BLOOD AND ORGAN NEOPLASMS

Question 1

what is another word for a Wilms tumor?

Answer 1

neophrobastoma

Question 2

what are clinical manifestations with a patient who has a wilm’s tumor?

Answer 2

manifestations of metastasis include airway difficulties such as dyspnea, cough, SOB, and chest pain

Question 3

what are lab findings for wilm’s tumor patient?

Answer 3

1. elevated BUN and creatinine
2. CBC
3. urinalysis

Question 4

what are nursing interventions to follow with a patient who has wilm’s tumor?

Answer 4

1. NEVER palpate the abdomen
2. surgical resection of the tumor is needed so they may need chemo/radiation
3. remain still
4. assess for shellfish allergy

Question 5

what are clinical manifestations of neoblastoma?

Answer 5

1. there are few findings and it is hard to diagnose–> half of cases spread before a diagnosis is reached
2. manifestations of metastasis include bone pain, periorbital ecchymoses, bulging eyes, and irritability

Question 6

what are lab findings to report for neoblastoma?

Answer 6

1. urine catecholamines such as vanillylmandelic acid, homovanillic acid, dopamine, and norepinephrine
2. CT scan to look at bones

Question 7

what is leukemia?

Answer 7

term for a group of malignancies that affect bone marrow and lymphatic system

Question 8

what are early signs of leukemia?

Answer 8

enlarged liver, lymph nodes, and joints

Question 9

what are late signs of leukemia?

Answer 9

hematuria, ulcerations in the mouth, and manifestations of increased ICP

Question 10

what are lab findings for a leukemia patient?

Answer 10

1. anemia
2. thrombocytopenia
3. leukemic blasts (immature WBCs) which cause a high WBC count but these immature cells do not do anything for the patent, so it is the equivalent of it being low
4. neutropenia= low neutrophils