Category: Uncategorized

Patient Scenario An older adult patient with acute leukemia is admitted to the oncology unit. They are currently receiving chemotherapy. The patient reports feeling weak and “feverish.” Vital signs: Temp: 101.8°F (38.8°C) HR: 112 bpm BP: 88/54 mmHg RR: 24/min O2 sat: 88% on room air Assessment findings: Chills and fatigue Altered mental status: slightly confused; orient to person and time Decreased urine output Central venous catheter in place Labs: WBC: 1,200/mm³ (reference range: 4500-11000 cells/mm³) Lactate: 3.8 mmol/L (reference range: 0.5-2.0 mmol/L) Creatinine: 1.9* mg/dL (reference range: 0.6-1.3 mg/dL) Which findings are most concerning for sepsis? (select all that apply)

The nurse is educating a patient on chemotherapy.  Which statement is correct about the rate of cell growth in relation to chemotherapy?

A patient receiving chemotherapy for lung cancer presents with a sodium level of 120 mEq/L, reports extreme fatigue and weakness, and has decreased urine output over the past 24 hours. Which assessment should the nurse prioritize to evaluate for a critical complication of syndrome of inappropriate antidiuretic hormone (SIADH)?

An older adult patient with acute leukemia is admitted to the oncology unit. They are currently receiving chemotherapy. The patient reports feeling weak and “feverish.” Vital signs: Temp: 101.8°F (38.8°C) HR: 112 bpm BP: 88/54 mmHg RR: 24/min O2 sat: 88% on room air Assessment findings: Chills and fatigue Altered mental status: slightly confused; orient to person and time Decreased urine output Central venous catheter in place Labs: WBC: 1,200/mm³ (reference range: 4500-11000 cells/mm³) Lactate: 3.8 mmol/L (reference range: 0.5-2.0 mmol/L) Creatinine: 1.9* mg/dL (reference range: 0.6-1.3 mg/dL) Which interventions should the nurse implement immediately?  Identify each as indicated or contraindicated. Obtain blood cultures [1] Initiate fluid resuscitation [2]  Begin antibiotics when cuture results are available [3] Apply supplemental oxygen [4] Administer prescribed broad-spectrum antibiotics [5]  

A nurse is caring for a patient with leukemia and asks why the patient is still at risk for infection when the white blood cell count (WBC) is high. Which response by the nurse provides a correct explanation?

The nurse is providing care to a patient who will have a bone marrow transplant.  Which statement by the nurse demonstrates a correct understanding of the procedure?

The nurse is caring for an adult patient receiving chemotherapy for non-Hodgkin lymphoma who was admitted for evaluation of fatigue and mouth sores. The nurse reviews the morning laboratory results: WBC: 1.2 × 10³/µL (normal 4.5-11 x 10³/µL) Neutrophils: 28% (normal 40-60%) Bands: 2% (normal

A patient has an order to transfuse two units of packed red blood cells (PRBCs). The nurse verifies the pre-transfusion vital signs, and the informed consent form. Patient identification and the unit of blood are also verified with another registered nurse before starting the transfusion. After fifteen minutes the vital signs are assessed and the patient is chilled, with hematuria noted in the Foley catheter.  Vital Signs Temperature:  102.2

A nurse is caring for a patient receiving external radiation therapy for lung cancer. The patient reports redness, itching, and burning sensation on the skin at the radiation site. Which action should the nurse take to best manage this complication?

A patient is receiving a transfusion of packed red blood cells and after 15 minutes develops certain symptoms. Based on the assessment data and clinical presentation, which findings should the nurse recognize as possible indicators of a transfusion reaction? (Select all that apply.)