The nurse is caring for a patient who received an instillation of doxorubicin (Adriamycin) into the bladder for treatment of cancer in situ. What should the nurse do next?
a. Reposition the patient every 15 to 30 mi-nutes.
b. Unclamp the catheter.
c. Educate the patient about the possibility of false positive tuberculin skin testing.
d. Apply nonslip footwear for ambulation.
A
Doxorubicin (Adriamycin) has been found to help patients with bladder carcinoma in situ (site of origin) by reducing tumor recurrence and by eliminating residual malignant cells after surgery. The solution is instilled into the bladder via a urinary catheter. The patient should change position every 15 to 30 minutes, and the catheter is clamped for 2 hours. The nurse should not unclamp the catheter. While it is important to educate the patient about potential for positive PPD tests, education should be done at a time when the patient can focus on the information. Ambulation is not appropriate at this time.
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The client complains of burning along the vein in which a medicated IV is infusing. Upon assessment, the nurse finds the IV site is slightly reddened but not warmer than the surrounding skin, and is without swelling
What action should be taken by the nurse? A) Discontinue the IV and place a warm pack on the area. B) Place a cool pack over the IV site and vein. C) Slow the IV infusion and reassess the area in 15 minutes. D) Call the physician for direction.
After the return of spontaneous circulation following the resuscitation of a patient who had a cardiac arrest, therapeutic hypothermia is ordered. Which action will the nurse include in the plan of care?
a. Apply external cooling device. b. Check mental status every 15 minutes. c. Avoid the use of sedative medications. d. Rewarm if temperature is <91° F (32.8° C).
A nurse is examining different nursing roles. Which statement best illustrates an advanced practice nursing role?
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