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Mark Klimek NCLEX Review Questions: CANCER

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Mark Klimek NCLEX Review Questions: CANCER Neoplasm refers to benign and malignant tumors. (T/F) ✔✔True Which type of tumor is more likely malignant? Differentiated or undifferentiated? ✔✔Undifferentiated is worse (h ...

Mark Klimek NCLEX Review Questions: CANCER Neoplasm refers to benign and malignant tumors. (T/F) ✔✔True Which type of tumor is more likely malignant? Differentiated or undifferentiated? ✔✔Undifferentiated is worse (highly differentiated is best to have) When cancer spreads to a distant site, it is called ___________________. ✔✔metastasis The cause of cancer is known. (T/F) ✔✔Partially true, but we still don't know a lot. A person should have a yearly exam with cancer detection over the age of _____. ✔✔40 In general, cancer drugs have side effects in which three body systems? ✔✔GI, hematologic (blood), integumentary (skin) What are the three most common chemotherapy GI side effects? ✔✔Nausea/vomiting, diarrhea, stomatitis (oral sores) Clients receiving chemotherapy must NPO. (T/F) ✔✔False It is permissible to give lidocaine viscous before meals if the patient has painful stomatitis. (T/F) ✔✔True With what solution should the client with stomatitis rinse after meals? ✔✔Hydrogen peroxide Name the three hematologic side effects of chemotherapy. ✔✔Thrombocytopenia, leukopenia, anemia Which cells are low in thrombocytopenia? ✔✔Platelets What drug should NOT be given to the patient with chemotherapeutic thrombocytopenia? ✔✔ASA (aspirin) When should the nurse WITHHOLD IM injections in the client on chemotherapy? ✔✔Only when their platelet count is down When are the three objective symptoms of thrombocytopenia? ✔✔Epistaxis, ecchymosis, petechiae? What is epistaxis? ✔✔Nose bleeds What is ecchymosis? ✔✔Bruising What is petechiae? ✔✔Small dot-like pinpoint hemorrhages on the skin What blood cell is low in leukopenia? ✔✔White blood cells When the absolute neutrophil count (ANC) is below ______, the person on chemotherapy will be placed on reverse isolation. ✔✔500 What is the #1 integumentary side effect of chemotherapy? ✔✔Alopecia What is alopecia? ✔✔Hair loss The hair loss due to chemotherapy is usually temporary. (T/F) ✔✔True Can scalp tourniquets prevent chemotherapy alopecia? ✔✔In some cases, yes Can ice packs to the scalp prevent chemotherapy alopecia? ✔✔In some cases, yes

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