A client is prescribed interferon as part of treatment for cancer. Which of the following should the nurse instruct the client regarding this medication?
1. Flu-like symptoms should be reported to the physician.
2. General fatigue while receiving this medication is common.
3. Seek emergency care with a high fever.
4. Side effects are short term and will resolve in a few days.
2
Side effects vary by the type of biological agent, including a flu-like illness, high fever, headache, and general fatigue. These are expected effects and do not need to be reported to the physician. Side effects of these medications are long term and can vary in intensity during the course of treatment.
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A nurse is assigned to care for a 53-year-old client who is to receive glycopyrrolate as a preanesthetic drug. The nurse reviews the client's history for which of the following that would contraindicate the use of this drug?
A) Diabetes B) Hypotension C) Respiratory problems D) Myocardial ischemia
How are nonpharmacologic interventions, such as guided imagery and music therapy, thought to help relieve a client's pain?
A. Anxiety increases the degree of tissue damage at the pain site by reducing the amount of available oxygen. Guided imagery reduces anxiety, thereby increasing the amount of oxygen available, decreasing damage, and decreasing pain. B. The substantia gelatinosa in the brain can only transmit impulses when trigger cells are activated. Nonpharmacologic interventions can inhibit trigger cells, thus "closing the gate" on transmission of pain impulses from the periphery. C. Guided imagery and music therapy, along with other nonpharmacologic interven-tions, induce sedation and sleep, and pain is not perceived during sleep. D. Nonpharmacologic interventions contribute to pain relief by decreasing the amount of cortisol present in damaged tissues. Cortisol is thought to increase the sensitivity of pain receptors to low levels of pain stimulation.
Nurses should be aware of the differences experience can make in labor pain, including that:
1. sensory pain for nulliparous women is often greater than for multiparous women during early labor. 2. affective pain for nulliparous women is usually less than for multiparous women throughout the first stage of labor. 3. women with a history of substance abuse experience more pain during labor. 4. multiparous women have more fatigue from labor and so experience more pain.
A public health nurse assists a client in identifying the services needed the most at the least cost. This public health function is as a/an
1. Role model 2. Primary caregiver 3. Outreach worker 4. Case manager