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NU403 Heme-Onc Study FA23 Exam Latest Update

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NU403 Heme-Onc Study FA23 Exam Latest Update ...

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  • August 19, 2024
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NU403 Heme-Onc Study FA23 Exam
Latest Update
What is a systemic injury initiated by antigen-antibody complexes that circulate in the
blood. This may occur with ATG treatment for aplastic anemia. Methylprednisolone is
often given to prevent this... - Answer serum sickness

A patient of a Mediterranean descent is a clue

The RBcs are very rapidly destroyed (hemolysis occurs) and release free iron into the
circulation producing a severe anemia.

causes pain and organomegaly, bronze skin, bone deformities, organ failure - Answer
Beta Thalassemia

The percentage and actual number of mature circulating neutrophils; used to measure a
patient's risk for infection. The higher the numbers, the greater the resistance to
infection. - Answer Absolute Neutrophil Count (ANC)

What level is considered neutropenia? When is it considered severe? - Answer <1000
considered neutropenia

<500 severe neutropenia

A school-aged child is admitted to the hospital with a vaso-occlusive sickle cell crisis.
Which measure in his care should be given priority?

a) Seeing that he ingests a protein-rich diet

b) Beginning active range-of-motion exercises

c) Maintaining a fluid intravenous line

d) Encouraging him to take deep breaths hourly - Answer Maintaining a fluid intravenous
line

Correct

Explanation:

Dehydration increases sickling of cells, so maintaining fluid balance is important.

Cytotoxan (cyclophosphamide) - Answer Chemotherapy agent that can cause
hemorrhagic cystitis. Must hydrate, urinate q 2hours, assess for hematuria prior to
giving med.

What to know about pre op and post op Infratentorial tumors?? - Answer pre op: Since
infratentorial tumors occur in the cerebellum, it may affect a patient's gait and balance.

, post op: keep pt flat,

sidelying, keep head

and neck midline

excess iron deposits throughout the body that lead to build up in the tissues and organ
damage - Answer hemochromatosis

nursing intervention for post op supratentorial tumors - Answer Keep HOB at 30
degrees

IV fluids for post op brain tumor patient - Answer Be careful not to overhydrate and
increase ICP, Avoid hypotonic fluids (they increase ICP) so you would give hypertonic
fluids.

Wilm's Tumor signs and symptoms? - Answer S/S - hypertension, hematuria, wt loss,
fever, abdominal pain (possible MASS), anemia-pallor, fatigue, anorexia, lethargy

What is Neuroblastoma and what are the common findings? - Answer Nervous system
tumor

Supraorbital ecchymosis

Catecholamines in urine (vma and hva)

Leukocoria - Answer (absence of cat's eye reflex) in retinoblastoma

What is Thrombocytopenia

How does it happen? - Answer -low platelet count

-results from damage to bone marrow, chemotherapy, leukemia, or overactive spleen

what do thrombocytopenia pts need to avoid?? - Answer -no rough sports

-at risk for bleeding

-avoid IM injections, rectal temps, NSAIDS,

Tumor Lysis Syndrome (TLS) - Answer -oncologic emergency with rapid lysis of
malignant cells

-usually the result of chemotherapy or sometimes radiation

-may occur 24 hours-7 days after antineoplastic therapy is initiated

-develops when chemotherapy or irradiations causes the destruction of a large number
of rapidly dividing malignant cells

-intracellular contents are rapidly released into the bloodstream

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