Oncology
wear dosimetry badges, take turns caring for patient rotate the staff, maximize distance 6 feet. Limit visitors 30min/day
Radiation Safety
Well-differentiated, similar to tissue of origin
Grade 1 Tumor
Pernicious anemia is due to
the absence of intrinsic factor
Affects all ages with peak age 67. Prognosis is variable Over 60 it is worse. May develop after chemo, this is also worse
Acute Myeloid Leukemia
A patient diagnosed with acute myelogenous leukemia has just been admitted to the oncology unit. When writing this patients care plan, what potential complication should the nurse address?
A) Pancreatitis
B) Hemorrhage
C) Arteritis
D) Liver dysfunction
B) Hemorrhage
Superior Vena Cava Syndrome Symptoms
SOB, chest pain, cough, edema in face, neck arms, hands, JVD, laryngeal edema
High Dose radiation that goes right to the tumor and spares healthy tissue VERY HIGH COST
Proton Therapy
Seen in alcohol and drug abuse, liver disease, celiac disease, and pregnancy
folic acid deficiency
Leukemic cell infiltration is more common with this leukemia, with symptoms of meningeal involvement and liver, spleen, and bone marrow
Acute Lymphocytic Leukemia (ALL)
8. A 35-year-old male is admitted to the hospital complaining of severe headaches, vomiting, and testicular pain. His blood work shows reduced numbers of platelets, leukocytes, and erythrocytes, with a high proportion of immature cells. The nurse caring for this patient suspects a diagnosis of what? A) AML
B) CML
C) MDS
D) ALL
D) ALL
Spinal Cord Compression symptoms
A patient with a recent diagnosis of ITP has asked the nurse why the care team has not chosen to administer platelets, stating, I have low platelets, so why not give me a transfusion of exactly what I'm missing? How should the nurse best respond?
A. Transfused platelets usually aren't beneficial bc they are rapidly destroyed in the body
B. A platelet transfusion often blunts your body's own production of platelets even further
C. Finding a matching donor for a platelet transfusion is exceedingly difficult
D. A very small percentage of the platelets in a transfusion are actually functional
A. Transfused platelets usually aren't beneficial bc they are rapidly destroyed in the body
can be due to medications, chemicals, benzine
Aplastic anemia
A patient's electronic health record notes that he has previously undergone tx for secondary polycythemia. How should this aspect of the patients' history guide the nurse's subsequent assessment?
A. The nurse should assess for recent blood donation
B. The nurse should assess for evidence of lung disease
C. The nurse should assess for a hx of venous thromboembolism
D. The nurse should assess the pt for impaired renal function
The nurse should assess for evidence of lung disease
Any reduction in oxygenation, such as lung disease can cause secondary polycythemia.
bone pain, osteoporosis, pathological fractures, elevated serum protein, hypercalcemia, renal failure, anemia, fatigue, weakness, increased risk for bleeding and infection
Multiple Myeloma
SIADH Management
restrict fluids to 500-1000 mL/day, replace sodium (tablets or IV), diuretics
A patient comes into the clinic complaining of fatigue. Blood work shows an increased bilirubin concentration and an increased reticulocyte count. What would the nurse suspect the patient has?
Hemolytic anemia
How should a patient take iron?
Take iron on an empty stomach one hour before or two hours after a meal with OJ or some other vitamin C
More common in patients receiving immunosuppressive therapy and veterans exposed to agent orange
Hodgkin Lymphoma
Which of the following individuals is most likely to have anemia?
A. A 50-year-old African American woman who is going through menopause
B. An 81-year-old woman who has chronic heart failure
C. A 48- year old man who travels extensively and has a high-stress job
D. A 13 year old girl who has just experiencec Menarche
An 81 year old woman who has chronic heart failure
Hyperkalemia, Hyperphosphatemia and hypocalcemia are seen in the patient, what is she experiencing?
Tumor Lysis syndrome
what is Extravasation. What should the nurse do IMMEDIATELY when she sees pain or swelling at the IV site
When chemo leaks into the vein and enters the surrounding tissue
STOP THE INFUSION
The nurse is assessing a pt with complaints of overwhelming fatigue and a sore tongue that is visibly smooth and beefy red. This pt is demonstrating signs and symptoms associated with what form of what hematologic disorder?
megaloblastic anemia
Signs and symptoms of Non-Hodgkins Lymphoma
lymphadenopathy, fever, night sweats, weight loss
A pt has been living with a diagnosis of anemia for several years and has experienced recent declines in her hemoglobin levels despite active tx. What assessment finding would signal complications of anemia?
A. Venous ulcers and visual disturbances
B. Fever and signs of Hyperkalemia
C. Epistaxis and GI reflux
D. Ascites and peripheral edema
Ascites and peripheral edema