ATI Study Exit Comp
- ANS-Anemia and thrombocytopenia arise secondary to bone marrow suppression
(myelosuppression).
■
Nursing Actions for Anemia
☐
Monitor for fatigue, pallor, dizziness, and shortness of breath.
☐
Help the purchaser control anemia-related fatigue by using scheduling sports with relaxation
durations in
among and using energy saving measures (sitting at some point of showers and ADLs).
☐
Administer erythropoietic medications such as epoetin alfa (Epogen) and antianemic
medicines inclusive of ferrous sulfate (Feosol) as prescribed.
☐
Monitor Hgb values to determine reaction to medicinal drugs. Be prepared to manage blood
if prescribed.
- ANS-Mucositis (stomatitis) is inflammation of tissues within the mouth, inclusive of the gums,
tongue, roof and
floor of the mouth, and within the lips and cheeks.
■
Nursing Actions
☐
Examine the purchaser's mouth several instances an afternoon, and inquire about the presence
of oral lesions.
☐
Document the vicinity and length of lesions which might be gift. Lesions should be cultured and
mentioned to the company.
☐
Avoid the use of glycerin-based totally mouthwashes or mouth swabs. Nonalcoholic, anesthetic
mouthwashes are advocated.
☐
Administer a topical anesthetic previous to meals.
☐
Discourage consumption of salty, acidic, or spicy meals.
☐
Offer oral hygiene before and after each meal. Use lubricating or moisturizing retailers to
counteract dry mouth.
■
Client Education
☐
,Encourage the client to rinse mouth with a solution of half 0.9% sodium chloride and 1/2
peroxide at the least twice an afternoon, and to brush teeth the usage of a tender-bristled
toothbrush.
☐
Instruct customer to take medications to control contamination as prescribed (nystatin
[Mycostatin],
acyclovir [Zovirax]).
☐
Encourage the patron to consume tender, bland ingredients and dietary supplements which can
be high in energy
(mashed potatoes, scrambled eggs, cooked cereal, milk shakes, ice cream, frozen yogurt,
bananas, and breakfast mixes)
- ANS-Nausea and vomiting/anorexia
■
Many of the medications used for chemotherapy are emetogenic (result in vomiting) or purpose
anorexia as well as an altered flavor inside the mouth.
■
Serotonin blockers, which includes ondansetron (Zofran), had been discovered to be effective
and are often
administered with corticosteroids, phenothiazines, and antihistamines.
■
Nursing Actions
☐
Administer antiemetic medicines at times that are appropriate for a chemotherapeutic agent
(previous to remedy, in the course of treatment, after remedy).
☐
Administer antiemetic medicinal drugs for numerous days after each treatment as needed.
☐
Remove vomiting cues, along with odor and materials related to nausea.
☐
Implement nonpharmacological strategies to reduce nausea (visible imagery, rest,
acupuncture, distraction).
☐
Perform calorie counts to determine intake. Provide liquid dietary supplements as
needed. Add protein powders to food or tube feedings.
☐
Administer megestrol (Megace) to growth the urge for food if prescribed.
☐
Assess for findings of dehydration or fluid and electrolyte imbalance.
☐
Perform mouth care prior to serving meals to beautify the patron's urge for food
,Encourage using plastic ingesting utensils, sucking on difficult sweet, and avoiding crimson
meats
to save you or reduce the feeling of metal flavor
- ANS-Nursing Actions for Thrombocytopenia
☐
Monitor for petechiae, ecchymosis, bleeding of the gums, nosebleeds, and occult or frank
blood in stools, urine, or vomitus.
☐
Institute bleeding precautions (keep away from IVs and injections, observe strain for
approximately
10 min after blood is acquired, cope with customer lightly and avoid trauma).
☐
Administer thrombopoietic medications consisting of oprelvekin (Interleukin 11, Neumega)
to stimulate platelet production. Monitor platelet matter, and be prepared to administer
platelets if the depend falls underneath 30,000/mm
three
.
■
Client Education
☐
Instruct the customer and circle of relatives the way to manipulate energetic bleeding.
