Order: Hycamtin (topotecan HCl) 1.5 mg/mIV daily for 5 days, repeat every 21 days. The label on the vial reads 4 mg, and the manufacturer's directions state: "Reconstitute each 4 mg with 4 mL of sterile water

Withdraw the dose and further dilute in 50 mL D5W and infuse over 30 minutes." Calculate the rate of flow in milliliters per hour for a patient who weighs 92 kg and is 183 cm tall. 1. 106 mL/h
2. 114 mL/h
3. 100 mL/h
4. 87.5 mL/h


1
Rationale 1:

Nursing

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The nurse is caring for a client with a condition that alternates clotting and hemorrhaging. The nurse is aware that this client may have:

a. anemia b. disseminated intravascular coagulation c. leukemia d. polycythemia vera

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Touch, to a great degree, is culturally determined. In the Hispanic culture, what may be inappropriate in a health care setting?

A) Grandmothers to help in the care of pediatric patients B) Females to care for males C) Health care information to be given to a female member of the family D) Males to participate in health care activities

Nursing

A 78-year-old client states, "I often have dry eyes, it is bothersome and irritating." What intervention should the nurse recommend?

A) Daily rinses with tap water B) A medication vacation to determine if medications are the cause C) Use of over-the-counter artificial tears D) Keeping eyes closed for 3 to 5 minutes each hour

Nursing

Dementia is a permanent condition.

Answer the following statement true (T) or false (F)

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