and Already Passed Answers 2025-
2026 Update.
3 broad cancer treatments - Answer surgery
chemo
radiation
surgery for cancer - Answer cure control
prevention
Dx/ stage
supportive: port placement
palliative: take part of tumor out for pain
chemo for cancer - Answer kills all rapidly diving cells
(GI cells, hair)
radiation for cancer - Answer internal or external
internal radiation - Answer patient becomes toxic
external radiation - Answer have to think about the trajectory of what the beam hits
3 broad cancer treatment goals - Answer cure
control
palliative
any sign of infection during chemo is a big deal! what should you do? - Answer notify MD
chemo affect on CV system - Answer cardiotoxicity sets them up for HF, EKG changes, will
look at echo and ejection fraction
, chemo affect on GI system - Answer stomatitis (mouth inflammation), esophagitis, need
bland and not spicy food, NVD, anorexic, constipation, hepatotoxicity (will need to watch LFT)
how often do GI cells regenerate? - Answer every 3 days
chemo affect on renal/GU system - Answer hemorrhagic cystic-> triple lumen cath,
reproductive dysfunction, nephrotoxicity (look at Cr and GFR), allopurinol to take care of uric
acid and bicarb
chemo affect on hematologic system - Answer anemia, leukopenia (loss of WBC),
thrombocytopenia, pancytopenia, will need to give epoetin
RBC life span - Answer 120 days
platelet life span - Answer 2-3 weeks
chemo affect on skin - Answer alopecia (do not brush hair excessively), photosentive (avoid
sun)
chemo affect on neuro system - Answer assess for peripheral neuropathy, chemo brain
chemo affect on biochemical system - Answer hyperuricemia (uric acid is a byproduct of cell
destruction -> flush chemo out with a bunch of fluids, diuretics, and allopurinol)
what are the effects of myelosuppression? - Answer most common SE of chemo
very dangerous
myelosuppression - Answer bone marrow stops producing cells
what are nursing actions for extravasation of a vesicant medication in a peripheral site? -
Answer d/c the chemo but do not d/c the site because you need to put the antidote in the
same spot
ice/heat depending on the doctors orders
elevate arm