after change-of-shift report on the oncology unit, the nurse should first assess the patient who

Where does the nurse receive change of shift report for lung cancer?

The other findings also require intervention, but are common in patients with lung cancer and not immediately life threatening. The nurse receives change-of-shift report on the oncology unit. Which patient should the nurse assess first?

Which unit does the nurse receive the change of shift report?

The nurse receives change-of-shift report on the oncology unit. Which patient should the nurse assess first? ANS: C Because neck bleeding may indicate possible carotid artery rupture in a patient who is receiving radiation to the neck, this patient should be seen first.

When does the nurse need to notify the health care provider?

When monitoring the patient, the nurse will need to notify the health care provider immediately if the patient develops a. oxygen saturation of 93%. b. respirations of 20 breaths/minute.

Are the diagnoses and clinical manifestations of other patients immediately life threatening?

The diagnoses and clinical manifestations for the other patients are not immediately life threatening. A patient who is being treated for stage IV lung cancer tells the nurse about new-onset back pain. Which action should the nurse take first?

What do oncology nurses do?

Oncology nurses coordinate cancer care Often, oncology nurses are the ones who provide consistent information and guidance across the treatment plan. They have the training to assess a person's needs in both hospitals and outpatient practices.

How do nurses care for cancer patients?

RNs provide physical care such as dressing changes, medication and chemotherapy administration, monitoring of bloodwork and vital signs, and also educate, support and care for patients and their families on an emotional level.

What is the best way for the nurse to assess the nutritional status of a patient with cancer?

The simplest way to assess nutritional status is to monitor a patient's weight loss, Rogers said, and validated screening tools, including Nutritional Risk Screening and Scored Patient-Generated Subjective Global Assessment, have been shown to improve outcomes.

What is the most common oncologic emergency?

Neutropenic fever (NF) is one of the most well-known oncologic emergencies. Up to 80% of patients receiving chemotherapy for hematologic malignancies will develop NF at least once during the course of therapy.

What does an oncology nurse need to know?

Facing cancer every day as an oncology nurse takes a mix of both strength and knowledge....What you should know before becoming an oncology nurseYou'll develop strong relationships with your patients. ... You'll have to take care of yourself, too. ... You'll use both your medical knowledge and emotional intelligence.

What is the role of an oncology nurse in the care of client with cancer?

Oncology nurses are healthcare professionals who are specially trained to administer chemotherapy and radiation treatments. They are also responsible for monitoring cancer patients' vital signs and overall well-being, helping them manage pain and lessen side effects as they undergo treatment.

How do you assess nutritional status of a cancer patient?

Nutritional screening must assess four principles: (i) the current condition, (ii) its stability (recent involuntary weight loss), (iii) potential for worsening (reduced food intake) and (iv) the negative influence of the disease (stress metabolism associated with severe disease).

How do you assess nutritional status of a patient?

Body Composition. Body weight—including weight loss, calculation of the BMI, and measurement of the length, circumference, or thickness of various body parts—is useful for the assessment of nutritional status.

What is the nurse's role in nutritional assessment?

Nurses have the expertise and responsibility to ensure that patients and clients' nutritional needs are met. Providing nutrition screening and appropriate nutrition advice is essential to improve healthy eating and subsequent health outcomes. Non-communicable diseases are often associated with modifiable risk factors.

What are three oncology emergencies?

Summary of Oncologic EmergenciesEmergencyAssociated cancer or causeStructuralEpidural spinal cord compressionBreast, lung, renal, and prostate cancers and myelomaMalignant pericardial effusionMetastatic lung and breast cancer, melanoma, leukemia, lymphoma, chemotherapy to the chest wall12 more rows•Dec 1, 2006

What are the emergencies in medical oncology?

Other oncological emergencies include hypoglycaemia, pericardial effusion and cardiac tamponade, seizures, hyperviscosity syndrome (this is usually associated with Waldenström's macroglobulinaemia) and airway obstruction .

What are the emergency in medical oncology?

Most oncologic emergencies can be classified as metabolic, hematologic, structural, or treatment related. Tumor lysis syndrome is a metabolic emergency that presents as severe electrolyte abnormalities. Stabilization is focused on vigorous rehydration, maintaining urine output, and lowering uric acid levels.

