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NPRO 2000 Exam 4 Questions And Accurate Answers
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NPRO 2000 Exam 4 Questions AndAccurate Answers
Cancer Levels of Prevention - Answer Primary - Reduce modifiable risk factors. ie
tobacco use, obesity, diet
Secondary - Screenings
Tertiary - Prevention of cancer return. Maintina remission status
Causes of Cancer - Answer Carcinogens
Take many forms
-UV, Pesticides, preservatives, dietary fa, tobacco, radiation, virus (herpes, hep B C,
HPV, H. pylori)
Chemotherapy - Answer Agent used to destroy tumor cells by interfering with cellar
function and replication. Kills rapidly dividing cells
s/e - fatigue, allopecia, nausea vommiting, mouth sores, peripheral neuropathy, urinary
problems
Nursing Care - assess fluid and electrolytes and cognitive status, risk for bleeding and
infection, gown and glove during administration
Breast Cancer Care - Answer focus on prevention
elevate affected arm higher than shoulder after surgery
use nonsurgical side for BP and IV
Encourage ROM in affected arm
Breast Cancer risk factors - Answer Age
Genetics BCRA 1 and 2
Hx of radiation therapy
Dense breasts
early periods or late onset menopause
Not having children or having them after 30
alcohol intake
, Obesity
Sedentary lifestyle
Breast Cancer screenings and diagnosis - Answer inverted nipple
lump - hard and unmovable
dimpling
redness/rash or other skin changes
dripping
Diagnostic - clinical exam, mamography, MRI, tissue analysis
Skin cancer S&S - Answer Assymetry
Borders - uneven
Color - multiple colors
Diameter - 1/4 >
Evolving
pain
Skin cancer types - Answer Basal cell carcinoma - pearly/waxy bump , or flat brown scar
like lesion, or bleeding sore that heals and returns. Often appears in UV exposed areas
Squamous cell carcinoma - firm red nodule or scaly crusted red region. UV exposed
areas. On darker skin appears in non UV exposed ares
Malignant melanoma - A large brownish spot with darker speckles, A mole that changes
in color, size or feel or that bleeds, A small lesion with an irregular border and portions
that appear red, pink, white, blue or blue-black. Can occur anywhere on body women on
lower legs, dark skin on hands feet or under nails. Worst kind
Kaposi's Sarcoma - red or purple patches on the skin. Occurs most often in immune
compromised people.
Skin cancer prevention - Answer Proper sun protection
avoid tanning beds
Screen self
Beaware of sun sensitizing medication
Anemia Diagnosis - Answer -CBC with Microscopic Examination
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