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RNSG 1538 EXAM STUDY SET QUESTIONS AND ANSWERS
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RNSG 1538 EXAM STUDY SET QUESTIONS AND ANSWERS
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RNSG 1538 EXAM STUDY SETQUESTIONS AND ANSWERS
At what stage does cancer metastasize to other organs? - Answer-Stage 4
Low grade tumor cells resemble______ cells. - Answer-normal
Normal cells are very similar in size and shape
low grade have dividing nuclei, no necrosis present
What are the quality of high grade tumor cells? - Answer-Necrosis is present, large
atypically shaped shells, dividing nuclei and cells
hyerplasia - Answer-an increase in the number of new cells in an organ or tissue
Metaplasia - Answer-a cell transformation in which one type of mature cell is converted
into another type of cell
Dysplasia - Answer-bizarre cell growth resulting in cells that differ in size, shape, or
arrangement from other cells of the same tissue type
anaplasia - Answer-pattern of growth in which cells lack normal characteristics and
differ in shape and organization with respect to their cells of origin, usually anaplastic
cells are malignant
contraindications with erythematous tissue - Answer-don't scrub the area
don't use harsh soaps.
avoid hot water, heating pads
avoid straight edge razors,
avoid ice
avoid adhesive tape
avoid exposing that area to sunlight or cold weather
avoid tight clothing
avoid rubbing or scratching area
use cotton clothing because you want the clothes to breathe
apply vitamin A and D ointment to the area
Severe neutropenia - Answer-0.5 or less (500 or less)
Neutropenic precautions - Answer-strict hand washing
private room
no sick visitors
minimize sharing of equipment
avoid crowds
careful nurse assignment
, no fresh plants or fresh fruits
report fever or other signs of infections immediately
sign on door to stop at nurses station before going in room
Lung cancer S/S (14) - Answer-1) asymptomatic until late
2) cough (dry, persistent->productive)
3)change in chronic cough
4)dyspnea
5)hemoptysis
6)chest or shoulder pain
7)recurring fever
8) hoarseness
9) dysphagia
10) head/ neck edema
11) s/s of pleural or pericardial effusion
12)weakness
13)anorexia
14)weight loss
Lung Cancer Risk Factors (7) - Answer-1) smoking
2) secondhand smoke
3) genetic predisposition
4) dietary deficits
5) underlying resp. disease (TB, COPD)
6)family history
7) environmental and occupational exposures
Lung cancer metastases to .... - Answer-brain, bone, and liver
Lung cancer treatment (5) - Answer-1) surgery (thoractomy NSCLC)
2) radiation
3) chemo
4) immunotherapy
5) gene therapy
Dx and Labs - Answer--Chest X ray
-CT
-Fiberoptic bronchoscopy
-abdominal scan
-PET scan
- Liver US
-CT of brain
What lung cancer is linked to smoking and is aggressive? - Answer-Small Cell Lung
cancer
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