Author Question: A nurse has a RN preceptor student working on the pediatric oncology unit. When teaching the student ... (Read 166 times)

storky111 · **on:** Jun 28, 2018

A nurse has a RN preceptor student working on the pediatric oncology unit. When teaching the student about oncological crises, what disorders does the nurse include? (Select all that apply.)

A.
Inferior vena cava infarction
B.
Neurogenic shock
C.
Perirectal abscess
D.
Pleural effusion
E.
Superior vena cava syndrome

Question 2

A pediatric patient is receiving asparaginase (Elspar). What manifestations would lead the nurse to determine that the child is having a possible side effect from this drug? (Select all that apply.)

A.
Blistering at infusion site
B.
Increased PT and INR
C.
Potassium of 2.7 mEq/L
D.
Seizures
E.
Shortness of breath

nickk12214 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B, C, D, E
There are many oncologic emergencies, including neurogenic shock (and other types of shock), perirectal abscess, pleural effusion, and superior vena cava syndrome. Inferior vena cava infarction is not on the list of emergent conditions.

Answer to Question 2

ANS: B, D
Some common side effects of Elspar include seizures, hyperglycemia, nausea/vomiting, rashes, coagulation abnormalities, hepatotoxicity, pancreatitis, and anaphylaxis. Blistering is common with daunorubicin (Daunomycin). Hypokalemia is seen with carboplatin (Paraplatin). Shortness of breath could be seen with bleomycin (Blenoxane), which causes pulmonary fibrosis and pneumonitis.