1 | P a g e | © copyright 2024/2025 | Grade A+
NUR 275 exam 3 Questions & 100%
Correct Answers
What is exaravasation (infiltration)?
✓ ~~> drug leakage into surrounding tissue
How should causative IV solutions be given
✓ ~~> Through a central line
Nursing interventions for infiltration
✓ ~~> § Stop infusion immediately and notify provider
§ Check IV site frequently
§ Assess for pain, burning, and skin
§ Neurovascular assessment
§ Warm compress= alkaloids; cold compress= alkylating/antibiotics
Why do we use caution in giving drugs such as Epoetin and Darbepoetin in
these patient
Master01 | September, 2024/2025 | Latest update
, 2 | P a g e | © copyright 2024/2025 | Grade A+
✓ ~~> There is an increase for bleeding and adverse effects along we
can drastically drop their platelet, RBC, HGB, HCT counts. This calls for
us to give Epoetin when patients numbers are at least 10
Neutropenia
✓ ~~> low neutrophil count which causes increased risk for infection
Neutropenic fevers
✓ ~~> anything above 100.4 is as immediate concern
Filgrastim (Neupogen)
§ Pegfilgrastim (Neulasta)
✓ ~~> Both help to make more WBC
Thrombocytopenia
✓ ~~> Decrease in circulating platelets.. imposes high risk for excessive
bleeding, from bone marrow suppression
Thrombocytopenia nursing main concern
✓ ~~> bleeding risk
Master01 | September, 2024/2025 | Latest update
, 3 | P a g e | © copyright 2024/2025 | Grade A+
<50,000 bleeding risk
✓ ~~> Caution.. use teaching these patients are high risk for bleeding
<20,000 bleeding risk
✓ ~~> Spontaneous bleeding risk
Education for thrombocytopenia
✓ ~~> Gentle handling of the patient
NO IM or venipuncture
Good oral hygiene (soft bristle tooth brush)
DO NOT administer enemas
Use electric razors
Antiemetics
✓ ~~> able to help well control the nausea/vomiting from chemo
In patients who have chemo induced nausea/vomiting what should be the
nurses main concern
✓ ~~> Fluid volume deficit/electrolyte imbalances
Master01 | September, 2024/2025 | Latest update
, 4 | P a g e | © copyright 2024/2025 | Grade A+
goal of antiemetics
✓ ~~> stay ahead, give before chemo
prolonged dehydration can cause
✓ ~~> renal failure
In patients who have chemo induced nausea/vomiting how do we treat fluid
volume deficit and electrolyte imbalances
✓ ~~> Isotonic fluids (LR's or NS 0.9%)
Mucositis
✓ ~~> sores in the mucous membranes
teaching points for mucositis
✓ ~~> Frequent oral assessments
Good oral hygiene
Soft bristled tooth brush
Gentle flossing once a day
(water pick preferred)
Saline rinses every hour while awake
Master01 | September, 2024/2025 | Latest update
NUR 275 exam 3 Questions & 100%
Correct Answers
What is exaravasation (infiltration)?
✓ ~~> drug leakage into surrounding tissue
How should causative IV solutions be given
✓ ~~> Through a central line
Nursing interventions for infiltration
✓ ~~> § Stop infusion immediately and notify provider
§ Check IV site frequently
§ Assess for pain, burning, and skin
§ Neurovascular assessment
§ Warm compress= alkaloids; cold compress= alkylating/antibiotics
Why do we use caution in giving drugs such as Epoetin and Darbepoetin in
these patient
Master01 | September, 2024/2025 | Latest update
, 2 | P a g e | © copyright 2024/2025 | Grade A+
✓ ~~> There is an increase for bleeding and adverse effects along we
can drastically drop their platelet, RBC, HGB, HCT counts. This calls for
us to give Epoetin when patients numbers are at least 10
Neutropenia
✓ ~~> low neutrophil count which causes increased risk for infection
Neutropenic fevers
✓ ~~> anything above 100.4 is as immediate concern
Filgrastim (Neupogen)
§ Pegfilgrastim (Neulasta)
✓ ~~> Both help to make more WBC
Thrombocytopenia
✓ ~~> Decrease in circulating platelets.. imposes high risk for excessive
bleeding, from bone marrow suppression
Thrombocytopenia nursing main concern
✓ ~~> bleeding risk
Master01 | September, 2024/2025 | Latest update
, 3 | P a g e | © copyright 2024/2025 | Grade A+
<50,000 bleeding risk
✓ ~~> Caution.. use teaching these patients are high risk for bleeding
<20,000 bleeding risk
✓ ~~> Spontaneous bleeding risk
Education for thrombocytopenia
✓ ~~> Gentle handling of the patient
NO IM or venipuncture
Good oral hygiene (soft bristle tooth brush)
DO NOT administer enemas
Use electric razors
Antiemetics
✓ ~~> able to help well control the nausea/vomiting from chemo
In patients who have chemo induced nausea/vomiting what should be the
nurses main concern
✓ ~~> Fluid volume deficit/electrolyte imbalances
Master01 | September, 2024/2025 | Latest update
, 4 | P a g e | © copyright 2024/2025 | Grade A+
goal of antiemetics
✓ ~~> stay ahead, give before chemo
prolonged dehydration can cause
✓ ~~> renal failure
In patients who have chemo induced nausea/vomiting how do we treat fluid
volume deficit and electrolyte imbalances
✓ ~~> Isotonic fluids (LR's or NS 0.9%)
Mucositis
✓ ~~> sores in the mucous membranes
teaching points for mucositis
✓ ~~> Frequent oral assessments
Good oral hygiene
Soft bristled tooth brush
Gentle flossing once a day
(water pick preferred)
Saline rinses every hour while awake
Master01 | September, 2024/2025 | Latest update
