Heme Onc Case Study Quiz Directions: Answer each question and give…Heme Onc Case Study QuizDirections: Answer each question and give your rationale. This case study quiz is graded on a pass/fail scale. You are admitting a patient from the ER who is undergoing treatment for chronic leukemia. They last had chemotherapy 3 days ago and started spiking fevers to 102.2 with chills and a cough. What precautions do you anticipate instituting for this patient? BleedingUniversalAnemic Neutropenic Rationale: What is the best meal option for a patient who has iron deficiency anemia?Spinach salad Jell-O Cheese omelet Orange Rationale: You are caring for a patient who has brachytherapy, they tell you they are expecting a visit from their 6 year old grand-son, what is the BEST response?Your radiation is external so that would be fine It is not safe for your grandson due to your internal radiation He cannot come because he could make you sick Let me check with the charge nurse regarding visiting hours Rationale:Your patient reports chest pain and shortness of breath, you get a phone call from the doctor stating your patient’s chest x-ray reveals superior vena cava syndrome, what nursing intervention do you anticipate?Administering IV fluidsAdministering antibioticsAdministering pain medication Placing patient in high fowler’s Rationale: You are providing education to a patient regarding the prevention of tumor lysis syndrome, what is the best statement to provide?Do not consume raw fruits and vegetables If you experience chest pain you might have high potassium levels and need to go to the ER Consume 3-5 liters of fluids/day Monitor your temperatures 3x/day Rationale: You are caring for a patient who has mucositis, what is a priority assessment?Administering topical lidocaine Scheduling a speech and swallow consult Monitoring fluid/electrolyte imbalances Making sure the patient drinks orange juice for vitamin C for immunity Rationale: Which of the following statements about skin cancer indicated a need for further teaching?I need to apply SPF 15 or higher prior to any sun exposure, even in the winter months Skin cancer is not that serious, it only affects the skin Even if I sit under an umbrella or in the shade I still need to apply sunscreen Lighter skin tones are at higher risk of developing skin cancer Rationale: You are caring for a 50 year old man who is newly found to be anemic, he denies recent injuries, obvious bleeding. His iron levels are normal. What procedure(s) may he need for a further workup?He doesn’t need a further workup Colonoscopy Bone Marrow biopsyTIPS procedure Cardioversion MRI Rationale: Which of the following drugs places the patient at a higher risk of infection?Neupogen Epogen Prednisone MorphineVancomycin Rationale: Your patient is undergoing chemo and radiation. Their labs reveal anemia, what is an appropriate nursing intervention? Minimize invasive interventions like IVs, blood draws and foley catheters Allow extra time for the patient to wash up and walk to the bathroom Place a sign on the door that says “No plants, no flowers” Administer stool softenersAdminister antibiotics Rationale: Health ScienceScienceNursing
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