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Questions and Answers
What instruction will the nurse plan to include in discharge teaching for the patient admitted with a sickle cell crisis?
What instruction will the nurse plan to include in discharge teaching for the patient admitted with a sickle cell crisis?
Avoid exposure to crowds - they die from infection.
What lab results should the nurse check for in a patient with hemolytic anemia who has scleral jaundice?
What lab results should the nurse check for in a patient with hemolytic anemia who has scleral jaundice?
Bilirubin level.
Hemolytic anemia is the destruction of RBCs and blood is not in stool.
Hemolytic anemia is the destruction of RBCs and blood is not in stool.
True
Which intervention will be included in the nursing plan for a patient with Immune Thrombocytopenic Purpura (ITP)?
Which intervention will be included in the nursing plan for a patient with Immune Thrombocytopenic Purpura (ITP)?
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What information obtained by the nurse caring for a patient with thrombocytopenia should be reported immediately to the MD?
What information obtained by the nurse caring for a patient with thrombocytopenia should be reported immediately to the MD?
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Several patients call the outpatient clinic for an appointment ASAP. Which should be given priority?
Several patients call the outpatient clinic for an appointment ASAP. Which should be given priority?
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A 62 y.o. with chronic anemia is complaining of increased fatigue and occasional palpitations at rest. The nurse would expect which lab result?
A 62 y.o. with chronic anemia is complaining of increased fatigue and occasional palpitations at rest. The nurse would expect which lab result?
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A patient diagnosed with cervical cancer classified as Tis, NO, MO asks what the letters/numbers mean. What is the best response?
A patient diagnosed with cervical cancer classified as Tis, NO, MO asks what the letters/numbers mean. What is the best response?
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Explain the following cancer classification system regarding the Primary Tumor (T):
Explain the following cancer classification system regarding the Primary Tumor (T):
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Explain the following cancer classification system regarding the Regional Lymph Nodes (N):
Explain the following cancer classification system regarding the Regional Lymph Nodes (N):
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Explain the following cancer classification system regarding Distant Metastases (M):
Explain the following cancer classification system regarding Distant Metastases (M):
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A patient being treated for stage IV lung cancer has new onset back pain. Which action should the nurse take first?
A patient being treated for stage IV lung cancer has new onset back pain. Which action should the nurse take first?
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Which instruction should the nurse include for a patient discharged after an emergency splenectomy?
Which instruction should the nurse include for a patient discharged after an emergency splenectomy?
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Which lab tests will the nurse use to determine whether filgrastim (Neupogen) is effective for a patient with AML on chemo?
Which lab tests will the nurse use to determine whether filgrastim (Neupogen) is effective for a patient with AML on chemo?
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Study Notes
Sickle Cell Crisis Management
- Advise patients to avoid crowds to reduce infection risk as they are vulnerable.
Hemolytic Anemia Assessment
- Scleral jaundice indicates potential liver dysfunction; check bilirubin levels in lab results.
Understanding Hemolytic Anemia
- Characterized by the destruction of red blood cells (RBC); does not typically involve blood in stool.
Immune Thrombocytopenic Purpura (ITP) Care
- Avoid intramuscular (IM) injections; alternative routes include oral or intravenous (IV) medications.
Thrombocytopenia Symptoms
- Report sudden changes in arousal or consciousness to medical professionals as it may indicate brain bleeding.
Prioritizing Patient Appointments
- A 23-year-old with a non-tender axillary lump is the highest priority due to potential malignancy.
Chronic Anemia Indicators
- Expected lab findings in a patient with chronic anemia include a hemoglobin (Hgb) level of 8.6, indicating significant anemia and compensatory palpitations.
Cancer Classification Terminology
- Tis, NO, MO in cervical cancer:
- Tis: carcinoma in situ (localized cancer).
- NO: no lymph node involvement.
- MO: no distant metastases.
Primary Tumor (T) Classification
- T classifications define the presence and extent of the primary tumor:
- T0: No primary tumor.
- Tis: Carcinoma in situ.
- T1-4: Increasing tumor size and involvement.
- Tx: Tumor cannot be assessed.
Regional Lymph Nodes (N) Classification
- N classifications focus on lymph node involvement:
- N0: No disease in lymph nodes.
- N1-4: Increasing degrees of involvement.
- Nx: Unable to assess lymph nodes clinically.
Distant Metastases (M) Classification
- M classifications denote the extent of metastasis:
- M0: No distant metastases.
- M1-4: Progressive degrees of metastatic involvement.
- Mx: Cannot be determined.
Management of New Pain in Cancer Patients
- For a stage IV lung cancer patient reporting new back pain, prioritize assessing sensation and strength in the legs to rule out spinal issues.
Post-Splenectomy Care Instructions
- Emphasize hand hygiene and avoiding ill persons to minimize infection risk after splenectomy.
Evaluating Effectiveness of Filgrastim (Neupogen)
- Use Absolute Neutrophil Count (ANC) to assess the effectiveness of filgrastim in patients undergoing chemotherapy for Acute Myeloid Leukemia (AML).
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Description
Test your knowledge with these flashcards focused on hematology and oncology concepts. Explore critical topics like sickle cell crisis and hemolytic anemia through practical scenarios to enhance your understanding. Ideal for nursing students and healthcare professionals looking to reinforce their skills.
