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

by Eloy Quitzon I 5 min read

After change of shift report on the oncology unit which …

23 hours ago 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 … >> Go To The Portal


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.

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?

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?

Which patient should the nurse assess first after receiving change of shift report?

The nurse has received the shift report. Which client should the nurse assess first? Assess the client for abnormal bleeding.

What are the roles and responsibilities of nurses in relation to dosing of chemotherapy?

The chemotherapy nurse has four key roles: educating patients, administering chemotherapy drugs, managing side effects and supporting patients emotionally. Nurses work in a multi-disciplinary team in both in-patient and outpatient settings including hospital wards and community healthcare centres.

What do outpatient oncology nurses do?

An Oncology Nurse works with patients who have, or who are at risk of getting, cancer. Oncology Nurses provide necessary assessments, administer treatments and communicate with all patient care providers to help develop a plan tailored to each patient's needs.

What is a nursing intervention of chemotherapy?

CHEMO-SUPPORT is a tailored nursing intervention aimed at reducing symptom burden during chemotherapy. Its aim is to improve patient self-efficacy, outcome expectations, and ultimately, self-management of treatment side effects.

What is the first action by the oncology nurse when observing extravasation with the client receiving vincristine?

In the event of an extravasation, regardless of the nature of the drug, the initial steps are as follows: STOP the injection or intravenous infusion immediately. LEAVE the venous access device (VAD) in place. ASPIRATE any residual drug from the VAD using a sterile syringe.

What should the nurse do before administer chemotherapy to the patient?

Before the first administration of a new chemotherapy regimen, chart documentation of the treatment plan should be readily available. (6) At minimum, such documentation should include the patient diagnosis, medication names and doses, duration of treatment, and goals of therapy.

What does an oncology nurse need to know?

They have a deep knowledge of cancer's pathology, treatments and pain management. Oncology nurse roles can vary from specializing in bone marrow transplantation to a focus on cancer screening, detection and prevention in the community.

What is outpatient oncology?

A patient who visits a health care facility for diagnosis or treatment without spending the night.

What happens in oncology ward?

On the Oncology Ward we deliver medical oncology care. This means that most of our patients present to us with complications of anti-cancer treatment, tumour overgrowth or end of life care. Their care needs are often complex and can be emotionally demanding.

Which of the following is an important nursing consideration for a patient who is receiving doxorubicin?

A vesicant is a chemical that causes extensive tissue damage and blistering if it escapes from the vein. The nurse or doctor who gives Doxorubicin must be carefully trained. If you notice redness or swelling at the IV site while you are receiving Doxorubicin, alert your health care provider immediately.

How would you monitor a patient's progress during chemotherapy?

After diagnosis, imaging techniques such as x- ray, ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET) can assist in locating cancer and determining its stage of development.

What process should be followed when administering it chemotherapy?

Intrathecal chemotherapy is administered during a procedure called a lumbar puncture or through an ommaya reservoir (shunt). Prior to having IT chemotherapy, you will have your labwork done. You need to have a sufficient platelet count to ensure that your blood will clot at the site after the procedure.

What are the nursing responsibilities of the nurse in drug therapy?

The 7 responsibilities are: (1) Management of therapeutic and adverse effects of medication; (2) Management of medication adherence; (3) Management of patient medication self-management; (4) Management of patient education and information; (5) Prescription management; (6) Medication safety management; (7) Care/ ...

What is a nursing consideration for the administration of docetaxel?

Monitor signs of hypersensitivity reactions and anaphylaxis, including pulmonary symptoms (tightness in the throat and chest, wheezing, cough, dyspnea) or skin reactions (rash, pruritus, urticaria). Notify physician or nursing staff immediately if these reactions occur.

How do you take care of chemo patients?

10 chemotherapy tips from cancer patients who've been thereGet some rest. ... Stay hydrated. ... Eat when you can. ... Create a sense of normalcy in your routine. ... Look to your support and care teams to have your back through treatment. ... Keep things around that bring you comfort. ... Stay ahead of your nausea. ... Stay positive.More items...•

Do nurses give chemotherapy?

Chemotherapy should be administered by “a qualified physician, physician assistant, registered nurse, or advanced practice nurse.” This can include non-oncology professionals as long as they have the training and education required to administer the agents.

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...

What does a nurse teach a patient about?

The nurse teaches the patient about the management of the skin reaction. Which statement, if made by the patient, indicates the teaching was effective. a.

What is a nurse UAP?

The nurse supervises the care of a patient with a temporary radioactive cervical implant. Which action by unlicensed assistive personnel (UAP), if observed by the nurse, would require an intervention. a. The UAP flushes the toilet once after emptying the patient's bedpan.

What is IL-2 in chemo?

IL-2 prevents bone marrow depression caused by chemotherapy. c. IL-2 protects normal cells from harmful effects of chemotherapy. d. IL-2 stimulates malignant cells in the resting phase to enter mitosis. A. The home health nurse is caring for a patient who has been receiving interferon therapy for treatment of cancer.

What does a biopsy indicate?

d. "The biopsy will indicate whether the cancer has spread to other organs."

Is it difficult to determine the original site of the cervical cancer?

d. "It is difficult to determine the original site of the cervical cancer."

Who receives change of shift report on the oncology unit?

The nurse receives change-of-shift report on the oncology unit. Which patient should the nurse assess first?

Why should a confused patient not be placed near a water fountain?

ANS: A The patient should be placed near the nurse's station if confused in order for the staff to closely monitor the patient. To help improve serum sodium levels, water intake is restricted. Therefore a confused patient should not be placed near a water fountain. Peaked T waves are a sign of hyperkalemia, not hyponatremia. A confused patient could be distracting and disruptive for another patient in a semiprivate room. This patient needs sodium replacement, not restriction.

Which hormone stimulates malignant cells in the resting phase to enter mitosis?

b. IL-2 stimulates malignant cells in the resting phase to enter mitosis.

Why is temperature elevation important in neutropenic patients?

Temperature elevation is an emergency in neutropenic patients because of the risk for rapid progression to severe infections and sepsis. The other patients also require assessments or interventions, but do not need to be assessed as urgently. Patients with thrombocytopenia do not have spontaneous bleeding until the platelets are 20,000/μL. Xerostomia does not require immediate intervention. Although breakthrough pain needs to be addressed rapidly, the patient does not appear to have breakthrough pain

Who administers IV vesicant chemotherapeutic agent?

The nurse administers an IV vesicant chemotherapeutic agent to a patient. Which action is most important for the nurse to take?

Does IL-2 help with mitosis?

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 caused by chemotherapy, stimulate malignant cells to enter mitosis, or prevent bone marrow depression

When should a patient assessment be scheduled?

scheduled routinely, but it should be done only when patient assessment data indicate the need for

What is the head position of a patient's bed?

The head of the patient's bed should be positioned at 30

What technique does a RN use to suction a patient?

b. The RN uses a closed-suction technique to suction the patient.

How long after mechanical ventilation is initiated for chronic obstructive pulmonary disease?

Four hours after mechanical ventilation is initiated for a patient with chronic obstructive pulmonary disease

What is the temperature of a patient who was extubated in the morning?

a. Patient who was extubated in the morning and has a temperature of 101.4° F (38.6° C)