Heme/Onc Flashcards Practice

Questions and Answers

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?

Bilirubin level.

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)?

Avoid IM injection. Signup and view all the answers

What information obtained by the nurse caring for a patient with thrombocytopenia should be reported immediately to the MD?

The patient is difficult to arouse - could be bleeding in their brain. Signup and view all the answers

Several patients call the outpatient clinic for an appointment ASAP. Which should be given priority?

23 y.o. with no past medical problems complaining of a non-tender lump in axilla Signup and view all the answers

A 62 y.o. with chronic anemia is complaining of increased fatigue and occasional palpitations at rest. The nurse would expect which lab result?

Hgb 8.6 Signup and view all the answers

A patient diagnosed with cervical cancer classified as Tis, NO, MO asks what the letters/numbers mean. What is the best response?

The cancer only involves the cervix Signup and view all the answers

Explain the following cancer classification system regarding the Primary Tumor (T):

T0 = No evidence of primary tumor Tis = Carcinoma in situ T1-4 = Ascending degree of increase in tumor size and involvement Tx = Tumor cannot be measured or found Signup and view all the answers

Explain the following cancer classification system regarding the Regional Lymph Nodes (N):

N0 = No evidence of disease in lymph nodes N1-4 = Ascending degree of nodal involvement Nx = Regional lymph nodes unable to be assessed clinically Signup and view all the answers

Explain the following cancer classification system regarding Distant Metastases (M):

M0 = No evidence of distant metastases M1-4 = Ascending degree of metastatic involvement, including distant nodes Mx = Cannot be determined Signup and view all the answers

A patient being treated for stage IV lung cancer has new onset back pain. Which action should the nurse take first?

Assess for sensation and strength in legs. Signup and view all the answers

Which instruction should the nurse include for a patient discharged after an emergency splenectomy?

Wash hands and avoid persons who are ill. Signup and view all the answers

Which lab tests will the nurse use to determine whether filgrastim (Neupogen) is effective for a patient with AML on chemo?

Absolute neutrophil count Signup and view all the answers

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.