MDC2 (NUR 2392) Multidimensional
Care 2 Exam 1 Module 01 - Module 03
Course Title and Number: MDC2 (2392) Multidimensional Care 1 Exam
1
Exam Title:
Exam Date: 2024
Instructor:
Student Name:
Student ID:
Examination
180 minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
Good Luck!
Rasmussen University
,MDC2 (NUR 2392) Multidimensional Care 2
Exam 1 Module 01 - Module 03 With Verified
Solutions
Cancer Treatment - Answer>> Cancer treatment is
dependent on the type of cancer and how far the cancer has
progressed.
Common problems associated with cancer treatment include
infections, bleeding, pain, malnutrition, fatigue, and psycho
social issues.
curative surgery - Answer>> Removal of the cancerous tumor
when confined to a specific body location
palliative surgery - Answer>> Is performed to treat the
problems that the cancer or treatment of cancer has created.
prophylatic surgery - Answer>> Is performed to remove
tissues that are not cancerous but can become cancerous.
diagnostic surgery - Answer>> Is performed in order to
determine if cancer cells are present
Reconstruction/Restorative surgery - Answer>> Is performed
following treatment to restore the patients body function such
as breast reconstruction following a mastectomy.
Pre-operative care - Answer>> Ensure necessary test are
performed such as blood work, EKG and chest x ray and
ensure the patient has remained NPO for the required time
frame
Education - Answer>> Patient education regarding the type
of procedure, post-operative, management to include any
,restrictions, wound care, signs and symptoms of infection,
medication, follow up treatment, and follow up appointments
Nutrition - Answer>> Ensure the patient has a consult for the
dietitian to assess nutritional and cultural needs
Pain Control - Answer>> Ensure adequate pain control by
assessing a patients' pain level frequently and administering
the prescribed medications.
Post-op complications - Answer>> Assess for post operative
complications such as bleeding, infection, respiratory problems
such as acute respiratory distress, pneumonia, and deep vein
thrombosis/ pulmonary embolism. Encourage coughing and
deep breathing using IS, ensure the patient has DVT/PE
prophylaxis ordered either pharmacological or mechanical
internal radiation therapy - Answer>> Radiation treatment in
which the radiation is placed inside the body in a solid or liquid
form.
External Radiation therapy - Answer>> Radiation treatment
that is site specific to the area of cancer. The treatment is
administered via an external machine. Ensure treatment targets
specific area by marking the sites.
Assure adequate rest - Answer>> Fatigue is a common side
effect of radiation therapy. Be sure the patient has adequate
rest periods by grouping periods of activities to allow more time
for rest.
Skin care - Answer>> perform frequent skin assessment and
implement measures to maintain and manage skin breakdown
Radiation implants - Answer>> Place patient in a private
room, maintain bed rest, never touch implants should they
become dislodged, utilize contact precautions when handling
, linens and body fluids. Care providers should NOT be
pregnant.
radiation enteritis - Answer>> Common side effect of
radiation therapy. Ensure the patient is consuming a low fat diet
and administer medication to treat nausea and diarrhea.
Emotional support - Answer>> Provide emotional and
spiritual support to the patient and family by providing
education.
Alkylating agents (Chemo types) - Answer>> Keeps cells
from duplicating damaged DNA
Antimetabolites (chemo type) - Answer>> Interfere with DNA
and RNA growth
Anti-tumor antibiotics (chemo type) - Answer>> Change the
DNA to keep it from multiplying
Topoisomerase inhibitors (chemo type) - Answer>>
Seperates the strands of DNA to enable them to be copied.
Mitotic Inhibitors (chemo type) - Answer>> Stop cells from
dividing
Goals of Chemotherapy Include: - Answer>> - Cure: goal is
to destroy cancer
-Control: goal is to shrink or prevent further growth of the tumor
-Palliation: goal is to relieve the symptoms of the cancer, the
hope for a cure or control is dismal
Chemotherapy: Nursing Care - Answer>> -Ensure the patient
maintains adequate intake. Consult the dietitian to assess
nutritional and cultural needs. Administer anti emetics as
prescribed.
- Pain control
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