Patient Care Midterm Flashcards
T/F: Patients should avoid physical activity since it can make them too tired to eat.
False
You should suggest which of the following to patients that may be having trouble eating enough:
a. Only eating three meals a day so you are hungrier at meal times
b. Avoid foods that are soft
c. Use nutritional shakes to provide extra calories and protein
d. All of the above
c. Use nutritional shakes to provide extra calories and protein
What is the most common side effect of cancer treatment?
a. Loss of appetite
b. Fatigue
c. Loss of hair
d. Skin Erythema
Fatigue
Side effects common with both chemotherapy and radiation include: I. dehydration/electrolyte imbalance II. food aversions III. weight gain IV. poor intake of food and beverage
I, II, and IV
Patients with nausea should avoid which of the following foods:
a. spicy, greasy, hot, and very sweet foods
b. spicy, greasy, cold, and sour
c. ice chips, crackers, and very sweet foods
d. spicy, greasy, dry, and sour
a. spicy, greasy, hot, and very sweet foods
Oral mucositis can result in:
a. decreased dietary intake
b. dehydration
c. malnutrition
d. All of the above
d. All of the above
T/F: Using a straw can make swallowing easier in the patient suffering from oral mucositis.
True
Taste alterations can include:
a. mouth blindness
b. meat aversion
c. increased ability to taste salt and sugar
d. all of the above
d. all of the above
T/F: Patients with taste aversion should avoid sour or tart foods since it can increase metallic taste in the mouth.
False
T/F: Constipation can cause loss of appetite and weight loss in cancer patients.
True
Strategies to alleviate constipation include:
a. increased fiber, increased fluid, and bed rest
b. decreased fiber, increased fluid, and exercise
c. increased fiber, increased fluid, and exercise
d. decreased fiber, increased fluid, and bed rest
c. increased fiber, increased fluid, and exercise
T/F: The majority (80%) of advanced cancer patients are at risk of malnutrition.
True
Causes of increased dietary intake requirements include:
a. cachexia, infection, wound healing
b. cachexia, infection, ascites
c. cachexia, wound healing, ascites
d. wound healing, infection, ascites
a. cachexia, infection, wound healing
Nutrients are lost through:
a. vomiting and diarrhea
b. hemorrhaging
c. fistulas
d. All of the above
d. All of the above
Management of malnutrition includes:
I. Treating side effects that may restrict intake
II. Treat depression
III. Nutritional supplements
IV. Postponing treatment until patient feels better
I, II, and III
T/F: Refeeding syndrome is when a patient that was eating a lower calorie diet is fed more, resulting in the patient becoming overweight.
False
T/F: Intravenous nutrition is best used when the gut is still working and the patient is just unwilling to increase their intake on their own.
False
T/F: Weight loss in cancer patients due to cachexia is particularly present with solid tumors.
True
T/F: Adequate nutrition can drastically increase weight in patients with cachexia as a result of their cancer.
False
T/F: Metabolic disturbances in patients with cachexia is due to pro-inflammatory cytokines.
True
T/F: The first number of blood pressure is diastolic.
False
What is the average temperature of an adult?
98.6
What is the average pulse rate of an adult?
60-80
What is the normal respiration rate for an adult?
10-20
All of the following are vital signs except: Pulse Respiration Pulse oximetry Blood Pressure
Pulse oximetry
Side effects from radiation therapy of the pelvis may include all of the following except: Diarrhea Nausea Sore Throat Urinary frequency
Sore Throat
Side effects for treating carcinoma of the nasopharynx may include all of the following except: Sore Throat Dysphagia Diarrhea Change in taste
Diarrhea
T/F: There are no side effects for treating skin cancer.
False
What side effects can be experienced by a patient that is being treated for the whole brain? Reddening of the skin Hair loss Itchiness of the scalp All of the above
All of the above
When lifting: Use muscles of legs more Use muscles of back more use muscles of arms only None of the above
Use muscles of legs more
When moving a patient who cannot use one side of their body from a wheel chair to a treatment bed, what side must be closer to the bed?
Strong side of the body closest to the bed
How many people do you need to move a quadriplegic patient from a gurney to a treatment bed? 2 3 4 As many as possible
As many as possible
How often would a patient on radiation therapy treatment be weighed?
Once a week
T/F: A stethoscope is the only equipment that you need to check blood pressure.
False
If oxygen is being administered in the department, what is a safe level for most people? 2 liters per min. 4 liters per min. 10 liters per min. No oxygen should be administered
2 liters per min.
What does CBC mean?
Complete Blood Count
T/F: Cachexia is a wasting of both adipose tissue and skeletal muscle.
True
Treatment in what area of the body will utilize a low fiber diet? Chest Head and Neck Pelvis Brain
Pelvis
T/F: Advice given to a patient being treated for cancer of the tongue should include soft foods, nothing too hot or cold, but may eat anything else.
False
Apart from radiopulse, where else can a pulse be taken in an adult patient? Carotid Petal Femoral All of the above
All of the above
