Chapter 33: Caring for the Child With Cancer

MULTIPLE CHOICE 1. A nursing faculty member explains to the class that which item is the most important for tumor cell growth? A. Age of transforming cells B. Programmed cell death C. Proximity to a capillary D. Rapidity of cell growth ANS: C All cells, including tumor cells, need a consistent supply of oxygen and nutrients, delivered via the capillaries. Neoplastic cells must be in close enough proximity to a capillary to provide these required elements. The other factors do not have such an important role, if any, in neoplastic growth. Cognitive Level: Knowledge/Remembering Content Area: Pediatrics/Maternity Patient Needs: Physiological Integrity: Physiological Adaptation Integrated Process: Teaching/Learning Difficulty: Easy PTS: 1 2. A nursing student asks the faculty member to explain an oncogene. Which response by the faculty member is the most appropriate? A. A cell that changesinto a malignancy after environmental stress B. Any gene found inside a solid tumor that can be removed for biopsy C. A gene in a virus that encourages malignant transformation in cells D. An inherited gene that is programmed to become a malignant cell ANS: C An oncogene is a gene found inside a virus that hasthe ability to encourage a normal cell to become malignant. Cognitive Level: Knowledge/Remembering Content Area: Pediatrics/Maternity Patient Needs: Physiological Integrity: Physiological Adaptation Integrated Process: Teaching/Learning Difficulty: Easy