NUR 2356 EXAM 2 QUESTIONS AND ANSWERS
SET A+
✔✔3 procedure preparation topics - ✔✔pain management
health promotion
family education
✔✔Why may radiation therapy be used? (terms and definitions) - ✔✔-Curative = to
eradicate cancer
-Palliative = low doses used to shrink tumor sized
-Total body irradiation = to eradicate microscopic cancer and all bone marrow. Prepare
for stem cell transplant
✔✔What are the side effects of radiation therapy? - ✔✔-Erythema, skin rash, or irritation
-Gastrointestinal complications
-fatigue
-bone marrow suppression
✔✔What are the risks of radiation therapy? - ✔✔Somnolence syndrome
✔✔What is one common side effect of radiation therapy? - ✔✔Fatigue
✔✔What is an early indicator of long-term neurologic sequelae after cranial irradiation?
- ✔✔Somnolence syndrome - decreased awareness and difficult to arouse
✔✔What age group is cranial irradiation rarely used on? - ✔✔Children under 3
✔✔True or false
A patient can get a secondary cancer from radiation - ✔✔true
✔✔Define biotherapy - ✔✔Use of biologic retooling and molecular intervention to
produce targeted cancer therapy
, ✔✔3 sections of biotherapy and their definitions - ✔✔-Retooling- development of
antibodies that are tumor specific and promote death of the cancer cells
-molecular targeting - interference with metabolic pathways in tumor cells
-gene therapy - area of research
✔✔A nurse explains a form of care that the child with cancer will be receiving. It is a
specialized medical care with a serious illness and it can improve quality of life for the
patient and the family. The child can still get curative treatment and this care can help
with decisions and information. What care is she describing? - ✔✔palliative care
✔✔What is considered end of life care when they are anticipated to live 6 months or
less but still may be able to get curative treatment? - ✔✔hospice care
✔✔What are quality patient outcomes for child with cancer? - ✔✔-child and family
educated on disease and treatment
-Treatment administered on schedule with appropriate drug doses
-side effects of treatment managed
-treatment complications prevented
-child and family coping skills supported
-quality of life during treatment maintained
-child and family adjusted to chronic illness
-growth and development maintained during treatment
✔✔What cancer occurs when bone marrow is replaced by malignant blast cells? -
✔✔leukemia
✔✔What leukemia occurs when abnormal lymphoblasts (immature B and T cell
lymphocytes) abound in blood forming tissues? - ✔✔ALL - acute lymphoblastic
leukemia
✔✔What leukemia affects myeloid cells (any WBC other than lymphocytes) progenitors
and precursors in bone marrow, resulting in malignant (invasive and fast growing cells)?
- ✔✔AML - acute myelogenous leukemia
✔✔What test is done to diagnose leukemia? - ✔✔Bone marrow biopsy
✔✔What is bone marrow replaced by with leukemia? - ✔✔Lymphoblastic cells
✔✔Which leukemia is the most common form? - ✔✔ALL
✔✔What is the peak incidence and survival rate of ALL? - ✔✔2-5 years peak incidence
SET A+
✔✔3 procedure preparation topics - ✔✔pain management
health promotion
family education
✔✔Why may radiation therapy be used? (terms and definitions) - ✔✔-Curative = to
eradicate cancer
-Palliative = low doses used to shrink tumor sized
-Total body irradiation = to eradicate microscopic cancer and all bone marrow. Prepare
for stem cell transplant
✔✔What are the side effects of radiation therapy? - ✔✔-Erythema, skin rash, or irritation
-Gastrointestinal complications
-fatigue
-bone marrow suppression
✔✔What are the risks of radiation therapy? - ✔✔Somnolence syndrome
✔✔What is one common side effect of radiation therapy? - ✔✔Fatigue
✔✔What is an early indicator of long-term neurologic sequelae after cranial irradiation?
- ✔✔Somnolence syndrome - decreased awareness and difficult to arouse
✔✔What age group is cranial irradiation rarely used on? - ✔✔Children under 3
✔✔True or false
A patient can get a secondary cancer from radiation - ✔✔true
✔✔Define biotherapy - ✔✔Use of biologic retooling and molecular intervention to
produce targeted cancer therapy
, ✔✔3 sections of biotherapy and their definitions - ✔✔-Retooling- development of
antibodies that are tumor specific and promote death of the cancer cells
-molecular targeting - interference with metabolic pathways in tumor cells
-gene therapy - area of research
✔✔A nurse explains a form of care that the child with cancer will be receiving. It is a
specialized medical care with a serious illness and it can improve quality of life for the
patient and the family. The child can still get curative treatment and this care can help
with decisions and information. What care is she describing? - ✔✔palliative care
✔✔What is considered end of life care when they are anticipated to live 6 months or
less but still may be able to get curative treatment? - ✔✔hospice care
✔✔What are quality patient outcomes for child with cancer? - ✔✔-child and family
educated on disease and treatment
-Treatment administered on schedule with appropriate drug doses
-side effects of treatment managed
-treatment complications prevented
-child and family coping skills supported
-quality of life during treatment maintained
-child and family adjusted to chronic illness
-growth and development maintained during treatment
✔✔What cancer occurs when bone marrow is replaced by malignant blast cells? -
✔✔leukemia
✔✔What leukemia occurs when abnormal lymphoblasts (immature B and T cell
lymphocytes) abound in blood forming tissues? - ✔✔ALL - acute lymphoblastic
leukemia
✔✔What leukemia affects myeloid cells (any WBC other than lymphocytes) progenitors
and precursors in bone marrow, resulting in malignant (invasive and fast growing cells)?
- ✔✔AML - acute myelogenous leukemia
✔✔What test is done to diagnose leukemia? - ✔✔Bone marrow biopsy
✔✔What is bone marrow replaced by with leukemia? - ✔✔Lymphoblastic cells
✔✔Which leukemia is the most common form? - ✔✔ALL
✔✔What is the peak incidence and survival rate of ALL? - ✔✔2-5 years peak incidence
