A patient will begin chemotherapy with cisplatin. Which medications will the nurse expect to administer to offset this agent's side effects?

a. Amifostine (Ethyol), diuretics, and antiemetics
b. Antiemetics, vitamin B12, and glucocorticoids
c. Dexamethasone, antiemetics, and vistonuridine
d. Folic acid, gabapentin, and vitamin B12


ANS: A
Amifostine and diuretics are given to help minimize kidney damage with cisplatin. Antiemetics are given to minimize nausea and vomiting, which can be severe with this drug. Vitamin B12 is used to reduce toxicity to the gastrointestinal (GI) tract caused by pralatrexate. Vistonuridine is used to treat fluorouracil overdose. Folic acid is not used to counter cisplatin side effects. Gabapentin is used to minimize neuropathy when oxaliplatin is used.

Nursing

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A mother is anxious about her ability to breastfeed after her child is born because of her small breast size. What would be an important point to teach this mother?

a. Milk is produced in ducts and lobules regardless of breast size. b. Supplementing breastfeeding with formula allows the infant to receive adequate nutrition. c. Breast size can be increased with exercise. d. Drinking extra milk during pregnancy allows breasts to produce adequate amounts of milk.

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A patient with AIDS has developed a number of secondary infections in recent weeks, including Kaposi's sarcoma. As a result of this most recent diagnosis, his care team has opted to begin treatment with interferon alfa-2a. The nurse is aware that this drug will address the etiology of Kaposi sarcoma by

A) inhibiting tumor growth by enhancing inflammation. B) potentiating the effects of phagocytes and macrophages. C) causing mutations in the DNA of cancerous cells. D) increasing the production of B cells and T cells.

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The nurse knows in the past, inadequate community and occupational skills often limited clients who had severe mental illness. Today, though some teaching is best done in the client's own setting, priority community-based teaching would be for:

A) Conflict management skills. B) ADL skills. C) Job training. D) Social skills training.

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When bacteria form hard shells around themselves as a defense, they are called spores

True False

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