NUR 220 Oncology 3
- How does cancer effect immune/hematopoetic function before treatment
Answer -
Immune system is impaired. Patient may be anemic and have thrombocytopenia
- How does cancer affect GI before treatment
Answer Tumors cause GI obstruction, perforation, and increases the metabolic rate which leads to weight loss. Increased LFTs, increased ammonia levels and taste changes
- How does cancer affect motor/sensory before treatment
Answer Brain tumors can press on motor/sensory parts of the brain as well as spinal cord
- How does cancer affect respiratory function before treatment
Answer Pulmonary tumors, rapid respiration, compression of lung, decreased surfactant
- Reasons for surgical intervention for cancer
Answer Palliative/debulking, removal, biopsy, prophalaxis
- What would be removed in a local excision?
Answer The tumor and surrounding tissues (lumpectomy)
- What would be removed during a wide/radical excision?
Answer 1 / 2
Tumor, surrounding tissues and structors, lymph nodes
- Side effects of surgery
Answer body image, anxiety, sepsis
- Nursing care post op
Answer Normal post op care, addressing body image
- What does radiation therapy do?
Answer Shrink tumor, interupt cells ability to multiply
- This type of radiation is implanted by IV, or needle/pellet near the tumor. this therapy is
called...
Answer Brachytherapy
- What is the difference between sealed and unsealed brachytherapy
Answer Sealed are pellets or needle near tumor. Unsealed are oral agents or IV.
Sealed brachytherapy will have the patient emit radiation but bodily fluids are NOT radioactive Unsealed brachytherapy, thier blood, urine and feces are radioactive
- What are some nursing considerations for sealed and unsealed brachytherapy
Answer Unsealed
Double/triple flush, Gown, mask, double glove when exposed to body fluids
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