Pharmacology
A patient has a platelet count of 50,000 what medication would you expect a patient to receive who also receiving chemotherapy?
Neumega
A client who has cancer and is receiving chemo has a sodium level of 119. What management would we expect?
Fluid restriction
Hypertonic solution
Evaluate for fluid volume overload
Monitor lab work
What diet advice would you provide for someone wanting to reduce their risk for cancer?
Increase fiber, reduce animal fat, decrease red meats, reduce processed meats, avoid charring foods, Fresh fruits and veggies
When do we place a patient on neutropenic precautions?
Low WBC, when we protect the patient from catching something the nurse may bring in with them. No fresh fruits or flowers
What is the pacemaker of the heart?
SA node
A. Uric Acid 20
B. Na 145
C. Ca 10
A patient who has a tumor in the left breast, begins to experience numbness in the lower extremity and urinary retention. What management would we expect?
High dose radiation with corticosteroids, Back brace
What foods would you instruct patients with cancer and receiving chemotherapy to avoid?
Fresh fruits and veggies, raw foods, deli meats (unless cooked), unpasteurized cheeses.
In an emergency what type of blood is always safe to give?
O-
What does PPD stand for?
Purified Protein Derivative
A patient at the health fair has a blood pressure reading of 168/98. What action should you implement?
See HCP ASAP
What are common complications of leukemia and why?
Reduction in normal blood cells because the bone marrow is overcrowded with the abnormal cells
What should you watch for after a patient undergoes a bone marrow biopsy?
Bleeding
What test CONFIRMS HIV?
Western Blot
What kind of isolation does an HIV positive patient need to be on?
None! Standard Precautions.
What would you expect to hear when you auscultate the abdomen of patient with a suspected Abdominal aortic aneurysm?
Abdominal Bruit
What is important to understand about chemo handling for nurses and patients?
Nurses and patients cannot handle medications without proper PPE, medications cannot be crushed or split. Some IV chemos are considered vesicants and must be monitored for extravasation during administration.
What should you avoid in a patient with thrombocytopenia?
IM injections, razors, rectal temps, aspirin, place on bleeding precautions
What type of hypersensitivity disorder is an anaphylactic reaction categorized under? (Which number? Hint 1-4?)
Subtype 1
After a cardiac catheterization in the right femoral artery, what should you order the patient NOT to do with the leg?
Do not move the RIGHT leg for several hours after the cath.
What should you do before defibrillation a client who is in VFIB?
Shout all clear before shocking
What is important to understand about the differences of radiation? What education do we provide our patients for site care?
External beam vs brachytherapy (internal radiation)
Hygiene: do not scrub the site, avoid sunlight to the area exposed to radiation, mild soaps
The maximum amount of time that you can hang blood is?
4 hours
What do you monitor to see if the ART therapy is working effectively in your HIV positive patient?
Viral Load
Girls are the ___________ of hemaphilia gene.
carriers