NURS 420 Exam 4 (Cancer, DVT, PE, and
Respiratory ) – Questions With Verified Solutions
Save Groups
Practice questions for this set
Learn 1 /7 Study using Learn
- Leafy green vegetables
- Legumes
- Nuts and seeds
- Fortified cereal
- Eggs
- Poultry
- Fish
Choose an answer
1 How is chemotherapy typically dosed? 2 Thrombocytopenia:
3 Chemotherapy safety considerations: 4 Foods containing folic acid:
Don't know?
Terms in this set (138)
,How is chemotherapy typically Based on body surface area (BSA) or patient weight -
dosed? NOT a fixed dosing normally
Nadir period: Lowest point of a patient's blood cell counts after
chemotherapy - when patient is at highest risk of
infection, bleeding, and anemia
(Typically 7-14 days after chemo)
Side effects of chemotherapy: - Bone marrow suppression - low WBCs
(neutropenia), low platelets (thrombocytopenia), and
low RBCs (anemia)
- GI irritation; N/V, diarrhea, mucositis
- Alopecia (hair loss)
- Infertility/ reproductive harm
- Tumor lysis syndrome
- Cognitive impairment
Chemotherapy: medications that damage cells DNA or destroy
rapidly invading cells
Chemotherapy safety considerations: Anyone preparing, giving, or disposing of chemo
medications must wear proper PPE
PPE for chemotherapy: - Chemotherapy tested gloves (recommended to
double glove & change gloves every 30-60 minutes)
- Gown
- Respiratory protection if risk of aerosol or powder
inhalation (N95 or PAPR)
- Eye protection if risk of splashing
Disposal of chemotherapy products: Dispose of all chemo materials in yellow chemo bins
(follow agency policy guidelines)
Extravasation: leakage of vesicant (chemo agents) into surrounding
tissues
, Nursing actions for extravasation: - STOP IV infusion immediately
- Leave IV in place
- Aspirate remaining vesicant if possible
- Notify provider
- Administer antidote as prescribe
- Elevate limb
- Document
Nursing actions for chemotherapy: - Monitor CBC
- Implement infection precautions
- Give antiemetics before chemotherapy
- Provide frequent oral care
- Provide emotional support
- Ensure hydration
- Closely monitor IV infusions and provide immediate
treatment for extravasation
Chemotherapy education: - Flush toilet twice after use
- Small, frequent meals for nausea
- Rest when fatigued, but remain as active as
tolerated
- Instruct family to dispense pills directly into a cup -
do not touch with hands
Neutropenia: Low neutrophil count
- Increased infection risk
- Implement neutropenic/ reverse precautions
Thrombocytopenia: Low platelet count
- Bleeding risk
- Implement bleeding precautions
- May require platelet transfusion
Bleeding precautions: - Use soft toothbrush
- Use electric razor
- Avoid IM injections
- Avoid straining
- Avoid aspirin or NSAIDs
Respiratory ) – Questions With Verified Solutions
Save Groups
Practice questions for this set
Learn 1 /7 Study using Learn
- Leafy green vegetables
- Legumes
- Nuts and seeds
- Fortified cereal
- Eggs
- Poultry
- Fish
Choose an answer
1 How is chemotherapy typically dosed? 2 Thrombocytopenia:
3 Chemotherapy safety considerations: 4 Foods containing folic acid:
Don't know?
Terms in this set (138)
,How is chemotherapy typically Based on body surface area (BSA) or patient weight -
dosed? NOT a fixed dosing normally
Nadir period: Lowest point of a patient's blood cell counts after
chemotherapy - when patient is at highest risk of
infection, bleeding, and anemia
(Typically 7-14 days after chemo)
Side effects of chemotherapy: - Bone marrow suppression - low WBCs
(neutropenia), low platelets (thrombocytopenia), and
low RBCs (anemia)
- GI irritation; N/V, diarrhea, mucositis
- Alopecia (hair loss)
- Infertility/ reproductive harm
- Tumor lysis syndrome
- Cognitive impairment
Chemotherapy: medications that damage cells DNA or destroy
rapidly invading cells
Chemotherapy safety considerations: Anyone preparing, giving, or disposing of chemo
medications must wear proper PPE
PPE for chemotherapy: - Chemotherapy tested gloves (recommended to
double glove & change gloves every 30-60 minutes)
- Gown
- Respiratory protection if risk of aerosol or powder
inhalation (N95 or PAPR)
- Eye protection if risk of splashing
Disposal of chemotherapy products: Dispose of all chemo materials in yellow chemo bins
(follow agency policy guidelines)
Extravasation: leakage of vesicant (chemo agents) into surrounding
tissues
, Nursing actions for extravasation: - STOP IV infusion immediately
- Leave IV in place
- Aspirate remaining vesicant if possible
- Notify provider
- Administer antidote as prescribe
- Elevate limb
- Document
Nursing actions for chemotherapy: - Monitor CBC
- Implement infection precautions
- Give antiemetics before chemotherapy
- Provide frequent oral care
- Provide emotional support
- Ensure hydration
- Closely monitor IV infusions and provide immediate
treatment for extravasation
Chemotherapy education: - Flush toilet twice after use
- Small, frequent meals for nausea
- Rest when fatigued, but remain as active as
tolerated
- Instruct family to dispense pills directly into a cup -
do not touch with hands
Neutropenia: Low neutrophil count
- Increased infection risk
- Implement neutropenic/ reverse precautions
Thrombocytopenia: Low platelet count
- Bleeding risk
- Implement bleeding precautions
- May require platelet transfusion
Bleeding precautions: - Use soft toothbrush
- Use electric razor
- Avoid IM injections
- Avoid straining
- Avoid aspirin or NSAIDs
