Cancer Sucks
How does cancer metastasize?
The lymphatic system or blood circulation
Name 2 s/s of newly diagnosed CHF?
dry cough, pedal edema, weakness, fatigue, SOB, chest pain/discomfort
A patient is scheduled for an extracorporeal shock wave lithotripsy, what is the primary nursing intervention post-procedure? Why?
Explain the relationship between the GFR and Creatinine?
Inverse, when one increases, the other decreases and vice versa.
Volkmann contracture is caused from?
Obstructed blood flow to the forearm and hand.
What is the most common EARLY s/s of colon cancer?
change in bowel habits
A patient with newly diagnosed CHF is taught to weigh herself daily. What guidelines does the nurse provide before the patient calls the physician?
2 pounds overnight or 5 pounds in a week
What "cells/substances" show up in urine with renal insufficiency?
protein, glucose, urinary casts
Polycystic Kidney Disease is curable?
True/False
False
Why is a dislocation considered an emergency?
avascular necrosis may develop if not properly resolved
Primary intervention for basal cell carcinoma?
Surgery
What lab value is used as a diagnostic in CHF?
BNP
Decreased kidney function is not reversible. When is it time for the physician to consider hemodialysis for a patient in chronic renal failure?
GFR less than 15 mg/dl
Describe the role of the kidneys in metabolic acidosis?
Kidneys excrete hydrogen ions, and conserve bicarb to help restore balance.
Priority assessment for a patient with a dislocation/fracture?
Neuro-vascular
S/S manifestation of decreased platelet count on the skin?
petechiae
A patient is brought into the ED with suspected CHF exacerbation, what assessment do you perform first?
Respiratory (remember ABCs)
Name 2 s/s of peritoneal dialysis site infection?
abdominal pain and cloudy dialysate (the fluid drained from the abdomen) fever, nausea, vomiting, diarrhea, and decreased urine output.
Most common cause of hydronephrosis?
Blockage-by either kidney stones, blood clots, tumors, or structural abnormalities.
What does the acronym R.I.C.E stand for?
Rest, Ice, Compression, Elevation
A patient with brain cancer is experiencing n/v, what is the rationale for these s/s? (name 1/3 possible answers).
Increased cranial pressure, tumor placement, and treatment.
What type of heart failure is most common? Left or Right?
Name 2 s/s of the most common type?
Left- extremity edema, weight gain, SOB
BONUS QUESTION
How many licks does it take to get to the center of a Tootsie Pop?
How do the kidneys aid in bone marrow production?
producing a hormone called erythropoietin (EPO), which stimulates the bone marrow to produce red blood cells
What life-threatening complication can occur from a femur fracture?
Blood Clot or Fat embolism