Life Span 1: Tcn Practice A&b

Front 1

Vincristine (Oncovin) Side Effects

Back 1

Hair loss, numbness and decreased reflexes

Front 2

Sigmoid Colostomy

Back 2

Solid Feces, can use irrigation to create regularity

Front 3

Stomatitis instructions

Back 3

Rinse mouth with baking soda, no hard toothbrush, no spicy/hot foods,
no mouthwash, no xylocaine.

Front 4

Adequate learning by parent with child with lymphoma

Back 4

limit visits from friend that is sick

Front 5

Food that decreases chance of colorectal cancer/ Food that increases chance of colorectal cancer

Back 5

Vegetables decrease, red meat (specially smoked) increase chance cause of nitrates

Front 6

Discourage patient with colostomy from eating

Back 6

Cucumbers and other gassy foods

Front 7

What foods decrease odors of colostomy

Back 7

Buttermilk and yogurt, spinach and parsley

Front 8

Food for pt that develops diarrhea as a side effect of chemo

Back 8

Eat bananas cause they create less bulk.

Front 9

Teaching about metastasis

Back 9

Cancer cells enter blood vessels and travel

Front 10

Child with Wilms tumor on Dactinomycin (Cosmegen) and Vinctristine (oncovin)

Back 10

Constipation and Leukopenia

Front 11

Patient with thrombocytopenia secondary to chemo, which clinical manifestation needs inmediate action?

Back 11

Excessive bleeding

Front 12

Intervention appropiate for patient with myeloma?

Back 12

Prepare for hemodyalisis, keep hydrated, restrict calcium

Front 13

Assessment findings indicate of leukemia

Back 13

fatigue, anemia, enlarged lived and slpeen

Front 14

Inmediately post op priority intervention

Back 14

ineffective breathing pattern related to pain

Front 15

Patient with glioma prone to developing which problem

Back 15

Seizure, glioma is a brain/spine tumor

Front 16

Action when patient is undergoing chemo and has nausea

Back 16

Antiemetic prior to chemo

Front 17

Intervention to promote apetite in patient undergoing chemo

Back 17

Rinse mouth before eating

Front 18

Finding that suggests bleeding in patient that underwent lobectomy 24hrs ago

Back 18

SOB and restlessness

Front 19

Patient with external radiation device that needs more teaching

Back 19

I will go swimming only once a week

Front 20

Discharge intervention for masectomy patient

Back 20

Apply lotion to cuticle of affected arm instead of cutting it

Front 21

Patient taking steropids should reduce the intake of and increase the intake of

Back 21

Need to reduce sodium and increase potassium

Front 22

Patient with actinic keratosis asks if she is at risk of developing skin cancer

Back 22

10-20% turn into cancer

Front 23

Nursing intervention for patient with lung cancer that develops superior vena cava syndrome

Back 23

Monitor neuro status cause of increased ICP and decreased O2

Front 24

Toddler with neuroblastoma that completed chemo, parents should report the following after discharge:

Back 24

Central venous access appears red, (fatigue, easy bruising normal as long as bruising is not excessive)

Front 25

Postop managment patient that underwent lower lobecotmy

Back 25

promote optimal ventilation: positioning, exercise, removal of secretions

Front 26

Outcome for patient with new colostomy

Back 26

Demonstrate colostomy care

Front 27

Clinical symptom most relevant of bladder cancer

Back 27

Hematuria without dysuria

Front 28

Nursing intervention to prevent dislodging of application in cervix with radioactive element

Back 28

Low residue diet to limit BM, also will have urinary catheter in place

Front 29

Child with leukemia is dischaged home with prednisone, teaching for parents

Back 29

Weight gain is temporary, given in the AM, limit sodium, increase potassium

Front 30

What does interleukin 2 do in treating cancer

Back 30

Increases inmune response

Front 31

What to do with a dislodged radioactive implant?

Back 31

Use long handled forceps and place implant in lead lined container

Front 32

Important info on sickle cell

Back 32

Drink fluids, hypoxia can be caused if climbs stairs in high rise or second hand smoke

Front 33

Coumadin

Back 33

-No green leafy vegetables cause it decreases level
-Cant take laxatives

Front 34

Why is it important to reduce anxiety in patient post MI?

