Practice Questions
You are an oncology nurse. While doing your rounds, you identify which of the following patients as requiring immediate intervention? Select all that apply.
- Sara Lee, 25/F with ovarian cancer, facial edema in the morning was present
- Lupe Bing, 34/M with colorectal cancer, weight loss of 2 kilos
- Kara Lopez, 34/F, lung adenocarcinoma, serum Ca of 14 mg/dL
- Maya Cruz, 32/F, polycystic kidney disease, serum K: 0 mEq/L
Rationalization
Which of the following signs and symptoms are expected in patients experiencing tumor lysis syndrome?
- Azotemia, hyperphosphatemia, hyperkalemia
- Azotemia, hypophosphatemia, hyperkalemia
- Azotemia, hyperphosphatemia, hypokalemia
- Azotemia, hypophosphatemia, hypokalemia
Rationalization
Which of the following is NOT included in the plan of care of a patient with tumor lysis syndrome?
- initiating vigorous rehydration
- Reduce uric acid levels
- Increase potassium and phosphate intake
- None of the above
Rationalization
Sandra, due to persistent anemia after chemotherapy, is scheduled for blood transfusion. Following infusion of a unit of packed red blood cells, she developed new onset of tachycardia, bounding pulses, crackles, and wheezes. Which action should the nurse implement first?
- Maintain bed rest with legs elevated.
- Place the client in high-Fowler’s position.
- Increase the rate of infusion of intravenous fluids.
- Consult with the primary health care provider (PHCP) regarding initiation of oxygen therapy.
Rationalization
Gerry is a 45/M diagnosed with cutaneous Kaposi’s sarcoma. Based on this diagnosis, the nurse understands that this has been confirmed by which finding?
- Swelling in the neck area
- Bluish discoloration in the genitalia only
- Positive punch biopsy of the cutaneous lesions
- Appearance of reddish-blue lesions noted on the mucosa
Rationalization