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Med Surg I Quiz 2 Oncology
Med Surg I Quiz 2 Oncology
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Med Surg I Quiz 2: Oncology
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8. Signs & symp- facial edema, edema in neck, epistaxis, dyspnea, nose
toms of Superior bleeds, purple from the nipples up
Vena Cava Syn-
drome:
9. What is happen- Occludes blood flow to the brain (blocks flow) & puts
ing when the tu- pressure on the airways
mor puts pres-
sure on the supe-
rior vena cava?
10. Nursing Inter- Nurses are in a key position to recognize SVCS ear-
ventions for Su- ly, allowing time for a clear histologic diagnosis prior
perior Vena Cava to starting therapy. Nurses should be able to recognize
Syndrome: those patients at high risk and be aware of the signs
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and symptoms of SVCS. Nursing care encompasses a
variety of tasks: facilitation and coordination of diagnos-
tic procedures, assessment of respiratory, cardiac and
neurologic systems, administration of ordered therapies,
emotional and psychosocial support for the patient and
family, and education regarding treatment. Nurses can
institute measures to help relieve dyspnea, including el-
evating the head of the bed, administering oxygen, and
teaching energy conservation. Intravenous fluids should
not be given through the upper extremities, necessitating
central venous access. Additional nursing interventions
should focus on the side effects caused by the treatment
used (chemotherapy, radiation therapy). Through astute
observation and an understanding of this complication,
nurses can be instrumental in the diagnosis and treat-
ment of SVCS.
11. Side Effects of will vary depending on the areas included in the treatment
Radiation: ( in field, and can include:
a patient with skin irritation, dyspnea, cough, pneumonitis, mucositis,
SVCS) decrease in blood counts, appetite / taste changes, and
fatigue.
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therapy for
SVCS) includes:
15. Early signs & Feeling of fullness in the head, nasal stuffiness,
symptoms of headache, shortness of breath, cough, chest pain,
SVCS: hoarseness and difficulty swallowing.
20. What is the SCC is less aggressive, but faster growing and cause it
difference be- invades local tissues. tends to bleed, ulcers (worse) BCC
tween squamous is more aggressive but does not grow as fast so SCC is
cell carcinoma & the worst of the two
basal cell carci-
noma?
SCC is rough, scaly lesion with central ulceration & crust-
ing. Bleeding possible. Localized, may metastasize.
21. Squamous cell Squamous cell cancer (SCC) starts in the squamous cells
cancer (SCC): in the upper part of the epidermis. It accounts for about
2 in 10 skin cancers. It most often starts on skin that has
been exposed to the sun, like the face, ears, neck, lips,
and backs of the hands. SCC is more likely than BCC to
spread into deeper layers of the skin. It is also more likely
to spread to other parts of the body, but this is not common
22. Basal Cell Carci- About 8 of 10 skin cancers are basal cell cancers (BCCs).
noma: This is not only the most common type of skin cancer,
but the most common type of cancer. BCC begins in the
lowest layer of the epidermis, the basal cell layer.
BCC usually begins on skin exposed to the sun, such as
the head and neck..
BCC tends to grow slowly. It is very rare for BCC to spread
to other parts of the body. But if it is not treated, it can
grow into nearby areas and spread into the bone or other
tissues under the skin.
After treatment, BCC can come back (recur) in the same
place on the skin. New basal cell cancers can also start
in other places on the skin. As many as half of the people
who have one BCC will get a new skin cancer within 5
year
27. Classic signs weight loss, palpable abdominal mass, enlarged gallblad-
& symptoms of der and liver, hepatomegaly, jaundice (late finding) clay
pancreatic can- or tan colored stools, dark, frothy urine, ascites (swelling,
cer: fluid in peritoneal space, pruritus (build up of bile salt),
early satiety (feeling full) or anorexia Pancreatic Tumor:
pain, jaundice, significant weight loss
30. Difference be- benign does not invade neighboring tissue. malignant can
tween benin & metastasize
malignant:
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32. Cervical cancer: bleeding & pain with intercourse
35. Test for Liver alpha feta protein (can be a false positive)
Cancer:
More definitive test:
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38. Prostate Cancer: PCA is elevated (released during a cancer) the most
common type of cancer for men. Retention.
45.
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Cryothera- a procedure that uses extreme cold (liquid nitrogen) to
py/surgery: destroy tissue. It is often used to treat skin lesions (skin
growths or patches that do not look like the skin around
them). The lesions can be benign (not cancerous) or
precancerous. Cryotherapy can also be used to treat skin
cancer that does not affect deep tissue.
50. Patient teaching PRIOR to use: make sure you are not pregnant or breast-
for 5 fluorouracil: feeding, do not use aspirin unless permitted by your doc-
tor.
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51. Description of are cell-cycle specific. They attack cells at very specific
how Antimetabo- phases in the cycle (inhibit cancer cells from further di-
lites work: viding, so they die)
52. What patients The treated area will become red soon after your proce-
should expect af- dure. It also may blister and swell. If this happens, do not
ter cyrosurgery: break open the blister.
You may also see drainage on the treated area. This is
normal.
The treated area will heal in about 7 to 10 days with min-
imal scarring, but it will take longer for the discoloration
(pinkness, redness, or lighter or darker skin) to go away.
53. After care teach- Starting the day after your procedure, wash the treated
ing for cyro- area gently with fragrance-free soap and water daily.
surgery: Leave the treated area uncovered unless it has ulcers or
drainage. If you see any drainage, apply petroleum jelly
(Vaseline®) on the treated area and cover with a bandage
(Band-Aid®) if necessary.
