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A client with thrombocytopenia is what kind of risk? |
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A common complication of most chemotherapeutic agents |
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A common diagnostic test that can help determine the presence of a sarcoma |
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Serum calcium - Sarcomas invade bone, thus increased calcium deposits in the blood may result. |
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A complication of chemotherapy |
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It also destroys normal cells |
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A mixed-tissue kidney tumor usually found in children |
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A personal history of which two CIBDs put a client at high risk for colorectal cancer? |
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- Ulcerative colitis - Crohn's disease |
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A woman in her 30's is receiving tamoxifen for breast cancer treatment. What side effects should she be aware of? |
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Those related to menopause. These side effects include amenorrhea, hot flashes, insomnia, and depression. |
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Age at which women should start breast self-exams. |
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Age at which women should start getting ANNUAL mammograms |
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Age to start testing for colon cancer. |
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Ages at which annual PSA tests should begin |
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50+ 45+ if African-American or if a family history of prostate cancer exists. 40+ if multiple first-degree relatives were affected at an early age. |
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interfere with DNA synthesis |
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Germ-cell tumors, liver cancer |
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Among factors that help reduce the chance of cancer are diets that are ... |
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An occult blood test may help in the detection of which type(s) of cancer? |
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have little or no resemblance to cells from whith they developed |
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Areas of the body that stem cells are usually taken from. |
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Aside from management of pain and control of side-effects, what is a goal of nursing intervention during cancer treatment? |
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maintenance of client weight |
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At least 80% of cancers in the United States are due to __________________? |
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, alcohol, diet, and environmental factors (ie, mustard gas, asbestos and benzene). |
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Because of the effects of chemotherapy on bone marrow and the GI tract, what precaution may be needed. |
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reverse (protective) isolation |
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Ovarian, colorectal, and gastric cancers |
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• Change in bowel or bladder habits • A sore that does not heal • Unusual bleeding or discharge • Thickening or lump in breast or elsewhere • Indigestion or difficulty swallowing • Obvious change in wart or mole • Nagging cough or hoarseness |
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sudden weigh-loss and malnourishment. |
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excessive growth (proliferation) of cells that lack the capabilities of normal cellular function. |
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tumor cells that have not invaded surrounding sites |
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Carcinoembryonic antigen (CEA): |
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Breast, colorectal, and lung cancers |
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the transformation of a normal cell into a malignant cell |
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agents that cause damage to cellular DNA that leads to the development of cancer |
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Characteristics of a benign neoplasm |
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• Slow growth • Encapsulated (contained within a fibrous cover) • Composed of differentiated cells (resemble the cells of the tissue from which they develop) • Lack metastasis (invasion of other tissues in the body) |
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Characteristics of a malignant neoplasm |
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• Rapid growth
• Non-encapsulated
•Infiltrating and invading other tissues
• Anaplastic
• Commonly metastasized |
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Chemotherapeutic agents are designed to be effective when? |
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Definition
during one or more of the phases of cell division. |
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Common colorectal cancer risk factors |
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• A personal history of chronic inflammatory bowel disease • A family history of a hereditary colorectal cancer syndrome (familial adenomatous polyposis or hereditary non-polyposis colon cancer) |
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Complications from surgery - nursing interventions for side effects (ie, stomatitis) |
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- avoid alcohol - avoid foods that cause irritation, including citrus - use soft toothbrush - rinse mouth thoroughly |
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malignant tissue is frozen |
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Cystic tumors of the ovaries and polypoid tumors from the colon may be removed as a type of ________ measure. |
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prophylactic (preventative) |
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Describes the act of cancer traveling to a new site. |
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Diet considerations for those on chemotherapy |
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- High-protein, high-calorie meals - several small meals throughout the day - nutritional supplements |
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Dietary consideration for reduction of cancer risk |
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low fat, high fiber, low sodium |
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Do a PSA before doing a ____________ |
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Drugs that interfere with the formation of blood vessels that grow to feed the cancer cells. |
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Antiangiogenic drugs (eg, endostatin, angiostatin) |
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Education of the client receiving radiation or chemotherapy: basic principle |
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avoid anything that may lead to injury |
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malignant tissue is burned |
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treatment machine is placed away from the body. |
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Food that helps build up WBCs |
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Grade of tumors that closely resemble normal cells |
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a system of looking at abnormal cells under a microscope to determine the cells' degree of dedifferentiation or lack of maturity |
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How can benign tumors be dangerous? |
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Their presence pushes against organs, disrupting their function. |
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How many consecutive normal PAP tests would allow a client to reduce testing frequency to every 2 to 3 years? |
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IV push, blocks receptors at nerve endings in the brain and GI tract. |
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Instruments used for visual observation of internal organs |
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sigmoidoscope, colonoscope, gastroscope, bronchoscope, and laryngoscope |
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Largest size of a T1 tumor |
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Measures for providing comfort for the client receiving radiation therapy. |
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- include calories, protein and vitamins (especially vitamin C) - all fruits and vegetables must be peeled to reduce intake of germs. - keep radiation site dry and free from irritation. Loose clothing advised. - plain, tepid water. No scrubbing - protect from sun |
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How much has the tumor spread? |
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Monoclonal antibodies (MOAB, MoAb) |
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Highly specific antibodies that seek out and bind to specific targets on cancer cells, causing apoptosis. Produced by genetically fusing cancer cells with normal cells. |
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How many nodes does the tumor have? |
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Nursing awareness regarding interleukins |
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Definition
