Exam (elaborations)
ONCOLOGY EXAM MED SURG 2 QUESTIONS WITH CORRECT ANSWERS.
- Course
- Institution
ONCOLOGY EXAM MED SURG 2 QUESTIONS WITH CORRECT ANSWERS.
[Show more]
Content preview
ONCOLOGY EXAM MED SURG 2QUESTIONS WITH CORRECT ANSWERS
Definition of Oncology - Answer Cancer involves any organ system and various
treatments have potential for multi-system effects
epidemiology of cancer - Answer -Affects people of all ages, but mostly in people over
55 years of age
-Higher in industrialized sectors and nations e.g. landscapers
Proliferative patterns of cancer - Answer noncancerous cells are benign, classified and
named by tissue or origin, differ in many cellular growth characteristics
Etiology: physical agents - Answer include exposure to sunlight or radiation, chronic
irritation, inflammation, radon, and tobacco use
Etiology: genetics and familial factors - Answer almost every type has been shown to
run in families
Etiology: lifestyle factors - Answer linked to environmental cancers:
-fats
-alcohol
-salt cured/smoked meats
-nitrate/nitrite containing foods
-red and processed meats
Etiology: hormonal agents - Answer pregnancy decreases risk of certain cancers
role of the immune system in relation to cancer - Answer -the immune system can
destroy malignant cells
-age related changes: declining organ function, chronic diseases, and diminished
immune system= increased incidence of cancer
Extravasation - Answer Vesicants are NEVER administered in peripheral veins involving
the hand or wrist, permitted for a short time only in the forearm- less than 1h; IV push or
bolus
Highest risk factors for developing cancer - Answer -age, over 65
-alcohol, 6-7 drinks daily
-landscaper
-higer incidence in men than in women
, Best response to provide a patient that believes radiation is not working and is feeling
weak - Answer explain it is from the treatment itself, it doesn't mean its not working or
progressing
Causes for concern for a charge nurse on an oncology unit - Answer -10 year old
entering a room: do not allow them in
-only ages 16 and up
-e.g. visiting from 1p-2p, visitors should only be in room for 30m
-pregnant women not allowed in room
best response for a family member that is concerned that the patient is forgetful -
Answer explain that patients with cancer experience memory loss: it's normal
nursing interventions: brachytherapy - Answer -limit time in room, no more than 15m
-wear lead shield
nutritional intake for pt with acute leukemia - Answer -pain med before meals, helps if
they have stomatitis
-oral care before meals
-I&O measurement
what orders should the nurse anticipate with tumor lysis syndrome (leak) - Answer -
electrolyte imbalance so fluids
-increase fluid intake before and after therapy
findings expected with acute leukemia - Answer -fatigue
-weakness
-N&V
-hypocalcemia
-hyperuremia
-hyperphosphatemia
-hyperkalemia
nursing interventions for a patient that is wheezing and has low BP - Answer -stop
infusion and notify provider ( they are having a reaction)
after reviewing labs of a patient that is receiving chemo, you notice low platelet count,
what should you include in the plan of care - Answer -no fresh fruit or vegetables
-avoid flowers
patient with lung cancer does not want chemo, what is the best response for the nurse
to the patient - Answer - you have the right to refuse treatment
-nurse can also have the doctor come back and speak to the patient
clinical manifestations of oncology emergency specifically SVC - Answer -coughing*
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LucieLucky. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78075 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now