Cancer/Chemo/Radiation

Plain water (mild soap will dry the skin further)

What should be used to clean the head following radiation?

Neutropenic

Precautions required for immunosuppressed patients

Soft toothbrush

What is a major dental hygiene precaution to take in patients with bleeding precautions?

Electric razor

What should the client use for facial hygiene in cases of bone marrow suppression (increased bleeding susceptibility)

Relapse

Mercaptopurine is used to prevent…

A day that is easy to remember

When selecting a time for BSE’s, what’s the best strategy?

Over the head

Where should the arm be positioned when performing a BSE?

Increased risk for breast cancer

What does a positive test of the BRCA1 mutation indicate?

Blood pressures

What can NOT be done after a mastectomy on the affected side? (if lymph nodes are removed)

Swelling and numbness in affected arm

Which assessment finding warrants immediate intervention by the nurse related to the complication of lymphedema?

Nadir period

Time period during chemotherapy in which the WBC count is at its lowest; making patients most susceptible to infection

Frequent rest periods

In patients with anemia, what should we provide with activity?

Non-alcoholic

What kind of mouthwash should be provided in patients with bleeding precautions?

Tricyclic antidepressants

What pain medication in cancer situations do we avoid giving older adults due to side effects of confusion and orthostatic hypotension?

Tumor Lysis Syndrome

Oncologic emergency in which a rapid breakdown and release of tumor cells are released into the bloodstream

Back pain

An early sign of spinal cord compression or cancer metastasis into the spinal cord is…

Flu-like symptoms (risk for infection)

What is a common side effect of taking monoclonal antibodies for cancer?

Electrolyte imbalances and kidney failure

What can tumor lysis syndrome ultimately cause?

Bisphosphonates

What is taken for bone pain in cancer patients?

Peripheral neuropathy

S/S include:

• Numbness

• Tingling

• Neuropathic pain

Related to chemotherapy

Colorectal cancer

Fecal occult blood tests are performed for what form of cancer?

External radiation

Education includes:

• Keep skin dry and protected from sun (no lotions)

• Avoid hot/cold applications

• Drink 2 to 3 liters of fluid per day

• High protein and high calorie diet

Internal radiation

Education includes:

• Private room

• No pregnant visitors

• Lead-lined container in the room

• Assess for rash, I/O

Iron

A cancer patient is hemoconcentrated, foods high in what should be given?

Weak saline and water solution

Best measure to take to clean the mouth r/t mucositis from radiation?