FINAL EXAMINATION:NCM 112 CARE OF CLIENTS

WITH PROBLEM IN CELLULAR ABERRATION

Total points48/50

MUTIPLE CHOICE
100 ITEMS
Directions: Read each questions carefully, select and encircle the correct answer

Because of known and potential hazards associated with handling chemotherapeutic agents, the Occupational
Safety and Health Administration, Oncology Nursing Society, hospitals, and other health care agencies have
developed specific precautions for those involved in the preparation and administration of chemotherapy.

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True

 
False

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true

It breaks the strands of the DNA helix, leading to cell death.

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Ionizing radiation

 
Chemotherapy

Palliative radiation

External radiation

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Ionizing radiation

When cure is not possible, the goals of treatment are to make the patient as comfortable as possible and to
promote a satisfying and productive life for as long as possible

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PALLIATIVE SURGERY

 
 RECONSTRUCTIVE SURGERY

PROPHYLACTIC SURGERY

DIAGNOSTIC SURGERY

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PALLIATIVE SURGERY

This type of radiation has such a dramatic effect on the target area that the changes are considered to be
comparable to more traditional surgical approaches

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Salvage surgery

Cryosurgery

Stereotactic radiosurgery

 
Laser surgery

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Stereotactic radiosurgery

It is delopment of a negative perception of self-worth in response to current situation.

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Fatigue

Low self esteem

 
Depression

Grieving

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Low self esteem

Complete eradication of malignant disease

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CURE

 
MANAGEMENT
 PALLIATION

CONTROL

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CURE

Most chemotherapeutic agents cause myelosuppression (depression of bone marrow function), resulting in
decreased production of blood cells.

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True

 
False

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true

As in other situations involving pain, the experience of cancer pain is influenced by both emotional and
psychosocial factors

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True

False

 
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physical

It is warranted when the mass is small. It includes removal of the mass and a small margin of normal tissue that is
easily accessible

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Salvage surgery

Electrosurgery

Wide or radical excisions

Local excision

 
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Local excision

Studies show that many cancer patients are at low risk for suicide. They are especially vulnerable when recently
diagnosed and discharged from hospital

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True

False

 
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high risk

Testicular and ovarian function cannot be affected by chemotherapeutic agents

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True

False

 
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can be affected

The taxanes and plant alkaloids, especially vincristine, can cause neurologic damage with repeated dos

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True

 
False

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true

are fast, relatively inexpensive, and easy to perform and usually require only local anesthesia

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NEEDLE BIOPSY
 
DIAGNOSTIC BIOPSY

EXCISIONAL BIOPSY

INCISIONAL BIOPSY

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NEEDLE BIOPSY

In Hematopoietic System the colony-stimulating factors increase the episodes of infection and the need for
antibiotics and allow for timelier cycling of chemotherapy with less need to reduce the dosage

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True

False

 
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Decrease

Chemotherapy can be delivered to tumor sites by external or internal means.

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True

False

 
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radiation

If deposited into the subcutaneous tissue it cause tissue necrosis and damage to underlying tendons, nerves, and
blood vessels

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Vesicant drug

 
Methotrexate

Erythopoietin

Toxicity
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Vesicant drug

Name and Section *

____________ is a distressing side effect for most patients that greatly affects quality of life.

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Fatigue

 
Anger

Anxiety

Depression

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Fatigue

removal of the entire cancer remains the ideal and most frequently used treatment method

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RADIATION THERAPY

CANCER REHABILITATION

SURGERY

 
CHEMOTHERAPY

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SURGERY

Patients are encouraged to maintain as normal a lifestyle as possible by continuing with those activities they value
and enjoy

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DECREASING FATIGUE

 
RELIEVING PAIN

ASSISTING IN THE GRIEVING PROCESS

 IMPROVING BODY IMAGE AND SELF-ESTEEM

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DECREASING FATIGUE

_________ therapy is used to relieve the symptoms of metastatic disease, especially when the cancer has spread
to brain, bone, or soft tissue, or to treat oncologic emergencies, such as superior vena cava syndrome or spinal
cord compression

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Chemotherapy

Palliative Radiation therapy

 
Internal Radiation

External Radiation

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Palliative Radiation therapy

The patient undergoing surgery for cancer requires intraoperative nursing care, along with specific care related to
the patient’s age, organ impairment, nutritional deficits, and disorders of coagulation, and altered immunity that may
increase the risk for postoperative complications.

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True

False

 
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perioperative

is used, one of several delivery methods may be chosen, depending on the depth of the tumor

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Gamma rays

External Radiation

 
Kilovoltage therapy

Internal Radiation
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External Radiation

Response to perceived threat that is consciously recognized as a danger.

