What can happen to a pt who is inadequately nourished?
Their normal cells will not be able to recover and the immune system will be depleted
What foods are suggested to facilitate repair and regeneration of cells?
When should a nurse suggest to the physician the need for a nutritional supplement?
As soon as a 5% weight loss is noted
Why does a cancer pt experience an alteration in taste sensation?
Cancer cells release substances that resemble amino acids and stimulate the bitter taste buds
What is checked in a CBC?
RBC, WBC, Platelet, Hgb, Hct
What does a PT indicate?
Rapidity of blood clotting
What are the normal lab values for a PT?
What are the normal lab values for INR?
What does a PTT indicate?
Fibrin clot formation
A pt presents with mouth pain 10 days after chemo. On inspection, the nurse finds the inside of the mouth is erythematous, edematous, and try. What is this condition?
A pt has metastatic breast cancer with involvement of her L5 vertebral body. She is paralyzed from the waist down with incontinence of stool and urine. She is undergoing radiation for spinal cord compression. What is an appropriate nursing diagnosis?
Risk for impaired skin integrity, related to prolonged immobility and
incontinenceA pt with colon cancer is receiving combined radiation and chemo and is suffering from diarrhea. What is this related to?
Treatments irritating effect on the mucosa of the GI tract
What is the current recommendation for first-time baseline mammogram in asymptomatic women?
To maintain optimal pain control in a pt with terminal lung cancer, when should the scheduling of oral analgesics generally be?
At scheduled intervals
What are increasingly important with the growing population of cancer survivors?
Cancer preventions and health promotion behaviors for pt with a diagnosis of cancer
A pt receiving chemo is anemic and has petechiae and ecchymoses scattered over her upper trunk, especially in her arms. What is this patient experiencing?
Bone marrow suppression
What statement would indicate a pt understands discharge teaching concerning leucopenia?
�I should avoid close contact with people who might give me an infection.�
What test will be used to make a definite diagnosis of a benign or malignant tumor of the breast?
What risk factor is considered significant in the cause of several type of cancer?
What is a biologic modifier that is used prophylactically for patients at risk for neutropenia?
Colony stimulating factor (CSF)
What is the most preventable cause of death from lung cancer?
Cessation of smoking
What complication is the result of aggressive chemo that causes a destruction of a large number of rapidly dividing malignant cells?
Tumor lysis syndrome
What would the nurse do for the pt who has a vaginal radiation implant in place?
Monitor vital signs every 4 hours and report temp greater than 100
What would be the nurse�s primary concern for a pt with oat cell carcinoma of the lung whose WBC is 1.5?
Prevention of infection
What are the characteristics of cachexia?
Poor health, malnutrition, and wasting
What is a priority nursing intervention for a pt with multiple myeloma?
What lab value would the nurse specifically note as a result of the massive cell destruction that occurs with chemo?
Increased uric acid level
What is the most common side effect of the pt who is receiving radiation to the neck for cancer of the larynx?
When caring for a client with an internal radiation implant, the nurse should observe what principle?
Pregnant women are not allowed into the client�s room
While giving care to a pt with an internal cervical radiation implant, how does the nurse handle the implant she found in the bed?
Pick up the implant with long-handled forceps and place into a lead container
What is included in the plan of care for a pt who is experiencing hematological toxicity as a result of chemo?
Restrict fresh fruits and veggies in the diet
What is the priority to monitor in a pt who is receiving chemo with a platelet count of 10,000?
Level of consciousness
What findings would the nurse expect to document in the pt with suspected Hodgkins?
Enlarged lymph nodes
What symptom is typical of ovarian cancer?
What findings would indicate that the pt is experiencing a complication relate to a radical masectomy?
Arm edema on the operative side
What discharge instructions should the nurse include for the pt after a prostatectomy?
Avoid lifting objects heaver than 20 lbs for 6 weeks
What is a common symptom of bladder cancer?
What would the nurse expect to note on the stoma of a pt after a ureterostomy?
A red and moist stome
Which nursing intervention would assist with preventing lymphedema after a radical masectomy?
Elevating the affected arm on a pillow above heart level
What intervention is a priority in the plan of care for a pt who develops thrombocytopenia?
Monitor the client for bleeding
What is a characteristic of multiple myeloma?
Malignant proliferation of plasma cells and tumors within the bone
What would the nurse expect to note in the pt diagnosed with multiple myeloma?
Increased calcium level
What is the process by which normal cells are transformed into cancer cells?
What is a reduction in the number of circulating white blood cells due to depression of the bone marrow?
What is the term for uncontrolled or abnormal growth of cells?
What is a reduction in the number of circulating platelets due to the suppression of the bone marrow?
What test, when elevated, can indicate that cancer has metastisised to the bone or liver?
What lab value is increased for the pt with thyroid cancer?
What is found in increased amounts in the pt with colorectal cancer?
What can a chemo pt do to enhance the flavor of their food?
onion and ham will improve veggies; lemon juice can mask taste alterations
What factors have been shown to have an impact on the determination of how well a pt will cope with a diagnosis of cancer?
Age at the time of diagnosis; availability of significant others; presence of symptoms
How often should women in their twenties have a medical examination of their skin?