A patient from Africa is being treated for East African trypanosomiasis. The nurse is preparing to administer a first dose of suramin sodium [Germanin]. To prevent serious side effects, which ac-tion will the nurse take?

a. Administer a small test dose before giving the drug.
b. Ask the patient to lie flat while the drug is given.
c. Give a high-fat snack with the drug to mi-nimize gastric upset.
d. Suggest to the provider that liver function tests (LFTs) be performed.


A
Suramin sodium can cause severe side effects, including a shock-like syndrome with IV dosing. A small test dose should be given initially to make sure this is not likely. Patients receiving pen-tamidine should be supine while receiving that drug. It is not necessary to provide a fatty snack with suramin or to obtain LFTs before administration.

Nursing

You might also like to view...

A nurse is caring for a patient who is receiving amphotericin B [Abelcet] for a systemic fungal infection. In spite of receiving diphenhydramine and acetaminophen before initiation of treat-ment, the patient has fever and chills with rigors

The nurse will contact the provider to discuss the addition of which drug? a. Aspirin b. Dantrolene c. Hydrocortisone d. Omeprazole

Nursing

A nurse is taking an admission history from a client who is easily distracted and who offers much information about his health and social history

Although careful to document what the client relates, the nurse sorts out the relevant data to determine the best nursing care for this client. This nurse is practicing which attribute of critical thinking? A) Dialogue B) Reflection C) Time D) Context

Nursing

On admission, the client weighs 165 pounds (75 kg). The client reports that this is a weight loss from 180 pounds (82 kg). What is the percent weight loss?

A) 6.25% B) 8.3% C) 4.5% D) 10.0%

Nursing

Which description of the autosomal-dominant form of PKD is correct?

a. 25% of its with this form of PKD develop acute kidney failure by the age 30 b. the dominant form is responsive to newer gene therapy treatment c. 50% of people with this form of PKD develop kidney disease by the age 50 d. Most people with this form of PKD die in the young childhood

Nursing