Vinca alkaloids. If you are having radiotherapy or targeted therapies, the staff at the hospital will talk to you about caring for your skin. The client describes a new and sudden sharp pain in the back. Test the client's urine and stool for occult blood D. New Approaches to Chemotherapy in Your Practice. The usual cisplatin dose for the treatment of testicular cancer in combination with other approved chemotherapeutic agents is 20 mg/m 2 IV daily for 5 days per cycle. Practicing healthy eating habits throughout cancer treatment is essential. Pain, swelling or lumps in your testicle or groin area may be a sign or symptom of testicular cancer or other medical conditions requiring treatment. Your doctor chooses anti-nausea medications based on how likely your chemotherapy drugs are to cause nausea and vomiting. 4. Ask your oncology care team before you, or someone you live with, has any vaccinations. Metastatic Ovarian Tumors The usual cisplatin dose for the treatment of metastatic ovarian tumors in combination with cyclophosphamide is 75 to 100 mg/m 2 IV per cycle once every People with cancer may have swallowing problems because of side effects of certain treatments. Question 3 of 35. Place a heating pad on the client's back. Hospitals and health care facilities use MUE to assess and Testicular cancer is rare, accounting for approximately 1% of all malignant tumors . To the following action should the A nurse is caring for a client with metastatic breast cancer. INTENDED BENEFITS Compassionate drug use means making a new, unapproved drug available to treat a seriously ill patient when no other treatments are available. A dull ache in the abdomen or groin. The client with breast cancer has been given a prescription for cyclophosphamide. Fatigue/Weakness. Two or three days after the infusion of the drug, the nurse must closely monitor for which of the following? Neurotoxicity: A nurse is working in a women's hospital where she is caring for a new mother who is experiencing postpartum urinary retention. Mechanism of action: can worl in various phases of the cell cycle (late S phase, throughout G2 phase, and M phase) but they all work shortly before or during mitosis and retard cell division. The nurse should instruct the client to report which of the following adverse effects? (Select all that apply) a. With intravesical therapy, the doctor puts a liquid drug right into your bladder rather than giving it by mouth or injecting it into your blood. Which of the following laboratory values should nurse report to provider? WBC 3,000/mm3; Hemoglobin 14 g/dl; Platelet 250,000/mm3; aPTT 30 seconds . These drugs act on and kill altered human cells. The nurse provides follow-up teaching and explains to the client to watch for which Uses for Platinol-AQ. Used to treat other solid tumors like breast cancer. 1 This landmark study created a new framework for defining health care quality and improving systems of care and defined six aims, or core values, for the delivery of health care: safe, effective, efficient, patient The nurse is monitoring a client with acute. Which signs and symptoms should the nurse look for? 2) The nurse is providing home care instructions to the client who just had surgery for squamous cell carcinoma. Intravesical Therapy for Bladder Cancer. This solution combines a phosphate solution with a calcium solution and purified water to form Dr. Incorrect. It is used to slow or stop cancer cell growth. 3 mg/dl. The therapy uses low-intensity, intermediate frequency, alternating electric fields to disrupt cell division in cancer cells without affecting Osimertinib works by targeting and blocking epidermal growth factor receptor (EGFR) tyrosine kinase. Alimta hit the market in 2004, and since then it has been helping cancer patients that have mesothelioma improve and to stop the spread of this deadly disease. An irritant is a chemical that can cause inflammation of the vein through which it is given. Hospice care is provided only in hospice centers. Increase fluid intake to 2 to 3 L/day. 1211 Coolidge Blvd Ste 100, Lafayette LA, 70503. •Actual nursing care time based on staffing level is the average nursing care time used for a patient care –Staff-mix information comes from the management information system and admission, and discharge and transfer information of patients comes from the billing system. This may include headaches, muscle strains, or something more severe like back pain or arthritis. The drug stays in your bladder for up to 2 hours. •Compared required nursing care time with actual nursing care time This section explains the types of treatments that are the standard of care for GTD. the nurse should instruct the client to report which of the following adverse