possible hypotension, edema (incl. pulmonary edema), dyspnea, and tachycardia. |
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Nursing consideration (personal) when working with a client undergoing implanted radiation therapy |
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Do not stay with client longer than necessary. |
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Nursing intervention for fatigue effect of treatment |
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planned activities, including rest periods |
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Of the three types of rays involved in radiation dx and therapy, which penetrates deeply into body tissues? |
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Prostate-specific antigen |
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Place where cancer starts |
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Radiation or chemotherapy clients should not receive suppositories? Why? |
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clients to avoid all activities that could injure cutaneous or mucous tissues |
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Recommended as an alternative to commercial mouthwash |
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• 1 teaspoon salt • ½ teaspoon baking soda • 500 milliliters water (1 cup) |
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Recommended frequency of colonoscopy exams |
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Removal of part of a tumor for evaluation |
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Scheduling of pain control medications |
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"Around the clock" - aimed at prevention of pain. be prepared to treat breakthrough pain |
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Signs and symptoms of cancer |
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• General, unexplained feelings of discomfort • Prickling, tingling, tightness, soreness that does not go away • Weakness • Unexplained loss of weight • Abnormal findings on breast self-examination (BSE) or testicular self-examination (TSE) |
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Special care in cleaning up chemotherapy spills |
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• use gloves • special container needed for disposal |
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inflammation of the mouth |
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Tumor, node and metastasis |
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TRUE OR FALSE: A gene is the code for one DNA molecule. |
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FALSE - A gene is a segment of a DNA molecule |
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TRUE OR FALSE: Chromosomes are made of DNA and protein |
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TRUE OR FALSE: In any human cell, most of the genes are always active. |
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TRUE OR FALSE: Messenger RNA carries the genetic code to the cell membrane |
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FALSE - It carries the code to the ribosome |
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TRUE OR FALSE: Mitosis is necessary only for growth of the body. |
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FALSE - it is also necessary for the healing process. |
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TRUE OR FALSE: Mutations are how cells become malignant. |
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TRUE OR FALSE: The process of mitosis produces two identical cells with 23 chromosomes each. |
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FALSE - 23 PAIRS of chromosomes each |
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TRUE OR FALSE: Transfer RNA brings amino acids to the proper sites on the DNA |
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FALSE - it brings amino acids to the ribosome |
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Teratomas, commonly found in the ovaries or testies, are of what type? |
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Test designed to detect cervical cancer |
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The best time to have a mammogram done. |
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Two weeks after a period. |
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The body uses its own defenses against tumor cells |
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The chromosome number for a human cell |
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The following conditions will likely be reason for the need for emotional support. |
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- Hair loss in women - enlarged breasts in men - general feelings of despair or discouragement. - decreased sexual interest - |
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The largest group of cancer (tissue) types |
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The major cause of adult deaths in the US |
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The mechanism of chemotherapy |
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Damage the DNA within these abnormal cells and cause self-destruction (apoptosis). |
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These solid tumors develop from epithelial tissues that line skin, glands, gastrointestinal (GI), urinary, and reproductive organs. |
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These tumors develop from connective tissues, such as cartilage, bone, fat, muscle, bone marrow, and the lymphatic system. |
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They promote the immune response of the T lymphocytes |
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They protect normal cells from invasion by intracellular parasites, including viruses |
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Three general categories of cancer |
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carcinomas, sarcomas, and mixed tissue types |
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Three places stem cells can be found |
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- bone marrow - peripheral blood - in umbilical cord blood |
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Three surgical procedures used to prevent growth and spread of cancer |
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Cryosurgery Electrocauterization Fulgeration |
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Definition
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Tumor cells that closely resemble normal cells |
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Definition
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Tumor marker for breast, colorectal, and lung cancers |
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Definition
Carcinoembryonic antigen (CEA) |
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Tumor marker for germ-cell tumors, liver cancer |
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Tumor marker for ovarian, colorectal, and gastric cancers |
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specific enzymes, cancer antigens, oncofetal proteins, hormones, or genes that can indicate malignancies. |
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Two possible types of tumors |
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Type AND frequency of enema done to test for colon and/or rectal cancer |
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double-contrast barium enema - every five years |
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Carcinomas Sarcomas Mixed tissues |
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Under what conditions could a woman stop having PAP tests? |
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If she has had a total hysterectomy AND it wasn't done as a cancer treatment. |
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Unusual bleeding or spotting after menopause is a sign of what? |
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Endometrial (uterine) cancer |
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Used to determine if the cancer has spread |
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What are tumors or neoplasms? |
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Growths that arise from normal tissue. |
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What can be applied to areas in the mouth affected by stomatitis? |
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What dietary adjustment should be the focus for cancer treatment? |
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Definition
Reduction in intake of fats and calories |
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What do sealed mold internal radiation devices need (from nurses)? |
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protective protocols for nursing care. |
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What is the confirming test to be done if a colon screening test results positive? |
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Definition
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What is the main charactristic of cancer? |
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Definition
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What makes cancer cells dangerous? |
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Definition
They invade normal tissue. |
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What makes cancer cells different from normal cells? |
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Definition
They lack the capabilities of normal cell function. |
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What should the nurse watch for during administration of monoclonial antibody treatment? |
