The nurse on an oncology unit prepares to administer the fourth cycle of docetaxel [Taxotere] to a patient with breast cancer. Which clinical finding would cause the nurse to withhold the dose and call the prescriber?
a. Alanine transaminase (ALT) 1.2 times the upper limit
b. Alkaline phosphatase 2 times the upper limit
c. Neutrophil count below 1500/mm3
d. Creatinine clearance of 130 mL/min/1.73 m2
C
If the neutrophil count drops below 1500/mm3, the nurse should withhold the dose and notify the prescriber. An ALT 1.5 times the upper limit and an alkaline phosphatase 2.5 times the upper limit are concerning. The creatinine clearance is not a concern.
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The nurse is providing care to a patient with pulmonary tuberculosis. What should the nurse do to ensure personal protection while caring for this patient?
1. Wear a gown and eye goggles. 2. Wear a gown and surgical mask. 3. Wear a gown and HEPA mask. 4. Wear a gown and sterile gloves.
A nurse is working with children and adolescents who have a known heart problem
The nurse is aware that when a child undergoes a procedure, the prevention of infectious endocarditis will involve which of the following interventions as a prophylaxis? a. gamma globulin 10 cubic centimeters in each of two deep muscle sites at least 24 hours before the procedure b. antibiotics, with the most frequent being penicillin or clindamycin for those with penicillin allergies c. intravenous glucose solution d. aspirin or Coumadin
You are the nurse working at a homeless shelter. You begin working with a homeless person who has been diagnosed as having paranoid schizophrenia. This client believes that everyone is trying to poison him
He comes to the shelter once or twice a week to eat the evening meal, which is soup. This client believes that soup is the only food that is not poisoned. An appropriate short-term outcome for this client would be that the client will: a. have decreased or absent delusions within 2 weeks b. agree to take antipsychotic medication daily c. eat food other than soup within 1 week d. agree to meet with the nurse when he comes to eat
Symptoms are objective manifestations produced by a disease
Indicate whether the statement is true or false