Intro To Cancer

1. Which are sites of Metastasis?

Lungs

Brain

Bone

Liver

All the above.

2. When a pt is given unsealed sources of radiation, what principles should be followed?

Distance

Shielding

Time

All the above

3. Chemotherapy usually kills 100% of a tumor.

True

False

4. Increased growth of tumor including invasion and metasis is called:

Initiation

Promotion

Progression

5. TNM Classification System refers to:

Tumor (primary)

Lymph Node involvement

Metastasis

All the above.

6. Mary is on chemotherapy. Her labs come back with a WBC of 2000 and her neutrophils are 20%. She has a fever of 100.6. Is this a medical emergency?

Yes

No

Her absolute neutrophil count is 400. Any time a pt has under 1000 absolute neutrophil count, a fever over 100.4 is a medical emergency.

Explanation

Her absolute neutrophil count is 400. Any time a pt has under 1000 absolute neutrophil count, a fever over 100.4 is a medical emergency.

7. The lab report comes back on the pt showing a non encapsulated growth that is poorly differentiated. The growth also shows that they are unlike the parent cell. What type of growth is this most likely?

Benign

Malignant

8. Tom's growth has come back. The lab report shows that the growth is encapsulated and partially differentiated. There is no metasis and is rather large. What type of growth does Tom most likely have?

Benign

Malignant

9. Cancer cells do not have the ability to develop new blood vessels and don't need oxygen but needs nutrients to survive.

True

False

10. Mindy is a 5 year old girl with cancer. What is the best way to talk to her about her treatment?

With objects or drawings to illustrate.

Conversation about what is happening as she can handle concepts.

Discussing peer status and body imagine is important.

11. Lori is talking with her nurse about factors that promote cancer. Lori weighs 245 lbs and eats a lot of fast food. She is on large doses of estrogen for another condition and is 45 years old. Lori understands her risks when she states:

My diet and weight predispose me to cancer.

My parents didn't have cancer so I won't have it.

Self examination is important for finding and changes.

It's too late to make lifestyle changes because of my age, the damage is done.

12. Solid tumors from muscle, bone, fat and other connective tissue

Carcinoma

Sarcoma

Lymphoma

Leukemia

13. Slightly different from normal cells, well differentiated

Grade I

Grade II

Grade III

Grade IV

14. Solid tumors from epithelial tissue

Carcinoma

Sarcoma

Lymphoma

Leukemia

15. What is the difference between Stage III and Stage IV?

Limited to tissue of origin vs limited to local spread

Cancer in situ vs limited to local spread

Extensive local and regional spread vs metastasis

Limited to tissue of orgin vs metastasis

16. The nurse understands Decadron when the nurse states:

Can cause euphoria

Can cause insomnia

Can cause mild fluid retention

Monitor electrolytes and glucose

All the above.

17. More abnormal, moderately differentiated

Grade I

Grade II

Grade III

Grade IV

18. Carry's lab report came back with a poorly differentiated growth that is encapsulated. There is a marked increase in vascularity and is infiltrating. What type of growth is this most likely?

Benign

Malignant

19. Naturally occurring in protein used to prevent cancer cells from proliferating; interferes with the ability of cancer cells to replicate.

Interferons

Interleukins

Attached radioactive substances

20. Luke has had a biopsy. His results come back that the growth is encapsulated, partially differentiated with slight increase in vascularity. What type of growth is this most likely?

Benign

Malignant

21. In order for metastasis to take place, cells must stop and adhere at a secondary to proliferate.

True

False

22. Mucositis is:

Very painful

Ulceration of the tongue, mouth, esophogeal, GI tract

Disruption of bone tissue

A&B

All the above

23. The maximum time a nurse should be in a room of a pt with internal radiation is:

30 min/shift

1 hr/shift

30 min/4 hrs

No time limit if shielding is in place

24. It is possible to reverse changes in cell's genetic structure upon initiation?

True

False

25. Colony Stimulating Factors (CSF) do what?

Stimulates blood cell production by the bone marrow

Stimulates NK cell production

Stimulates T4 cell production

Stimulates non proliferation agents in cancer cells.

26. Why is it important to catch cancer growths so soon?

To interrupt initiation.

To stop benign cells turning to malignant cells.

To interrupt promotion of altered cells.

To increase the metasis profile.

27. Very abnormal, poorly differentiated

Grade I

Grade II

Grade III

Grade IV

28. Radiation therapy is used to treat a tumor before a surgery to decrease the chance of seeding.

True

False

It is used postop to destroy remaining cells.

