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QR Challenge: Oncology/Hematology Scavenager Hunt

Created using the ClassTools QR Treasure Hunt Generator

Teacher Notes

A. Prior to the lesson:

1. Arrange students into groups. Each group needs at least ONE person who has a mobile device.

2. If their phone camera doesn't automatically detect and decode QR codes, ask students to

3. Print out the QR codes.

4. Cut them out and place them around your class / school.


B. The lesson:

1. Give each group a clipboard and a piece of paper so they can write down the decoded questions and their answers to them.

2. Explain to the students that the codes are hidden around the school. Each team will get ONE point for each question they correctly decode and copy down onto their sheet, and a further TWO points if they can then provide the correct answer and write this down underneath the question.

3. Away they go! The winner is the first team to return with the most correct answers in the time available. This could be within a lesson, or during a lunchbreak, or even over several days!


C. TIPS / OTHER IDEAS

4. A detailed case study in how to set up a successful QR Scavenger Hunt using this tool can be found here.


Questions / Answers (teacher reference)

Question

Answer

1. The nurse is reviewing the lab results of a client diagnosed with multiple myeloma. Which would the nurse expect to note specifically in this disorder? Increased calcium level, increased WBC's, decreased blood urea nitrogen level, decreased number of plasma cells in the bone marrowincreased calcium level
2.
3. The nurse is caring for a client experiencing neutropenia as a result of chemo and develops a plan of care for the client. The nurse plans to: restrict all visitors, restrict fluid intake, teach the client and family about the need for hand hygiene, insert an indwelling foley catheter to prevent skin breakdownteach the family and client about the need for hand hygiene
4.
5. The client is admitted to the hospital with a suspected diagnosis of Hodgkin's disease. Which assessment finding would the nurse expect to note specifically in the client? fatigue, weakness, weight gain, enlarged lymph nodesenlarged lymph nodes
6.
7. The female client who has been receiving radiation therapy for bladder cancer tells the nurse that is feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing? rupture of the bladder, the development of a vesicovaginal fistula, extreme stress caused by the diagnosis of cancer, altered perineal sensation as a side effect of radiation therapythe development of a vesicovaginal fistula
8.
9. A gastrectomy is performed on a client with gastric cancer. In the immediate post op period, the nurse notes bloody drainage from the NG tube. Which od the following is the appropriate nursing intervention? notify the physician, measure abd girth, irrigate the NG tube, continue to monitor the drainagecontinue to monitor the drainage
10.
11. The nurse is assessing the perineal wound in a client who has returned from the operating room following an ABD perineal resection and notes serosanguineous drainage from the wound. Which nursing intervention is appropriate? notify the physician, clamp the penrose drain, change the dressing as prescribed, remove and replace the perineal packingchange the dressing as prescribed
12.
13. The nurse is assessing the colostomy of a client who has had an ABD perineal resection for a bowel tumor. Which of the following assessment findings indicates that the colostomy is beginning to function? absent bowel sounds, the passage of flatus, the client's ability to tolerate food, bloody drainage from the colostomythe passage of flatus
14.
15. The nurse is caring for a client following a mastectomy. Which nursing intervention would assist in preventing lymphedema of the affected arm? placing cool compresses on the affected arm, elevating the affected arm on a pillow above heart level, avoiding arm exercises in the immediate post op period, maintaining an IV site below the antecubital are on the affected sideelevating the affected arm on a pillow above heart level
16.
17. As part of chemo education, the nurse teaches a female client about the risk for bleeding and self care during the period of the greatest bone marrow suppression (the nadir). The nurse understands that further teaching is needed when the client states: "I should avoid blowing my nose", "I may need a platelet transfusion if my platelet count is too low", "I'm going to take an aspirin for my headache as soon as I get home", "I will count the number of pads and tampons I use when menstruating""I'm going to take aspirin for my headache as soon as I get home".
18.
19. The client is diagnosed as having a bowel tumor and several diagnostic tests are prescribed. The nurse understands that which test will confirm the diagnosis of malignancy? biopsy of the tumor, ABD ultrasound, MRI, CTbiopsy of the tumor
20.
21. A client with carcinoma of the lung develops syndrome of inappropriate antidiuretic hormone (SIADH) as a complication of the cancer. The nurse anticipates that which of the following may be prescribed? (Select all that apply) radiation, chemo, increased fluid intake, serum sodium levels, decreased oral sodium intake, medication that is antagonistic to antidiuretic hormone radiation, chemo, serum sodium levels, medication
22.
23. The nurse is developing a plan of care for the client with multiple myeloma and includes which priority intervention in the plan? encouraging fluids, providing freq oral care, coughing and deep breathing, monitoring the RBC countencouraging fluids
24.
25. The nurse is caring for a client who is postop following a pelvic exenteration and the physician changes the clients diet from NPO to clear liquids. The nurse makes which priority assessment before administering the diet? bowel sounds, ability to ambulate, incision appearance, urine specific gravitybowel sounds
26.
27. When assessing the lab results of the client with bladder cancer and bone metastasis, the nurse notes a calcium level of 12 mg/dL. The nurse recognizes that this is a consistent with which oncological emergency? hyperkalemia, hypercalcemia, spinal cord compression, superior vena cava syndromehypercalcemia
28.
29. The nurse is reviewing the history of a client with bladder cancer. The nurse expects to note documentation of which most common symptom of this type of cancer? dysuria, hematuria, urgency on urination, frequency of urinationhematuria
30.
31. A nurse is monitoring a client for signs and symptoms related to superior vena cava syndrome. Which of the following is an early sign of this oncological emergency? cyanosis, arm edema, periorbital edema, mental status changes periorbital edema
32.
33. The community health nurse is instructing a group of female clients about breast self exams. The nurse instructs the clients to perform the exam: at the onset of menstruation, every month during ovulation, weekly at the same time everyday, 1 week after menstruation begins1 week after menstruation begins.
34.
35. The nurse is caring for a client with an internal radiation implant. When caring for the client, the nurse should observe which principle? limit the time with the client to 1 hour per shift, do not allow pregnant women into the clients room, remove the dosimeter film badge when entering the clients room, individuals younger than 16 may be allowed to go in the room as long as they stay 6 feet away from the clientdo not allow pregnant women into the clients room

 



Oncology/Hematology Scavenager Hunt: QR Challenge

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