Clinical Manifestations
Patient presents to the ED with a temp of 36.2 C and a platelet count of 10,000. Blood cultures from central line positive with gram + staph.
What is sepsis?
What is the goal of management for a patient with TLS?
What is hydration and correction of electrolyte imbalances?
This medication is priority for a patient with spinal cord compression…
What is steroids (decadron)?
What lab test defines pancytopenia?
What is a CBC?
When a patient is admitted for hypercalcemia, what lab tests can you anticipate being ordered?
What is renal function panel? What is a CMP
Patient presents with lethargy, tetany, and severe muscle cramping two days after initiating chemotherapy?
What is tumor lysis syndrome (TLS)?
A patient is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention should be of priority?
What is strict I&Os, daily weight, assess for s/s of retention?
What class of medication will you anticipate administering for a patient who is septic?
What is broad spectrum antibiotics, i.e, Zosyn?
Patient presents with potassium of 6.1, phosphorous 4.7, uric acid 9.0, calcium 6.2. What should the nurse suspect is happening?
Name two interventions the nurse 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.
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?
What are the key interventions for a patient that presents with sepsis?
What is blood cultures, lactate, urine culture, chest x-ray, antibiotics within 1 hr?
What medication lowers uric acid levels in TLS?
What is allopurinol? What is hydration?
What is the most important imaging test that should be completed for a patient with spinal cord compression?
What is MRI? What is X-Ray? What is CT?
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 hr if above 2, possible admission/MERT, administration of medications or fluids as ordered?
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?
What is SIADH?
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?
In an individual diagnosed with hypercalcemia what medications can be administered?
What are bisphosphonates: bind to the surfaces to force calcium into bones and calcitonin: acts on kidneys to increase reabsorption?
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?
A patient with a spinal cord compression is complaining that they are irritated with having to stay in bed and requesting to get out of bed. The nurse should provide what education?
What is importance of bedrest until LIP determine the spine is stable?
A 68 year old male, who was recently diagnosed with multiple myeloma is admitted from the ambulatory infusion area for complaints of dull back pain that is exacerbated when coughing, in completing an assessment—the patient states that he notices that he has lost inches in height over the last 6 months. The nurse calls the LIP because she/he correlates the patient diagnosis with symptoms could possibly indicate what?
What is spinal cord compression?
A 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).
In an individual diagnosed with SIADH, what medications can you anticipate being ordered?
What is demeclocycline? What are PO sodium tablets and/or hypertonic solution?
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?
During your assessment of a patient that was admitted for treatment of syndrome of inappropriate antidiuretic hormone syndrome, what sign/symptom suggests that they are experiencing complications?
What is neck vein distention?