The nurse is educating a patient with cancer about combination chemotherapy. Which is an accurate statement?
a. "Combination chemotherapy is the administration of an antineoplastic drug that will be toxic during a specific phase of cellular growth."
b. "Combination chemotherapy is the administration of an antineoplastic drug that is active throughout the cell cycle."
c. "Combination chemotherapy is the administration of antineoplastic drugs that change the way the body responds to cancer or strengthens the immune system."
d. "Combination chemotherapy is the administration of antineoplastic drugs, which results in cell death during different phases of the cell cycle."
ANS: D
Use of combination drug therapy is superior in therapeutic effect to the use of single agent chemotherapy.
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The nurse identifies a nursing diagnosis of Ineffective airway clearance for a patient, age 64, who has undergone a pneumonectomy. A common etiology for this nursing diagnosis in patients who have had a pneumonectomy is
a. thick, copious secretions. b. surgical incision pain. c. presence of chest tubes. d. mechanical ventilation.
Which assessment by the nurse at the bedside of a patient with a chest tube attached to a water seal drainage device should require intervention?
a. Dependent loops in the chest tube b. Patient in a semi-Fowler position c. Changing level of water in the water seal chamber d. Increased level of drainage to 20 mL in 8 hours
During an admission interview, a patient tells the nurse about taking Ginkgo biloba daily. The nurse responds to this information by inquiring whether the client:
a. has ever been screened for depression. b. experiences gastrointestinal (GI) upset. c. has concerns regarding impotence. d. has reoccurring bouts of bronchitis.
Discharge instructions given to a client who has had a severe allergic reaction should include:
A) wear a Medic-Alert bracelet identifying the allergen. B) check with physician prior to the use of any new product. C) written instructions on intravenous administration of epinephrine. D) written directions to all local emergency rooms.