a. Anemia
b. Neutropenia
c. Thrombocytopenia
2. What are the typical manifestations of
leukemia when it is first diagnosed?
3. Describe the nursing interventions to
reduce fatigue in the patients with leukemia.
4. Describe the nursing interventions related
to the prevention of infection in someone with leukemia.
5. What can be done to alleviate some of
the aches and pains associated with the administration of interferon?
6. Describe the nursing interventions related
to the prevention of hemorrhage in the patient with leukemia.
7. What interventions should be instituted
to enhance the nutritional status of someone with leukemia?
8. Why are vital signs taken before the administration
of blood products?
9. Is it permissible to administer blood
to someone who has an elevated temperature?
9. Why is saline infused instead of dextrose
prior to the administration of blood products?
10. Why is it important to observe the patient
during the first fifteen minutes of a blood transfusion?
11. Under what circumstances should a blood
transfusion be stopped?
12. What are the symptoms of a hemolytic
transfusion reaction?
13. What should be done if a hemolytic transfusion
reaction is suspected?
14. What is the maximum length of time permitted
for infusing a unit of packed cells? Why is this limit imposed?
15. Name four symptoms of graft-versus-host
disease:
16. A patient with leukemia is receiving
an intravenous infusion of ARA-C. The IV appears to be leaking.
What should be done about the leaking IV? What precautions should
the nurse take to protect herself?
17. Identify two major nursing diagnoses
for the patient with multiple myeloma.
18. Identify two strategies to deal with
hypercalcemia.
19. What are the usual presenting symptoms
of Hodgkin's disease?
20. What should someone who has a persistent
enlarged lymph node be told about seeking medical care?
21. A patient with Hodgkin's disease
will be receiving radiation therapy. What should the person be told
about skin care during the course of therapy?
22. What are the symptoms of untreated pernicious
anemia?
21. Why is increasing dietary intake of Vitamin B12 an ineffective method for the treatment of pernicious anemia?
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Lieb Zalon