RN PRECEPTOR EXAM TOP PREDICTION ACCURATE
SUMMER-FALL SESSION GRADED A+ (GURANTEED
PASS)
What days are Tac levels drawn? - ANSWER: Mon/Thurs
What tube is for tac levels? - ANSWER: lavender
Difference between tac trough and random? - ANSWER: trough - 30 min before PO
dose
random - can be drawn at any time
Normal tac level? - ANSWER: 5-15
what are symptoms of tac toxicity? - ANSWER: HTN, tremors, headaches
When do we get a Vanc trough? - ANSWER: 30 mins before 4th dose
what is the normal vanc level? - ANSWER: 5-15
when do we start checking for CMV in transplant pts? - ANSWER: Every Monday
starting D+21
what do we give for CMV prophylaxis? - ANSWER: Letermovir
when do we replace K and Mag? - ANSWER: K < 3.5
Mg = 1.6 or less
when do we replace K and Mag on cardiac parameters? - ANSWER: K < 4
Mg < 2
what do your platelets have to be to get a PICC or Hohn or Trifusion? - ANSWER:
PICC > 25
Hohn > 30
Tri > 50
(INR < 1.3 for all)
when do we change dressing after line has been placed? - ANSWER: Gauze - 24 hrs
PICC with gauze - 48 hrs
CHG - 7 days if there is less than quarter size spot of blood within the square
What is TLS? - ANSWER: when leukemia cells die while receiving chemo their
contents released into bloodstream overwhelm the bodys ability to maintain
homeostasis
what labs are evident with TLS? - ANSWER: UA > 8
, K>6
Phos > 4.5
Cal < 7
what is included in TLL? - ANSWER: BMP
phos
uric acid
how often do we get TLL? - ANSWER: Q8 for 72 hours with the start of chemo
what medication is used for high uric acid? - ANSWER: PO : allopurinol (prophylaxis)
IV : Rasburicase (treatment)
what rate do you run blood products? - ANSWER: start blood at 120 and then
increase to 175
platelets start at 125 and can go up to 600
what is considered a fever? - ANSWER: 38.0 or higher for an hour
38.3 +
what is the first spike workup? - ANSWER: notify MD
central and peripheral cultures
CXR
UA
Abx within 1 hour
tylenol after cultures
what do we do for subsequent spike? - ANSWER: 2 peripheral cultures
may add gram + abx
what are S/S for sepsis? - ANSWER: fever
hypotension
tachy
lethargy
alt mental status
name gram - abx - ANSWER: cefepime
meropenem
gentamicin
name gram + abx - ANSWER: vanc
linezolid
clindamycin
cephalosporin
name an antifungal - ANSWER: fluconazole
micafungin
SUMMER-FALL SESSION GRADED A+ (GURANTEED
PASS)
What days are Tac levels drawn? - ANSWER: Mon/Thurs
What tube is for tac levels? - ANSWER: lavender
Difference between tac trough and random? - ANSWER: trough - 30 min before PO
dose
random - can be drawn at any time
Normal tac level? - ANSWER: 5-15
what are symptoms of tac toxicity? - ANSWER: HTN, tremors, headaches
When do we get a Vanc trough? - ANSWER: 30 mins before 4th dose
what is the normal vanc level? - ANSWER: 5-15
when do we start checking for CMV in transplant pts? - ANSWER: Every Monday
starting D+21
what do we give for CMV prophylaxis? - ANSWER: Letermovir
when do we replace K and Mag? - ANSWER: K < 3.5
Mg = 1.6 or less
when do we replace K and Mag on cardiac parameters? - ANSWER: K < 4
Mg < 2
what do your platelets have to be to get a PICC or Hohn or Trifusion? - ANSWER:
PICC > 25
Hohn > 30
Tri > 50
(INR < 1.3 for all)
when do we change dressing after line has been placed? - ANSWER: Gauze - 24 hrs
PICC with gauze - 48 hrs
CHG - 7 days if there is less than quarter size spot of blood within the square
What is TLS? - ANSWER: when leukemia cells die while receiving chemo their
contents released into bloodstream overwhelm the bodys ability to maintain
homeostasis
what labs are evident with TLS? - ANSWER: UA > 8
, K>6
Phos > 4.5
Cal < 7
what is included in TLL? - ANSWER: BMP
phos
uric acid
how often do we get TLL? - ANSWER: Q8 for 72 hours with the start of chemo
what medication is used for high uric acid? - ANSWER: PO : allopurinol (prophylaxis)
IV : Rasburicase (treatment)
what rate do you run blood products? - ANSWER: start blood at 120 and then
increase to 175
platelets start at 125 and can go up to 600
what is considered a fever? - ANSWER: 38.0 or higher for an hour
38.3 +
what is the first spike workup? - ANSWER: notify MD
central and peripheral cultures
CXR
UA
Abx within 1 hour
tylenol after cultures
what do we do for subsequent spike? - ANSWER: 2 peripheral cultures
may add gram + abx
what are S/S for sepsis? - ANSWER: fever
hypotension
tachy
lethargy
alt mental status
name gram - abx - ANSWER: cefepime
meropenem
gentamicin
name gram + abx - ANSWER: vanc
linezolid
clindamycin
cephalosporin
name an antifungal - ANSWER: fluconazole
micafungin