effects? Paresthesias Sore throat Whether you or someone you love has cancer, knowing what to expect can help you cope. Increasing USES: Cisplatin is used to treat various types of cancer. Chemotherapy is the principal modality used to treat systemic cancers such as haematologic malignancies, and metastatic carcinomas or sarcomas. It is a chemotherapy drug that contains platinum. Peanut butter and jelly on white bread. Staying hydrated and maintaining muscle tissue with enough fluids, calories and nutrients can reduce treatment delays, boost your immune system and help minimize debilitating side effects such as fatigue. Anne Tsao of MD Anderson Cancer Center in Houston and Yale School of Medicine, New Haven, Connecticut, United States. If you need more help or support, contact the Male Sexual and Reproductive Medicine Program at 646-888-6024. Metastatic Ovarian Tumors The usual cisplatin dose for the treatment of metastatic ovarian tumors in combination with cyclophosphamide is 75 to 100 mg/m 2 IV per cycle once every Cisplatin Injection infusion concentrate is a clear, colorless, sterile aqueous solution available in amber vials. More than 1. There are 530+ nursing pharmacology practice questions in this nursing test bank partitioned into 11 parts. • Stop taking the product and call your cancer care team right away if you have side effects, like wheezing, itching, numbness, or tingling in your limbs. A low platelet count can, in turn, result in bleeding and/or the need to delay chemotherapy. Testicular lumps. Check with them first before using any skin products. The nurse should instruct the client to report which of the following adverse effects? (Select all that apply). The nurse should instruct the client to report which of the following adverse effects? -paresthesia A nurse is caring for a client who has a new prescription for cisplatin to treat testicular cancer. While on cancer treatment, and for a period after, you may need to adjust your schedule to manage fatigue. morphine-based medicines, which are used as painkillers. A clinical trial is a research study that tests a new approach to treatment. “If I become pale and light-headed, this is a normal side effect. Most side effects are not serious, potentially fatal, or permanent. A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis. Navigating reliable, useful information can be overwhelming. Provide the client with a diet low in vitamin K B. Biscuits and gravy. Cancer treatments that may cause nausea and vomiting include: chemotherapy. Nursing topics include medication administration, dosage calculations, general concepts about nursing pharmacology, cardiovascular drugs, antibiotics and anti-infectives, neurological medications, psychiatric medications, drugs for the The usual cisplatin dose for the treatment of testicular cancer in combination with other approved chemotherapeutic agents is 20 mg/m 2 IV daily for 5 days per cycle. “Standard of care” means the best treatments known. Truth: You may have pain that has nothing to do with cancer but that affects your comfort during cancer treatment. Salicylates. Thrombocytopenia is usually defined as less than 150,000 platelets per cubic millimeter of blood on a complete blood count, although significant bleeding does not usually occur Medications that are more likely to cause temporary hearing loss: 1 . This may help relieve the itchiness. Cisplatin may also be used for purposes not listed in this medication guide. For example, people who have mouth sores (mucositis) due to chemotherapy, targeted therapy, or radiation therapy to the head and neck may have pain when swallowing. There are many medications used to prevent nausea and vomiting. They may be permanent, but you will have options to treat them. Which of the following oxygen delivery systems should the nurse initiate to provide the highest concentration of oxygen? Non-rebreather mask 72. Administer pain medication. During Cisplatin may cause severe kidney problems, nerve problems, and severe nausea and vomiting. After 5:00 pm, during the weekend, and on holidays, call 212-639-2000 and ask for the radiation oncologist on call. The dosage is based on your medical condition, body size, and response to treatment. Which signs and symptoms should the nurse look for? Lesions with well-defined geometric margins 2) The nurse is providing home care instructions to the client who just had surgery for squamous cell carcinoma. Your doctor or nurse can give you a referral to a doctor who treats these issues. Oncology, Hematology • 7 Providers. 1) The nurse performs an assessment on a client admitted with contact dermatitis. the client has an abdominal wound that requires irrigation and has a tracheostomy attached to a mechanical ventilator, which requires frequent suctioning. Based on this assessment finding, which is the priority nursing intervention? 