A nurse is caring for a patient with cancer who has been undergoing chemotherapy. The patient has oral mucositis as a result of the chemotherapy, and the provider has ordered palifermin [Ke-pivance]
Which is an appropriate nursing action when giving this drug? a. Administering the drug as a slow IV infu-sion
b. Flushing the IV line with heparin before infusing the drug
c. Giving the drug within 6 hours of the chemotherapy
d. Warning the patient about the potential for distortion of taste
D
Palifermin is generally well tolerated but commonly causes reactions involving the skin and mouth, including taste distortion. The drug should be given as an IV bolus. Palifermin binds with heparin, so the IV line should not be flushed with heparin before giving palifermin. If the interval between administration of palifermin and the chemotherapeutic drugs is too short, palifermin ac-tually may increase the severity and duration of oral mucositis; therefore, palifermin should be given 24 hours before the chemotherapeutic drugs.
You might also like to view...
You are evaluating the plan of care for an older adult who is alcohol-dependent. Which patient documentation indicates a need for follow-up nursing interventions by the nurse?
a. Client states that he intends to decrease his alcohol consumption. b. Client arrived at his group session on time and well-groomed. c. Client stated, "I am an alcoholic because I drink 10 beers a day." d. Client states that he understands that he needs continued treatment.
Which of the following patients has an absolute neutrophil count that is critically low and that the standard of care would recommend they be placed on neutropenic precautions?
A) A patient on long-term steroids for rheumatoid arthritis with WBC of 7000 B) A 37-year-old patient with leukemia being treated with chemotherapy with ANC of 400 C) A 65-year-old prostate cancer patient receiving radiation therapy with neutrophil count of 2000 D) A 75-year-old renal failure patient receiving Epogen for anemia with hemoglobin level of 9.7.
The nurse should instruct a client diagnosed with migraine headaches to be careful not to overdose on acetaminophen (Tylenol). Which drug should the nurse tell the patient to avoid?
1. Aleve 2. Aspirin 3. Ibuprofen 4. Vicodin
A nurse observes a patient with a history of aggressive behavior toward others pacing in the dayroom while appearing to talk to himself. The nurse will best intervene with this patient therapeutically by:
a. asking him to sit in the dayroom and watch television with the other patients and staff. b. instructing him to go to his room and remain there until he shows that he can be sociable. c. asking him if he would like to walk to his room where he and the nurse can sit together quietly to discuss the cause of his behavior. d. assigning an ancillary staff member the task of walking him around the unit for several minutes and then returning him to his room.