OCN Oncologic Emergencies 3

Question 1

A patient with leukemia develops petechiae, prolonged bleeding from IV sites, and a platelet count of 8,000/mm³. The priority nursing intervention is:

Accepted Answer

Implement bleeding precautions and prepare for platelet transfusion

Answer

Apply heat to bleeding sites

Answer

Encourage the patient to ambulate to prevent DVT

Answer

Administer aspirin for discomfort

Question 2

Which of the following is a sign of increased intracranial pressure (ICP) in a patient with brain metastases?

Accepted Answer

Morning headache, nausea, and papilledema

Answer

Hypotension and tachycardia

Answer

Peripheral edema

Answer

Hypoglycemia

Question 3

Which electrolyte abnormality is the most life-threatening complication of tumor lysis syndrome?

Accepted Answer

Hyperkalemia

Answer

Hyperphosphatemia

Answer

Hyperuricemia

Answer

Hypocalcemia

Question 4

What is the definitive emergency treatment for malignant cardiac tamponade?

Accepted Answer

Pericardiocentesis

Answer

IV corticosteroids

Answer

Emergent chest surgery

Answer

IV atropine

Question 5

A patient on high-dose corticosteroids for brain metastases should be monitored for which common complication?

Accepted Answer

Hyperglycemia

Answer

Hypocalcemia

Answer

Hyponatremia

Answer

Thrombocytopenia

Question 6

The MASCC risk index is used in oncology to:

Accepted Answer

Identify low-risk febrile neutropenia patients eligible for oral antibiotics

Answer

Stage solid tumors

Answer

Calculate chemotherapy dosing

Answer

Predict 5-year survival