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 fort 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. Tolvaplan-priority nursing assessment? Drug to drug interaction? 19. Glucocorticoids-Diet - 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. Elc. 20. Prednisone - prednisolone - patient teaching? Signs and symptoms? Adverse effects? 21. Hypoglycemia - hyperglycemia-causes of type 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 warning (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, DK A 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

A particular drug used in chemotherapy. Its another name is leurocristine, used to treat different types of cancers.

Nurses prioritization when administering:

A nurse should check the label for the route of administration( it should be intravenous)dose and duration, when administering vincristine.

( administeration of vincriistine other than Intravenous route may be fatal,or results in number of complications. Administration rate should be slow. Correct needle placement should be ensured to avoid leakage of medicine into tissues other than blood vessels.Disconnect the line mmediately, if there is any exatrvasation.)

2. Cyclophosphamide

It is a chemotherapy medication used to treat different types of cancers. Cyclophosphamide is also known as cytoxan

Priority assessment/ nursing action

- Assess for any drug allergy and drug interactions

- Check the prescription for Cyclophosphamide

-obtain for kidney and liver function test ( risk for renal and hepatotoxicity)

-Assess for complete blood count, specially platelet count

3. Leukaemia

Leukaemia is a type of malignancy affecting the blood cells or blood forming tissues.

Client being treated for leukaemia: client health priority/ at risk for:

* Infection; Suppression of immune system by chemotherapeutic agents may results in decreased immunity and frequent infection.

* Low blood cell count; Chemotherapy and leukaemic condition, both affects the normal production of blood cells. Most of the chemotherapeutic agents are toxic to blood cells, resulting in low blood cell counts ( anemia, thrombocytopenia)

* In case of stem cell transplantation, patients are at risk for Graft versus host disease( condition resulting from the attack of donor's immune cells with the patient's normal cells.)

* Uric acid stones formation in the urinary system.

Patients may also at risk for nausea and vomiting, alopecia,mouth ulcers etc.

4. Cancer

A disease in which the cells of a tissue undergo uncontrolled and often rapid proliferation.

How does it form: genetic changes or gene mutations often leads to cancer. Environmental factors ( exposure to radiations, toxins) or any bad habits like smoking, alcoholism also causes changes in genetic structure of the normal cells.Cancer cells are different from normal cells. Its growth and cell divisions are rapid and out of control. Cancerous cells are immature, not able to do the specific jobs. It csn spread into neighbouring tissues and damage it.