medsurg2 exam 2 - general cancer quiz
a pt with metastatic cancer of the colon experiences sever vomiting following each administration of chemo. which action taken by the nurse is most appropriate?
administer prescribed antiemetics 1 hr before treatments
an older adult pt who has colorectal cancer is receiving IV fluids at 175 ml/hr in conjunction with the prescribes chemo. which finding by the nurse is most important to report to the PCP?
pt has audible crackles to the midline posterior chest
the nurse administers an IV vesicant chemotherapeutic agent to a pt. which action is most important for the nurse to take?
stop the infusion if swelling is observed at the site
during a routine health examination, a 40 yo pt tells the nurse about a family history of colon cancer. which action should the nurse take next?
obtain more info from the pt about the family history
the nurse reviews labs of a pt who is receiving chemo. which lab value is most important to report?
WBC of 2700/microliter ((normal WBC count is 4.5-10))
a chemotherapy drug that causes alopecia is prescribed for a pt. which action should the nurse take to maintain the pt's sled esteem?
encourage the pt to purchase a wig or hat
the pt with breast cancer is having teletherapy radiation treatements after her surgery. what should the nurse teach about skin care?
avoid heat and cold to the treatment area
the nurse is caring for a pt who has been diagnosed w stage 1 cancer of the color. when assessing the need for psych support, which ? by the nurse will provide the most information?
can you tell me what has been helpful in the past to you when coping with stressful events?
the nurse at the clinic is interviewing a 64 yo woman who is 5.3, 125lbs, the pt has noe seen a healthcare provider for 20 yrs. she walks 5 miles most days and has a glass of wine 2x week. which topics will the nurse plan to include in pt teaching about cancer screening and decreasing cancer risk?
colorectal screening, sunscreen use, mammography, pap testing
which nursing diagnosis is most appropriate for a pt experiencing myelosuppression 2nd to chemo?
risk for infection