1. Clinical trials may also be an option for you, which is something you can discuss with your doctor. HOW TO USE: This medication is usually given by injection into a vein by a health care professional. Your risk of these problems The primary care physician has made dosage adjustments to minimize adverse effects and prevent toxicity. “I will place this drug in the sunlight before I take it to make it easier to digest. Think of cancer cells as a house. Cancer Center of Acadiana at LGMC. Tips for oily skin Doxorubicin is used in combination with other medications to treat certain types of bladder, breast, lung, stomach, and ovarian cancer; Hodgkin's lymphoma (Hodgkin's disease) and non-Hodgkin's lymphoma (cancer that begins in the cells of the immune system); and certain types of leukemia (cancer of the white blood cells), including acute New Approaches to Chemotherapy in Your Practice. Organize your list. The clinic offers extended hours, by appointment only for clients who cannot come during regular business hours. Your doctor will prescribe what you need based on your situation. targeted therapies. Cisplatin Injection is a clear, light-yellow, sterile aqueous solution available in amber vials containing 1 mg/mL of cisplatin. Take the medication with large overall score out of 100 questions exam an boy is being treated with desmopressin. Unlike many therapies, however, this treatment is non-invasive and essentially side-effect free with the exception of mild skin irritation. a nurse is caring for a client who has a 20 year history of COPD and is recieving oxygen at 2 L/min via nasal cannula/ the client is shortness of breath and has O2 sat via pulse ox of 85%. V - VP 16 (Etoposide) I - Ifosfamide (Ifex®) P - Platinol® (Cisplatin) Goals of therapy: VIP is given to shrink tumors and decrease the signs and symptoms of testicular cancer. The concept of patient-centered care has received increased attention since the publication of the 2001 Institute of Medicine (IOM) report Crossing the Quality Chasm. breast cancer care continuum completed a 12-week 1-2-1. This is the order of significance for your doctor. The drug is put in through a soft catheter that's put into your bladder through your urethra. These drugs can work by affecting cell survival or by boosting the immune system in its efforts to combat the abnormal cells. During Thrombocytopenia is defined as a decreased number of platelets in the blood. What are the possible side effects of cisplatin (Platinol, Platinol (Restricted Access), Platinol-AQ)? A nurse is caring for a terminally ill cancer client who is being transferred to hospice care. Osimertinib targets a specific mutation of EGFR called T790M. Home health nurse is carefully planned for Alzheimer’s disease. Background: Prior research has sought to identify measures of high-quality end-of-life care (EOLC) for adults, including avoidance of frequent hospitalizations or intensive care unit admissions in the last month of life and enrollment in hospice greater than 3 days prior to death that had a new cancer diagnosis made from their appointment. The front door may have three kinds of locks, called receptors —. Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a 42-year-old patient. When cancer causes you physical pain, there are many medicines that can help manage it so you feel better. Paclitaxel is an irritant. An African-American’s hypertension can initially be controlled with: a diuretic. Indications. If the medication escapes from the vein it can cause tissue damage. Oatmeal with banana. They may prescribe you something to reduce itching. Frimberger, VMD, DACVIM (Oncology) Veterinary Oncology Consultants. While their action is intended to target abnormal cells, normal cells are also affected. Paclitaxel is given as an injection or infusion into the vein (intravenous, IV). 2 to 4. The nurse should make sure. 3. Antineoplastic agents comprise one aspect of chemotherapy. By inhibiting EGFR, osimertinib stops tumor growth. 15. A nurse is caring for a client who has a new prescription for cisplatin to treat testicular cancer. ). Increase dietary intake of potassium. Davidson has more experience with Renal Neoplasms & Resection, Pancreatic Neoplasms, and Gastrointestinal Neoplasms than other specialists in his area. However, the worldwide incidence of this type of cancer has been increasing in the past six decades . the nurse should assemble which neccessary protective items before entering the clients A nurse is caring for a client with metastatic breast cancer. Place client on contact precaution C. The nurse understands that this medication is prescribed for: 1. A feeling of heaviness in the scrotum. Each of the medications in VIP is designed to slow the growth of and kill testicular cancer cells. Paresthesia Sore throat Flank pain Tinnitus Conjunctivitis A nurse is caring for a client who has a new prescription for cisplatin to treat testicular cancer. If you are having a cancer treatment which is known to cause nausea and vomiting, you may start Cisplatin with pemetrexed and atezolizumab followed by surgical resection and maintenance therapy with atezolizumab met safety criteria. 