Cyclophosphamide (Cytoxan) has been prescribed orally for a client. What is the rationale for why this medication has been prescribed orally for this client?

1. There are few side effects when given orally.
2. It is only available parenterally.
3. It is one of only a few anticancer drugs that are well absorbed when given orally.
4. The client has a new diagnosis of cancer.


3

Rationale 1: There are many side effects from this treatment.
Rationale 2: Cyclophosphamide can be given PO and IV but the drug is well absorbed when given orally.
Rationale 3: Cyclophosphamide is one of only a few anticancer drugs that are well absorbed when given orally.
Rationale 4: Cyclophosphamide is well absorbed when given orally.

Global Rationale: Cyclophosphamide is one of only a few anticancer drugs that are well absorbed when given orally. There are many side effects from this treatment. Cyclophosphamide can be given PO and IV.

Nursing

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It is appropriate to use statistical integration when which of the following components are nearly identical across studies?

A) Independent variable, dependent variable, and study populations B) Statistical methods, population sample, hypotheses C) Dependent variable, research design, theory explication D) Available evidence, novel interpretation of findings, population sample

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The nurse checks the patient's laboratory work prior to administering a dose of vancomycin (Vancocin) and finds that the trough vancomycin level is 24 mcg/mL. What will the nurse do next?

a. Administer the vancomycin as ordered. b. Hold the drug, and administer 4 hours later. c. Hold the drug, and notify the prescriber. d. Repeat the test to verify results.

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Which action by the nurse exemplifies a sense of spiritual health?

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After an anterior wall myocardial infarction, which of the following problems is indicated by auscultation of crackles in the lungs?

A. Left-sided heart failure B. Pulmonic valve malfunction C. Right-sided heart failure D. Tricupsid valve malfunction

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