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Oncology

Total questions: 13

Worksheet time: 26mins

Name
Class
Date
1.

Patient information: 58 y/o admitted with new diagnosis metastatic cancer. Receiving chemotherapy and radiation for treatment and control of cancer. Last chemo was given one week ago. Patient is presenting with T:101.4, P: 120, RR 28, BP 110/70, Pox 90% RA. Patient has 6/10 pain in the abdomen & chest. Breath sounds: crackles noted in R base. Patient has a congested cough. Rash noted over chest area d/t radiation treatment. What are your priority concerns with this patient. Rank your concerns from high priority to lower priority.

a)

Temp is 101.4

b)

Pulse is 120

c)

Pain is 6/10

d)

Rash over chest

1)
2)
3)
4)
2.

The client is chemotherapy-related neutropenia is receiving filgrastim (neupogen) injections. How does this medication work?

a)

Increases the patient's RBC count

b)

Increases the patient's neutrophil count

c)

Decreases the patient's neutrophil count

d)

Increases the patient's platelet count

3.

A patient is receiving chemotherapy for lung cancer is admitted with thrombocytopenia. Which statement made by the patient when the nurse is obtaining admission history is most concerning?

a)

"I notice that I bruise more easily since chemo has started"

b)

"My bowel movements are soft and brown"

c)

"My appetite has decreased since chemo has begun"

d)

"I take ibuprofen everyday because of my history of osteoarthritis"

4.

Olivia, Avery, and Anika are discussing their science project on health issues. They decided to focus on cancer. Can you help them list 4 causes of cancer?

4 lines
5.

What are the key characteristics that differentiate a benign tumor from a malignant one?

4 lines
6.

How does the provider stage a patient's cancer? Select all that apply

a)

Obtain a biopsy sample for analysis

b)

Perform diagnostic tests like CT scans and PET scans

c)

Perform a urinalysis

d)

Complete a sputum sample

e)

Draw lab for cancer marker (CEA)

7.

Michael's grandmother has been diagnosed with stage 4 cancer. Can you explain what stage 4 cancer is?

4 lines
8.

The patient is getting peripheral chemotherapy. The image shows what the patient's arm looks like. What does the nurse do next?

4 lines
9.

Secondary Prevention involves which of the following images?

a)

b)

c)

d)

10.

The nursing student is caring for a client admitted after receiving chemotherapy. The client is on neutropenic precautions. The patient has been telling the student that all he wants to eat is chocolate cake. The client's wife arrives for a visit and has flowers and chocolate cake to deliver to the patient. The nursing student should:

a)

Arrange for a vase in the room so the patient can enjoy the flowers

b)

Tell the wife that she must throw the flowers away because they are not allowed

c)

Inform the wife about neutropenic precautions and display the flowers at the nursing station instead

d)

Remove the cake from the patient's room. This is high fat and not healthy for the neutropenic patient

11.

Match the nursing implication with the medical treatment

a)

Brachytherapy

1.

Visitor remains 6 feet away

b)

Chemotherapy

2.

Risk of extravasation when given via peripheral IV

c)

External beam radiation

3.

Alopecia may happen when treating the brain

d)

Monoclonal Antibodies

4.

Mark the cancer cells for destruction

e)

Cancer vaccines

5.

May be given to prevent cancer

12.

How can the nurse help the patient who is experiencing chemotherapy related nausea? List one med that may be administered. List one non-pharmacological intervention.

4 lines
13.

What did you learn today?