A patient with progressive multiple sclerosis will be started on alemtuzumab (Lemtrada). The nurse should ensure which interventions are completed prior to initiating this therapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. A varicella zoster vaccination is scheduled.
2. A complete blood count (CBC) has been drawn.
3. A serum creatinine has been drawn.
4. A skin exam has been completed.
5. An indwelling urinary catheter is placed.
1,2,3,4
Rationale 1: The patient should have a varicella zoster vaccination at least 6 weeks prior to beginning this therapy.
Rationale 2: A CBC should be obtained prior to treatment.
Rationale 3: A serum creatinine should be obtained prior to treatment.
Rationale 4: A skin examination is necessary prior to treatment to monitor for melanoma.
Rationale 5: There is no reason to place an indwelling urinary catheter.
Global Rationale: The patient should have a varicella zoster vaccination at least 6 weeks prior to beginning this therapy. A CBC and a serum creatinine should be obtained prior to treatment. A skin examination is necessary prior to treatment to monitor for melanoma. There is no reason to place an indwelling urinary catheter.
You might also like to view...
A client is admitted to the eating disorder unit. During the assessment, the client tells the nurse about having difficulties with constipation. What would be an appropriate nursing diagnosis for this client?
A) Fluid volume deficit B) Body image disturbance C) Anxiety D) Altered bowel elimination
A patient is admitted to your unit with a diagnosis of end-stage prostate cancer. He is in intractable pain. What type of pain control could be considered at this point?
A) Pharmacologic B) Alternative C) Neurosurgical D) Nontraditional
The nurse shows understanding of the need to promote healthy skin in the older adult when encouraging the client to: Select all that apply
a. wear a wide-brimmed hat when outdoors b. pad feet with socks when wearing shoes c. clean the skin with a moisturizing soap d. bathe in tepid water e. always wear gloves in the winter
The nurse manager delegated the task of making client assignments to the staff nurse. How would the nurse manager evaluate the results of the delegation?
a. Ask other staff to supervise the nurse manager's work b. Ask personnel if they are happy about the assignments c. Correct the staff nurse's work d. Use performance standards to evaluate