
d.) Honey & cryotherapy
d.) Honey & cryotherapy
Your patient is prescribed filgastim (Neupogen) for a low ANC (absolute neutrophil count). Which of the following is TRUE about this medicaiton?
a.) It can only be given orally the day before & the day after chemotherapy.
b.) It treats anemia that develops after chemotherapy.
c.) It can be administered at home.
d.) The patient should be NPO prior to administration.
c.) It can be administered at home.
