Cellular Regulation Terms & Questions

A 67-year-old patient who is receiving chemotherapy for lung cancer is admitted to the hospital with thrombocytopenia. Which statement made by the patient when the nurse is obtaining the admission history is of most concern?

"I take ibuprofen every day because of my history of osteoarthritis."

A clinic nurse prepares a teaching plan for a client receiving an antineoplastic medication. When implementing the plan, the nurse should make which statement to the client?

"You need to consult with the health care provider (HCP) before receiving immunizations."

A 48-year-old female client chose breast-conserving surgery and whole-breast external beam radiation therapy for her early-stage breast cancer. What health teaching would the nurse include when preparing the client for this therapy? Select all that apply.

-"Do not wash off the temporary ink markings until radiation therapy is completed." "Use mild soap and water to clean the irradiated area during therapy." -"Be aware that radiation may cause fatigue and changes in appetite or taste." -"Report esophageal burning or feeling like food is 'sticking' after it is swallowed."

The nurse is monitoring the IV infusion of an antineoplastic medication. During the infusion, the client complains of pain at the insertion site. On inspection of the site, the nurse notes redness and swelling and that the infusion of the medication has slowed in rate. The nurse suspects extravasation and should take which actions? Select all that apply.

-Stop the infusion -Notify provider -Prepare to apply ice or heat to the site -Prepare to administer a prescribed antidote into the site

The nurse is providing medication instructions to a client with breast cancer who is receiving cyclophosphamide. The nurse should tell the client to take which action?

-Take medication w/ food -Increase fluid intake to 2000 to 3000 mL daily

Specific bodily substances that seem to indicate tumor progression or regression

Tumor marker

Cells that have lost the capacity for specialized functions.

Undifferentiated cells

The nurse is monitoring the laboratory results of a client receiving an antineoplastic medication by the intravenous route. The nurse plans to initiate bleeding precautions if which laboratory result is noted?

A platelet count of 50,000 cells/mm3

A client is admitted to the hospital with a suspected diagnosis of Hodgkin's disease. Which assessment finding would the nurse expect to note specifically in the client?

Enlarged lymph nodes

Neoplasm involving abnormal overproduction of leukocytes, usually at an immature stage, in the bone marrow

Leukemia

Neoplasm that originates from lymphoid tissue

Lymphoma

The RN is preparing to have a patient who has acute leukemia sign the permit for a bone marrow aspiration. The patient states that the oncologist has explained the procedure and the complications, and she has no further questions. What assessment is most important for the RN to complete before the procedure is carried out?

Review the platelet count

Neoplasm that originates from muscle, bone, fat, the lymph system, or connective tissue

Sarcoma

A method of classifying malignancies on the basis of the presence and extent of the tumor within the body.

Staging

A tumor that arises from glandular epithelial tissue.

Adenocarcinoma

Usually refers to growths that are encapsulated, remain localized, and are slow growing.

Benign

A client with metastatic breast cancer is receiving tamoxifen. The nurse specifically monitors which laboratory value while the client is taking this medication?

Calcium level

A neoplastic disorder that can involve all body organs. Cells lose their normal growth-controlling mechanism, and growth of cells in uncontrolled.

Cancer

A physical, chemical, or biological stressor that causes neoplastic changes in normal cells

Carcinogen

A premalignant lesion with all the histological characteristics of cancer except invasion of the basement membrane.

Carcinoma in situ

A client with non-Hodgkin's lymphoma is receiving daunorubicin (DaunoXome). Which finding would indicate to the nurse that the client is experiencing an adverse effect related to the medication?

Crackles on auscultation of the lungs

Term for growths that are not encapsulated but grow and metastasize. These growths are cancerous lesions having the characteristics of disorderly, uncontrolled, and chaotically proliferating cells

Malignant

Chemotherapy dosage is frequently based on total body surface area (BSA), so it is important for the nurse to perform which assessment before administering chemotherapy?

Measure the client's current weight and height.

The transfer of disease from one organ or part to another not directly connected with it. Secondary malignant lesions, originating from the primary tumor, are located in anatomically distant places.

Metastasis

A malignant proliferation of plasma cells within the bone

Myeloma

The period of time during which an antineoplastic medication has its most profound effects on the bone marrow

Nadir

An abnormal growth, which may be benign or malignant.

Neoplasm

A client with small cell lung cancer is being treated with etoposide (Toposar). The nurse monitors the client during administration, knowing that which adverse effect is specifically associated with this medication?

Orthostatic hypotension

A client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. The nurse caring for the client anticipates that which diagnostic study will be prescribed?

Pulmonary function studies

When administering a blood transfusion to a patient, which action can the nurse delegate to the assistive personnel (AP)?

Take the patient's vital signs before the transfusion is started.

The home health care nurse is caring for a client with cancer who is complaining of acute pain. The most appropriate determination of the client's pain should include which assessment?

The client's pain rating