new hematology fcs

Question 1

what is the goal of chemo

Answer 1

reduce number of cancer cells

Question 2

most common SE of chemotherapy

Answer 2

myelosupression, anemia, thrombocytopenia, neutropenia

Question 3

med for malnutrition

Answer 3

magesterol to stimulate apetite

Question 4

what is MOA of radiation

Answer 4

destroys cells ability to reproduce

Question 5

7 risk factors for breast cancer

Answer 5

fam hx
genetics
early mearche
late meopause
>60
smoking
heavy alcohol

Question 6

med used for hormone pos tumor

Answer 6

tamoxifen

Question 7

3 ss of mild anemia

Answer 7

exertional dyspnea, fatigue, palpitations

Question 8

3 ss of moderate anemia

Answer 8

dyspnea, fatigue, bounding pulse

Question 9

what is the goal of nursing care for anemia

Answer 9

RBC replacement and oxygenation

Question 10

6 SCD triggers

Answer 10

low O2
altitude
stress
surgery
infection
dehydration

Question 11

main tx for SCD crisis

Answer 11

pain meds

Question 12

5 interventionns for SCD

Answer 12

O2
monitor CBC
VTE prophylaxis with anticoag/SCD and rest
assess respiratory
fluids
transfusion

Question 13

hydroxurea use

Answer 13

inc Hgb F for SCD

Question 14

main tx for acquired hemolytic anemia

Answer 14

supportive measures for renal function like fluid and electorlytes

Question 15

6 ss of hemophillia

Answer 15

prolonged bleeding
epistaxis
Gi bleed
eccymosis
hemarthrosis
pain

Question 16

tx for thrombocytopenia if AI

Answer 16

corticosteroids or splenectomy

Question 17

nursing care for neutropenia

Answer 17

prophylactic abx

Question 18

nurse should question shaking of what med

Answer 18

filgrastim

Question 19

what to monitor when giving filgrastim

Answer 19

WBC

Question 20

hallmark of lymphoma

Answer 20

pancytopenia

Question 21

3 ss of leukemia

Answer 21

dec WBC
thrombocytopenia
anemia

Question 22

myeloma affects
leukemia affects

Answer 22

plasma cells
blood cells

Question 23

if CL has an occlusion then

Answer 23

preciptate so change positions

Question 24

if CL pt has embolism

Answer 24

chest pain, resp ditress,- clamp O2 and turn to left side

Question 25

if pt with CL has infection

Answer 25

get cultures

Question 26

blood transufusion pt has dark urine and low back pain

Answer 26

stop infusion, it is acute hemolytic rxb

Question 27

if blood trans. pt has fever, chills and a HA

Answer 27

stop transfusion

Question 28

how to prevent febrile blood rxn

Answer 28

give acetaminophen and diphen. 30 min before

Question 29

if blood trans. pt has cough, sob, crackles

Answer 29

stop transfusion, give O2

Question 30

4 interventions to prevent cancer

Answer 30

health wt exercise
reduce carcinogens
stress
early detection

Question 31

someone with myeloma has hypercalcemia what are their s/s

Answer 31

confusion and lethargy

Question 32

SCD crisis s/s 4

Answer 32

pallor
joint swelling
fever
abdominal pain

Question 33

interventions for neutropenic fever

Answer 33

cultures
abx
VS
monitor for shock