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Definition
severe anaphylactic reactions |
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When is a client considered cured of a disease? |
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Definition
after 5 years total remission |
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When should cervical cancer screening begin? |
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Definition
Age 21 or 3 years after beginning vaginal intercourse. |
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Which cancer treatment drug causes hot flashes? |
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Definition
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Which cancer treatment drug makes urine red and causes hair loss |
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Definition
doxorubicin HCl (Adriamycin) |
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Which ethnic group is at highest risk for prostate cancer |
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Definition
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Why do chemotherapy and radiation therapy result in hair loss? |
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Definition
all rapid-growing cells are affected. |
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Definition
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a swish-and-swallow solution that often contains a mixture of diphenhydramine (Benadryl), viscous Xylocaine, and antacid is used. The nurse advises the client to swallow only small amounts. Why? |
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Definition
The mixture will anesthetize the throat and may cause difficulty in swallowing, talking, or even breathing. |
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a system of looking at abnormal cells under a microscope to determine the cells' degree of dedifferentiation, or lack of maturity |
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Definition
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Term
agents that cause damage to cellular DNA that leads to the development of cancer |
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Definition
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Term
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Definition
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Term
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Definition
removal of peripheral blood through a large vein of blood that is then sent via tubing through special collection filters in a machine |
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Definition
The body uses its own defenses against tumor cells |
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blood condition that places patient at risk of infection |
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Definition
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Definition
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can be used to excise precise areas of tumors such as on the glottis |
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can improve the client's immune response to cancer and interfere with the growth of cancer cells. |
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dietary recommendation in response to stomatitis: A) a clear, full-liquid diet B) a soft, bland, tepid diet C) a high-protein diet. D) TPN |
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Definition
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malignant tissue is destroyed by high-frequency current. |
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Definition
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highly specific antibodies that seek out and bind to specific targets on cancer cells, causing apoptosis. |
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Definition
Monoclonal antibodies (MOAB, MoAb) |
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include the hydrocarbons found in cigarettes, cigars, and pipe smoke |
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Definition
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indicated by an absence of all signs of a disease |
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Definition
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inflammation of the mouth |
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Definition
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inflammation of the mucous membranes, such as in the mouth and throat |
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Definition
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made by lymphocytes, enhance the effects of the immune system |
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Definition
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Secondary sites or secondary lesions |
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mutation of a cell occurs at the ______ level |
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Definition
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Definition
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Definition
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nursing diagnoses for nausea and vomiting |
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Definition
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Definition
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produced by genetically fusing cancer cells with normal cells |
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Definition
Monoclonal antibodies (MOAB, MoAb) |
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Term
radioactive implants deliver ionizing radiation from within the tumor or a body cavity |
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Definition
internal brachytherapy, interstitial irradiation, intracavity irradiation |
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Term
removal of peripheral blood through a large vein of blood that is then sent via tubing through special collection filters in a machine |
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Definition
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Term
remove the tumor as well as some of the margin of the tumor |
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Definition
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side effects of interferon use |
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Definition
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signs of internal bleeding |
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Definition
• vomitus may be appear bright red (fresh) or like coffee grounds (old). • stools may look black and tarry |
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special consideration when using monoclonal antibodies |
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Definition
acute anaphylactic reaction |
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specific enzymes, cancer antigens, oncofetal proteins, hormones, or genes that can indicate malignancies. |
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Definition
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sudden weight-loss and malnourishment. |
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Definition
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surgery or procedure intended to relieve complications, not to cure |
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Definition
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system of looking at abnormal cells under a microscope to determine the cells' degree of dedifferentiation, or lack of maturity |
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Definition
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term to describe substances that poison cells |
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Definition
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the leading cause of cancer death for both men and women |
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Definition
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the most important means of diagnosing cancer. |
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Definition
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the second leading cause of death by cancer in men. |
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Definition
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the transformation of a normal cell into a malignant cell |
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Definition
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therapeutic indications for chemotherapy |
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Definition
• To treat widespread or metastatic disease • To provide a cure for clients with certain types of cancer • To temporarily control or palliate (relieve) tumor-related difficulties • To use as an adjuvant (assistive) therapy |
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third most common malignancy and cancer death site for men and women |
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Definition
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treatment machine is placed away from the body. |
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Definition
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tumor cells that have not invaded surrounding sites |
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Definition
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Term
tumors that are very anaplastic, often having little or no resemblance to the tissue cells from which they developed |
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Definition
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Term
use of drugs to combat cancer |
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Definition
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