4, and water for injection. 10 Silvestri: Saunders Comprehensive Review for the NCLEX-RN® Examination, 5th Edition Pharmacology Test Bank MULTIPLE CHOICE 1. radiotherapy, if given to the brain, stomach, bowel or close to the liver. Your risk of these problems USES: Cisplatin is used to treat various types of cancer. A nurse is caring for a client who has a new prescription for cisplastin to treat testicular cancer. • Check the product labels for both the quantity and concentration of active ingredients in each product. • Ask your cancer care team for reliable information on dietary supplements. The cells contain sulfur compounds such as glutathione that attack the platinum and Cisplatin is used together with other cancer drugs to treat bladder cancer, testicular cancer, or ovarian cancer. 201. The nurse reviews the physician’s prescriptions and notes that the client has a prescription for butorphanol tartrate (Stadol). In some cancers, this receptor is overactive, causing cells to grow too fast. Fatigue is very common during cancer treatment and is an overwhelming feeling of exhaustion that is not usually relieved by rest. The nurse should expect to find an elevation of which of following values? 2…. Bereavement care is provided to the family. Any time you have pain NST has less of an effect on nutrition indices in cancer patients than in non-cancer patients, probably due to the changes that occur in the metabolism of macronutrient substrates in the presence of cancer. Cisplatin is an antineoplastic agent (cancer medicine). Increase the oxygen flow and request and ABG. We will help you fight Carboplatin is used alone or in combination with other medications to treat cancer of the ovaries (cancer that begins in the female reproductive organs where eggs are formed) that has spread to other parts of the body, not improved, or that has worsened after treatment with other medications or radiation therapy. Radiation therapy for testicular cancer uses high-dose X-rays or other types of radiation to kill cancer cells. Doxorubicin may be used alone or along with other anti-cancer medicines. It reviews a patient’s prescription and medication against a set of standards. How do these drugs work? Cisplatin, Etoposide and Bleomycin work by interfering with the genetic material of replicating cells and preventing an increase in the number of cancer cells. “I will take my blood pressure pill at the usual time even if I have taken nitroglycerin in the past hour. Quinine. Pain relief 2. There is a strong emphasis on providing care to low income and indigent clients, although clients of all socio-economic groups are accepted. This means the radiation comes from a machine outside the body and is aimed at a specific part of your body. BACKGROUND. Alimta is a new drug that has been used to help stop the rapid growth of mesothelioma cancerous cells within a patient's body. The nurse is caring for a client in labor. hormonal therapies. 5. The type of radiation used to treat testicular cancer is external beam radiation. Angela E. Which of the following findings in the clients history should the nurse recognize as consistent Most people undergoing chemotherapy receive anti-nausea (anti-emetic) medications to prevent nausea and vomiting. Which information regarding hospice care would the nurse include in the teaching plan? Select all that apply. Stephen Davidson, MD is a Oncology Specialist in Montgomery, AL. If you have suffered as a result of a medication error, contact us to schedule an initial meeting. A nurse is caring for a 46-year-old female patient who is taking paclitaxel for ovarian cancer. Nerve problems may occur during treatment or weeks after stopping treatment. 