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Non-Hodgkin's Lymphoma - pt. on Chemo - priority nursing assessment Erythema at IV site (may be sign of extravasation / infection)
Lymphomas can metastasize which organs? Almost any
Adverse effect of chemotherapy - alopecia - anorexia - mucositis of oral cavity
Pt. with bone marrow suppression - pt. teaching - avoid eating fresh fruits/veges (which may carry bacteria, increases risk of infection) - no aspirin (increases risk bleeding)
Sun exposure (Does or Does Not) present a risk to pt. on chemotherapy? Does Not
High risk factors for pneumonia - older adult - living in long-term facility - dysphagia
What is? CAP... Community Acquired Pneumonia: the most common type and often occurs as a complication of influenza
What is? HAP... Hospital Acquired Pneumonia: has a higher mortality rate/more resistant to antibiotics (w/n 24-48 hrs)
The leading cause of skin cancer is... sunlight exposure
Actinic keratoses are? Precancerous skin lesions: common in people with chronically sun-damaged skin, such as older adults
3 types of skin cancer are? - Squamous cell carcinoma - Basal cell carcinoma - Malignant melanoma
Squamous Cell Carcinoma, is? cancer of the top layer of epidermis that can be localized, but may metastasize to other tissue and organs
Basal Cell Carcinoma, is? cancer of basal layer, can damage surrounding tissue and underlying structures. Not usually metastatic, rate of recurrence high
Malignant Melanoma, is? aggressive, metastatic cancer that originates in the melanin-producing cells of the epidermis
SPF for skin/lip protection should be? 15 or higher
Small, waxy nodule with small, superficial blood vessels, may be an physical finding in? Basal cell carcinoma
In darker people, melanoma lesions may appear... on the palms and soles
ABCDs of suspicious lesions? Asymmetry – One side does not match the other Borders – Ragged, notched, irregular, or blurred edges Color – Lack of uniformity in pigmentation Diameter – Width >6 mm (pencil eraser/pea)
SLE (Systemic Lupus Erythematosus) Criteria... SOAP BRAIN MD Serositis (pleuritis, pericarditis) Oral Ulcers Arthritis Photosensitivity Blood (all are low - anemia, leukopenia, thrombocytopenia) Renal (protein) ANA Immunologic (DS DNA etc.) Neurologic (psyc, seizures)
PAP Smears are a test for? Cervical cancer
Bethesda System
Cervical Intraepithelial Neoplasia (CIN)
External Radiation Therapy (Teletherapy) is delivered over the course of several weeks and aimed at the body from an external source
Radiation therapy is given as adjuvant therapy, usually after which procedure? Hysterectomy
Radiation can cause which foods to become unpalatable? red meats due to dysgeusia (distorted sense of taste)
Include in pt. teaching of irradiated area? - avoid antibacterial soaps (use mild) - avoid lotions - pat area dry (do not rub) - avoid sun
Systemic complication of chemotherapy include: nausea, vomiting, neutropenia
Cancer cells specific to Hodgkin's Lymphoma? Reed-Sternberg Cells (usually found in lymph nodes)
Prostate Specific Antigen
Digital Rectal Examination, reveals? a hard prostate with palpable irregularities
Transrectal ultrasound (TRUS, are performed? to definitively diagnose or rule out prostate cancer in the presence of an enlarged prostate.
Tests to asses for metastases include? - magnetic resonance imaging (MRI) - computed tomography (CT) scans - bone scans
Osteoarthritis - disease process cartilage destruction with bone spur growth at joint ends; degenerative
Rheumatoid Arthritis - disease process synovial membrane inflammation resulting in cartilage destruction and bone erosion; inflammatory
Osteoarthritis - sign / symptoms - pain with activity that improves at rest - localized inflammatory response - usually overweight
Rheumatoid Arthritis - sign / symptoms Swelling, redness, warmth, pain at rest or after immobility (morning stiffness) - all joints - usually underweight
Testicular cancer, demographic? - white males - age: 15 - 35 - cryptorchidism
TSE (Testicular self-exam) should be performed? starting at puberty, monthly, after shower in front of mirror
Testing for ticks is done? 4 to 6 weeks after bite, earlier is not reliable
Ticks should be removed with? tweezers or fingers
When hiking, individual should wear (light / dark) colored clothing? light colored, so ticks can be easily seen
Stage I of Lyme disease, symptoms flu-like symptoms, "bulls-eye" rash, muscle/joint pain & stiffness
Highest priority nursing teaching of individual allergic to peanuts carry emergency anaphylactic kit
Clindamycin (Cleocin), highest adverse effect is? Water diarrhea, puts pt. at risk for pseudomembranous colitis, report to HCP
Hepatitis A (HAV), route / risks? Oral-fecal route / contaminated food/water / Daycares and communal living facilities
Hepatitis B (HBV), route / risks? Blood / Drug abuse / Sexual contact / Health care work
Hepatitis C (HCV), route / risks? Blood / Drug abuse / Sexual contact
Hepatitis D (HDV), route / risks? Co-infection with HBV / Drug abuse
Hepatitis E (HEV) Oral-fecal route / contaminated water
Orange-peel appearance of breast tissue may be an indication of? breast cancer
Asymmetric pigmented, papulae may be an indication of? skin cancer
A patch of silvery-white scales with a red epidermal base, may be an indication of? psoriasis
A collection of irregular dry papules that are black in color, may be an indication of? seborrheic ketosis
Bacterial pharyngitis is diagnosed with what test? a throat culture
Indirect layrngoscopy is used to? visually assess pharyngeal structures
Monospot test is used to detect mononucleosis, a viral infection
Hyperacute rejection occurs when? a few minutes after the transplant / tissue must be removed right away so the recipient does not die
Amoxicillin (Amoxil) should be taken (with / without) food with food
HPV Vaccine, should be given? 3 doses, beginning at age 11 / 12, 2nd dose: 1-2 mo. after 1st, 3rd dose: 6 mo. after 2nd.
A pt. who is thrombocytopenic is at risk for? occult bleeding
Occult bleeding is? a term for blood present in the feces that is not visibly apparent
CD4+ count as a diagnosis for AIDS? < 200 cell/mm3
Malar rash, is? butterfly-shaped rash over the cheeks
Discoid rash, is? red rash with raised round or oval patches
Pt. w/SLE should wear sunscreen with minimum SPF of? 30
SLE is usually accompanied with ____ Syndrome Raynaud's
Systemic Lupus Erythematousus (SLE), S/S rashes, mouth sores, arthritis, lung/heart inflammation, kidney issues, neurologic issues, abnormal blood tests
A positive indication of HIV Tx is a ____ ____-____. decreased viral-load
Pts. with HIV usually have a lymphocyte count of? < 1,500 cells/mm3
WBC reference range 5,000 to 10,000/mm3
Leukopenia is? a total WBC <4,300/mm3
Leukocytosis is? a total WCB >10,000/mm3
Neutropenia is? a neutrophil count <2,000/mm3
Left shift in WBC Differential is an indication of? bacterial pneumonial
Methotrexate (Trexall) for RA therapeutic effects take? 4 to 6 weeks
Created by: fluency