Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Med Surg > Test one: cancer and hematologic disorders > Flashcards

Test one: cancer and hematologic disorders Flashcards

1
Q

Patient with port

A

-flush before and after
-secure IV dressing –> risk of infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

PICC verification- before you can touch it!

A

documentation and verification with Xray

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

plan of care with nursing diagnosis -priority after 3rd day

A

it’s the same priority as before, top tier ABC I/I

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

external radiation precautions

A

keep skin dry and intact, certain products, keep skin tattoos

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

psychosocial pt with cancer

A

-hairloss
-grieiving
-stress and coping
-delayed treatment effects
-emotional support
-listening
-distraction
-frequent rests

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

priority nursing diagnosis for pt with diarrhea

A

decreased CO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

primary vs secondary prevention

A

lifestyle changes vs screening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

blood transfusion priority action

A

check blood compatibility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

5FU and folate together

A

5FU is a folate antagonist so you need folate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

monoclonal antibodies

A

immunotherapy: produce target antibodies for malignant cells
-need tumors markers
-only attack cancer cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Hodgkin diagnosis

A

reed sternburg cells, lymph node biopsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

cancer pt complains of lower back pain -why and diagnostic study

A

-pathologic fracture of vertebra
-Xray or CT scan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

B12 deficiency diagnositcs

A

-B12 assay
-intrinsic factor antibody test
-methylmalonic acid and homocysteine elevation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

nursing care for pt receiving implanted seeds (female)

A

ALARA
30 mins
shield
6ft distance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

priority nursing action when administering chemo

A

check WBC!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

priority for 4hr post op

A

-maintain ventilation –> prevent hypoxemia and hypercapnia (too much CO2)
-CV stability: LOC, VS, cardiac rhythm, skin temp color and moisture
- urine output
-CV complications: hypotension and shock, hemorrhage, hypertension and arrhythmia
-IV patency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

bowel after post op

A

-constipation can occur
-want to encourage early ambulation, improved dietary intake and stool softener (prescribed)
-assess for distention and bowel sounds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Pain prevention post op

A

-opioid analgesic meds –> IV
-non opioids too
-nonpharmacologic, emotional and psych support
-acupuncture, heat or cold packs, relax, breathing teaching, guided imagery, soothing music
-CHECK SEDATION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Immediate post op interventions

A

-assess breathing and O2
-VS, skin temp moisture and color
-assess surgical site and wound drainage syst
-LOC, ability to move
-pain level (location and quality), analgesic meds
-enhance lung expansion (positioning)
-IV site patency and correct rate and solution
-Urine output
-deep breathing, leg exercises
-info to pt and family

20
Q

Hodgkin long term complications and discharge

A

-secondary cancer
-fatigues, anxiety, pulmonary and cardio toxicity, cardiovascular disease
-fertility problems
-reg follow ups, screening for S&S for secondary malignancy

21
Q

Concern about non Hodgkin

A

Tumor lysis syndrome

22
Q

Assessments (in plan of care) for patient with cancer

A

-WBC
-temp
-radiation: intact skin
-nutr status, fatigue
-fluid and electrolyte status, GI
-loss of deep tendon reflex, balance, coordination
-Cog

23
Q

Handoff report-prioritize

A

ABC I/I

24
Q

Pt receiving chemo, essential assessment

A

-WBC-check before to make sure it’s done
-serious conditions: cardiac, kidney, immune
-sepsis-temp
-renal function, CV
-extravasating: necrosis
-fatigue levels (aerobic exercise recommended)

25
Q

Nursing care for patient receiving packed cells

A

-VS before blood
-VS within 30mins
-first 15 min: 5mL/min; most critical, VS/5min
-stay with them for 15mins because of possible reactions
-ABO compatibility!
-no longer than 4hr
-change tubing every 2 units
-at least 6hr for transfusion associated circulatory overload

26
Q

Main cause for multiple myeloma death

A

Infection-have pancytopenia and can’t fight off

27
Q

Chemo via pump-assessment and action alert to (during and before)

A

-(hypersensitivities) allergic reaction –concerned about anaphylaxis (happens with 2nd one, 1st develop antibodies)
— S&S: rash, urticaria (hives), fever, hypotension. Cardiac instability, dyspnea, wheezing, throat tightness, syncope
-extravasation—mild discomfort, vesicants, severe tissue dysfunction
-lab values (electrolytes) and dosage
-make sure CBC drawn before
-make sure IV access is viable, flush

28
Q

Nursing care with adriamycin (doxorubicin)

