Cancer Sucks
A side effect of chemotherapy. Occurs in about 40% of pts. Important pt teaching would include mouth care and use of a soft bristle tooth brush
What is stomatitis?
What is anemia?
Your reviewing risk factors with a patient who has cholecystitis. You include obesity and this. Which happens after bariatric surgery.
What is rapid weight loss?
Your patient has pancreatitis. They are ordered this, a special MRI that produces detailed images of the liver, gallbladder, bile ducts, pancreas and pancreas ducts.
What is a magnetic resonance cholangiopancreatography (MRCP)?
Your patient reports having an elevated body temperature. Which, as a nurse, you recognize as an important finding when they are taking prednisone, a drug from this drug classification for an exacerbation of inflammatory bowel disease.
What is corticosteroids?
Diverticulitis symptoms include fever related to the inflammation. Uncomplicated diverticulitis can be treated outpatient with these.
What are broad spectrum antibiotics?
ciprofloxacin and metronidazole
trimethoprim-sulfamethoxazole and metronidazole
amoxicillin and clavulanate (augmentin)
moxifloxacin
-pt needs to be admitted for fever greater than 102.5
Screening to detect cancer is an example of this.
What is secondary prevention?
Your patient has Leukemia and requires extra precautions to prevent infection due to a low neutrophil counts. You initiate and maintain these.
What are neutropenic precautions?
A nurse is providing education to their patient with ulcerative colitis. This nurse knows the patient understood the education when they state that they will limit this from their diet.
What is fiber?
A nurse is reviewing the lab data for a pt experiencing an acute exacerbation of Crohn's disease. They would expect this lab value to be elevated. Two values, name both and get double points!
What is Erythrocyte Sedimentation Rate and/or WBC?
This proton pump inhibitor is commonly seen in the hospital setting. Can be given po or IV.
What is pantoprazole (Protonix)?
Propranolol is prescribed to your patient with this diagnosis to help with palpitations and tachycardia. You recognize that this diagnosis is also the most common cause of hyperthyroidism. When the provider rounds, you also want to ask the provider if we can get them something for their bulging eyes.
What is Graves disease?
Your patient has a bowel cancer. They vomited an hour ago. You noted diminished or maybe hypoactive bowel sounds during your assessment. You just helped them back to bed after using the bedside commode chair and see ribbonlike stool. You recognize that these are signs of this.
What is a bowel obstruction an oncological emergency?
You started a blood transfusion on your pt 10 minutes ago. You note that their heart rate changed from 88/min pre-transfusion to 120/min. Your pt is also c/o itching. You realize these findings indicate this.
What is a febrile transfusion reaction?
Your accessing your patient with pancreatitis and see a gray-blue discoloration of the skin around the umbilicus. You identify this finding as a manifestation of this.
What is necrotizing pancreatitis?
Characterized by hypoalbuminemia, which causes massive edema that is caused by damage to the glomeruli
What is nephrotic syndrome?
Your providing education to your patient with anemia. You tell them foods high in vitamin C will enhance the absorption of this.
What is ferrous sulfate?
A nurse hears a patient complain of heat intolerance, palpitations, and weight loss and associates these symptoms with this disorder.
What is hyperthyroidism?
A nurse is reviewing the plan of care for a client who has leukemia and has developed thrombocytopenia. They would monitor these.
What is platelet count?
Your a nurse caring for a pt who has AKI. You review the pts current meds, assess their AV fistula for a bruit, obtain a pt weight, and check their blood electrolytes. Your preparing to initiate this.
What is hemodialysis?
Your patient is admitted for appendicitis. Your reviewing the chart and note their WBC are greater than 20,000/mm3. You suspect this patient may have this, a life threatening condition.
What is a perforated or ruptured appendix?
Your reviewing a patients lab, they have a Glomerular filtration rate (GFR) 20 mL/min. You recognize this finding as this stage of this disease.
What is Stage 4 Chronic Kidney Disease?
Your patient has hyperparathyroidism. You give them this drug, which increases renal excretion of calcium.
What is furosemide (Lasix)?
During admission, a patient reports to the nurse a history of menorrhagia, dry skin, and decreased libido. These are expected in this disorder.
What is hypothyroidism?
Interventions a nurse would include in the plan of care for a patient who is undergoing chemotherapy and is on neutropenic precautions.
Hint: More than one correct answer
What is...
Have the client wear a mask when leaving the room?
Have client‑specific equipment remain in the room?
Eliminate raw foods from the client’s diet?
A nurse will monitor blood glucose levels, report cloudy dialysate return, assess for SOB, and check the access site dressing for wetness for a patient who will undergo this.
What is peritoneal dialysis?
Your patient is newly diagnosed with GERD. Name these 3 drug classes you would expect them to be prescribed medications from.
What are antacids, H2 receptor antagonists, and proton pump inhibitors?
A nurse is assessing a client who has prerenal AKI and should expect these findings.
What is reduced urine output and elevated blood creatinine?
A nurse providing med teaching to a patient who has Addison's disease, says to the patient: Report any manifestations of weakness or dizziness, Do NOT d/c the med suddenly, and be sure to eat a low-sodium diet.
What is hydrocortisone?
A nurse identifies that a patient who is at increased risk for infection, renal calculi, and bone fractures has this.
What is Cushing's?