Which event happens during the process of immunosurveillance?
- A. T cells recognizing and destroying the abnormal cell
- B. White blood cells (WBC) destroying the abnormal cell
- C. Excretion of histamine to interfere with the replication of the abnormal cell
- D. B cells attaching to abnormal cell
Correct Answer: A
Rationale: The T cells are responsible for immunosurveillance by recognizing an abnormal cell and destroying it.
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A patient who has malignant cancer secondary to a high-grade lymphoma has been admitted with muscle weakness, tetany, paresthesia, and convulsion. The nurse notices the patient is being treated for tumor lysis syndrome (TLS) and initial treatment has not been successful. The nurse will prepare the patient to undergo which procedure?
- A. Whole blood transfusion
- B. A bone marrow biopsy
- C. Immediate radiation treatment
- D. Dialysis
Correct Answer: D
Rationale: If hydration and administration of diuretics and allopurinol are not effective, dialysis may be necessary.
A male patient is undergoing external radiation therapy on an outpatient basis for treatment of Hodgkin disease. After 2 weeks of treatment, he tells the nurse that he is so tired he can hardly get out of bed in the morning. Which is an appropriate intervention?
- A. Take two rest periods during the day.
- B. Ambulate in the hall four times a day.
- C. Select two activities for distraction.
- D. Investigate a consultation with a psychiatrist for treatment of depression.
Correct Answer: A
Rationale: The person undergoing radiation therapy should be assured that lethargy and fatigue are not uncommon during treatment, and that frequent rest periods are helpful. Periods of rest are very beneficial.
How many minutes of daily exercise does the American Cancer Society recommend as a prevention of cancer?
- A. 10 minutes
- B. 15 minutes
- C. 20 minutes
- D. 30 minutes
Correct Answer: C
Rationale: The ACS recommends 150 minutes of moderate exercise weekly, which comes to around 20 minutes a day.
Men over age 50 should consider an annual ___ test and rectal examination.
Correct Answer: PSA (prostate-specific antigen)
Rationale: Men over age 50 should consult with their health care provider to consider the benefits of having a prostate-specific antigen (PSA) test and rectal examination once a year.
The term ___ refers to the process by which a normal cell is transformed into a cancer cell.
Correct Answer: carcinogenesis
Rationale: Carcinogenesis is the process by which a normal cell is transformed into a cancer cell.
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