The nurse is caring for a patient at risk of severe-to-fatal interstitial lung disease. What antineoplastic agent is the nurse administering that carries this risk?
A) Valrubicin (Valstar)
B) Erlotinib (Tarceva)
C) Histrelin acetate (Vantas)
D) Triptorelin pamoate (Trelstar Depot)
B
Feedback:
Erlotinib inhibits tyrosine kinase associated with epidermal growth factor found on surfaces of normal and cancer cells and causes serious-to-fatal interstitial lung disease. Histrelin inhibits gonadotropic secretion and decreases follicle-stimulating hormone (FSH) and luteinizing hormone (LH) and testosterone levels and suppresses testosterone production. Hot flashes are very common with this drug. Triptorelin pamoate decreases FSH and LH levels and also suppresses testosterone production. It has also been associated with sexual dysfunction, urinary tract symptoms, bone pain, and hot flashes. Valrubicin is used in intravesical therapy for carcinoma in situ of the bladder. It is also associated with severe bladder spasms.
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Which information from a patient's urinalysis requires that the nurse notify the health care provider?
a. pH 6.2 b. Trace protein c. WBC 20 to 26/hpf d. Specific gravity 1.021
What is the advantage of a client using a patient-controlled analgesia (PCA) following a cesarean birth?
1. The client receives a bolus of the analgesia when pressing the button. 2. The client experiences pain relief within 30 minutes. 3. The client feels a greater sense of control, and is less dependent on the nursing staff. 4. The client can deliver as many doses of the medication as needed.
A nurse, when caring for a client, notes that the specific gravity of the client's urine is
low. What could have lead to the low specific gravity of urine? A) Frequent vomiting B) Excess fluid intake C) Repeated diarrhea D) Urine retention
States have certain continuing education requirements for persons to renew a nursing license. This type of law is called
a. Constitutional law b. Legislation and regulation c. Judicial and common law d. Police power