Oncology

Question 0

Internal radiation precautions
Sealed
Unsealed

Answer 0

Wear gloves, dispose of dislodged implant in lead container
Visitors can only stay 30 minutes at a time
Do not ever place an infected person with a radiation pt.
Sealed- pt. Is radioactive, excreta is not
Unsealed- pt and any excreta is radioactive

Question 1

Radiation
Nurses should be rotated…
And care for ___ patient(s)

Answer 1

Daily

1

Question 2

Vesicant precautions

Answer 2

Infiltration- stop infusion immediatly, apply ice (vasoconstriction) and call phys., stay with pt.

Question 3

Cervical cancer

Main Sx?

Answer 3

Painless, vaginal bleeding

Question 4

Hysterectomy positioning

Answer 4

Avoid high fowlers due to blood pooling in the abdomen–> pressure on the suture line
Best to ambulate

Question 5

Breast cancer surgery complications

Answer 5

Hemorrhage (check for pooling of blood on back)

Lymphedema (encourage pt to walk wall with hands, brush own hair, etc)

Question 6

Bronchoscope with lung cancer, respiratory depression?

Answer 6

Abnormal! Report to phys. Immediately

Question 7

Lobectomy or pnuemonectomy positioning

Answer 7

Never completely on side, will cause mediastinal shift.

Question 8

Laryngectomy post op concerns

Answer 8

Will have a permanent trach
NG feeding to avoid peristalsis of the the esophagus(stress on suture line).
Carotid artery rupture.
Frequent oral care (prevent infection)
If trach comes out, replace it, even if dirty, better to have an infected airway than no airway at all.

Question 9

Stomach cancer- gastrectomy complications

Answer 9

Without stomach, there is no intrinsic factor–> cannot absorb B12–> poorly developed RBCs–> pernicious anemia