Med Surg 2 NURS 460 Exam 1
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1. Cancer (preven- -Reduce/avoid exposure to carcinogens (smoking, sun, smoked meats, etc.)
tion) -Balanced diet—fruit, vegs, fiber, whole grains
-Limit alcohol
-Regular exercise
-Healthy weight
-Consistent periods rest—6-8 hours
-Reduce stressors/improved coping
-Physical exams
-Follow cancer screening guidelines
-Self screening
-Know 7 warning signs (CAUTION)
-Seek care of something changes
-Vaccinations
2. Chemotherapy -Infusion reaction: chills, allergic
(AE) -Hypersensitivity: flushing, rash, back pain, SOB, impending doom
-Extravasation: vesicants (cause tissue destruction)
-GI: N/V
-Hematopoietic: myelosuppression -> RBC, WBC, platelets
-Reproductive: sterility
3. Radiation (AE) -Alopecia (hair loss)
-Stomatitis (inflammation of tongue & lips)
-Xerostomia (dry mouth & loss of salivation)
-Change/loss taste
-Chest pain
-N/V/D
-Skin irritation
-Thrombocytopenia
-Anemia
-Leukopenia
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, 9Med Surg 2 NURS 460 Exam 1]2026/2027. {100%Success}
Med Surg 2 NURS 460 Exam 1
Study online at https://quizlet.com/_bxurct
4. Chemotherapy -Antihistamines, antiemetics, steroids anxiolytics
(AE treatment -Erythropoietin stimulating agents
options) -Save sperm or eggs
5. Diet Modifica- -Avoid alcoholic beverages, tobacco, highly spiced foods, & commercial mouth-
tions (Chemo & wash containing alcohol
radiation) -Avoid foods & drinks that are too hot or cold. Room temperature is best. Avoid
carbonated drinks such as soda or sparkling water.
-Avoid acidic fruits and juices like tomato, orange, lemon, grapefruit, & pineapple.
Avoid rough, crunchy foods such as pretzels, nuts, & chips.
-High protein diet with small frequent meals
6. Bone Marrow Decreased production of all blood cells; also called myelosuppression
Suppression -Decrease in RBC, WBC, Platelets
7. Bone Mar- -Monitor for s/s of infection
row Suppression -Monitor lab values
(nursing consid- -Wash hands
erations) -Watch for s/s of hemorrhage
-Prevent injury/falls
8. Cancer (diagnos- -Biopsy
tic tests) -Bone marrow aspiration & biopsy
-CT & CAT
-Lumbar puncture
-MRI
-PET & SPECT
-X-ray
-Nuclear medicine scans
-Ultrasound
9. PET Scan -Identify abnormal cellular activity
-Accurate staging of cancer
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