The nurse is preparing a client with leukemia for a peripheral stem cell transfusion. Which information does the nurse provide the client?
a. "Nausea and vomiting are common after the transfusion."
b. "The transfusion will take about 6 hours."
c. "You may have numbness in your fingers and toes."
d. "Your urine may be red for a short time."
D
Red urine can occur as a result of red blood cell breakage within infused stem cells. The cells are transfused during the time frame of an ordinary blood transfusion, numbness and tingling may have been seen during pheresis (not transfusion), and nausea and vomiting may occur during administration of chemotherapy before the stem cell transfusion.
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When a patient is taught about the extrapyramidal effects of antipsychotic drugs, information about what symptoms that may develop early in therapy should be included?
a. Severe spasms of the muscles of the tongue, face, neck, or back b. Pacing and squirming c. Involuntary upward deviation of the eyes d. Cramping causing joint dislocation
When preparing a woman who is 34 weeks' pregnant for an amniocentesis, the nurse should
a. be sure that the client's bladder is full to elevate the uterus b. evaluate fetal heart tones and maternal vital signs c. keep the client in a supine position d. check that the client has had nothing to eat or drink
Which statements are true regarding opioid receptors? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected
1. Opioid blockers such as naloxone (Narcan) inhibit both the mu and kappa receptors. 2. Some opioids stimulate a particular receptor; others block a receptor. 3. Opioid blockers such as naloxone (Narcan) stimulate both the mu and kappa receptors. 4. Opioids interact with mu (types one and two) and kappa receptors. 5. Opioids interact with sigma, delta, and epsilon receptors only.
A client becomes depressed when she realizes that she will have to sell the house that she has lived in for more than 50 years. A physician prescribed an antidepressant for the client
Which physiological change in the client would cause a nurse to question this medication order? A) Changes in cortical and intellectual functioning B) Changes in respiratory and gastrointestinal functioning C) Changes in liver and kidney functioning D) Changes in endocrine and immune functioning