200. From basic information about cancer and its causes to in-depth information on specific cancer types – including risk factors, early detection, diagnosis, and treatment options – you’ll find it here. Loop diuretics. Correct. (337) 289-8400. Tumor treating fields (TTF) are a new type of cancer treatment. Who should not receive Doxorubicin? Do not receive Doxorubicin if: you have had a recent heart attack or have severe heart problems 3. A nurse is reviewing the laboratory data of a client who has acute pancreatitis. You can also make meals more tempting by using colorful foods with different textures, separated on a plate to increase the visual appeal. In one instance, a pharmacist convinced a patient that her prescription for Plan B, the emergency contraceptive, was actually a prescription for the abortion pill. Over that time, we have helped hundreds of injured people recover the compensation they deserve and need in order to begin putting their lives back together. The nurse plans to closely monitor the client for: Signs of tetany. Highlight the top 3 and handle remaining items as time permits. You may take as few as one to as many as four A man is prescribed ciprofloxacin to treat a sexually transmitted infection. A client is diagnosed with multiple myeloma and the client asks the nurse about the diagnosis. Move those to the top. The nurse should instruct the client to report which of the following adverse effects? Paresthesia Artificial active immunity A nurse is caring for a client who has a new prescription for cisplatin to treat testicular cancer. understanding the purpose of this medication, the nurse should set which A Nurses caring for client who has breast cancer and has been covering receiving chemotherapy. This is especially helpful if your loved one has impaired vision. Cristian Zanartu, MD, is a licensed board-certified internist who has worked for over five years in pain and palliative medicine. Table of Common Drugs and Generic Names Here is a table of commonly a nurse is caring for a client who has a prescription for cisplatin to treat testicular cancer. World Small Animal Veterinary Association World Congress Proceedings, 2007. Many of the medications mentioned above can also harm the kidney (nephrotoxic) and require your physician to check your blood on a regular basis to assess your kidney function. Your oncology team will test your tumor for this Appointments are available, and walk-in clients are accepted. Medication evaluation or medication-use evaluation (MUE) is a quality assurance (QA) tool. Cisplatin injection is used to treat advanced cancer of the bladder, ovaries, or testicles. One mL of infusion concentrate 1 mg/mL contains: 1 mg cisplatin USP, 9 mg sodium chloride, hydrochloric acid and/or sodium hydroxide to pH of 3. As with other testicular conditions, this cancer is most common among male individuals 20 to 34 years of age [177, 189]. ”. You can reach them Monday through Friday from 9:00 am to 5:00 pm at the numbers listed below. Gallivan, PLLC has sought and attained personal injury compensation for our clients throughout the five boroughs, Long Island, Westchester, Rockland, and Orange. We have recovered millions for our clients The attorneys at Burnside Law Firm LLP have over 30 years of collective experience handling personal injury claims. Each 50 mL, 100 mL or 200 mL amber vial of infusion concentrate contains: 1 mg/mL cisplatin, 9 mg/mL sodium chloride, hydrochloric acid and sodium hydroxide to approximate pH of 4. Now scrutinize your list for conditions that may be life threatening. -Paresthesia-Sore throat-Flank Pain-Tinnitus A nurse is teaching a client who has a new diagnosis of breast A nurse is caring for a client who has leukemia and a platelet count of 48,000/mm3. 0, and water for injection to a final volume of 50 mL, 100 mL or 200 mL respectively. 619) The nurse is monitoring a client with acute lymphocytic leukemia for toxic effects of asparaginase. Administer subcutaneous epoetin alfa D. Mitotic inhibitors. have client lie still, use forceps to retrieve it, put in a lead container, calll dr. One is for the female hormone progesterone. Doxorubicin is a prescription medicine used to treat certain types of cancers. One is for the female hormone estrogen. A multidisciplinary team provides care. The nurse will instruct the patient to: complete the entire course of drug therapy: A nurse is caring for a 46-year-old female patient who is taking paclitaxel for ovarian cancer. 2. Cisplatin may cause severe kidney problems, nerve problems, and severe nausea and vomiting. The nurse should notify the health care provider if monitoring reveals which finding? Prolonged blood clotting times 620) A client with testicular cancer is receiving cisplatin. understanding the purpose of this medication, the nurse should set which the nurse preps to care for a client on contact precautions who has a hospital acquired infection caused by methicillin resistant staphylococcus aurues. A multidisciplinary team, comprising physicians, pharmacists, nurses, and administrators, prepares these standards. Test the client's urine and stool for occult blood -- a client who is The client with breast cancer has been given a prescription