Patient Care Midterm

Question 1

T/F: Patients should avoid physical activity since it can make them too tired to eat.

Answer 1

False

Question 2

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

Answer 2

c. Use nutritional shakes to provide extra calories and protein

Question 3

What is the most common side effect of cancer treatment?

a. Loss of appetite
b. Fatigue
c. Loss of hair
d. Skin Erythema

Answer 3

Fatigue

Question 4

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

Answer 4

I, II, and IV

Question 5

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

Answer 5

a. spicy, greasy, hot, and very sweet foods

Question 6

Oral mucositis can result in:

a. decreased dietary intake
b. dehydration
c. malnutrition
d. All of the above

Answer 6

d. All of the above

Question 7

T/F: Using a straw can make swallowing easier in the patient suffering from oral mucositis.

Answer 7

True

Question 8

Taste alterations can include:

a. mouth blindness
b. meat aversion
c. increased ability to taste salt and sugar
d. all of the above

Answer 8

d. all of the above

Question 9

T/F: Patients with taste aversion should avoid sour or tart foods since it can increase metallic taste in the mouth.

Answer 9

False

Question 10

T/F: Constipation can cause loss of appetite and weight loss in cancer patients.

Answer 10

True

Question 11

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

Answer 11

c. increased fiber, increased fluid, and exercise

Question 12

T/F: The majority (80%) of advanced cancer patients are at risk of malnutrition.

Answer 12

True

Question 13

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

Answer 13

a. cachexia, infection, wound healing

Question 14

Nutrients are lost through:

a. vomiting and diarrhea
b. hemorrhaging
c. fistulas
d. All of the above

Answer 14

d. All of the above

Question 15

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

Answer 15

I, II, and III

Question 16

T/F: Refeeding syndrome is when a patient that was eating a lower calorie diet is fed more, resulting in the patient becoming overweight.

Answer 16

False

Question 17

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.

Answer 17

False

Question 18

T/F: Weight loss in cancer patients due to cachexia is particularly present with solid tumors.

Answer 18

True

Question 19

T/F: Adequate nutrition can drastically increase weight in patients with cachexia as a result of their cancer.

Answer 19

False

Question 20

T/F: Metabolic disturbances in patients with cachexia is due to pro-inflammatory cytokines.

Answer 20

True

Question 21

T/F: The first number of blood pressure is diastolic.

Answer 21

False

Question 22

What is the average temperature of an adult?

Answer 22

98.6

Question 23

What is the average pulse rate of an adult?

Answer 23

60-80

Question 24

What is the normal respiration rate for an adult?

Answer 24

10-20

Question 25

All of the following are vital signs except:
Pulse
Respiration
Pulse oximetry
Blood Pressure

Answer 25

Pulse oximetry

Question 26

Side effects from radiation therapy of the pelvis may include all of the following except:
Diarrhea
Nausea
Sore Throat
Urinary frequency

Answer 26

Sore Throat

Question 27

Side effects for treating carcinoma of the nasopharynx may include all of the following except:
Sore Throat
Dysphagia
Diarrhea
Change in taste

Answer 27

Diarrhea

Question 28

T/F: There are no side effects for treating skin cancer.

Answer 28

False

Question 29

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

Answer 29

All of the above

Question 30

When lifting:
Use muscles of legs more
Use muscles of back more
use muscles of arms only
None of the above

Answer 30

Use muscles of legs more

Question 31

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?

Answer 31

Strong side of the body closest to the bed

Question 32

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

Answer 32

As many as possible

Question 33

How often would a patient on radiation therapy treatment be weighed?

Answer 33

Once a week

Question 34

T/F: A stethoscope is the only equipment that you need to check blood pressure.

Answer 34

False

Question 35

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

Answer 35

2 liters per min.

Question 36

What does CBC mean?

Answer 36

Complete Blood Count

Question 37

T/F: Cachexia is a wasting of both adipose tissue and skeletal muscle.

Answer 37

True

Question 38

Treatment in what area of the body will utilize a low fiber diet?
Chest
Head and Neck
Pelvis
Brain

Answer 38

Pelvis

Question 39

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.

Answer 39

False

Question 40

Apart from radiopulse, where else can a pulse be taken in an adult patient?
Carotid
Petal
Femoral
All of the above

Answer 40

All of the above