The nurse is preparing to administer a first dose of ado-trastuzumab emtansine [Kadcycla] to a patient who has metastatic breast cancer. Which nursing action is correct?
a. Administer a test dose with an antihista-mine.
b. Ensure that the patient has HER2-positive disease.
c. Infuse the initial dose over 30 to 45 mi-nutes.
d. Review renal function tests.
B
Ado-trastuzumab emtansine is used for patients with HERS2-positive disease. Although severe hypersensitivity reactions may occur, it is not recommended that a test dose along with an anti-histamine be given. The initial dose should be given over 90 minutes, with subsequent doses given over 30 minutes if tolerated. Liver damage is common, so liver function needs to be moni-tored.
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A 72-year-old patient is admitted to the hospital for surgery
After the patient returns to the floor, the patient's daughter tells the nurse she is concerned that her mother will overdose on morphine because she keeps pressing the button on her patient-controlled anesthesia (PCA) pump. What is the nurse's best response? A) "You should control how often she presses the button." B) "If she will follow the directions she was given, that will not happen." C) "The PCA device always provides the correct amount, so pressing the button is just for placebo effect." D) "The device is preset, so your mother cannot get more than a specific amount."
A patient with attention deficit disorder is admitted to the hospital with type 1 diabetes. Which nursing diagnosis is commonly yet inappropriately used but should be avoided for this type of patient? Assume there are data to support all the diagnoses
1) Deficient Knowledge (disease process) 2) Impaired ability to learn related to fear and anxiety 3) Difficulty learning related to cognitive developmental level 4) Lack of motivation to learn related to feelings of powerlessness
Consumption of alcoholic beverages is associated with
A) esophageal cancer. B) colon cancer. C) prostate cancer. D) bladder cancer.
Assessment of a client's abdomen reveals a positive Murphy's sign. Which of the following would the nurse suspect?
A) Ascites B) Appendicitis C) Cholecystitis D) Splenomegaly