Question

1. Vincristine-nurse prioritization when administering 2. Cyclophosphamide-priority assessment/ nursing action 3. Pt being treat for leukemia - clients health prioritization what is the patient at risk for? 4. Cancer - how does it form? What is it? 5. Doxorubicin - what is it? What do you monitor? 6. Dexrazoxane-therapeutic effects, adverse effects, what system 7. Chemotherapy administration - do's and don'ts, what do you monitor, precautions for pt and for nurse 8. Interferon alfa 2b - what is it? What do you teach the patient? What do you assess in the patient? 9. Interferon (aldeslavtin) - what is it? What do you teach the patient? What do you assess in the patient? 10. Metastatic melanoma - drug of choice? 11. Endocrine system - what is it? What does it do in the body? Negative feedback mechanism? What is it? 12. What are the glands of the endocrine system? 13. What is the master gland of the endocrine system? 14. What do hypothalamus, thyroid, and pineal glands do? 15. What is an adrenal crisis? And how do you manage it? 16. Growth hormone-why is it given 17. Somatropin - signs and symptoms of patients taking this? Adverse reactions? Patient teachings? 18. Tolvaptan-priority nursing assessment? Drug to drug interaction? 19. Glucocorticoids - Dict - what do you need to teach the patient for long term therapy? Pt teaching? Signs and symptoms of someone taking this drug? Adverse reaction? What is the patient at risk for? Different kinds -PO, IV. Etc.... 20. Prednisone - prednisolone - patient teaching? Signs and symptoms? Adverse effects? 21. Hypoglycemia-hyperglycemia-causes of type I and type II, exercise, lifestyle, infection, sick, stress 22. Diabetes-insulin what does it do to the cell? 23. Levothyroxine - signs and symptoms? Adverse effects? Pt teaching? What to do to minimize adverse effects? What to teach the patient for taking the medication? What system and assessment do you do? Black block waming (fat girl)? 24. Elevated calcium levels - what controls calcium level in body? What other electrolytes is also affected by this gland? 25. Levothyroxine and Hashimoto's disease?-medication teaching 26. NPH insulin-peak time, duration, diabetic medication management, patient teaching, what to monitor, lifestyle 27. Regular insulin-peak time, duration, diabetic medication management, patient teaching, what to monitor, lifestyle 28. DKA management and clinical presentation 29. Diabetics and ethnic groups - which are more at risk? 30. Type I and type II diabetes-what is it? What causes it? 31. Pregnancy and diabetes (gestational diabetes) - management 32. Metformin - who gets it? Signs and symptoms? Adverse effects? Medication management? Patient teachings?

Answer 1

1, Vincristine:
It binds to tubulin, alter the microtubule structure and function.
Nurse prioritization before administering the medication:
- Monitor neurologic status before administration.
-Assess the patient for loss of deep tendon reflexes, weakness, fatigue, cranial nerve palsies, autonomic dysfunction, etc.it may need an alteration in dose.
-Asees the infusion site for allergic reaction
-Monitor tumor lysis syndrome and maintain hydration
-Monitor the CBC and hepatic function during this therapy and observe the patient for alopecia.
2, Cyclophosphamide
-collect patient health history, type of cancer, tumor and recent chemotherapy.
-Do kidney and liver function test, platelet count
-Monitor patient cardiac problems, respiratory problem and observe the patient for hematuria.
-Monitor the patient for sideeffects like nausea, vomiting, diarrhea, rash, etc.
-Observe the patient hair loss
-Provide psychological support and monitor patient glucose levels.
3, When the patient being treated for leukemia.patient at risk for low blood cell count due to toxic effect. infection due to low neutrophils and monocytes. graft versus host disease and kidney stones due to graft versus host disease and kidney stones due to the high uric acid level in the blood, mouth ulcer, hair loss, rashes, diarrhea, vomiting, fatigue, etc.
4, Cancers form due to the uncontrolled growth of abnormal cells. cancer begins in cells. cancer starts with changes in one or more cells by division. old cells form as out of control and abnormal cells, it forms the mass of the tissue-like tumor.
5, Doxorubicin is an anti-cancer chemotherapy drug. Before administrating medicine monitor the patient for an allergic reaction.
- Monitor patient respiratory and cardiac status
-Monitor patient side effects for nausea, vomiting, diarrhea, irregular heartbeat, unusual bleeding, fatigue, fever, blood in the urine and stools, etc.
-Make sure the patient not taking any medicine like herbal and vitamin supplements
-Observe the patient for pain, low blood count, hair loss, mouth sores, darkening of the nail beds.
-Monitor the patient heart function properly.