OCN: Symptom Management & Palliative Care Exam with all Correct &
100% Verified Answers |Already Graded A+
Acute Complications - (ANSWER)- occurs immediately after treatment begins GI toxicity (N&V, diarrhea),
BMD, pain, fatigue, sleep
disturbance
Late complications - (ANSWER)- occur months to years after treatment Fatigue, insomnia, cognitive
impairment, pain, pulmonary fibrosis,
cardiomyopathy, malabsorption syndrome & dyspnea
Palliative Care - (ANSWER)Begins at time of diagnosis and includes hospice care
and bereavement counseling
Significant symptom burden from disease or treatment
Significant social or psychosocial distress
Performance status ≥ 3
Limited self-care: confined to bed or chair >50% of waking hrs.
May be initiated by primary oncology team & augmented by
palliative care experts based on patient & family needs
When patients with multiple symptoms are
admitted to palliative care, the first is
A. assessing how the family is coping.
B. talking with the family about hospice plans.
C. developing a therapeutic relationship.
D. assessing the patient's symptom burden. - (ANSWER)D. assessing the patient's symptom burden.
Palliative care is becoming more widely accepted, as
evidenced by
,OCN: Symptom Management & Palliative Care Exam with all Correct &
100% Verified Answers |Already Graded A+
A. its availability in multiple facilities and home care.
B. certification programs for nurses and physicians.
C. Family member acceptance of palliative
programs.
D. Healthcare providers developing skill sets to
manage symptoms. - (ANSWER)A. its availability in multiple facilities and home care.
Myelosuppression - (ANSWER)Reduced production of RBCs, WBCs & Plt resulting in
mild, moderate, severe or life-threatening:
Neutropenia
Anemia
Thrombocytopenia
How is an absolute neutrophil count calculated?
A. % neutrophils + % bands divided by total WBC
B. Total WBC divided by % neutrophils + bands
C. % neutrophils + % bands multiplied by total WBC
D. Actual number of neutrophils + bands multiplied
by total WBC - (ANSWER)C. % neutrophils + % bands multiplied by total WBC
Neutropenia - (ANSWER)WBC <1,000
ANC <500
Which of the following conditions places a
patient at high risk for fever?
A. ANC of 1600/mm3
,OCN: Symptom Management & Palliative Care Exam with all Correct &
100% Verified Answers |Already Graded A+
B. Platelet count of 100,000
C. Three weeks post-operative
D. Hepatic metastasis - (ANSWER)D. Hepatic metastasis
Host Related Risk Factors for Neutropenia - (ANSWER)Age> 65
Female
Poor performance
status [ECOG PS>1]
Immunosuppression
Co-morbidities e.g.
diabetes, cardiac/renal or
liver disease
Open wounds or
recent surgery
Active infection or
pre-existing fungal
infections
Female
Poor performance
status [ECOG PS>1]
Immunosuppression
Co-morbidities e.g.
diabetes, cardiac/renal or
liver disease
Open wounds or
recent surgery
, OCN: Symptom Management & Palliative Care Exam with all Correct &
100% Verified Answers |Already Graded A+
Active infection or
pre-existing fungal
infections
High tumor burden or tumor involving bone marrow
Mucositis, colitis or
typhlitis
ICU admission
DIC
Arrhythmia or ECG
changes
Transfusion dependent
When caring for a neutropenic inpatient, the nurse
should
A. remove water pitchers from the room.
B. follow infection precautions.
C. Prohibit fresh fruits and vegetables.
D. use clean technique when providing central line
care. - (ANSWER)B. follow infection precautions.
Neutropenia Precautions - (ANSWER)EBP - Strict hand
hygiene e.g. soap &
water or alcohol-based
hand rubs
Teach oral care regimen
& hygiene
100% Verified Answers |Already Graded A+
Acute Complications - (ANSWER)- occurs immediately after treatment begins GI toxicity (N&V, diarrhea),
BMD, pain, fatigue, sleep
disturbance
Late complications - (ANSWER)- occur months to years after treatment Fatigue, insomnia, cognitive
impairment, pain, pulmonary fibrosis,
cardiomyopathy, malabsorption syndrome & dyspnea
Palliative Care - (ANSWER)Begins at time of diagnosis and includes hospice care
and bereavement counseling
Significant symptom burden from disease or treatment
Significant social or psychosocial distress
Performance status ≥ 3
Limited self-care: confined to bed or chair >50% of waking hrs.
May be initiated by primary oncology team & augmented by
palliative care experts based on patient & family needs
When patients with multiple symptoms are
admitted to palliative care, the first is
A. assessing how the family is coping.
B. talking with the family about hospice plans.
C. developing a therapeutic relationship.
D. assessing the patient's symptom burden. - (ANSWER)D. assessing the patient's symptom burden.
Palliative care is becoming more widely accepted, as
evidenced by
,OCN: Symptom Management & Palliative Care Exam with all Correct &
100% Verified Answers |Already Graded A+
A. its availability in multiple facilities and home care.
B. certification programs for nurses and physicians.
C. Family member acceptance of palliative
programs.
D. Healthcare providers developing skill sets to
manage symptoms. - (ANSWER)A. its availability in multiple facilities and home care.
Myelosuppression - (ANSWER)Reduced production of RBCs, WBCs & Plt resulting in
mild, moderate, severe or life-threatening:
Neutropenia
Anemia
Thrombocytopenia
How is an absolute neutrophil count calculated?
A. % neutrophils + % bands divided by total WBC
B. Total WBC divided by % neutrophils + bands
C. % neutrophils + % bands multiplied by total WBC
D. Actual number of neutrophils + bands multiplied
by total WBC - (ANSWER)C. % neutrophils + % bands multiplied by total WBC
Neutropenia - (ANSWER)WBC <1,000
ANC <500
Which of the following conditions places a
patient at high risk for fever?
A. ANC of 1600/mm3
,OCN: Symptom Management & Palliative Care Exam with all Correct &
100% Verified Answers |Already Graded A+
B. Platelet count of 100,000
C. Three weeks post-operative
D. Hepatic metastasis - (ANSWER)D. Hepatic metastasis
Host Related Risk Factors for Neutropenia - (ANSWER)Age> 65
Female
Poor performance
status [ECOG PS>1]
Immunosuppression
Co-morbidities e.g.
diabetes, cardiac/renal or
liver disease
Open wounds or
recent surgery
Active infection or
pre-existing fungal
infections
Female
Poor performance
status [ECOG PS>1]
Immunosuppression
Co-morbidities e.g.
diabetes, cardiac/renal or
liver disease
Open wounds or
recent surgery
, OCN: Symptom Management & Palliative Care Exam with all Correct &
100% Verified Answers |Already Graded A+
Active infection or
pre-existing fungal
infections
High tumor burden or tumor involving bone marrow
Mucositis, colitis or
typhlitis
ICU admission
DIC
Arrhythmia or ECG
changes
Transfusion dependent
When caring for a neutropenic inpatient, the nurse
should
A. remove water pitchers from the room.
B. follow infection precautions.
C. Prohibit fresh fruits and vegetables.
D. use clean technique when providing central line
care. - (ANSWER)B. follow infection precautions.
Neutropenia Precautions - (ANSWER)EBP - Strict hand
hygiene e.g. soap &
water or alcohol-based
hand rubs
Teach oral care regimen
& hygiene
