Onco Emergencies
The route that cobalamin must be given for a client with cobalamin deficiency anemia d/t poor absorption (pernicious anemia)
Parenteral (IV)
(Less likely...intranasal)
This level of temperature in a client with neutropenia warrants priority treatment
100.4 or higher
ORIF stands for this...
open reduction and internal fixation
First line treatment for glaucoma
medications (beta blockers, prostaglandin analogs, etc)
The treatment is to perform a pericardiocentesis...
Cardiac tamponade
Patient's lab values point to which disease process
WBC 1.5, RBC 3.2 , Hgb 6, Platelet 15
aplastic anemia
Assessing the skin, avoiding sun exposure, proper positioning are interventions for what type of cancer treatment?
Radiation therapy
What complication is occurring?
-tibia fracture
-SOB, SpO2 89%, petechiae on chest
Fat embolism syndrome
List 3 interventions for hypertensive crisis
assessment (cardiac, neurological), start IV, administer IV antihypertensives, continuous blood pressure monitoring
Interventions for this emergency include pain management and prepare for the OR for decompression
spinal cord compression
A type of anemia that is genetic and affects people of Mediterranean, Asian, and African descent.
Thalassemia
The name of the device that detects levels of radiation that healthcare personnel can wear on their badge
dosimeter
This type of traction involves a boot and dorsiflexion of the foot.
Bonus: what type of traction is it?
Buck's traction
Skin traction
List 3 dietary considerations for a client with Stage V chronic kidney disease
limiting of Na, K, phosphorus intake; fluid intake, protein intake
Prevention includes administering a normal saline fluid bolus before and after chemotherapy administration
tumor lysis syndrome
A client has been diagnosed with folic acid deficiency anemia. What types of foods should be included in education
green leafy vegetables, enriched grain products, avocados, peanuts, orange juice
Name the transfusion reaction:
-crackles in lungs, SOB, SpO2 89%, no edema
TRALI
List each of the 5 P's
Bonus: What is sometimes considered the 6th P?
pain, pulse, pallor, paresthesia, paralysis, poilikothermia
These risk factors (urinary stasis, climate, diet, genetic, obesity, sedentary, dehydration) can lead to...
urinary calculi
A hallmark sign of superior vena cava syndrome is swelling of the face, neck, and upper chest, along with the bulging of these veins in the neck/chest?
subclavian and jugular
A client has been diagnosed with thrombocytopenia. List 3 nursing education interventions.
Blow nose gently, Notify if any signs of bleeding, No vigorous exercise, Prevent constipation, Use electric razor, Hold pressure for at least 10 minutes for needle stick sites, Soft bristle toothbrush
List 2 complications that can occur with a chemotherapy port.
displacement, infection, infiltration
List 2 nursing interventions for a client in skeletal traction
pin site care, weights not dependent, assess weights, assess skin, cough/deep breathe/IS
List top priority in scenario: Client with acute exacerbation of IBD; 9/10 pain; BP 99/60; HR 130
Reports nausea and persistent vomiting
Recent bowel movements have been bloody diarrhea
Provide fluid volume replacement (this includes blood!)
(Consider ABCs)