A

-report SOB, palpitations and chest pain
-cardiac and liver toxicity
-vesicant that can cause extravasation because via central line

29
Q

Essential assessment to BM transplant

A

-judicious use of BL products due to risk for alloimmunization
-AlloHSCT- hepatic sinuosoidal obstructive syndrome- at risk for
-nutrition, physical, organ function and psychological assessments conducted
-BL work to see past infectious antigen exposure
-social support, financial and insurance

30
Q

Immune/idiopathic thrombocytopenia purpura

A

-lack platelets, cant clot
-easy bruising, heavy menses, petechiae
-immune acquired
-wet purpura- life threatening bleeding
-treatment depends on severity of bleeding

31
Q

S&S of DIC

A

-impaired fibrinolysis
-platelet count
-fibrin degradation project
-PT
-fibrinogen level
-temp decr, pain incr, cyanosis extremities, pulse decr, hypoxia
-treat underlying cause
-prevent sepsis — aseptic technique
-bleeding, blood clots, hypotension, SOB, confusion

32
Q

Neutropenic precautions and outcomes

A

-increased risk of infection (rises as ANC goes up)
-delays of drugs
-chest X-ray for pulm infection
-defenses compromised: skin integrity, adverse effects from treatment, immobility and impaired nutrition

33
Q

Folic acid deficiencies manifestations

A

-typical: weakness, listlessness, fatigue
-smooth sore red tongue
-mild diarrhea, jaundice
-paresthesia in extremities
-balance issues, proprioception-lose position sense
-w/o treatment heart failure

34
Q

Primary interventions with bleeding disorders

A

-manage fatigue
-activity and rest balance
-adequate nutrition: essential nutrients such as B12, iron and folic acid; limit alcohol
-promote effective management of prescribe therapy: S/E management
-monitor and manage potential complications: heart failure (BV down, CO up)

35
Q

Pancytopenia-S&S

A

-fatigue, pallor, dyspnea
-purpura
-lymphadenopathy and splenomegaly
-life threatening
-concern: bacterial or fungal infection, bleeding —> death

36
Q

Thrombocytopenia precautions and nursing actions

A

-education: fall prevention
-avoid all agents that interfere with patient function
-concern: infection and bleeding
-taking long term corticosteroids- risk for complications incr
-no anal suppositories, soft bristle toothbrush

37
Q

Febrile nonhemolytic reaction- what should the nurse do

A

Broad spectrum antibiotics; assessed for infection, prevention educaiton
-non emergency, leukocyte reduction filter
-anti febrile agents

38
Q

Plan of care for leukemic pateint

A

-absence of complications and pain
-adequate nutrition
-activity tolerance
-self care and coping
-positive body image and understanding of disease and treatment

39
Q

Risk factors for pernicious anemia

A

-inadequate intake of B12
-impaired absorption from GI tract
-certain meds: met Forman, histamine blockers, antacids, proton pump inhibitors (all chronic use)
-lack of intrinsic factor
-genetic

40
Q

Barriers to pain care for cancer pts

A

-controllable but pain is not irreversible or quickly resolved
-cycle of pain-anxiety-fear-pain
-influenced by physical, psychosocial, cultural and spiritual

41
Q

Sources of fatigue in cancer patient

A

-anxiety: fear,, diagnosis, role changes, uncertainty
-disturbed sleep- meds, anxiety and pain
-electrolyte imbalance: V/D
-risk for impaired nutrition intake: N/V, anorexia/cachexic
-impaired physical mobility
-impaired tissue integrity -stomatitis and mucositis
-ineffective breathing- cough, dyspnea
-ineffective protection secondary to cells decreasing
-pain, pruruitis

42
Q

Clinical manifestations of low hemoglobin

A

-fatigue
-anemia, pallor
-vascular collapse
-delirium
-dyspnea
-tachycardia
-CO incr: palpitations, dizzy, orthopnea
-peripheral edema
-activity intolerance
-N/V/D
-IMPAIRED coordination, ataxia, peripheral numbness and paresthesia

43
Q

Cancer: S&S of complications

A

-dev of infection —> monitor labs
-look at pharynx, skin, perianal area, urinary, resp tracts; signs of infection
-neutrophil decr
-bleeding and thrombocytopenia: bacterial and viral infections
-VTE: coagulation meds, immobility, infection, peripheral and central venous catheters

44
Q

nurse’s role

A

intervene, assess, educate

45
Q

pain and priority

A

is not a priority; make sure it’s tolerable, it’s not to erase the pain

46
Q

patient trends look like

A

worse, same or better?

Med Surg (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions