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study sets > jeopardy mrs.kayla > Flashcards

jeopardy mrs.kayla Flashcards

1
Q

the below symptoms are to be reported to the health care provider immediately as they are s/s of ___________.
- temp of 100.4 or greater
-cough
-sore throat
-chills
-frequent urination
-and/or a WBC count or less than 2500

A

luekopenia
infection

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2
Q

The nurse should notify the health care provider immediately if any of the following occurs during assessment of a client receiving an chemotherapeutic drug as they might be s/s of ________.
s/s:
- bleeding gums
- easy bruising
- petechiae
- increased menstrual bleeding
- tarry stools
- **hematuria
- and/or coffee-ground** emesis

A

thrombocytopenia

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3
Q

Leukopenia and thrombocytopenia are both types of ______.

A

bone marrow suppression

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4
Q

What term should the nurse use to describe the process by which cancer cells develop their own blood vessels?

A

angiogenesis

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5
Q

List three examples of immediate adverse reactions to a chemotherapeutic drug.

A
  • nausea, vomiting, and extravasation
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6
Q

List treatment(s) that may be used alone or in combination for the treatment of cancer. (list four)

A
  • surgery, radiation, chemotherapy, and/ or immunotherapy
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7
Q

Nursing diagnosis: body image disturbance
Nursing Intervention: The nurse can assist the client in being comfortable with their body image by suggesting that the client use ____ until the hair grows back?

A

-suggest the use of a wig or cap

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8
Q

Nursing Diagnosis: altered tissue integrity related to chemotherapeutic drug therapy
Nursing Intervention: The nurse would suggest the client to wear ____ and to watch ______

A
  • suggest to the client to wear loose protective clothing and to watch areas of skinfolds for breakdown
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9
Q

Cytokines create an immune response that can be similar to _______.

A
  • flu-like symptoms
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10
Q

A checkpoint inhibitor and glipizide may cause what?

A

-severe drop in blood sugar
-used cautiously together and the nurse should make sure the health care provider is aware of this interaction

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11
Q

Nursing Diagnosis: What nursing diagnosis would go with the below nursing intervention?
Nursing Intervention: -provide small frequent meals
-avoid exposure to unpleasant smells
- avoid greasy or fatty foods
- provide foods that are high in protein

A
  • Imbalanced nutrition: less than body requirements
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12
Q

This colony stimulating factor drug works to stimulate WBC production and decrease the incidence of infection.

A

-filgrastim (neopogen)

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13
Q

List long-term averse effects of chemotherapeutic drug therapy.
(list four)

A

-fertility problems, cardiotoxicity, pulmonary toxicity, and neurologic problems

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14
Q

What is the first indication of cytokine storm?

A

-high fever

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15
Q

The nurse is caring for a client who is receiving inpatient treatment for cancer and who reports frequent diarrhea. What action should the nurse take?

A

-request testing of stool sample for C. difficile

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16
Q

What PPE equipment should the nurse don when cleaning a chemotherapeutic drug spill?

A

-don a gown, safety goggles, gloves, and a NIOSH-approved respirator per OSHA guidelines

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17
Q

Administration of the drug ______, which is an interleukin results in increased vascular permeability

A

-aldesleukin

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18
Q

__________ syndrome is accompanied by hyperkalemia, hypocalcemia, hyperuricemia, and hyperphosphatemia * Be able to recognize abnormal lab levels**

A
  • tumor lysis syndrome
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19
Q

A change in blood pressure when administering aldesleukin may indicate ______?

A

-capillary leak syndrome

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20
Q

Alopecia, leukopenia, and thrombocytopenia, stomatitis, and diarrhea are adverse effects of what type of drugs?

A

-chemotherapeutic drugs
(and are related to the death of rapidly gowning cells)

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21
Q

The injection of ready-made antibodies found in the serum of immune individuals or animals is called ______?

A
  • passive immunity
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22
Q

This type of immunity protects the body against viral, bacterial, and fungal infections.

A
  • cell-mediated immunity
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23
Q

This type of immunity occurs with an individual is given a killed or weakened antigen in the form of a vaccine, which stimulates the formation of antibodies against the antigen.

A
  • artificially acquired active immunity
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24
Q

Experiencing chickenpox results in which type of immunity to the disease?

A

-naturally acquired active immunity

25
Q

Administration of the influenza vaccine to an individual who has no immunity to the disease would describe which type of immunity?

A
  • artificially acquired active immunity
26
Q

After recovering from pertussis, the client demonstrates which type of immunity against repeat exposure?

A
  • naturally acquired active immunity
27
Q

Administration of the varicella vaccine to an individual who has no immunity to the disease would provide what type of immunity?

A
  • artificially acquired active immunity
28
Q

Administration of the rubella vaccine to an individual who has no immunity to the disease would provide which type of immunity?

A
  • artificially acquired active immunity
29
Q

In which arm would anticipate administering a vaccine?

A

-the dominate side

30
Q

The nurse determines which situation(s) as a contraindication for the administration of a vaccine?

