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Oncology N343

Terms in this set (11)

When assessing a patient the nurse notices a flat, scaly papule on the patient's arms. The nurse knows that this is a characteristic of what kind of skin cancer?

a. squamous cell carcinoma
b. malignant melanoma
c. basal cell carcinoma
d. actinic keratosis
actinic keratosis
When assessing a patient the nurse notices a papule w/ a pearly border. The nurse knows that this is a characteristic of what kind of skin cancer?

a. squamous cell carcinoma
b. malignant melanoma
c. basal cell carcinoma
d. actinic keratosis
basal cell carcinoma
True or false: malignant melanoma has the potential to metastasize to any organ of the body
true
Screening tool that can be used to identify skin cancers early?
Asymmetry
Border irregularity
Color change
Diameter > 6mm
Evolving in appearance
A dark lesion on the skin is mostly likely what kind of skin cancer?

a. squamous cell carcinoma
b. malignant melanoma
c. basal cell carcinoma
d. actinic keratosis
malignant melanoma
Which pt is most at risk for developing laryngeal cancer?

a. A 60 year old male who has smoked a pack a cigarettes a day for the past 10 years
b. A 40 year old female who has been a professional singer for 20 years
c. A healthy 21 year old who's maternal aunt had laryngeal cancer
d. A 25 year old who drinks occasionally on the weekends with friends
a. A 60 year old male who has smoked a pack a cigarettes a day for the past 10 years
Which of the following is the earliest sign of laryngeal cancer?

a. dysphagia
b. hoarseness that lasts longer than 2 wks
c. swelling in neck
d. white appearance of the tongue
b. hoarseness that lasts longer than 2 wks
How long after a laryngoscopy does a pt remain NPO?
until the gag reflex returns
After a pt is diagnosed w/ laryngeal cancer, the doctor recommends a hemilaryngectomy. The nurse knows that this involves ______?

a. the total removal of the larynx
b. removal of false vocal cords
c. removal of 1 side of the larynx
d. removal of true & false vocal cords and thyroid
c. removal of 1 side of the larynx
What should be included in pre-op teaching for a pt preparing to undergo a total laryngectomy?

a. explain to the pt that they will have a permanent tracheostomy
b. explain to pt that the tracheostomy will only be in place until they are fully healed
c. blood-tinged secretions are not to be expected after the first few hours following insertion of tracheostomy
a. explain to the pt that they will have a permanent tracheostomy
Surgery is usually not performed for what kind of lung cancers due to the high rate of metastasis? (SATA)

a. squamous cell
b. large cell
c. adenocarcinoma
d. small cell lung cancer
large cell and small cell lung cancer
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