HONDROS NUR 212 EXAMS 1 QUESTIONS AND
ANSWERS SET A+
CAUTION -✔✔C-changes in bowel/bladder habits.
A-A sore that doesn't heal.
U-Unusual bleeding or discharge.
T-Thickening or a lump in breast or elsewhere.
I-Indigestion or difficulty swallowing.
O-Obvious changes in wart or mole.
N-Nagging cough or hoarseness.
Thrombocytopenia -✔✔Platelet count <50,000.
DELAYED TOXICITY caused by chemotherapy, may cause bleeding and hemorrhage.
Pt should avoid straining, platelet transfusion may be needed.
Caused by radiation to head and neck and chemo -✔✔Mucousitis, Stomatitis,
Esophagitis
Delayed effects of chemotherapy -✔✔Occur 2 hours to months after treatment. Include:
alopecia, mucousitis, neurotoxicity, thrombocytopenia, bone marrow suppression,
neutropenia, anemia, fatigue that interferes with normal daily living, nausea, vomiting
diarrhea.
Acute toxicity -✔✔Occurs during or immediately after chemo administration. Usually
anaphylactic or hypersensitivity reaction. Nausea, vomiting, and heart dysrhythmias are
anticipated.
Cell cycle phase specific chemo -✔✔Attacks cells in proliferation stage to reduce
spread of cancer.
Cell cycle phase non-specific -✔✔Will attack any area of cell proliferation, in any cell
cycle.
, Breast cancer screening guidelines -✔✔Consistent monthly self breast exams starting
at age 20.
Age 45-54-annual mammograms.
Age 55 and older, mammograms every 2 years.
Clinical manifestations of lung cancer -✔✔Early signs-nagging cough, mild to severe
chest pain, dyspnea.
Late signs-anorexia, vomiting, cardiac tamponade, dysrhythmias.
Non-small cell lung cancer (NSCLC) -✔✔a group of lung cancers that includes
squamous cell carcinoma (slow progression), adenocarcinoma (moderate progression),
and large cell carcinoma (rapid progression).
Small cell lung cancer (SCLC) -✔✔Very rapid progression, most malignant form of lung
cancer. Spreads via lymph and blood with frequent metastasis to the brain. Radiation
and chemo may be used to shrink tumor and make breathing easier.
Tamoxifen -✔✔Used for treatment of breast cancer, can precipitate
thromboembolism/pulmonary embolism-monitor closely. May cause irregular vaginal
bleeding and decreased visual acuity. Pt should report vision changes. Females with
history of DVT should avoid smoking and oral contraceptives.
Pneumothorax -✔✔Complication of lung cancer, may require chest tube.
Radical mastectomy (Halsted mastectomy) -✔✔Removal of breast tissue, nipple, lymph
nodes, muscles are left in tact. Increased risk for lymphedema. Assess cap refill,
brachial and radial pulses, monitor pain and skin color.
Lactated Ringers (LR) -✔✔If prescribed for patients with liver issues/psorosis-call Dr. to
verify order. Monitor closely.
A confused patient recently began an antidiuretic, what actions should the nurse take? -
✔✔Offer water frequently, monitor mucous membranes.
Letrazole (Femara) -✔✔May cause osteoporosis, pt. should take vitamin D/calcium
supplement.
The diet for stomatitis -✔✔Soft foods, neutral or cool temp-avoid very hot and very cold
foods. Avoid spicy foods and strong spices.
Diet for cachexia (malnutrition) with non small cell lung cancer -✔✔High protein, high
calorie.
ANSWERS SET A+
CAUTION -✔✔C-changes in bowel/bladder habits.
A-A sore that doesn't heal.
U-Unusual bleeding or discharge.
T-Thickening or a lump in breast or elsewhere.
I-Indigestion or difficulty swallowing.
O-Obvious changes in wart or mole.
N-Nagging cough or hoarseness.
Thrombocytopenia -✔✔Platelet count <50,000.
DELAYED TOXICITY caused by chemotherapy, may cause bleeding and hemorrhage.
Pt should avoid straining, platelet transfusion may be needed.
Caused by radiation to head and neck and chemo -✔✔Mucousitis, Stomatitis,
Esophagitis
Delayed effects of chemotherapy -✔✔Occur 2 hours to months after treatment. Include:
alopecia, mucousitis, neurotoxicity, thrombocytopenia, bone marrow suppression,
neutropenia, anemia, fatigue that interferes with normal daily living, nausea, vomiting
diarrhea.
Acute toxicity -✔✔Occurs during or immediately after chemo administration. Usually
anaphylactic or hypersensitivity reaction. Nausea, vomiting, and heart dysrhythmias are
anticipated.
Cell cycle phase specific chemo -✔✔Attacks cells in proliferation stage to reduce
spread of cancer.
Cell cycle phase non-specific -✔✔Will attack any area of cell proliferation, in any cell
cycle.
, Breast cancer screening guidelines -✔✔Consistent monthly self breast exams starting
at age 20.
Age 45-54-annual mammograms.
Age 55 and older, mammograms every 2 years.
Clinical manifestations of lung cancer -✔✔Early signs-nagging cough, mild to severe
chest pain, dyspnea.
Late signs-anorexia, vomiting, cardiac tamponade, dysrhythmias.
Non-small cell lung cancer (NSCLC) -✔✔a group of lung cancers that includes
squamous cell carcinoma (slow progression), adenocarcinoma (moderate progression),
and large cell carcinoma (rapid progression).
Small cell lung cancer (SCLC) -✔✔Very rapid progression, most malignant form of lung
cancer. Spreads via lymph and blood with frequent metastasis to the brain. Radiation
and chemo may be used to shrink tumor and make breathing easier.
Tamoxifen -✔✔Used for treatment of breast cancer, can precipitate
thromboembolism/pulmonary embolism-monitor closely. May cause irregular vaginal
bleeding and decreased visual acuity. Pt should report vision changes. Females with
history of DVT should avoid smoking and oral contraceptives.
Pneumothorax -✔✔Complication of lung cancer, may require chest tube.
Radical mastectomy (Halsted mastectomy) -✔✔Removal of breast tissue, nipple, lymph
nodes, muscles are left in tact. Increased risk for lymphedema. Assess cap refill,
brachial and radial pulses, monitor pain and skin color.
Lactated Ringers (LR) -✔✔If prescribed for patients with liver issues/psorosis-call Dr. to
verify order. Monitor closely.
A confused patient recently began an antidiuretic, what actions should the nurse take? -
✔✔Offer water frequently, monitor mucous membranes.
Letrazole (Femara) -✔✔May cause osteoporosis, pt. should take vitamin D/calcium
supplement.
The diet for stomatitis -✔✔Soft foods, neutral or cool temp-avoid very hot and very cold
foods. Avoid spicy foods and strong spices.
Diet for cachexia (malnutrition) with non small cell lung cancer -✔✔High protein, high
calorie.