Back 34

Stress homrones increase cardiac workload which as a reult increases oxygen demand by heart

Front 35

Findings about chronic anemia

Back 35

Beefy smooth tongue, fatigue, brittle nails

Front 36

Pernicious anemia

Back 36

B12 deficiency cause of lack of intrinsic factor in intestine, will have to get b12 shots once a month

Front 37

10 month old with iron deficiency, increase which food?

Back 37

Cereal

Front 38

Nursing intervention in patient with cardiac failure

Back 38

HOB 30 degrees, support arms with pillows, report weight gains more than 2-3 Lbs in a few days

Front 39

Coagulation disorder that formy tiny clots

Back 39

DIC

Front 40

Task that should not be delegated

Back 40

Instructing patient to avoid exercise after eating

Front 41

Anginal episode precipitated by which factor

Back 41

insufficient coronary blood flow

Front 42

Position to relieve pericarditis

Back 42

Fowler : HOB at 40, 90 degrees

Front 43

Initial nursing intervention when patient has adverse reaction to blood transfusion.

Back 43

Stop infusion, start NS, call MD

Front 44

Lasix: electrolyte imbalance symptom

Back 44

Muscle weakness:hypokalemia

Front 45

Patient with heart failure, report what to MD?

Back 45

Increase in weight

Front 46

Therapeutic effect of nitroglycerin

Back 46

Smooth muscle relaxation

Front 47

Teaching for angina

Back 47

Avoid outdoor activities in extreme temperatures

Front 48

Teaching about nitroglyerin

Back 48

Sit down or lie down when taking pills in order toprevent hypotension/syncope episode

Front 49

Data that supports lack of pumping ability due to MI (Decreased cardiac output)

Back 49

Cyanotic nail beds, decreased urinary output, cool skin

Front 50

Pale diaphoretic, nonresponsive, pulseless, bizzare wide QRS complex at regular intervals

Back 50

Ventricular tachycardia

Front 51

Right Side hear failure sign

Back 51

Dependent edema

Front 52

Chest pain and dyspnea priority nursing intervention

Back 52

start 02 and call MD

Front 53

Side effect of inderall (propanolol)

Back 53

Side effects include insomia and depression, inderall can be issued to treat migranes

Front 54

Question to ask before starting thrombolytic therapy?

Back 54

Have you hurt yourself recently?

Front 55

Important info to discuss patient on antihypertensives

Back 55

May cause problems with sexual functioning

Front 56

Relationship betweek CAD and smoking

Back 56

Increased platelet agregation

Front 57

Med used to increased cardiac output

Back 57

Digoxin (Lanoxin) strengthens contrations,
increased cardiac output.

Front 58

How to monitor effectiveness of plasma transfusion.

Back 58

Platelet and coagulation times

Front 59

Proper care and monitoring of a pacemaker

Back 59

Pat down at airport, can swim, can be checked through telephone

Front 60

Priority intervention after cardiac surgery

Back 60

Potassium needs to be between 3.5-5.0, temp usually low, UOP need to be 25 ml/hr or above

Front 61

Pt on methyldopa (aldomet) for HTN complains of light headedness

Back 61

Moves slowly from position to another

Front 62

Purpose of pursed lip breathing.

Back 62

To prolong exhalation and increase airway pressure during expiration.

Front 63

What is necessary for CPAP to be effective on infant with respiration distress

Back 63

Infant needs to be able to breathe spontaneously without assistance

Front 64

Position for thoracentesis

Back 64

Edge of bed with arms and head resting over the bed

Front 65

Patient with chronic respiratory disease reports decreased energy, suggestions to patient?

Back 65

Work on endurance through excercise routine

Front 66

Chest tube being transported to xray, how do you transfer the patietn?

Back 66

Place the unit below chest level and transport it with the patient.

Front 67

In patient with COPD with oxygen therapy, include the following:

Back 67

Monitor for bradypnea (cause of risk of supressing hypoxic drive with O2)

Front 68

Priority when administering thrombolyitic therapy to patient with pulmonary embolism

Back 68

D/C if uncontrolled bleeding occurs

Front 69

Pulmonary edema on Lasix and Digoxin monitoring?

Back 69

Hypokalemia

Front 70

Sign of patient experiencing hypoxia

Back 70

Mental confusion, restlessness first signs

Front 71

Nursing action in POC of patient with COPD

Back 71

Monitor cardiac status by assessing enzymes

Front 72

Best way for patient on ventilatir to deal with anxiety.

