NURS 460 Exam -1 questions with answers

NURS 460 Exam #1 questions with |\ |\ |\ |\ |\ |\




answers

What would you teach your clients to avoid and/or
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prevent cancer and cancer related deaths? - CORRECT
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ANSWERS ✔✔Avoid/prevention: avoid smoking and |\ |\ |\ |\ |\



coming in contact with secondhand smoke, avoid fatty
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and highly processed foods and read meats, minimize
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exposure to carcinogens (smog, too much sun exposure,
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chemicals), limit alcohol |\ |\




Need to: Exercise 30 minutes at least 5 times a week,
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increase intake of anticancer foods (leafy green
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vegetables, cauliflower, turmeric, etc), |\ |\ |\ |\




- attend regular check-ups and participate in screenings
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and checkups
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- get cancer preventative vaccines, prophylactic surgery
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and medications if you know you are at risk for
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developing, maintain a healthy weight, be familiar with |\ |\ |\ |\ |\ |\ |\ |\



family risks |\




Chemotherapy (side effects) - CORRECT ANSWERS |\ |\ |\ |\ |\ |\



✔✔(inhibits reproduction of rapidly growing cells) |\ |\ |\ |\ |\




- Infusion reaction (chills, rash, flushing, back pain, SOB,
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impending doom feeling) |\ |\




- tissue destruction
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,- N/V|\




- myelosuppression
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- sterility
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- fatigue
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Radiation (side effects) - CORRECT ANSWERS ✔✔-
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Alopecia
- Stomatitis
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- Xerostomia
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- Change in taste
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- N/V/D, skin irritation,
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- Thrombocytopenia, anemia, leukopenia (symptoms
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depend on location of treatment)
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Radiation/Chemotherapy (treatment) - CORRECT |\ |\ |\ |\



ANSWERS ✔✔Give med to combat symptoms |\ |\ |\ |\ |\ |\



(antihistamines, antiemetics, steroids, pain medication, |\ |\ |\ |\ |\



erythropoietin)
- save sperm or eggs
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- good oral hygiene
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- eat balanced diet
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Radiation/Chemotherapy (diet) - CORRECT ANSWERS ✔✔- |\ |\ |\ |\ |\



Avoid alcohol and tobacco
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, - Room temperature/noncarbonated drinks are best
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- Avoid acidic foods, rough and crunchy foods
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- Have a high protein diet with small and frequent meals
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Bone marrow suppression (myelosuppression—is a
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decrease in RBC, WBC, Platelet production) SIGNS and
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SYMPTOMS - CORRECT ANSWERS ✔✔Decreased |\ |\ |\ |\ |\



production of all blood cells- WBCS, RBS, platelets. |\ |\ |\ |\ |\ |\ |\ |\




- Leads to weakened immune system
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- Increased infections
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- Anemia
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- Bleeding risks,
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- Patient will be more susceptible to infections, bruise
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easily, be fatigued, etc. |\ |\ |\




Bone Marrow Suppression (myelosuppression) (PATIENT
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TEACHINGS) - CORRECT ANSWERS ✔✔- Neutropenic |\ |\ |\ |\ |\ |\



patients need to be very diligent about avoiding germs-
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no raw produce, no fresh flowers or gardening, limit
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interactions with others, extra hand washing. - Patients |\ |\ |\ |\ |\ |\ |\ |\



with decrease in platelets need to be very careful to avoid
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injury and things that can cause bleeding (soft tooth
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brush, electric razor, no aspirin).
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