Explanation

It is used postop to destroy remaining cells.

29. What does it mean to treat a disease partially and insofar as possible, but not cure it completely?

Control

Palliation

Stay

Long Term Viability

30. Primitive and undifferentiated

Grade I

Grade II

Grade III

Grade IV

31. What is the cause of generalized weakness and anorexia after being treated with radiation?

Destruction of normal cells

Waste products of cell destruction.

Toxins released from cancer cells trying to survive.

Natural effects of radiation exposure.

32. Cancer cells can easily survive in the blood and attach to body cavities.

True

False

The turbulent blood flow must be survived by the cancer cell.

Explanation

The turbulent blood flow must be survived by the cancer cell.

33. The nurse understands the side effects of Zofran when the nurse states:

Insomnia

Constipation/Diarrhea

Restlessness

Must be assessed for extrapyramidial effects

Submit

34. Matt has had radiation therapy for a tumor in his neck. What can Matt expect?

Change in taste

Increased saliva production

Hair Loss

Dyspnea

Submit

35. The nurse understands the side effects of Reglan when the nurse states:

Insomnia

Drowsiness

Assess for extrapyramidial effects

Constipation/Diarrhea

Submit

36. When should a pt be given Zofran?

30 minutes before a meals and at bedtime

30 minutes after meals and at bedtime

30 minutes before chemortherapeutic agents.

30 minutes after giving chemotherapeutic agents.

Submit

Intro To Cancer

1. Which are sites of Metastasis?

2.

What first name or nickname would you like us to use?

2. When a pt is given unsealed sources of radiation, what principles should be followed?

3. Chemotherapy usually kills 100% of a tumor.

4. Increased growth of tumor including invasion and metasis is called:

5. TNM Classification System refers to:

6. Mary is on chemotherapy. Her labs come back with a WBC of 2000 and her neutrophils are 20%. She has a fever of 100.6. Is this a medical emergency?

7. The lab report comes back on the pt showing a non encapsulated growth that is poorly differentiated. The growth also shows that they are unlike the parent cell. What type of growth is this most likely?

8. Tom's growth has come back. The lab report shows that the growth is encapsulated and partially differentiated. There is no metasis and is rather large. What type of growth does Tom most likely have?

9. Cancer cells do not have the ability to develop new blood vessels and don't need oxygen but needs nutrients to survive.

10. Mindy is a 5 year old girl with cancer. What is the best way to talk to her about her treatment?

11. Lori is talking with her nurse about factors that promote cancer. Lori weighs 245 lbs and eats a lot of fast food. She is on large doses of estrogen for another condition and is 45 years old. Lori understands her risks when she states:

12. Solid tumors from muscle, bone, fat and other connective tissue

13. Slightly different from normal cells, well differentiated

14. Solid tumors from epithelial tissue

15. What is the difference between Stage III and Stage IV?

16. The nurse understands Decadron when the nurse states:

17. More abnormal, moderately differentiated

18. Carry's lab report came back with a poorly differentiated growth that is encapsulated. There is a marked increase in vascularity and is infiltrating. What type of growth is this most likely?

19. Naturally occurring in protein used to prevent cancer cells from proliferating; interferes with the ability of cancer cells to replicate.

20. Luke has had a biopsy. His results come back that the growth is encapsulated, partially differentiated with slight increase in vascularity. What type of growth is this most likely?

21. In order for metastasis to take place, cells must stop and adhere at a secondary to proliferate.

22. Mucositis is:

23. The maximum time a nurse should be in a room of a pt with internal radiation is:

24. It is possible to reverse changes in cell's genetic structure upon initiation?

25. Colony Stimulating Factors (CSF) do what?

26. Why is it important to catch cancer growths so soon?

27. Very abnormal, poorly differentiated

28. Radiation therapy is used to treat a tumor before a surgery to decrease the chance of seeding.

29. What does it mean to treat a disease partially and insofar as possible, but not cure it completely?

30. Primitive and undifferentiated

31. What is the cause of generalized weakness and anorexia after being treated with radiation?

32. Cancer cells can easily survive in the blood and attach to body cavities.

33. The nurse understands the side effects of Zofran when the nurse states:

34. Matt has had radiation therapy for a tumor in his neck. What can Matt expect?

35. The nurse understands the side effects of Reglan when the nurse states:

36. When should a pt be given Zofran?