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Exam (elaborations)

2024 OCN STUDY GUIDE EXAM WITH CORRECT ANSWERS

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  • Course
  • OCN
  • Institution
  • OCN

2024 OCN STUDY GUIDE EXAM WITH CORRECT ANSWERS

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  • October 12, 2024
  • 27
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • OCN
  • OCN
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Elitaa
2024 OCN STUDY GUIDE EXAM
WITH CORRECT ANSWERS



Pleural Effusion - CORRECT-ANSWERSfluid in pleural space

pneumothorax - CORRECT-ANSWERSair in the pleural space

Most frequent treatment for advance prostate cancer? - CORRECT-
ANSWERSMedical castration

Most common presenting symptom of bladder cancer? - CORRECT-
ANSWERSHematuria

Diagnostic tests for bladder cancer - CORRECT-ANSWERSIVP
Cystoscopy

Important nursing intervention for patients with nephrectomy? - CORRECT-
ANSWERSTeach deep breathing and incentive spirometry use

Paralytic ileus - CORRECT-ANSWERSObstruction of the intestine due to
paralysis of the intestinal muscles

Caution nephrectomy patient to avoid nephrotoxic drugs such as what? -
CORRECT-ANSWERSNSAIDS

Screening tests for bladder cancer - CORRECT-ANSWERSNone. Also none for
kidneys.

Most common chemo to treat bladder cancer - CORRECT-
ANSWERSMitomycin

When used with surgery, what chemo doubles survival rates in bladder
cancer? - CORRECT-ANSWERSMVAC

MTX
Vinblastine
Adriamycin
Cisplatin

Define ileal conduit - CORRECT-ANSWERSurine reservoir created after
bladder is removed

,Difference between ileal conduit and continent ileal reservoir. - CORRECT-
ANSWERSconduit needs bag, reservoir does not

Which is most effective single agent chemo for bladder cancer? - CORRECT-
ANSWERSCisplatin

How to prevent malodorous urine? - CORRECT-ANSWERSDecrease alkaline
beverages (soda)
drink fluids high in vitamin C
Avoid stinky food (fish, asparagus)
Clean pouch using soap, water, vinegar

Ethnic group most at risk for nonmelanoma skin cancers - CORRECT-
ANSWERSCaucasian

Chemotherapy with best results in treating malignant melanoma - CORRECT-
ANSWERSDacarbazine (DTIC Dome)

Most important feature when determining prognosis in malignant melanoma.
- CORRECT-ANSWERSSize and depth of lesion at time of diagnosis

Most common sites of metastases from malignant melanoma - CORRECT-
ANSWERSLymph
Lung
Brain

What are nonmelanoma skin cancers? - CORRECT-ANSWERSBasal and
Squamos

Features of malignant melanoma - CORRECT-ANSWERSAsymmetry
Uneven borders
Color variegation
> 6 mm in diameter

Chemos used to treat malignant melanoma - CORRECT-
ANSWERSDacarbazine
Nitrosureas (Carmustine, Lomustine)
temolozamide (Temodar) (PO)

Squamos cell cancers are 90% of what type of cancer? - CORRECT-
ANSWERSHead and Neck

Head and Neck cancer with highest survival rate - CORRECT-
ANSWERSThyroid

, What are primary treatment modalities for managing head and neck tumors?
- CORRECT-ANSWERSSurgery and Radiation.

When would you advise a patient with a trach to change to a laryngectomy
tube? - CORRECT-ANSWERSWhen the stoma begins to get narrow

Most common infection of oropharynx - CORRECT-ANSWERSCandidasis

Major toxicity of cisplatin - CORRECT-ANSWERSNephrotoxicity

**Also ototoxicity**

Possible alterations in mobility after head and neck surgery - CORRECT-
ANSWERSshoulder droop
atrophy of trapezius
forward curve of spine
limited ROM

Most common presenting symptoms in clients with a brain tumor - CORRECT-
ANSWERSSeizure
HA
Unilateral Hemiparesis

Most common types of malignant tumors com from which brain tissue -
CORRECT-ANSWERSAstrocytes - connective cell tissues

Which oral alkylating agent is used to treat brain tumors? - CORRECT-
ANSWERSTemodar

Which IV chemo is used to treat brain tumors? - CORRECT-
ANSWERSCarmustine

Mets to the spine occur most frequently in what cancers? - CORRECT-
ANSWERSBreast
Lung
Prostate

Diagnostic studies for brain tumors - CORRECT-ANSWERSCT
MRI

What does ATRA treat? - CORRECT-ANSWERSAPL

Which drug binds to CD33 antigen? - CORRECT-ANSWERSGemtuzumab
(Mylotarg)

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