Back 72

Relaxation therapy

Front 73

Position for person with orthopnea

Back 73

High fowler, arms supported

Front 74

Action appropiate on suctioning tracheostomy

Back 74

Apply suction no longer than 10-15 seconds while withdrawing cathetersm rinse in normal saline, insert just far enough to stimulate cough reflex

Front 75

Knife like chest pain upon inspiration

Back 75

Pleuresy = knife like pain

Front 76

Chest tube not working well

Back 76

Continious bubbling =air leak

Front 77

Important assessment after tonsillectomy.

Back 77

Airway patency

Front 78

Indication chest tube working properly

Back 78

presence of fluid in chamber

Front 79

Patietn with cor pulmonae becomes agitated

Back 79

cor pulmonae = right side heart failure,
-irritability and agitation = air hunger

Front 80

Mantoux test

Back 80

TB test on forearm
-If bigger than 10mm sensitivity to TB Bacillus

Front 81

Ater chest physiotherapy nurse noted diminished lung sounds what does she do?

Back 81

Document findings

Front 82

Expected outcome administered cromolyn sodium to patient with asthma

Back 82

Prevents allergic trigger

Front 83

Priority pneumococal vaccine

Back 83

patient with cystic fibrosis

Front 84

Asthma associated with airway obstruction by which physiological factors:

Back 84

Swelling bronchial lining and mucous in bronchi

Front 85

Ventilatory support: which prevents alveolar collapse:

Back 85

positive and expiratory pressure: helps alveoli from collapsing

Front 86

Gentamycin affects which organ as a side effect

Back 86

Renal

Front 87

Indication of cardiac tamponade after surgery

Back 87

cessation of chest tube drainage, which may signal clotting which may signal fluid buildup

Front 88

Need for further teaching with expiratory flow meter

Back 88

Patient sits straight --- needs to be done standing up

Front 89

Car accident, pt with paradoxymal movement of chest, dx?

Back 89

Flail chest due to broken ribs,
paradoxical movement and difficulty breathing.

Front 90

Alert nurse need of further instruction on BSE

Back 90

"I dont need to examine my other breast"

Front 91

Patient on chemo develops tumor lysis syndrome, appropiate NI

Back 91

Increase fluids and watch for electrolyte imbalance

Front 92

Why do we use 2 chemo drugs combined?

Back 92

Target different phases so more cancer cells are destroyed

Front 93

Wilms tumor, dont perform?

Back 93

Palpation of abdomen, causes cells to migrate

Front 94

Leukemia patient that needs further teaching

Back 94

Can't have live plants

Front 95

4 y/o with abdominal neuroblastoma s/sx of distant metastasis

Back 95

Distant: periorbital edema en exopthalmos
Proximal: bone pain, weight loss

Front 96

Plan for chemo include which instruction

Back 96

Use appropiate antiemetic, increase fluids, use soft toothbrush, can take tylenol

Front 97

Pt recieving radiation in state of cachexia, what should be included in POC

Back 97

Cachexia = loss of weight unintentionally, 6 small meals

Front 98

What should be included in plan of care with multiple myeloma

Back 98

Hypercalcemia is a problem so increase fluids

Front 99

Why patient with neutropenia needs private room

Back 99

Minimize exposure to infection, other nursing interventions include administer ABT, asespsis, nutritional planning

Front 100

Inmmediate post op mastectomy

Back 100

Maintain elevation of R arm and hand on a pillow,
ice only if hematoma forms, exercises can be started on the second day postop

Front 101

Diet for Hodgkins

Back 101

Radiation diet: high protein, high carb,
low residue so it does not irritate

Front 102

Patient with Ileal conduit (An ileal conduit is a surgical procedure, where a small urine reservoir is created from a segment of a bowel and is located just under the abdominal wall.
What needs teachings?

