CPSON Oncology
The nurse is preparing to assess a patient whose chart documents that the patient experienced extravasation when receiving the vesicant Vincristine on the previous shift. The documentation also notes that an antidote was administered immediately. The nurse prepares to assess for which of the following? Select all that apply. a) Effectiveness of antidote b) Sloughing tissue c) Tissue necrosis d) Active bleeding
ABC Extravasation of vesicant chemotherapeutic agents can lead to erythema, sloughing, and necrosis of surrounding tissue, muscle and tendons. Nurses caring for a patient who experienced extravasation of a vesicant should assess for sloughing tissue, tissue necrosis, erythema, and effectiveness of the antidote.
A patient is undergoing chemotherapy, what foods should you restrict?
Fresh Fruits is not not recommended when the patient is at risk of infection
Radiation may effect rapid growing cells which consists of?
Hair, salivary glands, skin, epithelia tissues (GI Tract-stomatitis), bone marrow,
To prevent the dislodgment of a brachy therapy, how should the nurse turn the patient?
Log-rolled
How does cancer primarily metastasize throughout the body A. Hematogenous B. Lymphatic system C. Proximity D. Direct contact
Lymphatic system Hematogenous (via blood second most common)
A patient with brain tumor is undergoing radiation and chemotherapy for treatment of cancer. Of late, the patient is complaining of swelling in the gums, tongue, and lips. Which of the following is the most likely cause of these symptoms?
Stomatitis - The symptoms of swelling in gums, tongue, and lips indicate stomatitis. This usually occurs 5 to10 days after the administration of certain chemotherapeutic agents or radiation therapy to the head and neck. Chemotherapy and radiation produce chemical toxins that lead to the breakdown of cells in the mucosa of the epithelium, connective tissue, and blood vessels in the oral cavity.
Self-care guidelines for patients receiving radiation regarding clothes, washing, and application of skin products?
Wear loose fitting clothing, only apply skin-care products approved by radiation staff, and wash gently treated area with mild soap and lukewarm water
PSA should be perform how often after the age of?
Yearly, after the age of 50
At what age should screening for mammography begin and how ofter?
at 40 , every year
Prior to administration of a vesicant drug via a central venous catheter, what should the nurse assess for
blood return
What should you do if your patient receiving chemo develops a fever
contact HCP
Patient receiving radiation develops pneumonitis, what symptoms should you expect? 3
cough, dyspnea, fever
A women with menopause should be tested for which type of caner
endometrial cancer
At what age does breast examination a HCP, and how often
from age 20-39 , every 3 years
How would you clean an area of skin which has recently received radiation
with water & mild soap, everyday, (with hand), then pat dry, no cream, lotions, deodorants,
Pelvic exam & PAP test for sexually active and girls over 18 should be performed?
yearly, less often for women with 3 consecutive negative results
How often and at what age should fecal occult begin
50, yearly
what ointment could be used by radiation patients?
A & D ointment
Patient with a total laryngectomy performed, which members will the nurse consult with? 1. Physical therapist 2. Dietitian 3. Speech T 4. Dentist 5. Occupational Therapist 6. Social Worker
1. for neck exercise 2. for adequate diet 3. communication and swallowing 6. for contact with outside resources to assist with client ongoing needs
Colonoscopy should be performed every?
10 years, with DRE
What's the normal platelet count?
150-400 thousand
At what age does routine breast examination begin
20
At what age, and how often should DRE be performed?
50, yearly
What's the only drug approved by the FDA to protect normal tissues from radiation during treatment.
Amifostine, (Ethyol)
What would chemo dose be dependent on
BSA and weight
A nurse is teaching a client about self examination and discusses where it is most commonly occurs. What the area called and where is it near by?
Breast lesions are frequently found in the upper outer quadrant, near the axilla aka tail of Spence
What can be done to prevent dislodgment of an internal radiation device before insertion?
Catheter and enemas
How often should a Flexible sigmoidoscopy be performed. What other tests might be perform in combination?
Every five years, in combination with DRE
The physician is attending to a 72-year-old patient with a malignant brain tumor. The physician recommends immediate radiation therapy. Which of the following is a reason for the physician's recommendation?
Radiation therapy helps in preventing cellular growth. It may be used to cure the cancer or to control malignancy when the tumor cannot be removed or when lymph node involvement is present; also, it can be used prophylactically to prevent spread
The client is receiving vesicant chemotherapy, how long could the drug be infused in? How often should the nurse assess the patient during the therapy?
Infused over 60 minutes or less, nurse should assess patency every 5 to 10 minutes
Relief of symptoms and promotion of comfort and quality of life?
Palliative Care
Radiation is used prophylactically to?
Prevent leukemic infiltration to the brain or spinal cord
What are the risk factors for bladder cancer, select which apply, 1. caffeine 2. smoking 3. exposure to paint 4. consuming multivitamins 5. exposer to tire smell in a rubber inds
Smoking. Exposure to aromatic amines in the textile, paint, and rubber industry are assoc with bladder cnacer
