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Patho week 4-6 Quiz
| Question | Answer |
|---|---|
| Which statement made by the cancer patient, indicates the need for more teaching? A major cause of pain is? | Cancer cells residing in lymph nodes |
| A patient is experiencing leukopenia from cancer and chemo . Which condition should the nurse assess for in the patient? | Infection |
| A nurse is describing the process of metastasis. Which is necessary in order for metastasis to occur? | Decreased cell adhesions |
| An oncologist is discussing the process of metastasis. Which info should the oncologist include? For metastasis to occur tumor cells must be capable of | Surviving in the blood stream, |
| During a health fair, the nurse asked about cancer symptoms. The best response identifies that the most common reported symptom is | fatigue |
| When explaining cancer that extends to the organs or tissues from the site of origin what term should the nurse use | metastasis |
| What would the nurse expect to occur when a patients cancer is caused by mutations of a proto-oncogene? | Increased cell division |
| A patient is preparing to receive adjuvant therapy for cancer. What should the nurse tell the patient to reinforce teaching ? This type of therapy | is given after cancer surgery |
| Malignant tumors have a tendency to | invade surrounding tissues |
| A nurse is describing a process in which a piece of chromosome is moved to another chromosome. What term should the nurse use to describe this process? | translocation |
| A patient has a subdural hematoma. A nurses realizes that the bleeding is occuring | between the dura mater and the brain. |
| A nurse is discussing the pathophophysiolgy of cerebral infarction . Which is point is correct? Cerebral thrombosis develops most frequently from | atherosclerosis |
| A sign associated with classics cerebral concussion is | loss of consiousness |
| A patient ruptured a middle meningeal artery, resulting in an epidural hemorrhage. The nurse realized that in this type of intracranial hemorrhage, the bleeding occurs between the dura mater and the | skull |
| A patient with a spinal cord injury (T6 level) reports a headache. The patients blood pressure is 296 systolic and the patient is sweating. Which intervention is most appropriate. | Check the patients bladder. |
| Autonomic hyperreflexia is caused by | stimulation of sensory/pain receptors below the level of the spinal cord lesion,. |
| The nurse on a neurological unit is caring for several patients. Which patient is at highest risk for a cerebral vascular accident (stroke) The patient with | HTN and DM |
| ALS is caused by | degeneration of lower and upper motor neurons |
| Which statement indicates that the nurse understands the different types of headache? Once classification of headache is | cluster |
| Which information should the nurse include when teaching about focal brain injury? Most forms of focal brain injury are assocated with | brain swelling |
| Which type of injury will the nurse prepare to care for when a patient has a diffuse brain injury? | concussion |
| A patients forged hit the steering wheel during a MVA . Which part of the brain received the coup injury? | Frontal |
| Which interverbal disks should the nurse assess first for herniation | L4-S1 |
| A patient developed a subdural within 12 hours of the injury. Which diagnoses will the nurse observe documented on this chartd? | Acute subdural hematoma |
| A nurse is describing pathophysiology of a herniated disk. Which information should the nurse include? | The nucleas pulposus extrudes and compresses the nerve root. |
| A nurse is preparing a presentation on progressive neurological disorders. Which concept should be taught? | Amyotrophic ;lateral sclerosis -degenerative disorder of both upper and lower motor neurons. |
| A patient has a spinal cord tumor that is causing an irritative syndrome. What does this imply to the nurse? | The patient is experiencing compression symptoms plus radicular pain. |
| In a patient with an epidural hematoma the nurse recalls that bleeding occurs between the skull and | dura mater |
| A patient with HIV has painful burning dysesthesias and paresthesia's especially in the extremities. What condition will the nurse see documented in the chart | HIV nueropathy |
| The nurse is caring for the patient with myasthenia graves. If a either a myasthenic or cholinergic crisis occurs the nurse should | monitor for respiratory arrest |