Back 102

Change every 3-7 days, opening 1/8 inch, apply skin barrier, no tape on faceplate

Front 103

Child Stomatitis teaching

Back 103

Chocolate milk and mashed potatoes appropiate for child, xylocain decreases gag reflex

Front 104

How to cope with alopecia, cancer patient

Back 104

Select hairwig of matching color before hair falls out

Front 105

Important Assessment a day after mastectomy

Back 105

Pulmonary complications (pain and fluid can affect patients ability to clear airway)

Front 106

Colostomy complication

Back 106

Dark red to black

Front 107

Prevent skin breaskdown in colostomy

Back 107

Empty when bag is 1/3 full, wash with mild soap and pat dry

Front 108

Family Resources

Back 108

Laryngectomy = los chord club. candelighters = cancer, Reach for recovery= breast cancer

Front 109

Sexual function after prostate surgery

Back 109

surgery may cause impotence prosthesis may be considered

Front 110

Foods that increase risk of cancer in children

Back 110

Smoked meats cause of nitrates

Front 111

Nursing Dx for patient with lung cancer, RR20, HR92, Circumoral cyanosis, small amount of pale yellow mucous coughed up

Back 111

Impaired gas exchange

Front 112

Nursing measure for pt with thrombocytopenia

Back 112

Apply pressure after needle sticks for 5 minutes

Front 113

When cancer pateint has stomatitis, what other part of the body should the nurse check for lesions?

Back 113

Perineal area and IV sites

Front 114

What to report and what not to report after a bone marrow transplant

Back 114

Report: claudication, constipation, rash

Don't report: Alopecia

Front 115

Dietary interventions patient with stomatitis and colorectal cancer

Back 115

Avoid things that are hard to chew, avoid spicy or hot, increase fluids, fruits and veggies decrease chances of colorectal cancer

Front 116

Early detection method for prostate cancer

Back 116

Digital recal examination

Front 117

Rationale for sign on bedroom after mastectomy
"No BP or Venipuncures" on affected arm

Back 117

Increased risk of infection

Front 118

Which lab value determines if chemo should be held?

Back 118

Bone marrow supression

Front 119

Patient asks about complementary therapies, appropiate response by nurse?

Back 119

"Describe the therapies you wish to explore"

Front 120

Child with osteogenic sarcoma on chemo.
Early s/sx of myelosupression?

Back 120

Increased temperature and gingival bleeding

Front 121

Child on chemo hyperactive and with rash

Back 121

Anaphylactic reaction to chemo

Front 122

Visitors precautions during internal radiation therapy

Back 122

Maintain 6ft, visits limited to 30 minutes, no children, no pregnant women can visit.

Front 123

Important nursing intervention for patient after abdominal/ perineal resection of rectal cancer

Back 123

If pt needs to sit using foam pad pillow, if in bed side lying

Front 124

Condition that increases chances of developing cancer

Back 124

Down Syndrome

Front 125

Complication of thrombolytic therapy after MI

Back 125

systemic bleeding

Front 126

Cardiac failure patient that feels powerlessness

Back 126

Allow them to have food choices

Front 127

Understanding pacemaker

Back 127

Stimulus to control HR

Front 128

Morphine sulfate goal after MI

Back 128

Decrease cardiac workload, can cause constipation

Front 129

Arterial vs Venous insufficiency

Back 129

Arterial = hair loss in legs, cool skin, decreased pulses, no granulation tissue, elevation causes pain

Venous = Swelling, flaky dry skin, brownish discoloration.

Front 130

Phases of recovery after MI

Back 130

Phase 1: Begins once patient is stable
Phase 2: Convalescent period at home
Phase 3: Activities return to normal
Phase 3: Normal

Front 131

Rheumatic fever

Back 131

Rheumatic fever is an inflammatory disease that may develop after an infection with Streptococcus bacteria (such as strep throat or scarlet fever). The disease can affect the heart, joints, skin, and brain. Need to take precautions for ever

Front 132

Instructions with ACE inhibitor

Back 132

Causes cough that will go away in some days,
take 1 hr before meals

Front 133

Directions for patient undergoing Schilling test

Back 133

Shilling test: to see if body absorbs B12.
Collect urine for 24 hrs

Front 134

Nitroglycerin instructions

Back 134

One pill every 5 minutes up to 3 total. If not relieved call emergency services. Do not use viagra with it.

Front 135

Patient outcome indicates reolution of congestive heart failure

Back 135

PWAP 8

Front 136

Common side effect of digoxin

Back 136

Hypokalemia, nausea, and tachycardia if toxicity.

Front 137

Child with viral illness then has bruises on extremities.

Back 137

Idiopathic thrombocytopenic purpura

Front 138

To whom do you give combination of nitro and dopamine?

Back 138

Cardiogenic shock patient

Front 139

Indicative of DIC

Back 139

Increased fibrin split products