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    Teach The Client and Family About The Need For Hand Hygiene

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    Dinarkram Rabreca Ecul
    The nurse is caring for a female client receiving chemotherapy who has developed neutropenia. The nurse's plan of care includes restricting visitors and fluid intake, teaching hand hygiene to prevent infection, and monitoring for a low platelet count which would require bleeding precautions. A home health nurse is visiting a patient with ovarian cancer and significant weight loss. The nurse's priority should be to collect additional information to determine the potential causes of weight loss. The nurse monitors a client receiving vincristine for ovarian cancer and knows the main side effect is numbness and tingling in the fingers and toes, which is a sign of peripheral neuropathy.

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    Teach The Client and Family About The Need For Hand Hygiene

    Uploaded by

    Dinarkram Rabreca Ecul
    16 views3 pages
    The nurse is caring for a female client receiving chemotherapy who has developed neutropenia. The nurse's plan of care includes restricting visitors and fluid intake, teaching hand hygiene to prevent infection, and monitoring for a low platelet count which would require bleeding precautions. A home health nurse is visiting a patient with ovarian cancer and significant weight loss. The nurse's priority should be to collect additional information to determine the potential causes of weight loss. The nurse monitors a client receiving vincristine for ovarian cancer and knows the main side effect is numbness and tingling in the fingers and toes, which is a sign of peripheral neuropathy.

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    The nurse is caring for a female client receiving chemotherapy who has developed neutropenia. The nurse's plan of care includes restricting visitors and fluid intake, teaching hand hygiene to prevent infection, and monitoring for a low platelet count which would require bleeding precautions. A home health nurse is visiting a patient with ovarian cancer and significant weight loss. The nurse's priority should be to collect additional information to determine the potential causes of weight loss. The nurse monitors a client receiving vincristine for ovarian cancer and knows the main side effect is numbness and tingling in the fingers and toes, which is a sign of peripheral neuropathy.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    16 views3 pages

    Teach The Client and Family About The Need For Hand Hygiene

    Uploaded by

    Dinarkram Rabreca Ecul
    The nurse is caring for a female client receiving chemotherapy who has developed neutropenia. The nurse's plan of care includes restricting visitors and fluid intake, teaching hand hygiene to prevent infection, and monitoring for a low platelet count which would require bleeding precautions. A home health nurse is visiting a patient with ovarian cancer and significant weight loss. The nurse's priority should be to collect additional information to determine the potential causes of weight loss. The nurse monitors a client receiving vincristine for ovarian cancer and knows the main side effect is numbness and tingling in the fingers and toes, which is a sign of peripheral neuropathy.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    9.

    The nurse is caring for a female client experiencing neutropenia as a result of chemotherapy and
    develops a plan of care for the client. The nurse plans to:

    Restrict all visitors

    Restrict fluid intake

    Teach the client and family about the need for hand hygiene
    -Avoiding infections is very important for people with neutropenia. Washing your hands often is one
    of the best ways to avoid germs and viruses that can cause infection.

    Insert an indwelling urinary catheter to prevent skin breakdown

    10. A home health nurse named Marie is visiting a patient with ovarian cancer. The patient has
    experienced decreased appetite and significant weight loss in the past three weeks. Which of the
    following actions should the nurse take first?

    recommend multiple small feedings of high protein foods

    plan to include the majority of calories for the day at breakfast

    apply the standard care plan for altered nutrition:less than body requirements

    collect additional information to determine potential causes of the loss


    - tho weight loss Weight loss is common with more advanced ovarian cancers collecting more
    information could lead to more accurate data on why the patient has loss weight in the past three
    weeks

    11. The client with ovarian cancer is being treated with Vincristine (Oncovin, Vincasar). The nurse
    monitors the client, knowing that the associated side effect with this medication is:

    diarrhea

    hair loss

    chest pain

    numbmess and tingling sensation of the fingers and toes


    -Peripheral neuropathy results from some type of damage to the peripheral nerves so it is really
    important to watch out for these side effects

    12. The nurse is monitoring the laboratory results of a client receiving an antineoplastic medication by
    the intravenous route. The nurse plans to initiate bleeding precautions if which laboratory result is
    noted?

    a clotting time of 10 minutes

    an ammonia level of 20 mcg/dl

    a platelet count of 50,000/mm3


    -A normal platelet count ranges from 150,000 to 450,000 patient is having a very low platelet

    a WBC count of 5,000/mm3

    13. When administering IV vesicant chemotherapeutic agents, the nurse should :


    monitor patient for symptoms of neurotoxicity

    administer antiemetic 30 minutes before the drug is started

    initiate an IV of NSS or Dextrose solution to ensure patency


    -The vein should be completely flushed with at least 20 mL to 30 mL of saline after the vesicant
    infusion is complete to prevent the vesicant from “tracking” when the IV catheter is removed.

    expect the patient to complain some burning and stinging as the medication is infused

    14. Stomatitis is a common side effect of chemotherapeutic agents occurs because:

    site of malignancy is near the oral cavity

    general health of the patient with cancer is poor

    chemotherapeutic drugs have external, local and irritating effects

    rapidly dividing cells of the mucous membranes of the mouth are being destroyed
    -Chemotherapy and radiation alone or combined can cause mouth sores. That's because these
    cancer treatments are intended to kill rapidly growing cells, such as cancer cells.

    15. Oral contraceptives and prolonged estrogen therapy are associated to an increased incidence of
    the following diseases, except:

    Ovarian Cancer
    -oral contraception don't imply to cause ovarian cancer

    Hepatocellular Carcinoma

    Endometrial Cancer

    Breast Cancer

    16. A nurse is educating a group of clients on cancer screening practices. Which of the following
    instructions should the nurse include as recommended screening pattern?

    annual pap and pelvic examinations should begin at age 40

    annual cancer check-ups for all persons over age 40


    -Women ages 40 to 44 should have the choice to start annual breast cancer screening with
    mammograms x-rays of the breast if they wish to do so

    annual mammography should begin at age 30

    annual fecal occult blood test and colonoscopy at age 40


    20. It is expected of the nurse to administer which of the following prescribed drugs to client receiving
    chemotherapy and has developed neutropenia?

    Lupron

    Filgrastim
    -Filgrastim is a haematopoietic growth factor that primarily acts to stimulate the proliferation and
    differentiation of neutrophil progenitor cells. Filgrastim is capable of reducing the incidence and
    severity of neutropenia
    Tamoxifen

    Trastuzumab

    21. The nurse is caring for a client who is to receive Cisplatin (Platinol). Which of the following is a
    priority to include?

    give medication early in the morning

    monitor result of MUGA Sacn

    assess auditory function


    -hearing impairment. Is a contraindication of Cisplatin
    maintain hydration

    22. In patients with severe decreased RBC, the nurse would expect to find.

    dyspnea and tachycardia


    -Red blood cells carry oxygen from our lungs to the rest of our bodies. Dyspnea and tachycardia
    Having decrease RBC may manifest.

    cyanosis and pulmonary edema

    cardiomegaly and pulmonary edema

    arrythmias and whhezing

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