Exam (elaborations)
2024 NURSING 22 ONCOLOGY CHEMOTHERAPY EXAM 1 WITH CORRECT ANSWERS
- Course
- Institution
2024 NURSING 22 ONCOLOGY CHEMOTHERAPY EXAM 1 WITH CORRECT ANSWERS
[Show more]
Content preview
2024 NURSING 22 ONCOLOGYCHEMOTHERAPY EXAM 1 WITH
CORRECT ANSWERS
Chemotherapy - CORRECT-ANSWERSThis type of cancer treatment is trained
to recognize rapidly dividing cells. (This includes hair follicles and GI cells,
which are also rapidly dividing.) It is systemic and effects all body tissues. It
can kill metastatic cells.
Risk for Infection - CORRECT-ANSWERSThis is the PRIMARY risk for patients
on chemotherapy.
Reasons for using Chemotherapy - CORRECT-ANSWERSThese include:
- A Cure
- Increased Survival Time
- Decreased life threatening complications
Antiemetics - CORRECT-ANSWERSExamples of these include: Reglan,
Compazine, and Zofran.
Non-Pharmacological Anti-Nausea Treatments - CORRECT-ANSWERSHere, try
to distract the patient: use music, tv, convo, guided imagery or massage.
Side Effects of Chemotherapy: Mucositis/Stomatitis - CORRECT-ANSWERSThis
is a side effect of chemotherapy that causes sores on the mucus membrane,
due to the rapid uptake of chemotherapy.
Stomatitis/Mucositis Treatment - CORRECT-ANSWERSWith this, assess every
4 hours. Have the patient use a soft bristle toothbrush, disposable gauze -
several times daily.
- For Pain Relief
* Hurricane - swish and spit (lidocaine based)
* Nistatin - swish and swallow for fungal
Avoid spicy foods, citrus, hard foods.
Give ice chips and popsicles
Side Effects of Chemotherapy: Bone Marrow Supression - CORRECT-
ANSWERSThis is the most life threatening effect of chemotherapy.
This can cause:
, - Leukopenia
- Anemia
- Thrombcytopenia
- Pancytopenia
Leukopenia - CORRECT-ANSWERSThis occurs in Bone Marrow Suppression,
resulting in a decrease in WBC, and decreased Neutrophils. With this,
infection is a major concern, as well as sepsis (band shift to the left)
The Treatment For Leukopenia - CORRECT-ANSWERSThis is Neuprogen
(Filgrastim) It has a side effect of chills or fever. If this occurs, give the
patient Tylenol.
Nursing Care for the Immuno-suppressed Patient - CORRECT-ANSWERSHere,
give the patient a private room. If the WBC count is below 1000, establish
reverse isolation. Limit the number of people entering the room. No flowers
or plants.
Prevention of Infection in the Immuno-suppressed patient - CORRECT-
ANSWERSHere, even if the WBCs are back to normal - the cells are immature
and can't fight infection.
Avoid crowds
Hand washing
Clean toothbrush inside the dish washer.
Don't change a litter box.
Record temperature daily and report any temperature above 100, any
persistent cough, any drainage from an open area, and any foul smelling
urine.
Anemia - CORRECT-ANSWERSThis occurs in bone marrow supression where a
patients RBC, Hgb, and Hct are decreased. With this, you are worried about
Hypoxia.
- Patient will be weak, cold, pale, with an increased RR
The Treatment for Anemia - CORRECT-ANSWERSThis is Epogen/Procrit. Side
effects of this include joint pain, fever, headache, myalgia, and seizures.
Nursing care for the Anemic Patient - CORRECT-ANSWERSWith this, the
patient needs adequate rest periods.
- Vital signs need to be done
- You must monitor labs
- Call the MD if the Oxygen saturation is low.
Thrombocytopenia - CORRECT-ANSWERSThis occurs in bone marrow
suppression, where the patients platelets are decreased. Here, you are
concerned with bleeding and a risk for injury.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Elitaa. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now