for cyclophosphamide. Most of the time, these issues can be treated along with the cancer Practicing healthy eating habits throughout cancer treatment is essential. A client has a phosphorus level of 5. Prioritize. These changes may occur many months or even years after treatment. bone marrow transplant is often a treatment in? leukemia and lymphoma: during the posttranplanation period of stem cells the major concern is? the client has no immunity untill the stem cells proliferate! thus infection, neutropenia and thrombocytopenia are . Drugs that are being tested but have not yet been approved by the US Food and Drug Administration (FDA) are called investigational drugs . Which of the following actions should the nurse take? A. Original question: ‘What are the guidelines when a patient has side effects from a medication?’ There are not any guidelines for most side effects. The nurse provides follow-up teaching and explains to the client to watch for which characteristics of When faced with cisplatin, some cancer cells are able to establish defences and develop resistance to the drug. Ask your cancer nurse specialist or oncology team for advice. Make an Appointment. SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX THREE (Recovered) 1) The nurse performs an assessment on a client admitted with contact dermatitis. The nurse should instruct the client to report which of the following adverse effects? A- Paresthesia B- Sore throat C- Flank pain D- Tinnitus E- Conjunctivitis A nurse is caring for a client who has a new prescription for cisplatin to treat testicular cancer. If you have any questions or concerns, talk with a member of your radiation therapy team. Assessing readiness and appropriateness While historically a "referral letter" from a mental health professional was required prior to initiation of hormone therapy, many large volume and experienced providers of transgender care have for years used an "informed consent" pathway to hormone initiation. Cisplatin, Etoposide and Bleomycin are intravenous drug treatments given to treat some types of germ cell testicular cancer. Notify the health care provider (HCP). Assign numbers to each problem in order of significance to you. Information for women In one instance, a pharmacist convinced a patient that her prescription for Plan B, the emergency contraceptive, was actually a prescription for the abortion pill. Cisplatin is used together with other cancer drugs to treat bladder cancer, testicular cancer, or ovarian cancer. This medicine is to be given only by or under the direct supervision of a doctor. Signs and symptoms of testicular cancer include: A lump or enlargement in either testicle. 8, 11 Enthusiasm for the use of NST in cancer patients has historically been tempered by concern that provision of nutrients may stimulate The client’s pulse oximeter readings have fluctuated between 79% and 88% for the last 30. Who should not receive Doxorubicin? Do not receive Doxorubicin if: you have had a recent heart attack or have severe heart problems For decades, the legal team at the Law Offices of Thomas L. 3 million patients are diagnosed with cancer every year in the United States, and a typical family physician will have three or four patients each year who are given a new diagnosis of Triple-negative breast cancer is a kind of breast cancer that does not have any of the receptors that are commonly found in breast cancer. Used to treat a variety of solid tumors and some hemotologic that had a new cancer diagnosis made from their appointment. VIP is commonly given with the goal of cure. It interferes with the growth of cancer cells, which are eventually destroyed by the body. Myth: The only pain my care team can help manage is cancer pain. While Plan B is FDA-approved as a contraceptive, and will not work if a woman is pregnant, the pharmacist asserted a conscience-based right to provide medically incorrect information. Data was analysed for all clients who had attended counselling. Caphosol is a mouth rinse that is used to prevent and treat oral mucositis. what actions should the nurse take. Dr. Contact Information. The nurse determines that the client understands the proper use of the medication if the client states that he or she will take which measure? 1. Document the findings. A nurse is caring for a terminally ill cancer client who is being transferred to hospice care. -Paresthesia-Sore throat-Flank Pain-Tinnitus A nurse is teaching a client who has a new diagnosis of breast Artificial active immunity A nurse is caring for a client who has a new prescription for cisplatin to treat testicular cancer. NURSING 102 Med Surge Final Exam 1…. A nurse is caring for a client who has a new diagnosis of hyperthyroidism.