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2024 NUR 201 ONCOLOGY NURSING MODULE D EXAM 1 WITH CORRECT ANSWERS
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2024 NUR 201 ONCOLOGY NURSING MODULE D EXAM 1 WITH CORRECT ANSWERS
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2024 NUR 201 ONCOLOGYNURSING MODULE D EXAM 1 WITH
CORRECT ANSWERS
angiogenisis - CORRECT-ANSWERSgrowth of new blood vessels that allows
cancer cells to grow
apoptosis - CORRECT-ANSWERSprogrammed cell death
carcinogenisis - CORRECT-ANSWERSprocess of transforming normal cells into
malignant cells
carcinogens - CORRECT-ANSWERSchemicals, physical factors, and other
agents that cause cancer
PICC line - CORRECT-ANSWERSinserted into the antecubital space via sterile
technique into the right atria or superio vena cava
effects of chemotherapy administration - CORRECT-ANSWERScan be acute or
chronic; effects systems with rapidly diving cells
systems of the body with rapidly diving cells - CORRECT-ANSWERSGI system;
bone marrow; inegumnetary; reproductive system
effects of chemotherapy administration: GI system - CORRECT-
ANSWERSnausea and vomitting; stomatitis; diarrhea; avoid spicy foods;
small frequent meals; bland foods; "chemo induced" sickness; goal is to
prevent the side effects; administer seratonin receptor blockers such as
zofran to reduce nausea and vomitting; phinergan doesnt work well; steroids;
benzodiazapines; antihistamines
effects of chemotherapy administration: hematopoietic - CORRECT-
ANSWERSmyelosupression; leukopenia; anemia; thrombocytopenia; patient
will have a high risk of infection; order a CBC witth differential
myelosupression - CORRECT-ANSWERSsupression of bone marrow poduction
nadir occurs - CORRECT-ANSWERS7 to 10 days following a chemotherapy
treatment
, CBC with diferential - CORRECT-ANSWERSdetemines how many of each type
of white blood cells a patient has
side effects of a decrease in platelets - CORRECT-ANSWERSpetichiea;
brusing; brain bleed
headache is a key sign of - CORRECT-ANSWERSbrain bleed
effects of chemotherapy administration: renal system - CORRECT-
ANSWERSSAIDH; chemo can impair water secretion; decrease renal
perfusion; intersititual nephritis
chemotherapy drugs that are toxic to the kidneys - CORRECT-
ANSWERScisplatin; methotrexate
effects of chemotherapy aministration: cardiopulmonary system - CORRECT-
ANSWERSadriamycin aka red chemo causes irrevesible cardiac toxicity;
bleomycin causes pulmonary toxicity; closely assess and watch elderly
patients and those with heart disease; perform frequent EKG
effects of chemotherapy administration: nuerological system - CORRECT-
ANSWERSnuerotoxicity can cause CNS dysfunction, which is often dependent
upon dose; nueropathy; complaints of parasthesia; cognitive impairment;
fatigue
effects of chemotherapy administration: reproductive system - CORRECT-
ANSWERStesticular and ovarian dysfunction; males may become emporarily
or permanently sterile; females may have difficulty with ovulation or early
menopause; reccommend sperm banking
nursing assessment and management for patient recieving chemotherapy -
CORRECT-ANSWERSassess fluid and electrolytes; assess cognitive status;
look for signs of infection and bleeding; administering chemotherapy;
prevent nausea and vomitting; manage fatigue; protecting care givers
bone marrow transplantation - CORRECT-ANSWERSchemotherapy dosage
that ablates bone marrow; types of BMT include allogenic, autologous, and
syngeneic
nursing care of a patient with cancer stomatitis - CORRECT-ANSWERSsigns
and symptoms; dysphagia; avoid alcohol mouth washes; soft bistle tooth
brushes; regualr dental exams; mouth wash after each meal and before bed
time; do not put vaseline on lips as it harbors bacteria
nursing care of a patient with cancer radiation associated skin impairment -
CORRECT-ANSWERSavoid skin irritants; cleanse area with water and gentle
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