kate - stage III breast cancer

Question 1

read oncology 2 scenario

what 9 nursing assessments would you complete?

Answer 1

1. vital signs
2. cardiovascular
3. respiratory
4. skin
5. neurological
6. renal
7. gastrointestinal
8. pain
9. psychological

Question 2

determine if she is at risk of developing an oncology emergency

Answer 2

yes

Question 3

what 6 pieces of evidence support your decision?

Answer 3

1. fever (38.8)
2. productive cough
3. hypotension (90/52mmHg) + diaphoretic (sweating profusely)
4. oliguria (reduced)/dark urine
5. jaundice
6. palpable mass in axilla

Question 4

read oncology 2 activity 2

What 9 actions will you take?

No MR. DIC PIC

*Not in order of importance

Answer 4

1. notify oncologist/senior medical staff
2. maintain communication w/ kate
3. reassess kate’s vital signs
4. document
5. implement immediate nursing interventions
6. contact the charge nurse of nurse in charge
7. prepare for possible transfer
8. involve charge nurse in advocacy
9. consider consultations w/ on-call physcians

Question 5

read oncology 2 activity 2

What are 7 of the most important principles of treating this oncology emergency?

Answer 5

1. immediate medical assessment
2. maintain airway/oxygenation
3. IV access
4. blood glucose monitoring
5. neurological assessment
6. repeat neuroimaging
7. consult w/ oncology team

Question 6

read oncology 2 activity 2

What are 6 nursing interventions would you implement?

FAt FIB’S

Answer 6

1. fall prevention
2. airway management
3. frequent neurological assessment
4. IV access & fluid management
5. blood glucose monitoring
6. seizure precautions

Question 7

read oncology 2 scenario 3

What 9 cytotoxic precautions should you take to protect yourself and other staff members?

Answer 7

1. PPE
2. hand hygiene
3. safe handling procedures
4. needle safety
5. closed system transfer devices (CSTDs)
6. avoid aerosolisation (work w/ powdered/liquid)
7. waste handling & disposal
8. protective clothing
9. avoid contact w/ bodily fluids

Question 8

why?

Answer 8

Cytotoxic precautions are crucial to protect healthcare providers from potential exposure to hazardous drugs, which can have carcinogenic, teratogenic, and other toxic effects.

teratogenic: disturb growth/development of an embryo/fetus

Question 9

read oncology 2 scenario 3

What 11 actions would you take?

“HIS SANDPAPerS”

*not in order of importance

Answer 9

1. hand hygiene
2. incident report
3. step away from spill
4. secure area
5. absorb spill
6. notify appropriate personal
7. decontamination
8. PPE
9. avoid direct contact
10. proper disposal
11. spill cleanup kit