A pediatric patient is receiving asparaginase (Elspar). What manifestations would lead the nurse to determine that the child is having a possible side effect from this drug? (Select all that apply.)
A.
Blistering at infusion site
B.
Increased PT and INR
C.
Potassium of 2.7 mEq/L
D.
Seizures
E.
Shortness of breath
ANS: B, D
Some common side effects of Elspar include seizures, hyperglycemia, nausea/vomiting, rashes, coagulation abnormalities, hepatotoxicity, pancreatitis, and anaphylaxis. Blistering is common with daunorubicin (Daunomycin). Hypokalemia is seen with carboplatin (Paraplatin). Shortness of breath could be seen with bleomycin (Blenoxane), which causes pulmonary fibrosis and pneumonitis.
You might also like to view...
A 37-year-old multipara woman arrives to the clinic with complaints of intermittent urine incontinence when she sneezes. The nurse is aware this is what type of incontinence?
A) Stress incontinence B) Reflex incontinence C) Overflow incontinence D) Functional incontinence
Which statement made by an older adult patient would require further teaching by the nurse?
a. "Nonprescription drugs will not interfere with my prescribed medications." b. "I can get non-childproof lids for my pills from the pharmacist." c. "Alcohol can affect drug action." d. "I will report any signs of drug toxicity to my doctor."
A postpartal patient recovering from deep vein thrombosis is being discharged
What areas of teaching on self-care and anticipatory guidance should the nurse discuss with the patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Avoid crossing the legs. 2. Avoid prolonged standing or sitting. 3. Take frequent walks. 4. Take a daily aspirin dose of 650 mg. 5. Avoid long car trips.
A student nurse shared in postconference that she was ineffective in communicating with her client. She described their interaction of sitting in silence for 10 minutes
At the end, when walking out of the room, the client's hand lightly brushed her arm. An analysis of the situation suggests that the student nurse did NOT: a. use silence as an effective tool of communication b. accept touch as an effective means of connecting or reaching out c. handle her anxiety effectively while sitting in silence with her client d. effectively use the time because the client never spoke to her