Clinical Manifestations
Treatment
Medications
Nursing Management/Priorities
Labs/Diagnostics
100
A patient post chemo presents to ED with a temp of 36.2 C and a platelet count of 10,000. Blood cultures from a central line positive with gram + staph.
What is sepsis?
100
A lung cancer patient with suspected hypercalcemia was directed to come to the infusion center for treatments. Name two treatments for hypercalcemia.
Hydration, if newly diagnosed—start treatments to control malignancy (chemotherapy/immunotherapy/radiation)
100
What medication lowers uric acid levels in a patient with TLS?
What is allopurinol?
100
During your assessment of a patient that was admitted for treatment of SVCS (superior vena cava syndrome), what sign/symptom suggests that they are experiencing complications?
What is neck vein distention?
100
What lab test defines pancytopenia?
What is a CBC?
200
Patient presents with lethargy, decrease urine output and severe muscle cramping two days after initiating chemotherapy. What can you anticipate is occurring?
What is TSL?
200
Patient presents with new diagnosis of Non-Hodgkins Lymphoma with multiple large lymph nodes palpable and symptoms of SVC. What should you anticipate to do for treatment of SVC?
What is treat the underlying cause? Chemotherapy/radiation.
200
What class of medication will you anticipate administering for a patient who is septic?
What is broad spectrum IV antibiotics?
200
For a patient with SVC, what is the largest concern/risk?
What is protect the airway/O2 and elevate the HOB?
200
Patient presents with potassium of 6.1, phosphorous 4.7, uric acid 9.0, calcium 6.2. What should the nurse suspect is happening?
What is TLS?
300
What is SVC?
300
What is the goal of management for a patient with TLS?
What is rehydration and correction of electrolyte imbalances?
300
This medication is priority for a patient with spinal cord compression…
What is steroids (Decadron)?
300
What should a nurse do to ensure the best outcome from a diagnosis of sepsis?
What is monitoring VS every 4 hours, repeat lactate within 3 hours if value is above 2, possible admission/MERT, administration of fluids or medications as ordered?
300
When a patient is admitted for hypercalcemia, what lab tests can you anticipate being ordered?
What is renal function panel?
400
A lung cancer patient spouse calls the office to report increased confusion, lack of appetite, and constipation. Based on these complaints, what might the nurse anticipate is happening?
What is hypercalcemia?
400
What are key interventions for a patient that presents with sepsis?
What is blood cultures, lactate, urine culture, chest x-ray, antibiotics within 1 hour?
400
The patient has an SVC from the PICC line in RUA. What medication could you anticipate to administer/order?
What is thrombolytics and anticoagulants?
400
Name two interventions the nurse can do to manage a patient with TLS.
What is daily weights, strict I&Os, VS Q4, monitor urine pH (notify MD if <7), monitor labs for trends (usually every 8hrs), safety and seizure precautions, cardiac monitoring, review of medication, social and emotional support, patient education?
400
What tests can you anticipate being done to diagnose a patient with SVC?
What is CT of chest with contrast?
500
A patient is in the ambulatory infusion center and just had labs drawn prior to seeing their provider. While in the lab, the patient’s wife explains to the accessing nurse that over the past couple of days, the patient has been more confused with complaints of a mild headache. A CBC+diff and CMP are ordered and drawn. The Na results as 131. What can the nurse anticipate the patient clinical symptoms to be diagnosed as?
SIADH- Syndrome inappropriate anti-diuretic hormone
500
The nurse has a patient with spinal cord compression, without what oncology treatment could result in permanent loss of neurological function
What is radiation therapy?
500
What medications can the nurse anticipate to administer for a patient diagnosed with hypercalcemia?
What is bisphosphonates: bind to the surfaces to force calcium into bones/calcitonin: acts on kidneys to increase reabsorption?
500
An admitted patient with hypercalcemia ambulates independently to the bathroom? What assessment should the nurse make prior to determining independently mobility?
What is a neuro assessment, fall assessment, 6 clicks mobility assessment?
500
A patient presents with decreased Na, K, Ca and reduced osmolality, with normal renal function. The nurse should interpret these labs to indicate…..
What is SIADH?