following shift report on an oncology unit which patient would 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.

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?

How often should the nurse assist the patient to the commode?

Assist the patient to the commode every 2 hours during the day A patient reports feeling numbness and tingling of the left arm before experiencing a seizure. The nurse determines that this history is consistent with what type of seizure?

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 a shift report?

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

Which potential side effect would the nurse include in the teaching plan for a patient undergoing radiation therapy for laryngeal cancer?

Radiation therapy to the head and neck can cause side effects that make it difficult to take in adequate amounts of food and fluids. These side effects include loss of appetite, changes in taste or loss of taste, painful chewing and swallowing, mouth sores, dry mouth and nausea.

When caring for the patient with chemotherapy induced mucositis which intervention will be most helpful?

Preventive measures for chemotherapy-induced mucositis include: Brushing with a soft toothbrush twice a day, flossing daily, and rinsing with bland solutions, such as normal saline, sodium bicarbonate, or tap water, at least four times a day are recommended.

Which medication does the nurse plan to administer to a client before chemotherapy to decrease the incidence of nausea?

Benzodiazepines. These agents are anxiolytics that are used in patients receiving chemotherapy. Benzodiazepines are appropriate adjunct therapies to decrease treatment-related anxiety, and they are the preferred agents to treat and prevent anticipatory nausea and vomiting.

What side effects does chemotherapy have?

Here's a list of many of the common side effects, but it's unlikely you'll have all of these.Tiredness. Tiredness (fatigue) is one of the most common side effects of chemotherapy. ... Feeling and being sick. ... Hair loss. ... Infections. ... Anaemia. ... Bruising and bleeding. ... Sore mouth. ... Loss of appetite.More items...

What are the side effects of radiation to the breast?

Side effects of radiotherapySkin reactions.Swelling of the breast.Pain in the breast or chest area.Hair loss in the armpit.Sore throat.Tiredness and fatigue.Lymphoedema.Change in breast shape, size and colour.More items...

How do you manage mucositis?

Dobrush your teeth with a soft toothbrush at least twice a day.gently floss once a day if you can.rinse your mouth with warm water (or water mixed with a bit of salt) several times a day.suck on crushed ice or ice lollies.eat soft, moist foods, like soup, jelly or soft fruit, or try adding gravy or sauces to meals.More items...

How do you prevent chemo mucositis?

Allopurinol mouthwashes 4 to 6 times per day have been evaluated as prophylaxis against mucositis resulting specifically from the action of 5- fluorouracil chemotherapy. Results of the meta-analysis support the use of allopurinol mouthwash to prevent mucositis.

When does mucositis occur after chemo?

Mucositis tends to appear sooner after chemotherapy than after radiotherapy, and more often affects the non-keratinized mucosa (2). Its maximum expression occurs 7-10 days after chemotherapy, and erythema progresses towards ulceration.

Which of the following drugs should be administered to a client on chemotherapy to prevent nausea and vomiting?

However, if the chemotherapy is likely to cause nausea and vomiting, your doctor may prescribe one or more of the following common anti-nausea medications: Aprepitant (Emend®) Dolasetron (Anzemet®) Granisetron (Kytril®)

When should antiemetics be given for chemotherapy?

The first dose of antiemetics should be given prior to commencing chemotherapy as per the following; Oral – 30 to 60 minutes prior to first dose of chemotherapy (optimal time is 60 minutes prior to commencing chemotherapy)

What is the best recommendation for the nurse to make to a client receiving chemotherapy who is experiencing slight nausea with meals?

Avoid warm foods. Cold foods like yogurt and ice cream are often well tolerated. Try letting your warm food cool down for 30 minutes before eating (this will also allow more time to pass when airing out the kitchen). If you cannot wait, place your warm dish in a large bowl of ice to it cool down quickly.