If you have any bleeding, press firmly on the area with a
clean gauze pad for 15 minutes. If the bleeding doesn't
stop, repeat this step. If the bleeding still hasn't stopped
after repeating this step, call your doctor's office.
Do not use perfumed soaps, cosmetics, or lotions on the
treated area(s) until it has healed. This will usually be at
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least 10 days after your procedure.
You may have hair loss on the treated area. This depends
on how deep the freezing went. The hair loss may be
permanent.
Once the treated area has healed, apply a broad-spec-
trum sunscreen with an SPF of at least 30 to the area to
protect it from scarring.
You may have discoloration (pinkness, redness, or lighter
or darker skin) at the treated area for up to 1 year after
your procedure. Some people may have it for even longer
or it may be permanent
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-Night Sweats
-Enlarged Lymph Nodes
(Remember that the flu like symptoms set CLL apart from
ALL as well as the weight loss)
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67. BRCA 2 gives up 65%, age 70
to a _________%
risk by age
________
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75. 16. De- is chemotherapy that is used to treat carcinoma that has
scribe intraves- not metastasized outside of the bladder. Used for bladder
ical chemother- cancer, TB virus must be kept in bladder for 2 hours, sit
apy and un- when you pee so you do not splash. Mask and half a
derstand what gallon of bleach for about 15 min before they pee. No sex
the nurse would for 24 hours.
monitor a patient
for?
Jac's Notes: make them sit down to pee (prevent splash-
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ing) live bacteria N95 mask, put bleach in the toilet (15
min) do not introduce TB into the sewer system), do
not let families, kids, or pregnant women use the same
bathroom. They can't have sex for 24 hours because they
can transmit it to their partner
76. What are the Intravesical includes the medications MED and dwells in
differences be- the bladder for 2 hours.
tween intravesi- M-mytomycin
cal and systemic E-epirubcin
treatments for D-doxorubicin
urological can-
cer? Systemic Chemotherapy: includes the medications CCM
C-cisplatin
C-cisplatin & 5 flourouracil
M-mitomycin & 5 flourouracil
http://www.healthnetworks.health.wa.gov.au/can-
cer/docs/Administration_Intravesical_agents.pdf
77. Systemic uses anti-cancer drugs that are injected into a vein or giv-
Chemotherapy: en by mouth. These drugs travel through the bloodstream
to all parts of the body.
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78. Intravesical With ___________therapy for bladder cancer, drugs are
(blank space) put directly into the bladder through a catheter, instead of
being injected into a vein or swallowed. Both immunother-
apy and chemotherapy drugs can be given this way.
79. 17. What are the Pancytopenia: neutropenia-anc less than 2,000/mm3 in-
complications of creases risk of infection
Hodgkin's Dis-
ease: Thrombocytopenia: bleeding-RISK if count is 50,000 and
spontaneous bleeding at 20,000
Now think like a nurse and ask yourself what are the
signs & symptoms of these complications & what are the
nursing interventions?
80. 13. What is the test measures the amount of the protein CA 125 (cancer
purpose of a antigen 125) in your blood. A CA 125 test may be used
CA-125 test? to monitor certain cancers during and after treatment. In
some cases, a CA 125 test may be used to look for early
signs of ovarian cancer in women with a very high risk of
the disease.
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81. 9. Describe the a. Grade I: Cells differ slightly from normal cells and are
various phases well differentiated.
related to the b. Grade II: Cells are more abnormal and moderately
growth of tu- differentiated.
mors: c. Grade III: Cells are very abnormal and poorly differen-
tiated.
d. Grade IV: Cells are immature and primitive and undif-
ferentiated, cell of orgin is difficult to determine.
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Staging of Can-
cer: TX-
91. Staging of Can- number of nodes that are involved, or & or the extent of
cer: N1,N2,N3- spread
95. Initiation Phase: mutation of cell's genetic structure (due to chemical car-
cinogens, viral, radiation)
97. Latent Period: ranges 1-40 years. Cells accumulate and reach critical
mass that can be detected.
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98. Progression: increased growth rate of tumor, invasiveness, metastasis
100. Cancer Stage 0: This stage describes cancer in situ, which means "in
place." Stage 0 cancers are still located in the place they
started and have not spread to nearby tissues. This stage
of cancer is often highly curable, usually by removing the
entire tumor with surgery.
101. Cancer Stage 1: This stage is usually a small cancer or tumor that has not
grown deeply into nearby tissues. It also has not spread
to the lymph nodes or other parts of the body. It is often
called early-stage cancer.
102. Cancer Stage 2: These stages indicate larger cancers or tumors that have
grown more deeply into nearby tissue. They may have
also spread to lymph nodes but not to other parts of the
body. (2 & 3 together)
103. Cancer Stage 3: These stages indicate larger cancers or tumors that have
grown more deeply into nearby tissue. They may have
also spread to lymph nodes but not to other parts of the
body. (2 & 3 together)
104. Cancer Stage 4: This stage means that the cancer has spread to other or-
gans or parts of the body. It may also be called advanced
or metastatic cancer.
*man boobies*
106. Drug to light in- when the drug is given to when the light is applied.
terval:
107. What type of pa- The disease is twice as common in men as in women and
tients are most usually develops after 40 years of age, with and average
at risk for de- of 65 years of age. More commonly in African Americans.
veloping multi- Also, many people with monoclonal gammopathy or ex-
ple myelomas? posed to radiation from an atomic bomb will eventually
develop MM.
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111. Acute Myeloge- adults (according to ATI)
nous Leukemia:
is most common Lewis says CML
in
Female: 35%-47%
Male: 39%-50%
(Lab Book)
114. CBC tip: look over the lab values and rationales as they apply to
leukemia and lymphomas
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