Harry has glioblastoma. He is admitted for head ache. VS: 182/62, HR45, RR7. What do you suspect is occurring?
Hypoglycemia
Syndrome of Inappropriate Antidiuretic Hormone
Tumor Lysis Syndrome
Increased Intracranial Pressure
A 68-year-old male with a history of lung cancer presents with facial edema, distended neck veins, and dyspnea. He reports worsening cough and hoarseness over the past week. What is the most likely diagnosis?
malignant Bowel Obstruciton
Cardiac Tamponade
Superior Vena Cava Syndrome
Spinal cord compression
Arnold is receiving daunorubicin via L. PICC line. He calls out and states that his left arm is burning. What actions should you take?
Call the doctor!
Continue the infusion, tell the patient this is normal
Slow the infusion, reassure the patient
Stop the infusion, check for blood return,
Scrubbing the hub for _________ is an effective method for reducing CLABSIs.
5 seconds
10 seconds
15 seconds
20 seconds
Rhonda has renal cancer. She is experiencing polyuria and altered mental status. Serum calcium is 14mg/dL. What do you suspect and what treatments do you anticipate?
Nothing until she is off chemotherapy
Hypercalcemia; Saline fluids, Calcitonin, Biphosphonates
Hyperphosphatemia, calcitonin, steroids, lasix
Hypocalcemia, sodium bicarb, steroids
Bob has APL. He is bleeding from his gums. What might be happening with Bob?
Pneumothorax
Myocardial Infarction
Disseminated Intravascular Coagulation (DIC)
Too many aspirin
Kim is receiving paclitaxel for breast cancer. She calls out and tells you that she is "feeling winded and my lips are feeling fat." What do you suspect? What are your actions?
Keep the infusion going, she's a hypochondriac
Hypersensitivity reaction. Stop the infusion
Infiltration, change the IV site.
Extravasation, stop the infusion.
Sally Sue has breast cancer. She has complaints of bowel and bladder incontinence, and back pain. What do you suspect is occurring?
Tumor Lysis Syndrome
Superior vena Cava Syndrome
Spinal cord compression
Hypercalcemia
Pat has lymphoma and is actively receiving chemotherapy. She has a left DL port in place for her chemo. Pat arrives to the clinic with upper extremity swelling, JVD, and periorbital edema. What do you suspect is happening?
Hypercalcemia
Tumor Lysis Syndrome
Superior Vena Cava Syndrome
Spinal Cord Compression
Fever or hypothermia, tachycardia and confusion are all common signs of what?
Sepsis
Anaphylaxis
Deep Vein Thrombosis
Hypoglycemia
Ruby has ALL. She has a DL port in place. Ruby has complaints of her arm feeling "tight" and you note that her arm is red, warm, and swollen. What do you expect and what should your next steps be?
Fibrin plug, administer tPa, flush with 20 cc saline
Extravasation, notify provider, remove and culture
DVT; measure extremity, notify provider, remove and culture
Infiltration, measure extremity, notify provider
True or false: All central lines are flushed using a "pulse" technique to decrease fibrin build up.
True
How would the nurse document this physical assessment finding?
Petechiae
When someone has severe sepsis, their chances of survival drops by almost 8% for every _________ without treatment?
Day
Second
Hour
Minute
What disorders does this physical assessment findings correlate to?
DIC