Med surg 2 oncology

The nurse is caring for a client with an internal radiation implant . The nurse should observe which principle ?

Pregnant women should not be allowed into the patients room.

The client with squamous cell carcinoma of the larynx is recieving bleomycin IV. The nurse caring for the client anticipates that which diagnostic study will be perscribed?

Pulmonary function studies

The client with carcinoma of the lungs develops the syndrome of inappropiate antidiuretic horomone (SIADH) as a complication of the cancer. The nurse anticipates that which may be prescribed to treat this complication? Select all that apply.

Radiation chemotherapy serum sodium blood levels medication that is antagonistic to antidiuretic hormone (ADH)

The nurse is assisting with devloping a plan of care for a client who is experiencing hematological toxicity as a result of chemotherapy. The nurse should suggest including which of the following in the plan of care?

Restricting fresh fruits and vegetables in the diet

The nurse is assisting with conducting a health promotion program to community members regarding testicular cancer . The nurse determines that further teaching is needed if a community member states that which is a sign/symptom of testicular cancer?

Alopecia

The nurse is caring for a client after a mastectomy .Which finding would indicate that the client is experiencing a complication related to the sugery?

Arm edem on the operative side

CAUTION

C - Changes in bowel and bladder habits A - A sore throat that does not heal U- unusal bleeding or discharge T- thickening or lump in the breast or elsewhere I - indigestion or difficulty swallowing O - obvious changes in warts or moles N- nagging cough or hoarseness

The client with metastic breast cancer is recieving tamoxifen ( Soltamox) . The nurse specifically monitors which lab value while the client is taking this medication ?

Calcium levels

The process by which normal cells are transformed into cancer cells.

Carcinogenesis

How does chemo work?

Chemo works by interfering with DNA replication.

Tamoxifen (Soltamox) is perscribed for the client with metastic breast carcinoma. The nurse understands that which is the primary action of this medication?

Compete with estradiol for binding to estrogen in tissues containing high concentrations of receptors .

The LPN is assisting the RN to create a teaching plan for the client recieving an antineoplastic medication . The LPN expects which information to be included ?

Consult with health care provider before receiving immunizations.

The nurse is assisting with developing a plan of care for the client with multiple myeloma . Which is a priority nursing intervention for this client ?

Encouraging fluids

The client is admitted to the hospital with a diagnosis of suspected Hodgkin's disease. Which finding should the nurse most likely expect to find documented in the client's record?

Enlarged lymph nodes

The client with oarian cancer is being treated with vincristine (Vincasar). The nurse monitors the client,knowing what which adverse effect is specific to this medication?

Extremity numbness

The number one reason people don't go the DR.

Fear

The nurse provides skin care instructions to the client who is recieving external radiation therapy . Which statement by the client indicates the need for futher teaching?

I will limit sun exposure to 1 hour daily

Prostate, lung, colon,and rectum

Most common site of cancer in men.

The nurse is caring for a client who is receiving an IV infusion of antineoplastic meds. During the infusion,the client complains of pain at the insertion site, During an inspection of the site,the nurse notes redness and swelling. The nurse should take which appropriate action?

Notify the registered nurse.

The client with small cell lung cancer is being treated with etoposide (Toposar) . The nurse assisting in caring for the client during its administration should understand that which side/adverse effect is specifically associated with this medication?

Orthostatic hypotension

The nurse is reviewing the history and physical examination of a client who will be receiving asparaginase (elspar) , an antineoplastic agent. The nurse consults with the RN regarding the administration of the med if which is documented in the clients history?

Pancreatitis

The client is hospitalized for the insertion of an internal cervical radiation implant . While giving care, the nurse finds the radiation implant in the bed. Which is the immediate nursing action?

Pick up the implant with the long-handled forceps and place into a lead container.

What is a biopsy?

The only definitvie way to determine the presence of malignant cells.

The nurse is assisting with caring for a client with cancer who is receiving cisplatin. Which adverse effects are associated with this medication?

Tinitus Ototoxicity nephritixicity Hypomagnesemia

Tumor

a growth may be local or invasive

When reviewing the health care record of a client with ovarian cancer,the nurse recognizes which sign/symptoms as being a typical manifestation of the disease?

abdominal distention

Malignant

abnormal cell growth with a loss of noral role and function

The nurse is reinforcing instructions to a client receiving external radiation therapy . The nurse determines that the client needs further teaching if the client states an intention to take which action ?

apply pressure to the radiated site to prevent bleeding.

The nurse is reinforcing discharge instructions to a client with cancer of the prostate after a prostatectomy. The nurse should reinforce which discharge instruction ?

avoid lifting objects heavier than 20 lbs for at least 6 weeks

When should men and women get colonoscopy

every 5 years after the age of 50.

The nurse is reviewing the lab results of a client with leukemia who has recieved a regimen of chemotherapy . Which lab finding would provide information about the massive cell destruction that occurs with the chemotherapy?

increased uric acid level

Stomatitis

inflammation of the oral mucosa. anorexia is a side effect . diet is soft,bland, and they should have small frequent meals.

The nurse is reviewing the lab results of a client who is receiving chemotherapy and notes taht the platelet count is 10,000 cells/mm. On the basis of this lab value , the nurse should collect which data as priority?

level of consciousness

breast,lung,colon,and rectum

most common site of cancer in women

Neoplasm

new growth

Benign

not recurrent or progressive

Cancer is the ________ leading cause of death in the US.

second

risk factors for cancer

smoking,smokless tobacco,diet,uv exposure,enviromental carcinogens,heavy alcohol use,heredity,age 55 and above,and chronic skin irritants.

The client is receiving external radiation to the neck for cancer of the larynx. The nurse monitors the client knowing with is most likely side/adverse effect of the external radiation ?

sore throat

s/s of testicular cancer

stomacheache,breast growth,testicular swelling,lower back pain,heavy feeling in scrotum,

Immunosurevillance

the immune system's recognition and destruction of newly developed abnormal cells

Metastasis

the process by which tumor cells spread from the primary site to the secondary site

Incisional biopsy

the removal of a portion of tissue for examination

Excisional biopsy

the removal of the complete lesion

Tumor Lysis Syndrome

the result in hyperkalemia,hyperphosphatemia,hyperuricemia,hypocalcemia

The client with acute myelocytic leukemia is being treated with busulfan (Myleran). Which lab value should the nurse specifically monitor during treatment with this medication?

uric acid level