NUR 212 QUESTIONS AND ANSWERS SET A+
✔✔Neutropenic (low WBC) precautions - ✔✔-Shower daily
-No fresh fruits/vegetables/flowers
-Good hand hygiene
-Avoid crowds
-Maintain ADLs
-Brush teeth with soft bristle
-Do not garden or clean up after pets
✔✔Thrombocytopenic (low platelets) precautions
*normal 150,000-400,000* - ✔✔-Use soft bristle toothbrush
-Do not blow nose forcefully
-Do not bend head below your waist
-Only use electric razor
-Women menstruating should keep track of pads used. Do not use tampons
-Notify PCP of black tarry stools, vomit, sputum, or urine
✔✔Effects of chemo *acute toxicity* - ✔✔During and right after administration.
Anaphylactic and hypersensitivity
✔✔Effects of chemo *delayed effect* - ✔✔Delayed nausea and vomiting, mucositis,
alopecia, rash, bone marrow suppression, altered bowel function
✔✔Effects of chemo *chronic toxicities* - ✔✔Involve damage to organs (heart, liver,
kidneys, and lungs) and can be long term
✔✔Breast cancer S/S - ✔✔Lump, hard knot, thickening of breast, swelling, warmth,
change in size and shape, dimpling, puckering, scaly sore nipple, itchy, nipple
discharge, new pain in one spot that does not go away
✔✔Ductal Carcinoma in Situ (DCIS) - ✔✔Breast cancer at its earliest form.
, ✔✔Post-Breast Therapy Pain Syndrome - ✔✔Results from injury to the
intercostobrachial nerves.
S/S: chest and upper arm pain, tingling down the arm, numbness, shooting or pricking
pain and unbearable itching
✔✔Brachytherapy - ✔✔Internal radiation. Used for early stage breast cancer. Delivered
directly into the cavity left after a tumor is removed.
✔✔Simple or total mastectomy - ✔✔Removal of breast, nipple, and axillary lymph
nodes. Muscle intact.
✔✔Radical mastectomy - ✔✔Removal of breast, underlying chest muscle, and lymph
nodes
✔✔Partial lumpectomy - ✔✔removal of involved tissue while preserving contour and
muscle function; usually followed by radiation
✔✔Nipple sparing mastectomy - ✔✔Nipple and/or areola are left in place and breast
tissue under is removed
✔✔Breast assessment (LMONP) - ✔✔Lumps
Mammary changes
Nipple changes
Other symptoms
Patient risk factor
✔✔BRCA1 and BRCA2 - ✔✔genetic mutations associated with increased risk for breast
cancer
✔✔Risk factor of BRCA2 gene in men - ✔✔Higher risk for breast/prostate cancer
✔✔TNM staging - ✔✔T=tumor size
N=presence or absence of regional spread to lymph nodes
M=metastasis to distant organ sites
*staging can increase, BUT NEVER DECREASE*
✔✔Lung cancer - ✔✔Malignant tumor of bronchi and peripheral lung tissue
✔✔NSCLC (non-small cell lung cancer) - ✔✔Stage 1, 2, 3A may be surgical candidates
Stage 3B is usually inoperable and has a poor prognosis
✔✔Neutropenic (low WBC) precautions - ✔✔-Shower daily
-No fresh fruits/vegetables/flowers
-Good hand hygiene
-Avoid crowds
-Maintain ADLs
-Brush teeth with soft bristle
-Do not garden or clean up after pets
✔✔Thrombocytopenic (low platelets) precautions
*normal 150,000-400,000* - ✔✔-Use soft bristle toothbrush
-Do not blow nose forcefully
-Do not bend head below your waist
-Only use electric razor
-Women menstruating should keep track of pads used. Do not use tampons
-Notify PCP of black tarry stools, vomit, sputum, or urine
✔✔Effects of chemo *acute toxicity* - ✔✔During and right after administration.
Anaphylactic and hypersensitivity
✔✔Effects of chemo *delayed effect* - ✔✔Delayed nausea and vomiting, mucositis,
alopecia, rash, bone marrow suppression, altered bowel function
✔✔Effects of chemo *chronic toxicities* - ✔✔Involve damage to organs (heart, liver,
kidneys, and lungs) and can be long term
✔✔Breast cancer S/S - ✔✔Lump, hard knot, thickening of breast, swelling, warmth,
change in size and shape, dimpling, puckering, scaly sore nipple, itchy, nipple
discharge, new pain in one spot that does not go away
✔✔Ductal Carcinoma in Situ (DCIS) - ✔✔Breast cancer at its earliest form.
, ✔✔Post-Breast Therapy Pain Syndrome - ✔✔Results from injury to the
intercostobrachial nerves.
S/S: chest and upper arm pain, tingling down the arm, numbness, shooting or pricking
pain and unbearable itching
✔✔Brachytherapy - ✔✔Internal radiation. Used for early stage breast cancer. Delivered
directly into the cavity left after a tumor is removed.
✔✔Simple or total mastectomy - ✔✔Removal of breast, nipple, and axillary lymph
nodes. Muscle intact.
✔✔Radical mastectomy - ✔✔Removal of breast, underlying chest muscle, and lymph
nodes
✔✔Partial lumpectomy - ✔✔removal of involved tissue while preserving contour and
muscle function; usually followed by radiation
✔✔Nipple sparing mastectomy - ✔✔Nipple and/or areola are left in place and breast
tissue under is removed
✔✔Breast assessment (LMONP) - ✔✔Lumps
Mammary changes
Nipple changes
Other symptoms
Patient risk factor
✔✔BRCA1 and BRCA2 - ✔✔genetic mutations associated with increased risk for breast
cancer
✔✔Risk factor of BRCA2 gene in men - ✔✔Higher risk for breast/prostate cancer
✔✔TNM staging - ✔✔T=tumor size
N=presence or absence of regional spread to lymph nodes
M=metastasis to distant organ sites
*staging can increase, BUT NEVER DECREASE*
✔✔Lung cancer - ✔✔Malignant tumor of bronchi and peripheral lung tissue
✔✔NSCLC (non-small cell lung cancer) - ✔✔Stage 1, 2, 3A may be surgical candidates
Stage 3B is usually inoperable and has a poor prognosis
