2 TRUTHS AND 1 LIE

 The faster the cell grows, the more susceptible it is to chemotherapy and radiation
therapy.
 Clients with ovarian cancer are at increased risk for breast cancer.
 Squamous cell carcinoma is a fast-growing, commonly metastasizing type of cancer.
(Squamous cell carcinoma is a slow-growing, rarely metastasizing type of cancer.)

 Centrally located pulmonary tumors are found in the upper airway (vocal cords) and
usually obstruct airflow, producing such symptoms as coughing, wheezing, and stridor.
 The remaining lobe or lobes overexpand slightly to fill the space previously occupied
by the removed tissue in a lobectomy.
 A segment of the lung is removed in a wedge resection. (A small area of tissue close to
the surface of the lung is removed in a wedge resection.)

 Chronic lymphocytic leukemia shows a proliferation of small abnormal mature B

lymphocytes and decreased antibody response. Thrombocytopenia also is often
present.
 The three main consequences of leukemia are anemia, caused by decreased
erythrocyte production; infection secondary to neutropenia; and bleeding tendencies,
from decreased platelet production.
 A spinal tap is performed to decrease ICP in leukemia. (A spinal tap is performed to
assess for central nervous system infiltration.)

 Antiemetics are given 30 minutes before the initiation of radiation and chemotherapy.
 The best time for a testicular self-examination is after a shower.
 A CBC is performed before initiation of chemotherapy to evaluate the child’s ability to
metabolize the chemotherapeutic agents. (Liver and kidney function studies are done
before initiation of chemotherapy to evaluate the child’s ability to metabolize the
chemotherapeutic agents.)

 Monitoring the platelet count is the highest priority intervention for a patient with
cancer receiving chemotherapy develops thrombocytopenia.
 Multiple myeloma is a B cell neoplastic condition characterized by abnormal
malignant proliferation of plasma cells and the accumulation of mature plasma cells in
the bone marrow.
 Decreases BUN is indicative of multiple myeloma. (Findings indicative of multiple
myeloma are an increased number of plasma cells in the bone marrow, anemia,
hypercalcemia caused by the release of calcium from the deteriorating bone tissue,
and an elevated blood urea nitrogen level.)