Nursing Safety Quiz

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Questions and Answers

What is an oncologic emergency?

A condition that can be treated with over-the-counter medication.

A condition that does not require immediate attention.

A situation that requires immediate treatment to prevent permanent morbidity or death. (correct)

A condition that can be treated at a later time

What are oncologic emergencies?

Events that require no immediate treatment

Potentially life-threatening events (correct)

Events that can be treated at home

Non-life-threatening events

What is the most effective measure in managing extravasation injury?

Vigilance during administration

Administering drugs through a central line

Surgical intervention

Prompt discontinuation of infusion (correct)

What are the symptoms of spinal cord compression?

Paralysis, incontinence, and chronic pain Signup and view all the answers

What are the potential consequences of untreated spinal cord compression?

Paralysis, incontinence, and chronic pain. Signup and view all the answers

What should nurses do if they become pregnant during their postings in radiation-related wards?

Inform their employer or Radiation Safety Officer (RSO Signup and view all the answers

What is the role of the Atomic Energy Regulatory Body (AERB) in India?

To regulate the use of radioactive sources Signup and view all the answers

What are the symptoms of SVC obstruction?

Facial and upper extremity edema, headache, and nausea Signup and view all the answers

What is the most common cause of brain metastases?

Lung or breast cancer Signup and view all the answers

What is the standard of care for patients with brain metastasis?

Radiation therapy Signup and view all the answers

What is the International Commission of Radiological Protection (ICRP)?

An organization that provides recommendations on radiation protection Signup and view all the answers

What symptoms can occur with spinal cord compression?

Bladder symptoms and impotence Signup and view all the answers

What is the treatment for bone metastases?

Pain management and targeted therapies Signup and view all the answers

Where do bone metastases most frequently occur?

Spine, pelvis, and ribs. Signup and view all the answers

What is an extravasation injury?

An injury caused by a drug escaping into subcutaneous tissues Signup and view all the answers

What is the recommended order of sites for peripheral intravenous administration to prevent extravasation injury?

Forearm, wrist, antecubital fossae, dorsal hand Signup and view all the answers

How can brain metastases be detected?

MRI. Signup and view all the answers

What is the role of nursing personnel in radiation oncology?

To understand the biological effects of radiation and safety aspects Signup and view all the answers

What is the immediate treatment for brain tumors?

Anticonvulsants and medical decompression with a corticosteroid regimen Signup and view all the answers

What are the treatments for spinal cord compression?

Radiotherapy, chemotherapy, and medical or surgical decompression. Signup and view all the answers

What is the treatment for acute tumor lysis syndrome?

Treating electrolyte imbalances Signup and view all the answers

What is the recommended action if extravasation is suspected during drug administration?

Discontinue the infusion promptly Signup and view all the answers

What are the treatments for bone metastases?

Pain management and targeted therapies. Signup and view all the answers

What is the treatment for cancer-related hypercalcemia?

Bisphosphonates Signup and view all the answers

What is the risk factor for extravasation injury in cancer patients?

Thin and fragile veins Signup and view all the answers

What is the prognosis for patients with oncologic emergencies?

Often poor, with low survival rates. Signup and view all the answers

What is the role of personnel monitoring devices in radiation safety?

To monitor radiation exposure of nursing personnel Signup and view all the answers

What is tumor lysis syndrome (TLS)?

A condition that can occur after high doses of chemotherapy. Signup and view all the answers

What is febrile neutropenia?

A patient receiving chemotherapy and cephalosporin + aminoglycoside combination Signup and view all the answers

What is the effect of vesicant extravasation on tissue?

It causes chemical cellulitis Signup and view all the answers

What is the treatment for TLS?

Directed at the underlying malignancy. Signup and view all the answers

What is the risk for patients with febrile neutropenia?

Increased risk of developing nosocomial infections Signup and view all the answers

What are the bisphosphonates used to treat cancer-related hypercalcemia?

Pamidronate and Zoledronate Signup and view all the answers

What is the risk of extravasation turning into ulcerations?

About one-third Signup and view all the answers

Study Notes

Radiation Safety for Nurses in Radiation Oncology:

Nurses in radiology need to understand the biological effects of radiation and safety aspects.
Advancements in radiation technology have reduced radiation exposure to treating physicians and nursing personnel.
Nurses should know the location of the radioactive source in the treatment room and maintain a reasonable distance from it.
They should minimize the time spent in the treatment room as much as possible.
Proper protective and personnel monitoring devices should be used.
Nurses should be familiar with emergency procedures during radiation emergencies.
If a nursing staff becomes pregnant during her postings in radiation-related wards, the employer or Radiation Safety Officer (RSO) should be informed.
The International Commission of Radiological Protection (ICRP) offers recommendations on radiation protection.
The Atomic Energy Regulatory Body (AERB) takes care of radiation protection aspects in India.
New dose limits recommended by ICRP are given in table-1 for reference.

Extravasation Reactions - Nursing Perspective:

Extravasation injury occurs when drugs escape from veins or intravenous catheters into subcutaneous tissues.
Cancer patients are at high risk of extravasation due to thin and fragile veins, among other reasons.
Vesicants cause chemical cellulitis, which may worsen depending on the amount of drug that has extravasated.
Prevention is the most effective measure in managing extravasation and includes using a central line or a carefully chosen site of administration.
The use of CVC administration does not prevent extravasation injury.
In the case of peripheral intravenous administration, the selection of sites should be in the order of forearm, dorsal hand, wrist, and antecubital fossae.
Vesicant extravasation can worsen and require surgery
About one-third of extravasations turn into ulcerations
Proper recognition and management can limit tissue injury
Prompt discontinuation of infusion is recommended if extravasation is suspected
Aspiration of residual drug should follow discontinuation
Vigilance is important in managing extravasation
Extravasation can cause tissue injury
Surgical intervention may be necessary
Timely recognition is crucial in managing extravasation
Residual drug should be aspirated after discontinuation of infusion.

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Description

Test your knowledge on important nursing topics with these two quizzes. The first quiz focuses on radiation safety for nurses in radiation oncology, including understanding the biological effects of radiation, emergency procedures, and recommended protective measures. The second quiz covers extravasation reactions, a potential complication in cancer patients receiving intravenous medications. Test your knowledge on prevention, recognition, and management of extravasation injuries. Improve your nursing practice and patient care by taking these informative quizzes.