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Caring for a patient with a desmoid tumor

doi: 10.1097/01.NURSE.0000534912.67710.0a
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INSTRUCTIONS Caring for a patient with a desmoid tumor

TEST INSTRUCTIONS

  • To take the test online, go to our secure website at www.nursingcenter.com/ce/nursing. View instructions for taking the test online there.
  • If you prefer to submit your test by mail, record your answers in the test answer section of the CE enrollment form on page 33. You may make copies of the form. Each question has only one correct answer. There is no minimum passing score required.
  • Complete the registration information and course evaluation. Mail the completed form and registration fee of $12.95 to: Lippincott Professional Development, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.
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PROVIDER ACCREDITATION

Lippincott Professional Development will award 1.0 contact hour for this continuing nursing education activity.

Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida CE Broker #50-1223. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.0 contact hour.

Caring for a patient with a desmoid tumor

GENERAL PURPOSE: To provide information about desmoid tumors. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing-education activity, you should be able to: 1. Describe the characteristics of desmoid tumors. 2. Identify available treatment strategies for patients with a desmoid tumor. 3. List the nursing considerations for a patient with a desmoid tumor.

  1. Which is a characteristic of desmoid tumors?
    1. nonmetastatic
    2. rapid growth
    3. anaplasia
  2. Desmoid tumors associated with FAP generally occur in the
    1. extremities.
    2. abdomen.
    3. shoulder girdle.
  3. Which is correct regarding surgical management of desmoid tumors associated with FAP?
    1. The tumors frequently recur after surgery.
    2. Adjuvant radiation and chemotherapy are necessary.
    3. Amputation is the only option for most extremity tumors.
  4. Desmoid tumors are more common in
    1. children.
    2. women of reproductive age.
    3. older adults.
  5. Seventy-five percent of all desmoid tumors occur after
    1. abdominal surgery.
    2. pregnancy.
    3. traumatic injuries.
  6. Most pregnancy-related desmoid tumors occur in the right
    1. obturator internus muscle.
    2. inferior gemellus muscle.
    3. rectus abdominis muscle.
  7. Possible complications of desmoid tumors include
    1. liver metastasis.
    2. lung metastasis.
    3. intestinal fistula.
  8. A desmoid tumor that's minimally symptomatic and not growing is designated as
    1. Stage I.
    2. Stage II.
    3. Stage III.
  9. Definitive diagnosis of a desmoid tumor requires
    1. biopsy.
    2. MRI.
    3. ultrasonography.
  10. Historically, the treatment of choice for desmoid tumors has been
    1. radiation.
    2. chemotherapy.
    3. surgery.
  11. According to the “step-up strategy,” the first step for treating intra-abdominal desmoid tumors is
    1. cryoablation.
    2. NSAIDs.
    3. targeted molecular therapy.
  12. Hormonal agents for intra-abdominal desmoid tumors include
    1. doxorubicin.
    2. tamoxifen.
    3. dacarbazine.
  13. For desmoid tumors in the extremities, treatment may include isolated limb perfusion with tumor necrosis factor and
    1. methotrexate.
    2. vinblastine.
    3. melphalan.
  14. The first sign of a desmoid tumor is often an inguinal, abdominal, or extremity
    1. painless swelling.
    2. painful mass.
    3. rapidly growing mass.
  15. What should be encouraged postoperatively to prevent pneumonia?
    1. NSAID use
    2. prescribed dietary modifications
    3. early ambulation
  16. For patients receiving chemotherapy, the recommended diet usually is high in calories and
    1. fat.
    2. protein.
    3. carbohydrates.
  17. What pharmaceutical appetite stimulant may benefit patients receiving chemotherapy?
    1. corticosteroids
    2. opioids
    3. NSAIDs
  18. A common manifestation in patients receiving chemotherapy for desmoid tumors is
    1. pain.
    2. hemorrhage.
    3. fatigue.
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