The nurse on an oncology unit is caring for a patient receiving cisplatin (Platinol-AQ). In addition to managing the patient's nausea and vomiting, the nurse should monitor for which adverse reaction or reactions? (Select all that apply.)
a. Bone marrow suppression
b. Low-frequency hearing loss
c. Neurotoxicity
d. Cushing's syndrome
e. Nephrotoxicity
A, B, E
Adverse effects of cisplatin include bone marrow suppression, neurotoxicity, and toxicity to the ear, which manifests as tinnitus and high-frequency hearing loss. In addition, a major dose-limiting side effect of cisplatin is nephrotoxicity.
The adverse effects of cisplatin do not include low-frequency hearing loss or Cushing's syn-drome.
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A client who binges on alcohol during the weekends denies having an alcohol dependency problem. Which is the best understanding, by the nurse, in regards to binge drinking?
A) Drinking only on weekends does not constitute a dependency problem. B) Binge drinking can lead to daily drinking so needs to be monitored. C) Inability to control drinking is a sign of dependency. D) Binge drinkers are social drinkers not alcoholics.
A patient with type 1 diabetes is admitted to the emergency department with a blood pressure of 201/108 . The patient is given diazoxide (Hyperstat IV). The nurse should monitor the patient for
a. hypoglycemia. b. ketoacidosis. c. hyponatremia. d. hyperglycemia.
Think aloud protocol is a method for generating rich data when users talk aloud as they use a product. This method is used: (Select all that apply.)
a. during initial product development. b. during mature product design. c. after the product is released. d. after the product is used.
The nurse is helping a client to verbalize emotions. The response that BEST indicates that the nurse's communication was effective is when the client:
a. stares blankly and states, "You don't like me, do you?" b. pats the nurse on the hand and states, "You are so kind and understanding!" c. frowns and states, "I guess I did say that, but that's not what I meant." d. looks concerned and states, "You sound like you're coming down with a cold!"