A patient with cancer has a tumor composed mostly of G0 cells. ...

[jon_i]

A patient with cancer has a tumor composed mostly of G0 cells. When teaching this patient about the disease, the nurse will make which statement?
 
  a. Cells in this patient's type of tumor will proliferate rapidly.
  b. Chemotherapeutic agents that are not toxic to other tissues may be used.
  c. This type of tumor is especially sensitive to chemotherapy.
  d. This tumor will be managed primarily with surgery.

Question 2

A hospitalized patient with cancer is receiving chemotherapy and reports oral pain. Inspection of this patient's oral mucosa reveals erythema and inflammation without denudation or ulceration. The nurse understands that:
 
  a. chemotherapy will have to be stopped un-til healing of the oral mucosa occurs.
  b. the patient can use a mouthwash with a topical anesthetic to control pain.
  c. the patient will need an antifungal agent to treat Candida albicans.
  d. the patient will need systemic opioids to control discomfort.

[xthemafja]

Answer to Question 1

D
Cells in the G0 phase are mitotically dormant; tumors composed mostly of G0 cells have low growth fractions. Because cytotoxic agents are more active against tumors with high growth fraction, this patient's type of tumor will be managed primarily by surgery and not chemotherapy. Cells in this type of tumor do not proliferate rapidly.

Answer to Question 2

B
Patients with mild stomatitis can use a mouthwash with a local anesthetic to control pain. Che-motherapy does not have to be stopped until the pain or ulceration is severe. Antifungal agents may be used to treat Candida albicans; this patient does not exhibit signs of that infection. Sys-temic opioids may be used when pain becomes severe.