Disorders
Which anemia is the sudden or gradual loss of blood volume?
Hypovolemic Anemia
Why would a client need a vascular device for chemotherapy?
client does not have to endure repeated venipunctures--beneficial for clients with poor veins
Less risk for leakage into the surrounding tissues.
When doing an assessment of the lymphatic system, what should the nurse remember to do?
Inspect skin-assess for edema
Palpate lymph nodes
Assess tonsils
Bleeding
What is a Lymphangiography?
lymphangiography-shows the obstruction of lymph nodes that caused swelling in extremities.
Which condition is the chronic premature destruction of erythrocytes that can be acquired , inherited or idiopathic?
Hemolytic Anemia
How can a nurse help treat Lymphedema?
Ensure effected extremities are elevated and the use of compression garments if indicated.
Which disorder should the nurse ensure safety with ambulation due to the risk for fracture with minor ambulation.
MULTIPLE MYELOMA--abnormal plasma cells proliferate in the bone marrow, where they release osteoclasts
Infectious mononucleosis spreads through ______.
Spreads by direct contact with saliva and pharyngeal secretions from an infected person
Intimate kissing
Coughing
Talking
Sneezing
Sharing food
Cigarettes
Other items containing oral secretions
Reed-Sternburg Cells are found in which disorder?
Hodgkin Disease
What are the four types of Leukemia?
Acute Lymphocytic Leukemia (ALL)
Chronic Lymphocytic Leukemia (CLL)
Acute Myelogenous Leukemia (AML)
Chronic Myelogenous Leukemia (CML)
What are vesicants?
antineoplastic (cancer killing agent) which cause tissue necrosis of underlying tendons, nerves, & blood vessels. Severe cases of sloughing and ulceration of skin may require skin grafts.
What should the nurse do for a malnourished client receiving chemotherapy?
If due to nausea-administer antiemetic (if prescribed)
encourage oral intake by allowing the client to choose their meal
A client undergoing chemotherapy should be aware of what side effects?
SIDE EFFECTS: Nausea, Vomiting, Stomatitis, Alopecia, Myelosuppression, Fatigue, mouth sores, weakened immune system, rashes, bruising, bleeding, neuropathy
What is a schilling test and what disorder is it used for?
Schillings Test-determines etiology of B12 deficiency.
used for diagnosis in Pernicious Anemia
What is the difference between Lymphangitis and Lyphadenitis?
Lymphangitis is the inflammation of lymphatic vessels
Lyphadenitis is the inflammation of lymphatic vessels affects the lymph nodes
What blood types are compatible with AB blood
A, B, AB and O
AB is universal recipients because they have both A and B antigens but the Rh factor must be compatible. Rh positive clients can receive either Rh positive or negative. Rh negative clients can only receive Rh negative.
The nurse is needing a blood pressure on a client diagnosed with Hemophilia. What should the nurse do?
Ensure the client has never had bleeding under the skin caused from a BP cuff.
Take a manual Blood Pressure
A client with lymphedema should not be without their compression garment for how long?
30-60 minutes
Epstein-Barr virus can be linked to what two disorders?
Hodgkin Disease- Epstein–Barr virus causes mutations in some but not all lymphocytes, creating malignant cells known as Reed–Sternberg cells
Infectious Mononucleosis is caused by Epstein-Barr virus
What does CAUTION stand for in regards to cancer warning signs.
•C- change in bowel/bladder habits
•A- an unhealing sore
•U- unusual bleeding
•T- thickening lump
•I- indigestion
•O- obvious change in size of wart or mole
What is the typical treatment for a client with sickle cell crisis?
IV fluid hydration
Possible transfusion
Pain managment
O2 supplementation
How should a nurse implement neutropenic precautions?
Neutropenic Precautions: shower daily, private room, no sick visitors or staff, hand hygiene, no raw fruits/veggies, no fresh flowers
What education should be given to a client undergoing radiation treatments?
⚬wash hands, flush toilet several time
⚬use separate eating utensils and towels
⚬drink fluids
⚬avoid kissing and sexual contact
⚬arm’s length distance; sleep alone
minimize contact with infants, children, pregnant women, and pets
What is the purpose of positron emission tomography (PET)?
Positron emission tomography (PET) scans help differentiate between malignant and benign tumors