The nurse tells the client with leukemia who is receiving chemotherapy that allopurinol (Zyloprim) has been added to the medication list

When the client asks the purpose of the new medication, the nurse responds that the allopurinol is intended to prevent: 1. Nausea
2. Diarrhea
3. Muscle spasms
4. Hyperuricemia


4

Rationale: Chemotherapy destroys cells leading to the release of uric acid into the blood stream. The client is then at risk of experiencing uric acid nephropathy, renal stones, and acute renal failure. Allopurinol (Zyloprim), an antigout medication, is used with chemotherapy to prevent or treat this complication of therapy. It also may be used in mouthwash following fluorouracil (Adrucil) therapy to prevent stomatitis. Allopurinol is not used to treat nausea, diarrhea, or muscle spasms.

Nursing

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An older adult arrives at the emergency department with a probable diagnosis of a hemorrhagic stroke. The nurse understands, based on the patient's age, that the most likely cause is which one of the following?

a. Intracranial he-morrhage c. Thrombosis b. Decreased cardiac output d. Uncontrolled hypertension

Nursing

The nurse is examining the external genitalia of a female client and notes draining papules. Based on this data, which condition does the nurse suspect?

1. Genital warts. 2. Herpes infection. 3. Syphilitic lesion. 4. Contact dermatitis.

Nursing

When caring for a patient from another culture, what is the best strategy for the nurse to use in communicating with the patient?

a. Using a cultural joke to break the ice b. Stereotyping the patient within his or her culture c. Considering the context of the patient's background d. Assuming the patient or the family member speaks English

Nursing

Prolonged menses is usually defined as bleeding for more than _____ days

Fill in the blank(s) with correct word

Nursing