Prevention/Diagnositcs
Annual physical exams, vaccines, smoking cessation are examples of__________
primary prevention
Precautions needed for a patient receiving radiation therapy
No precautions needed.
Hematologic side effects of chemotherapy
When a tumor directly enters spinal cord or the vertebrae collapse from tumor degradation of bone
Spinal Cord Compression
S/S include change in urinary habits (hesitancy, recurrent UTI's)
Prostate Cancer
type of radiation therapy left in patient for a period of time
What is sealed implant/ Brachy therapy
Nursing priority with neutropenia
Infection prevention, reverse isolation
S/S include fatigue, bruising, bleeding
Blood cancers
side effect of chemo that causes loss of sensation in hands/feet
chemo-induced peripheral neuropathy
bleeding and infection
Includes surgery, chemo, radiation
Tertiary Treatment
_________ of chemo is done by __________ and monitoring of patient receiving chemo is done by ______.
1- chemo certified nurse
2- any certified or non-certified nurses
If this complication occurs, an IJ central line will not be possible to place.
Superior Vena Cava syndrome- tumor or clot in mediastinum or chest obstruct the svc and causes congestion in the face, neck, upper arms, chest
A patient with leukemia is entering the period known as "the nadir". As the nurse, you know the following about this period:
A. The patient is at greatest risk for blood clots and the patient may experience a platelet count of 500,000 or more.
B. The patient will need to be placed in reverse isolation due to low WBC count.
C. The patient is at greatest risk for bleeding and the patient can experience a platelet count of 50,000 or less during this period.
D. The patient is at risk for elevated hgb and hct, therefore, are at risk for stroke.
B. reverse isolation
Examples of secondary prevention
What are mammograms, PAP smears, FOT, colonoscopy
How would you assign care for a patient with a sealed radiation source placed?
A. You decide to rotate staff and assign a nurse who has not provided care for the patient.
B. None of the options are correct. Sealed radiation therapy has no special staffing restrictions.
C. You decide to assign one nurse to care for all the patients undergoing sealed radiation therapy to provide continuum of care.
D. You decide to assign the same nurse who had the patient yesterday to continue providing quality care.
A. rotate staff
common complication esp. with multiple myeloma
Hypercalcemia- bone mets lead to bone breakdown- releasing calcium into blood stream