Exam 1, Nursing 225

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Exam 1, Nursing 225
2015-01-17 21:02:13
Oncology Fluids Electrolytes Pol Econ Peds Renal

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  1. TNM
    Tumor, Nodes, Metastasis cancer staging
  2. nadir
    lowest concentration of blood cells after taking a drug that suppresses bone marrow
  3. neutropenia
    low neutrophil count (under 5000) increased risk for infection
  4. thrombocytopenia
    low platelet count, increased risk for bleeding. Assess for bruising, bleeding gums, epitaxis, blood in urine/stool, bleeding from tubes
  5. anemia
    low RBC= fatigue and hypoxia. Assess respirations, skin color
  6. Examples of primary cancer prevention
    reduce obesity, decrease fat intake, moderate alcohol intake, avoid tobacco, avoid sun, increase high fiber foods
  7. secondary prevention of cancer
    address anything out of norm. Screening and minimizing disease. C-A-U-T-I-O-N. Ex. colonoscopy
  8. extravasation for chemo agents. Steps to address
    stop administration. keep needle in place and try to aspirate from infiltration site. Instill antidote. Apply warm or cold compress. Elevate arm. Document
  9. Managing nausea and vomiting
    First take food out of room (smell) as you go and get anti-nausea medicine. Check back in 30 minutes.
  10. cancer invading bone marrow can cause
    decreased RBC, pathologic fractures and thrombocytopenia
  11. cachexia
    extreme body wasting and malnutrition
  12. cytoreductive surgery
    control cancer by reducing the size of tumor
  13. brachytherapy
    patient is radioactive
  14. side effects of radiation
    altered taste sensation and fatigue
  15. common side effect of emetogenic agents
    nausea and vomiting
  16. stomatitis/mucositis
    sores in mouth
  17. S/s of cancer patient experiencing syndrome of inappropriate antidiurectic hormone (SIADH)
    weight gain and hyponatremia
  18. Medication for decreased erythrocytes
    Epogen- stimulates RBC production
  19. medication for decreased neutrophils
    Filgrastim (Neupogen)
  20. s/s of superior vena cava syndrome
    facial swelling, tightness of gown collar, epitaxis
  21. s/s of spinal cord compression
    severe back pain, numbness and tingling in legs
  22. Neutropenic precautions
    No fresh fruit, HAND WASHING, private room, limited visitors, positive pressure room, gown&glove&mask, patient specific equipment, dispose of drinks after 1 hour
  23. what distinguishes cancer cell from normal cell
    Rounder cells with LARGE nuclei
  24. Care of skin for patient on external beam radiation
    clean area with plain water and pat dry
  25. side effect of Epogen
  26. Kytril
    antiemetic given 30 minutes prior to chemo
  27. Precautions for patient with thrombocytopenia
    No flossing, soft toothbrush, electric shaver, stool softener, guiac, avoid aspirin, no rectal temps
  28. Interventions for Fluid volume excess
    diuretic, ambulate, limit fluid intake, sodium restriction, encourage deep breathing & cough q 2 hours, daily weight, elevate legs, moisturize, listen to lungs
  29. s/s of Fluid volume excess
    increased HR (Tachycardia), elevated BP, bounding pulse, crackles, peripheral edema, weight gain, distended neck veins, ascites, dilute urine
  30. Isotonic solutions
    Increase volume and support BP. examples are NS, LR, Ringers, D5W
  31. s/s of fluid volume deficit (dehydration)
    postural hypotension, weight loss, dry mucous membranes, decreased skin turgor, weak rapid pulse, oliguria
  32. Interventions for dehydration
    monitor vitals, increase fluid intake, monitor weight, moisturise lips
  33. Blood transfusion
    STOP immediately if patient has back pain, impending doom, increased temp. Watch for 15 minutes from start of transfusion
  34. causes of hypokalemia
    vomiting, diarrhea, ng suction, diuretics
  35. obligatory urine output
    400-600 ml/day
  36. Normal Saline is THE ONLY Thing you can give with