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Nursing Oncological emergencies - IGGY CH 22 Onc emergencies ONLY – Questions & Answers
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Nursing Oncological emergencies - IGGY CH 22Onc emergencies ONLY – Questions & Answers
The laboratory reports of a patient with cancer indicate severe hyperkalemia
and hyperuricemia. Which treatment does the nurse anticipate will be
effective for this patient? ✔️Ans - Dialysis
The nurse is reviewing patient reports. Which patient needs a metal stent in
the vena cava? ✔️Ans - Patient A
The patient with lymphoma has a risk of superior vena cava syndrome. Facial
edema, tightness of the shirt, and hypotension are manifestations of superior
vena cava syndrome. Normal range of cardiac output is 4.0 to 8.0 L/min.
Cardiac output of 2.0 L/min indicates decreased cardiac output, a symptom of
superior vena cava syndrome. A metal stent is recommended for patient A, to
relieve swelling
The nurse is teaching measures to be followed by a patient who receives
radiation therapy for cancer. Which action of the patient indicates effective
learning? ✔️Ans - Drinking 5000 mL of fluid, the day before, on the day of,
and for 3 days after the treatment
The nurse is reviewing reports of four patients diagnosed with cancer. Which
patient requires high-dose radiation? ✔️Ans - Patient A: Spinal cord
compression
A cancer tumor may cause compression of the spinal cord that results in
spinal cord compression. A high dose of radiation can reduce the size of the
tumor and relieve compression of the spinal cord
Which oncologic emergency is a positive sign of the effectiveness of
chemotherapy? ✔️Ans - Tumor lysis syndrome
A patient receiving chemotherapy develops tumor lysis syndrome. What
instructions regarding diet should the nurse provide to the patient to prevent
complications? ✔️Ans - "You must drink at least 3000 ml of water daily."
TLS causes serum level of potassium and uric acid increase.
, A patient is diagnosed with a brain tumor. The nurse finds that the patient has
neck vein distention, muscle cramps, decreased appetite, and a bounding
pulse. Which laboratory parameter needs to be assessed in the patient?
✔️Ans - Serum sodium levels
r/t SIADH
A brain tumor may cause the syndrome of inappropriate antidiuretic
hormone. Neck vein distention, muscle cramps, decreased appetite, and a
bounding pulse are symptoms of the syndrome of inappropriate antidiuretic
hormone
A patient with cancer is diagnosed with gram-negative sepsis. The nurse finds
that the patient has dyspnea, pain, stroke-like manifestations, tachycardia, and
reduced kidney function. What condition is indicated by this finding?
✔️Ans - Disseminated intravascular coagulation
Gram-negative sepsis can trigger disseminated intravascular coagulation that
causes abnormal clotting in the blood vessels. Blood clots block blood vessels
and decrease blood flow to the major body organs, causing dyspnea, bowel
necrosis, pain, stroke-like manifestations, tachycardia, and reduced kidney
function
The nurse teaches a patient about measures to be followed to improve spinal
cord compression. During a follow-up visit, the nurse finds improvement in
the patient. Which action of the patient is responsible for this improvement?
✔️Ans - Use of external back braces
Using an external back brace reduces the weight borne by the spinal column
and pressure on the spinal nerves.
The nurse finds that a patient with thymoma has hemorrhage, decreased
cardiac output, hypotension, and cyanosis, and reports to the primary health
care provider. What is the ideal nursing action in this situation? ✔️Ans -
Performing radiographic imaging
A patient with thymoma is at an increased risk for superior vena cava
syndrome. Hemorrhage, decreased cardiac output, hypotension, and cyanosis
are symptoms of superior vena cava syndrome. The primary health care
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