☐
Instruct the client about measures to save you bleeding (use electric razor and gentle-bristled
toothbrush, keep away from blowing nostril vigorously, ensure that dentures match
appropriately).
☐
Instruct the patron to keep away from the use of NSAIDs.
☐
Teach the patron to prevent injury while ambulating (put on closed-toes shoes, cast off
tripping dangers within the domestic) and follow cold if damage occurs
- ANS-Nursing Considerations
☐ Always ask customers whether or not they're allergic to sulfa. Acetazolamide is a
sulfa-primarily based remedy
___ lung expansion with age - ANS-reduced
_____ seconds is/are measured in every big field on ECG graph paper? - ANS-zero.20
__precautions with hsv - ANS-contact
◯ Client Education:
■ Avoid UV and sun exposure.
, ■ Use mild protein shampoo and avoid harsh hair treatments.
■ Use steroid lotions for pores and skin rash.
■ Report peripheral and periorbital edema directly / signs and symptoms of infection related to
immunosuppression. - ANS-Avoid crowds and folks who are unwell, due to the fact illness can
precipitate an exacerbation.
■ Educate patron of childbearing age regarding dangers of pregnancy with lupus and
remedy medicinal drugs.
1 cup - ANS-eight oz
1 g (gram) - ANS-one thousand mg
1 kg - ANS-2.2 lbs
1 ounces - ANS-30 mL
1 pint - ANS-2 cups
1 quart - ANS-2 pints
1 tsp - ANS-five mL
sixteen weeks gestation - ANS-can get AFP test executed
sixteen weeks pregnant - ANS-alpha protein
17 yr antique having an emergency surgical operation. What form of consent is pleasant to
intervene? - ANS-Verbal
1st Degree Heart Block Causes - ANS-May be regular variation; inferior wall MI; capsules:
verapamil or digoxin
1st Degree Heart Block Treatment - ANS-Monitor; Observe for signs
2 - Hyperglycemia
Administer sliding scale insulin or
plan for insulin to be brought to the
TPN answer.
Monitor blood glucose - ANS-3 - Hypoglycemia
- ANS-Anemia and thrombocytopenia arise secondary to bone marrow suppression
(myelosuppression).
■
Nursing Actions for Anemia
☐
Monitor for fatigue, pallor, dizziness, and shortness of breath.
☐
Help the purchaser control anemia-related fatigue by using scheduling sports with relaxation
durations in
among and using energy saving measures (sitting at some point of showers and ADLs).
☐
Administer erythropoietic medications such as epoetin alfa (Epogen) and antianemic
medicines inclusive of ferrous sulfate (Feosol) as prescribed.
☐
Monitor Hgb values to determine reaction to medicinal drugs. Be prepared to manage blood
if prescribed.
- ANS-Mucositis (stomatitis) is inflammation of tissues within the mouth, inclusive of the gums,
tongue, roof and
floor of the mouth, and within the lips and cheeks.
■
Nursing Actions
☐
Examine the purchaser's mouth several instances an afternoon, and inquire about the presence
of oral lesions.
☐
Document the vicinity and length of lesions which might be gift. Lesions should be cultured and
mentioned to the company.
☐
Avoid the use of glycerin-based totally mouthwashes or mouth swabs. Nonalcoholic, anesthetic
mouthwashes are advocated.
☐
Administer a topical anesthetic previous to meals.
☐
Discourage consumption of salty, acidic, or spicy meals.
☐
Offer oral hygiene before and after each meal. Use lubricating or moisturizing retailers to
counteract dry mouth.
■
Client Education
☐
,Encourage the client to rinse mouth with a solution of half 0.9% sodium chloride and 1/2
peroxide at the least twice an afternoon, and to brush teeth the usage of a tender-bristled
toothbrush.
☐
Instruct customer to take medications to control contamination as prescribed (nystatin
[Mycostatin],
acyclovir [Zovirax]).
☐
Encourage the patron to consume tender, bland ingredients and dietary supplements which can
be high in energy
(mashed potatoes, scrambled eggs, cooked cereal, milk shakes, ice cream, frozen yogurt,
bananas, and breakfast mixes)
- ANS-Nausea and vomiting/anorexia
■
Many of the medications used for chemotherapy are emetogenic (result in vomiting) or purpose
anorexia as well as an altered flavor inside the mouth.
