NUR1212C MOD 4 TEST WITH
CORRECT SOLUTION
Cancer originates from ___________ cells. - ANSWER neoplastic
Benign - ANSWER abnormal but non-harmful growth
Malignant - ANSWER abnormal cells with no function, capable of harm.
Cancer Surgery Types: - ANSWER Diagnostic - biopsy (excisional, incisional, needle)
Primary Tx - debulking
Prophylactic
Palliative
Reconstruction
Radiation Therapy - ANSWER - the application of cell-destroying radiation to kill
cancerous tissues.
- causes extreme fatigue. nurses should implement exercise and sleep interventions.
Radiation: Brachytherapy - ANSWER - source of radiation comes in direct continuous
contact with patient; radiation touches tumor, within patient.
- Kills cancer cells while minimizing harm to normal tissues.
- patients body wastes radioactive material, PATIENT WILL BE RADIOACTIVE.
Brachytherapy Precautions - ANSWER - no children or pregnant woman may visit
- visitors stay at 6ft distance; limited to 30min
- PPE: lead apron, dosimeter
- Patient wastes are highly radioactive
Radiation: Teletherapy - ANSWER External beam radiation delivered from outside the
body to the tumor.
Teletherapy Side Effects: - ANSWER - fatigue
- skin irritation and sensitivity at treatment area
- GI alterations, malnutrition
- Infection risk due to suppressed immunity
, - Increased risk for falls and syncope!
Nursing Interventions for Radioation! - ANSWER - monitor pain levels, weight, and bowel
regularity.
- consult nutritionist
- Safety, Fall, and Neutropenic precautions
- Pt must avoid direct sun for 1 year after treatment
- provide and maintain skin care/integrity
- Monitor vitals, I/O
Chemotherapy - ANSWER - Uses chemical agents to kill cancer cells. Also cytotoxic to
healthy cells
- Use PPE: gloves, gown, masks, and eye protection!
- Special precautions for handling drugs and wastes.
Chemotherapy Drug Handling - ANSWER - use biological safety cabinet or ventilated
hood when preparing drugs
- store in designated locked and labeled areas
- Transport in leak-proof, sealed containers
- Wear double gloves, gown, face shield)
- Report and document all exposure incidents.
Chemotherapy Key Complications - ANSWER - Extravasation
- Hematopoietic Suppression ( anemia, neutropenia, thrombocytopenia )
- Bone density loss
Chemo Side Effects: - ANSWER - Fatigue
- N/V (antiemetic 30 min before treatment)
- Alopecia (prepare for hair loss, protect scalp)
- Cognitive changes monitor for fever; sign of infection)
- Infection risk
- Mucositis (use non-alcoholic mouthwashes)
Considerations for Cancer Care - ANSWER - Infection risk! Teach hand hygiene, Avoid
room temp food, report fevers >100.4
CORRECT SOLUTION
Cancer originates from ___________ cells. - ANSWER neoplastic
Benign - ANSWER abnormal but non-harmful growth
Malignant - ANSWER abnormal cells with no function, capable of harm.
Cancer Surgery Types: - ANSWER Diagnostic - biopsy (excisional, incisional, needle)
Primary Tx - debulking
Prophylactic
Palliative
Reconstruction
Radiation Therapy - ANSWER - the application of cell-destroying radiation to kill
cancerous tissues.
- causes extreme fatigue. nurses should implement exercise and sleep interventions.
Radiation: Brachytherapy - ANSWER - source of radiation comes in direct continuous
contact with patient; radiation touches tumor, within patient.
- Kills cancer cells while minimizing harm to normal tissues.
- patients body wastes radioactive material, PATIENT WILL BE RADIOACTIVE.
Brachytherapy Precautions - ANSWER - no children or pregnant woman may visit
- visitors stay at 6ft distance; limited to 30min
- PPE: lead apron, dosimeter
- Patient wastes are highly radioactive
Radiation: Teletherapy - ANSWER External beam radiation delivered from outside the
body to the tumor.
Teletherapy Side Effects: - ANSWER - fatigue
- skin irritation and sensitivity at treatment area
- GI alterations, malnutrition
- Infection risk due to suppressed immunity
, - Increased risk for falls and syncope!
Nursing Interventions for Radioation! - ANSWER - monitor pain levels, weight, and bowel
regularity.
- consult nutritionist
- Safety, Fall, and Neutropenic precautions
- Pt must avoid direct sun for 1 year after treatment
- provide and maintain skin care/integrity
- Monitor vitals, I/O
Chemotherapy - ANSWER - Uses chemical agents to kill cancer cells. Also cytotoxic to
healthy cells
- Use PPE: gloves, gown, masks, and eye protection!
- Special precautions for handling drugs and wastes.
Chemotherapy Drug Handling - ANSWER - use biological safety cabinet or ventilated
hood when preparing drugs
- store in designated locked and labeled areas
- Transport in leak-proof, sealed containers
- Wear double gloves, gown, face shield)
- Report and document all exposure incidents.
Chemotherapy Key Complications - ANSWER - Extravasation
- Hematopoietic Suppression ( anemia, neutropenia, thrombocytopenia )
- Bone density loss
Chemo Side Effects: - ANSWER - Fatigue
- N/V (antiemetic 30 min before treatment)
- Alopecia (prepare for hair loss, protect scalp)
- Cognitive changes monitor for fever; sign of infection)
- Infection risk
- Mucositis (use non-alcoholic mouthwashes)
Considerations for Cancer Care - ANSWER - Infection risk! Teach hand hygiene, Avoid
room temp food, report fevers >100.4