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Anger

Fear

 
Anxiety

Depression

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Fear

Colectomy, mastectomy, and oophorectomy are examples of prophylactic operations

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True

 
False

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True

In Anticipatory grieving it is important to encourage verbalization of thoughts or concerns and accept expressions of
sadness, anger, rejection. Acknowledge normality of these feelings *

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False

True

 
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True

Local difficulties or problems with administration of chemotherapeutic agents are brought to the attention of the
physician promptly so that corrective measures can be taken immediately to minimize local tissue damage.
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True

 
False

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true

Email *

_________teaching addresses wound care, activity, nutrition, and medication information.

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Perioperative teaching

Intraoperative teaching

Health teaching

Post-operative teaching

 
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Post-operative teaching

Tumors that are well oxygenated also appear to be more sensitive to radiation

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True

 
False

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true

It is a procedure where fluid in patients abdomen is collected

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TENCKOFF CATHETER PLACEMENT

FOLEY CATHETER PLACEMENT

PLEURAL TUBE DRAINAGE PLACEMENT

 LEVINE SHUNT PLACEMENT

 
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LEVINE SHUNT PLACEMENT

Reverse Isolation refers to the practice of healthcare workers and visitors wearing barriers ( PPE ) routinely upon
entry to the client room, for the purpose of preventing client exposure to infection

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Nursing Management in Chemotherapy

ADMINISTERING CHEMOTHERAPY

PROTECTING THE CAREGIVERS

 
Administration of Chemotherapeutic Agents

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PROTECTING THE CAREGIVERS

is based primarily on the patient’s total body surface area, previous response to chemotherapy or radiation therapy,
and major organ function.

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Administration of Chemotherapeutic Agents

Dosage of antineoplastic agents

 
Toxicity

Classification of Chemotherapeutic

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Dosage of antineoplastic agents

Knowledge about thedepression reinforces the normality of feelings and reactions being experienced and can help
patient deal more effectively with them

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True

False
 
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grieving process

Chronic pain is linked with trauma from surgery.

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True

False

 
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Acute pain

is performed if the tumor mass is too large to be removed. In this case, a wedge of tissue from the tumor is
removed for analysis

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Local excision

Incisional biopsy

 
Wide or radical excision

Needle biosy

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Incisional biopsy

Patients with profound immunosuppression may need to be placed in a protective environment where the room and
its contents are sterilized and the air is filtered to prevent _________

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INFECTION

 
SEPTIC SHOCK

BLEEDING AND HEMORRHAGE

TOXICITY

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INFECTION

This may be related to Hypermetabolic state associated with cancer consequences of chemotherapy, radiation,
surgery, e.g., anorexia, gastric irritation, taste distortions, nausea, emotional distress, fatigue, poorly controlled pain

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Impaired skin integrity

Imbalanced nutrition

 
Fluid volume deficit

Acute pain

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Imbalanced nutrition

Combining other treatment methods, such as radiation and chemotherapy, with surgery also contributes to
postoperative complications, such as infection, impaired wound healing, altered pulmonary or renal function, and
the development of deep vein thrombosis

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True

 
False

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true

Assess skin and mucous membranes for pallor ,delayed wound healing and enlarged parotid gland is one of the
nursing intervention in__________

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Fluid volume deficit

Imbalanced nutrition

 
Impaired skin integrity

Risk for constipation/ diarrhea

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Imbalanced nutrition
 

Vague uneasy feeling of discomfort or dread accompanied by an autonomic response

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Fear

Anger

Anxiety

 
Depression

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Anxiety

Slow tumor cell lysis after chemotherapy results in increased urinary excretion of uric acid, which can cause renal
damage.

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True

False

 
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Rapid

Treatment options offered to cancer patients should be based on realistic and achievable goals for each specific
type of cancer

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True

 
False

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true

__________surgery is performed in an attempt to relieve complications of cancer, such as ulcerations,

obstructions, hemorrhage, pain, and malignant effusions
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Palliative surgery

 
Reconstructive surgery

Prophylactic surgery

Diagnostic surgery

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Palliative surgery

Patients with profound immunosuppression may need to be placed in a protective environment where the room and
its contents are sterilized and the air is filtered to prevent _________

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INFECTION

 
SEPTIC SHOCK

TOXICITY

BLEEDING AND HEMORRHAGE

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INFECTION

Promote good handwashing procedures by staff and visitor is one of the nursing intervention in imbalanced nutrition

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True

 
False

Suppression of the bone marrow and immune system is an expected consequence of chemotherapy and frequently
serves as a guide in determining appropriate chemotherapy dosage

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True

 
 False

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true

Toxicity of radiation therapy is localized to the region being irradiated. Toxicity may be decreased when
concomitant chemotherapy is administered.

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True

 
False

It is the post mitotic phase during which ribonucleic acid (RNA) and protein synthesis are increased and cell growth
occurs

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G2 Phase

Mitosis

G1 Phase

 
S Phase

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G1 Phase

Low self esteem is at risk for a change in family relationships and/or functioning.

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True

False

 
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risk for altered family process

Occasionally, acute pain syndromes, such as postsurgical neuropathies or pain related to nerve tissue injury occur
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True

False

 
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chronic

Relief of symptoms associated with the disease

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CONTROL

CURE

MANAGEMENT

PALLIATION

 
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PALLIATION