What does the nurse ask the client about antineoplastic medications?
The nurse is caring for a client receiving a combination of antineoplastic medications. The client asks the nurse why so many different medications are being used instead of just one medication.
What should the nurse prioritize when administering vincristine to a client?
Nice work! You just studied 95 terms! Now up your study game with Learn mode. A client with Hodgkin's disease has been prescribed vincristine. What nursing consideration should the nurse prioritize when administering this drug? - The nurse should avoid using a distal vein. - The nurse should encourage the client to eat six small meals a day.
How should the nurse care for the client during the infusion?
- The nurse should encourage the client to eat six small meals a day. - The nurse should check for extravasation when the infusion is over. - The nurse should avoid any skin, eye, or mucous membrane contact with the drug.
Which resource should the nurse consult first regarding medication compatibility?
A nurse is preparing to administer ampicillin and gentamicin sulfate via IV infusion. Which of the following resources should the nurse consult first regarding medication compatibility? The greatest risk to the client is injury form medication error; therefore, the nurse should consult the hospital pharmacist first.
Why is my client reacting to my diagnosis?
Because the client has just learned of the diagnosis and treatment, the client is reacting in a negative way. This behavior demonstrates grief, not necessarily refusal of treatment, nor denial or acceptance of the diagnosis. The nurse is caring for a client who has just received a diagnosis of advanced oral cancer that will require extensive ...
Can a nurse assess a client for dysphagia?
If the infection extends down the pharynx, the client could have difficulty swallowing. Therefore, the nurse should assess the client for dysphagia. HIV status may or may not be related but is not the priority. Listening to the lungs is unrelated. Since oral candidiasis is an infectious condition, referral to an oncologist is not needed.
Should a patient be seen first for suctioning?
The client who needs frequent suctioning should be seen first to ensure that his or her airway is patent. The client waiting for pain medication should be seen next. The nurse may need to call the surgeon to see the client who is asking questions. The client waiting for discharge instructions can be seen last.
Why should nurses apply urgent versus nonurgent priority setting framework?
Using this framework, the nurse should consider urgent needs (constricted airway, and decreased cardiac perfusion) the priority need because they pose more of a threat to the client.
What is the priority medication for anaphylaxis?
Epinephrine, a catecholamine , is the priority medication to administer for a client who experiences an anaphylactic reaction. Epinephrine reduces edema and promotes bronchial dilation and increases arterial blood pressure to counteract the most severe manifestations of anaphylaxis. Epinephrine can be administered subcutaneously or intravenously. The nurse should apply the urgent versus nonurgent priority-setting framework. Using this framework, the nurse should consider urgent needs (constricted airway, and decreased cardiac perfusion) the priority need because they pose more of a threat to the client. The nurse might also need to use Maslow's hierarchy of needs, the ABC priority-setting framework, or nursing knowledge to identify which finding is the most urgent.
Is a fever of unknown origin an indication for prophylactic antibiotic therapy?
A fever of unknown origin is not an indication for prophylactic antibiotic therapy.
What is the role of a nurse in a client prescribed almotriptan?
The nurse is providing health education to a client prescribed almotriptan for the treatment of migraines. The nurse should caution the client about what potential adverse effects?
What does a client's stool test positive for?
The client's stool tests positive for occult blood.
What is the drug that is given for pain?
Morphine, the prototype drug for opioid analgesics, is given for both acute and chronic pain. The patient's response to the drug depends on the:
Can you take another opioid antagonist?
Call the provider as another dose of opioid antagonist may be necessary.
What is the treatment for breast cancer?
A client with breast cancer will have radiation therapy and then begin chemotherapy . Drug therapy will consist of a combination of doxorubicin, cyclophosphamide, and paclitaxel. What should the nurse include in the client's teaching plan concerning the drug therapy? Select all that apply.
How many agents decrease cell resistance?
The use of three agents decreases the development of cell resistance.
What is the normal blood pressure for a client?
The client's blood pressure is usually in the range of 140/90 mm Hg.
Can dexrazoxane be used with doxorubicin?
The use of dexrazoxane in conjunction with doxorubicin. A client has returned to the outpatient treatment center for a regular IV chemotherapy session. The nurse understands that one of the goals of chemotherapy is to: prevent or treat adverse drug effects. A patient is to receive doxorubicin as treatment for leukemia.
