Symptom Management Flashcards

Peripheral neuropathy induced by paclitaxel typically presents as which symptom pattern?

Answer: Stocking-glove distribution numbness and tingling

Taxane-induced peripheral neuropathy typically causes a symmetric stocking-glove pattern of numbness, tingling, and burning in the extremities.

A patient undergoing pelvic radiation for cervical cancer reports vaginal dryness and dyspareunia. The nurse should recommend:

Answer: Vaginal moisturizers and dilator use as prescribed

Vaginal moisturizers and use of a vaginal dilator help maintain vaginal patency and moisture after pelvic radiation–induced mucosal changes.

Hot flashes in breast cancer survivors receiving aromatase inhibitors are best managed initially with which non-pharmacological approach?

Answer: Lifestyle modifications including layered clothing, cool room temperatures, and avoiding triggers

Non-pharmacological strategies such as trigger avoidance, cool environments, and layered clothing are recommended first because estrogen is contraindicated in breast cancer.

Tumor lysis syndrome (TLS) is most likely to occur in which cancer type after treatment initiation?

Answer: Burkitt lymphoma and acute leukemia

TLS is most common in rapidly proliferating tumors such as Burkitt lymphoma and acute leukemia because rapid cell death releases large amounts of intracellular contents.

Which electrolyte abnormality is NOT associated with tumor lysis syndrome?

Answer: Hypocalcemia

TLS causes hyperkalemia, hyperphosphatemia, hyperuricemia, and resultant hypocalcemia—not hypercalcemia; calcium falls because phosphate binds it.

A patient with cancer reports a new severe headache rated 10/10 that began suddenly. The nurse's priority action is to:

Answer: Notify the provider immediately — this may indicate CNS metastasis or hemorrhage

A sudden severe 'thunderclap' headache in a cancer patient is a red-flag symptom warranting immediate provider notification to rule out CNS emergency.