A client with multiple sclerosis has been treated for 6 months with mitoxantrone (Novan-trone). What clinical manifestation would alert the nurse to an adverse effect of this medica-tion?
A. Periorbital edema
B. Black, tarry stools
C. Crackles in the lungs
D. Nausea and vomiting after meals
C
Mitoxantrone (Novantrone) is an antineoplastic agent that can cause cardiotoxicity when used for long periods. Adverse effects are congestive heart failure and dysrhythmias.
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The emergency room nurse's initial intervention for a patient presenting with a chemical burn to the eye is to:
A) Generously flush the affected eye with an antibiotic solution B) Generously flush the affected eye with normal saline or water C) Apply a patch to the affected eye D) Apply direct pressure to the affected eye
A nurse is using the specific approach to QI. Which of the following describes the action that would be taken by the nurse?
a. Evaluate an agency's ability to meet crite-ria or standards b. Implement the plan-do-check-act cycle c. Provide care to individual citizens d. Use criteria set forth by regulatory agen-cies
Prior to prescribing metformin, the provider should:
1. Draw a serum creatinine to assess renal function 2. Try the patient on insulin 3. Tell the patient to increase iodine intake 4. Have the patient stop taking any sulfonylurea to avoid dangerous drug interactions
Which of the following journals would most likely contain the highest number of primary sources for a research literature review?
A) American Journal of Nursing B) Nursing Forum C) Nursing Outlook D) Western Journal of Nursing Research