31 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
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.
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 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.
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?
The nurse has received the shift report. Which client should the nurse assess first? Assess the client for abnormal bleeding.
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.
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.
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.
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.
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.
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.
A patient who visits a health care facility for diagnosis or treatment without spending the night.
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.
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.
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.
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.
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/ ...
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.
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...•
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.
ANS: C Temperature elevation is an emergency in neutropenic patients because of the risk for rapid progression to severe infections and sepsis. The...
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...
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...
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...
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...
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...
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...
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...
ANS: B Swelling at the site may indicate extravasation, and the IV should be stopped immediately. The medication generally should be given slowly t...
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.
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.
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.
d. "The biopsy will indicate whether the cancer has spread to other organs."
d. "It is difficult to determine the original site of the cervical cancer."
The nurse receives change-of-shift report on the oncology unit. Which patient should the nurse assess first?
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.
b. IL-2 stimulates malignant cells in the resting phase to enter mitosis.
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
The nurse administers an IV vesicant chemotherapeutic agent to a patient. Which action is most important for the nurse to take?
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
scheduled routinely, but it should be done only when patient assessment data indicate the need for
The head of the patient's bed should be positioned at 30
b. The RN uses a closed-suction technique to suction the patient.
Four hours after mechanical ventilation is initiated for a patient with chronic obstructive pulmonary disease
a. Patient who was extubated in the morning and has a temperature of 101.4° F (38.6° C)