A

-acute febrile illness
-leukemia
-lymphoma
-immunosuppressive illness (HIV)
- chronic prednisone drug therapy

31
Q

The below nursing intervention would go with this nursing diagnosis?
Nursing Intervention:
-administering prescribed acetaminophen every 4 hours
-provide for frequent rest periods in a quit, non-stimulating environment
-apply warm or cool compresses to the injection site
-and encourage fluid intake

A
  • acute pain related to the administration of a vaccine
32
Q

The nurse will explain to the client that the antivenin will provide passive, transient protection against bites from which organism(s)?

A
  • black widow spiders
  • rattlesnakes
  • copperhead snakes
  • cottonmouth snakes
    -and coral snakes
33
Q

Clients may react within which time period if they are sensitive to an antivenin?

A
  • within 30 minutes
34
Q

Which two vaccines are contraindicated in clients with allergies to gelatin, neomycin, and eggs or those who had an allergic reaction to a previous dose of one of the vaccines.

A

-MMR and varicella vaccines

35
Q

A nurse should recommend vaccination against which disease(s) before travel to endemic areas?

A
  • cholera
    -diphtheria
    -japanese encephalitis
    -Lyme disease
    -smallpox
    -typhoid
    -yellow fever
36
Q

Which vaccines are contraindicated during pregnancy, especially during the first trimester?

A
  • measles, mumps, and rubella (MMR) and varicella vaccines
37
Q

What information HAS to be documented after administration of a vaccine?

A
  • day of vaccination
    -the route
    -the type of vaccination
    -the site
  • the manufacturer
    -the lot number
  • the expiration date
    -name and address
38
Q

What is the action to hydrocortisone?

A
  • topical corticoid steroid
39
Q

What is the action to benzocaine?

A
  • local anasthetic
40
Q

What is the action to acetic acid?

A
  • antimicrobial
41
Q

What is the action to antipyrine?

A
  • analgesic
42
Q

What is the action to carbamide peroxide?

A
  • aids or breaks down and removing the wax
43
Q

When this medication is used for oral aesthesia the nurse would instruct the client not eat food for 1 hour after use to reduce the risk of aspiration.
Who am I?

A
  • lidocaine
44
Q

The nurse should monitor for deafness as an adverse reaction to which medication?

A
  • chlorhexidine
45
Q

This medication is applied to the nasal mucosa to reduce the risk of institutional outbreaks of MRSA.

A
  • mupirocin
46
Q

What class of medication does triamcinolone belong?

A
  • topical coticosteriods
47
Q

Localized reactions caused by the topical administration of this medication include:
-burning
-pruritus
-skin irritation
- and temporary discoloration of the fingernails & hair

A
  • anthralin
48
Q

After administering this drug __________ for chronic open-angle glaucoma, the nurse should monitor the client for a potential adverse reaction of foreign body sensation.

A
  • brimonidine tartrate
49
Q

Which behavior(s) would the nurse note when assessing an infant for a possible ear infection?

A
  • pulling of the ear
    -fever
    -change in behavior
    -fussy
  • irratibility
50
Q

What should the nurse question a client reporting ear pain about?

A
  • ringing in the ear
  • changes in hearing
  • dizziness
  • feeling of fullness in the ear
51
Q

Two ophthalmic drugs are ordered at the same time. The nurse knows to separate the drug administered by _________ minutes.

A
  • 5 minutes
52
Q

A client receiving ophthalmic drugs reports blurred vision. What nursing diagnosis would be a priority for this client?

A
  • risk for injury
53
Q

What category of otic
preparations does this
teaching plan belong to?
The client’s treatment plan
includes:
Do NOT insert ANYTHING
into the ear canal
(cottonswab)
Do NOT use the drug is there
is ear drainage
Use the drug no more than
4 days
Call the primary health care
provider if dizziness occurs
And to remove any wax
remaining after the treatment
by gently flushing the ear with
warm water using a soft
rubber bulb syringe

A
  • miscellanous preparationrations,otic agent to promote cerumen removal
54
Q

If this class of medication is
applied liberally, some
systemic absorption may our:
- hypothalamic-pituitary-
adrenal axis suppression
- Cushing syndrome
- hyperglycemia
- and glycosuria

A
  • topical corticosteriods
55
Q

If left untreated, glaucoma,
results in an increase in the
intraocular pressure (IOP)
which can lead to
___________,
____________, and, if
untreated, _____________

A
  • nerve damage
  • vision loss
  • and if not treated blindness
56
Q

The nurse determines the
teaching session on how to
instill otic drops in a child is
successful when the caregiver
correctly administers the drops
in which manner(s)?

A
  • pulling the ear down and back
    -having their head turned to their side
    -put a cotton ball in their ear
    -don’t let the dropper touch the ear
  • warm the bottle before inserting in the ear
57
Q

How should the nurse educate
a client to apply a topical
corticosteroid?

A
  • apply sparingly
58
Q

What equipment would the
nurse point out as an
appropriate tool to remove the
drug from the container when
education a client on
application of a topical
medication?

A
  • tongue depressor
  • cotton swab
  • gauze
    -finger cot

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