Leukemia Nursing Management Quiz
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Questions and Answers

What is the major concern for a patient with neutropenia?

  • High-grade fever
  • Increased risk of infection (correct)
  • Low RBC count
  • Elevated WBC count
  • Which procedure is typically used to confirm a diagnosis of leukemia?

  • Blood cultures
  • Dental examination
  • CBC test
  • Bone marrow aspiration (correct)
  • What is a crucial nursing intervention for a patient with neutropenia?

  • Implementing radiation therapy
  • Encouraging crowded social activities
  • Maintaining strict hand hygiene (correct)
  • Promoting consumption of uncooked meats
  • Which type of leukemia involves dysfunctional cells due to a loss of cell regulation?

    <p>Acute myelogenous leukemia</p> Signup and view all the answers

    What should be given after chemotherapy to help with neutropenia?

    <p>Hematopoietic growth factors</p> Signup and view all the answers

    How can neutropenia be managed effectively by nursing staff?

    <p>Implementing protective measures like strict hand washing</p> Signup and view all the answers

    What is a common symptom of lymphoma that indicates systemic involvement?

    <p>Unexplained weight loss</p> Signup and view all the answers

    How should a nurse assess the response to chemotherapy in a patient with lymphoma?

    <p>Assess for tumor size changes</p> Signup and view all the answers

    What is an effect of radiation therapy commonly experienced by patients with hematological cancers?

    <p>Hair loss</p> Signup and view all the answers

    Which symptom should a nurse closely monitor in a patient undergoing chemotherapy for hematological cancer?

    <p>Fever</p> Signup and view all the answers

    How should a nurse address potential fertility issues in a patient undergoing treatment for lymphoma?

    <p>Discuss fertility preservation options before treatment begins</p> Signup and view all the answers

    What should be the focus of nursing care when managing the effects of chemotherapy in a patient with hematological cancer?

    <p>Providing supportive care to manage side effects</p> Signup and view all the answers

    What is a common sign of anemia in a patient with leukemia?

    <p>Bruising</p> Signup and view all the answers

    Which therapy is used in leukemia to interrupt cell growth at all points?

    <p>Combination therapy</p> Signup and view all the answers

    What is the primary goal of HCST therapy in leukemia?

    <p>To kill off own stem cells first</p> Signup and view all the answers

    Which diagnostic result would indicate an increased risk of infection in a patient with leukemia?

    <p>ANC 400</p> Signup and view all the answers

    What is a common symptom of lymphomas according to the provided text?

    <p>Night sweats</p> Signup and view all the answers

    In the diagnosis of lymphomas, which test is commonly used to confirm the type and extent of the disease?

    <p>PET scan</p> Signup and view all the answers

    Study Notes

    Lymphoma Symptoms

    • Delayed medical treatment until systemic involvement
    • "B" symptoms, such as fever, night sweats, and weight loss
    • Lymphadenopathy, hepatomegaly, and splenomegaly in advanced disease
    • Generalized pruritus, persistent cough, and mediastinal involvement

    Lymphoma Management

    • Chemotherapy, radiation, and stem cell transplant
    • Assessment/education similar to leukemia, including monitoring labs, pain, and symptom management, and education on disease process, risks, and complications

    Complications of Lymphoma

    • Spinal cord compression, superior vena cava syndrome, and hypercalcemia

    Nursing Management of Hematological Cancers

    • Assessment of symptoms, response to treatment, and supportive care throughout diagnosis, treatment, and disease progression
    • Addressing effects of radiation and chemotherapy, and psychosocial considerations
    • Addressing potential fertility issues and long-term effects of therapy
    • Monitoring nutritional status, including high calorie, high protein diet, and managing causative factors of inadequate intake

    Nursing Management of Hematological Cancers (continued)

    • Assessing skin and mucus membranes for signs of bleeding tendencies, swelling, or lesions
    • Providing mouth care, lubricating lips and nares, and using soft toothbrush or sponge
    • Avoiding mouthwash and culturing any lesions

    Nursing Management of Hematological Cancers (continued)

    • Assessing coping strategies, identifying sources of strength and support, and evaluating cultural factors
    • Facilitating open discussion, community resource referral, and practicing holistic care

    Leukemia Symptoms

    • Enlarged lymph nodes from bone marrow congestion, susceptibility to infection, and fever
    • General signs of anemia, such as fatigue, pallor, weakness, and shortness of breath
    • Bleeding tendencies, such as bruising, petechiae, and nosebleeds
    • Unintentional weight loss, bone pain, and change in gait

    Leukemia Nursing Management

    • Chemotherapy, radiation, and drug therapy, including combination therapy to decrease resistance and minimize toxicity
    • Monitoring signs and symptoms, labs, and instituting precautions
    • Educating patients on precautions, manifestations of anemia, thrombocytopenia, bleeding, and adverse reactions to therapy
    • Addressing drug interactions and fertility issues

    Lymphomas

    • Hodgkin's lymphoma: presence of Reed Sternberg cells, localized fever, night sweats, and weight loss
    • Non-Hodgkin's lymphoma: includes various types, disseminated, and extranodal involvement common

    Diagnosis of Lymphomas

    • History and physical, CBC, CXR, CT scan, PET scan, and bone marrow aspiration

    Neutropenia

    • Abnormal decrease in the number of neutrophils, often occurring alongside other conditions
    • Predisposed to infection from normal body flora and outside bacteria, with low-grade fever being an emergency
    • Diagnosis: blood cultures, CBC, and bone marrow aspiration

    Neutropenia Nursing Management

    • Determining cause of neutropenia, instituting antibiotic therapy, and identifying offending organism
    • Giving hematopoietic growth factors after chemotherapy, implementing protective measures, and promoting good hygiene

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    Description

    Test your knowledge on nursing management of leukemia, including chemotherapy, radiation, drug therapy, and HCST. Learn about symptoms such as enlarged lymph nodes, anemia signs, bleeding tendencies, and bone pain.

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