A patient is prescribed filgrastim (Neupogen). Which nursing intervention is indicated?
1. Prepare the medication for intramuscular injection.
2. Allow the medication to warm to room temperature for no longer than 6 hours.
3. Withdraw prescribed amount and return remaining medication to refrigerator for later use.
4. Discard vial if left at room temperature for longer than 4 hours.
5. Give the medication at least 24 hours following cytotoxic chemotherapy.
2, 5
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The nurse is working with an unlicensed assistive personnel (UAP) during a busy shift while administering medications. Which actions by the nurse are inappropriate when working with the UAP?
Select all that apply. 1. Informing the UAP of the therapeutic effects that will be seen 2. Requesting that the UAP inform the nurse if a side effect of the medication is noted 3. Asking the UAP to assess vital signs after administering a blood pressure medication 4. Telling the UAP to administer acetaminophen to a client since it is not a controlled substance 5. Asking the UAP to check a client's pain after the nurse administers an analgesic
After teaching a group of nursing students about antineoplastic drugs, the instructor determines that the teaching was successful when the students identify which of the following as being classified as a plant alkaloid? Select all that apply
A) Vincristine (Oncovin) B) Capecitabine (Xeloda) C) Paclitaxel (Taxol) D) Etoposide (Toposar) E) Irinotecan (Camptosar)
A client who has end-stage chronic obstructive pulmonary disease (COPD) asks the nurse, "Am I going to be getting better? Is there a cure?" What is the best response by the nurse that demonstrates the professional value, veracity?
A) "Everything will be fine." B) "Did someone tell you that there is a cure for this?" C) "You don't need to worry about that; just get better." D) "Although there is no cure for this disease, we will keep you as comfortable as possible."
A nurse determines that a patient is able to follow directions but appears to experience a narrowed perceptual field and focus on immediate concerns. The nurse determines that the patient is experiencing anxiety at which level?
a. Mild b. Moderate c. Severe d. Panic