■
Serotonin blockers, which includes ondansetron (Zofran), had been discovered to be effective
and are often
administered with corticosteroids, phenothiazines, and antihistamines.
■
Nursing Actions
☐
Administer antiemetic medicines at times that are appropriate for a chemotherapeutic agent
(previous to remedy, in the course of treatment, after remedy).
☐
Administer antiemetic medicinal drugs for numerous days after each treatment as needed.
☐
Remove vomiting cues, along with odor and materials related to nausea.
☐
Implement nonpharmacological strategies to reduce nausea (visible imagery, rest,
acupuncture, distraction).
☐
Perform calorie counts to determine intake. Provide liquid dietary supplements as
needed. Add protein powders to food or tube feedings.
☐
Administer megestrol (Megace) to growth the urge for food if prescribed.
☐
Assess for findings of dehydration or fluid and electrolyte imbalance.
☐
Perform mouth care prior to serving meals to beautify the patron's urge for food
,Encourage using plastic ingesting utensils, sucking on difficult sweet, and avoiding crimson
meats
to save you or reduce the feeling of metal flavor
- ANS-Nursing Actions for Thrombocytopenia
☐
Monitor for petechiae, ecchymosis, bleeding of the gums, nosebleeds, and occult or frank
blood in stools, urine, or vomitus.
☐
Institute bleeding precautions (keep away from IVs and injections, observe strain for
approximately
10 min after blood is acquired, cope with customer lightly and avoid trauma).
☐
Administer thrombopoietic medications consisting of oprelvekin (Interleukin 11, Neumega)
to stimulate platelet production. Monitor platelet matter, and be prepared to administer
platelets if the depend falls underneath 30,000/mm
three
.
■
Client Education
☐
Instruct the customer and circle of relatives the way to manipulate energetic bleeding.
☐
Instruct the client about measures to save you bleeding (use electric razor and gentle-bristled
toothbrush, keep away from blowing nostril vigorously, ensure that dentures match
appropriately).
☐
Instruct the patron to keep away from the use of NSAIDs.
☐
Teach the patron to prevent injury while ambulating (put on closed-toes shoes, cast off
tripping dangers within the domestic) and follow cold if damage occurs
- ANS-Nursing Considerations
☐ Always ask customers whether or not they're allergic to sulfa. Acetazolamide is a
sulfa-primarily based remedy
___ lung expansion with age - ANS-reduced
_____ seconds is/are measured in every big field on ECG graph paper? - ANS-zero.20
__precautions with hsv - ANS-contact
◯ Client Education:
■ Avoid UV and sun exposure.
, ■ Use mild protein shampoo and avoid harsh hair treatments.
■ Use steroid lotions for pores and skin rash.
■ Report peripheral and periorbital edema directly / signs and symptoms of infection related to
immunosuppression. - ANS-Avoid crowds and folks who are unwell, due to the fact illness can
precipitate an exacerbation.
■ Educate patron of childbearing age regarding dangers of pregnancy with lupus and
remedy medicinal drugs.
1 cup - ANS-eight oz
1 g (gram) - ANS-one thousand mg
1 kg - ANS-2.2 lbs
1 ounces - ANS-30 mL
1 pint - ANS-2 cups
1 quart - ANS-2 pints
1 tsp - ANS-five mL
sixteen weeks gestation - ANS-can get AFP test executed
sixteen weeks pregnant - ANS-alpha protein
17 yr antique having an emergency surgical operation. What form of consent is pleasant to
intervene? - ANS-Verbal
1st Degree Heart Block Causes - ANS-May be regular variation; inferior wall MI; capsules:
verapamil or digoxin
1st Degree Heart Block Treatment - ANS-Monitor; Observe for signs
2 - Hyperglycemia
Administer sliding scale insulin or
plan for insulin to be brought to the
TPN answer.
Monitor blood glucose - ANS-3 - Hypoglycemia
