Breast and Prostate Cancer
Breast cancer medication that needs monitored secondary to CMO
What is doxorubicin (Adriamycin)
Risk factors for CRC
What are age 50+, family history, inherited syndromes/inflammatory bowel diseases, poor diet, diabetes, obesity, drinking too much alcohol, smoking
When a patient is experiencing SOB, this is the first action taken by the nurse
What is place patient on oxygen
Room needed for a patient with reactivation TB
What is negative pressure with anteroom
The nurse starts a unit of packed RBCs and 5 minutes into the infusion, the patient develops a fever and itchy rash. Next step
What is turn off the infusion
A patient is receiving external beam radiation for cancer and asks about precautions
What are protect the markings on the skin, avoid heat/cold, avoid lotions, wear soft clothing
A client has a lesion that is asymmetrical with an irregular border, two colors, and increased diameter. Next step
What is refer to a provider for removal of lesion
Requirements of the nurse after a bone marrow biopsy
What are hold pressure, monitor site, monitor for complications, pain relief
Initial S and S after infection with HIV
What are fever, sore throat, H/A, rash, lymphadenopathy, body aches, n/v, night sweats
Normal CD4 count and when to report viral load to the provider
What is viral load >5,000 - 10,000 copies/ml = need for treatment; CD4 count normal 500 -1500 cells/mm3
What are avoid alcohol based mouth wash, use soft bristle tooth brush or swabs, use lip balm, avoid spicy foods
People at increased risk of skin cancer
Who are individuals with fair complexion, 50+, frequent sun exposure, history of severe sunburn(s), high number of moles, immune suppression
Neutropenic precautions
What are private room with door closed, avoid raw or undercooked food, no live plants/flowers, visitors must wear a mask when with the patient, avoid visitors who have a communicable illness, patient must wear a mask when outside the room, specific items for use that stay in patient’s room (stethoscope, thermometer, etc.)
Specific lab values needed prior to starting client on TB medication
What are LFTs
Precautions needed for latent TB
What is none
A TURP patient reports bladder spasms and ↑ pain. Foley shows red blood. Next
What is irrigate the catheter
S and S if CRC
What are rectal bleeding/blood in the stool (hematochezia or melena), abdominal pain, cramps, bloating, gas, anemia, weakness, changes in bowel habits (diarrhea or constipation), anorexia/weight loss
Your patient develops stomatitis. Explain it and treat it
What is inflammation of M/M, painful sores, increases infection risk.
Consult dietary
Education for active TB patients about their medication
What is they will need to take multiple meds for 6-9 months but duration of treatment depends on underlying condition
Major difference between palliative care v/s Hospice
S and S of prostate cancer
Urgency, frequency, hesitancy, dysuria, nocturia, hematuria, fatigue, bone pain
Does ALL cause delayed growth in children
What is NO
Lab test to monitor impact of HIV treatment
What is viral load
Clinical manifestation of DIC
What is change in LOC, CP, ↓ pulses, ↓ breath sounds/SOB, bleeding, bruising, rash