After change-of-shift report on the oncology unit, which patient should the nurse assess first? a. Patient who has a platelet count of 82,000/μL after chemotherapy b. Patient who has xerostomia after receiving head and neck radiation c. Patient who is neutropenic and has a temperature of 100.5° F (38.1° C) d. Patient who is worried about getting the prescribed long-acting opioid on time

ANS: C Temperature elevation is an emergency in neutropenic patients because of the risk for rapid progression to severe infections and sepsis. The...

A chemotherapy drug that causes alopecia is prescribed for a patient. Which action should the nurse take to maintain the patient's self-esteem? a. Tell the patient to limit social contacts until regrowth of the hair occurs. b. Encourage the patient to purchase a wig or hat and wear it once hair loss begins. c. Teach the patient to gently wash hair with a mild shampoo to minimize hair loss. d. Inform the patient that hair usually grows back once the chemotherapy is complete.

ANS: B The patient is taught to anticipate hair loss and to be prepared with wigs, scarves, or hats. Limiting social contacts is not appropriate at...

During a routine health examination, a 40-year-old patient tells the nurse about a family history of colon cancer. Which action should the nurse take next? a. Teach the patient about the need for a colonoscopy at age 50. b. Teach the patient how to do home testing for fecal occult blood. c. Obtain more information from the patient about the family history. d. Schedule a sigmoidoscopy to provide baseline data about the patient.

ANS: C The patient may be at increased risk for colon cancer, but the nurse's first action should be further assessment. The other actions may be a...

During the teaching session for a patient who has a new diagnosis of acute leukemia the patient is restless and is looking away, never making eye contact. After teaching about the complications associated with chemotherapy, the patient asks the nurse to repeat all of the information. Based on this assessment, which nursing diagnosis is most appropriate for the patient? a. Risk for ineffective adherence to treatment related to denial of need for chemotherapy b. Acute confusion related to infiltration of leukemia cells into the central nervous system c. Risk for ineffective health maintenance related to anxiety about new leukemia diagnosis d. Deficient knowledge: chemotherapy related to a lack of interest in learning about treatment

ANS: C The patient who has a new cancer diagnosis is likely to have high anxiety, which may impact learning and require that the nurse repeat and r...

External-beam radiation is planned for a patient with cervical cancer. What instructions should the nurse give to the patient to prevent complications from the effects of the radiation? a. Test all stools for the presence of blood. b. Maintain a high-residue, high-fiber diet. c. Clean the perianal area carefully after every bowel movement. d. Inspect the mouth and throat daily for the appearance of thrush.

ANS: C Radiation to the abdomen will affect organs in the radiation path, such as the bowel, and cause frequent diarrhea. Careful cleaning of this...

The home health nurse cares for a patient who has been receiving interferon therapy for treatment of cancer. Which statement by the patient indicates a need for further assessment? a. "I have frequent muscle aches and pains." b. "I rarely have the energy to get out of bed." c. "I experience chills after I inject the interferon." d. "I take acetaminophen (Tylenol) every 4 hours."

ANS: B Fatigue can be a dose-limiting toxicity for use of biologic therapies. Flulike symptoms, such as muscle aches and chills, are common side ef...

A hospitalized patient who has received chemotherapy for leukemia develops neutropenia. Which observation by the nurse would indicate a need for further teaching? a. The patient ambulates several times a day in the room. b. The patient's visitors bring in some fresh peaches from home. c. The patient cleans with a warm washcloth after having a stool. d. The patient uses soap and shampoo to shower every other day.

ANS: B Fresh, thinned-skin fruits are not permitted in a neutropenic diet because of the risk of bacteria being present. The patient should ambulat...

Interleukin-2 (IL-2) is used as adjuvant therapy for a patient with metastatic renal cell carcinoma. Which information should the nurse include when explaining the purpose of this therapy to the patient? a. IL-2 enhances the immunologic response to tumor cells. b. IL-2 stimulates malignant cells in the resting phase to enter mitosis. c. IL-2 prevents the bone marrow depression caused by chemotherapy. d. IL-2 protects normal cells from the harmful effects of chemotherapy.

ANS: A IL-2 enhances the ability of the patient's own immune response to suppress tumor cells. IL-2 does not protect normal cells from damage cause...

The nurse administers an IV vesicant chemotherapeutic agent to a patient. Which action is most important for the nurse to take? a. Infuse the medication over a short period of time. b. Stop the infusion if swelling is observed at the site. c. Administer the chemotherapy through a small-bore catheter. d. Hold the medication unless a central venous line is available.

ANS: B Swelling at the site may indicate extravasation, and the IV should be stopped immediately. The medication generally should be given slowly t...