A patient is receiving doxorubicin (Adriamycin) as part of treatment for ovarian cancer. Which nursing diagnosis is related to this antineoplastic drug?
a. Decreased cardiac output related to the adverse effect of cardiotoxicity
b. Ineffective breathing pattern related to the adverse effect of pulmonary toxicity
c. Risk for injury related to the effects of neurotoxicity (ataxia, numbness of hands and feet)
d. Impaired urinary elimination pattern related to hyperuricemia
ANS: A
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A 66-year-old woman has experienced a significant decline in her quality of life as a result of worsening rheumatoid arthritis
Her physician has prescribed etanercept and the nurse is responsible for facilitating this new aspect of the patient's drug regimen. This will involve the administration of A) daily, outpatient intravenous therapy. B) daily, oral administration . C) weekly subcutaneous injections. D) weekly administration of an enteric coated tablet.
The nurse is demonstrating how to perform range-of-motion (ROM) exercises for a patient with tendinitis of the wrist. What intervention can the nurse encourage the client to use in order to decrease discomfort when performing the exercises?
A) Perform the exercises when using hand weights. B) Perform the exercises and then take pain medication. C) Perform the exercises with the hand and wrist under warm water. D) Perform the exercises after icing the hand and wrist.
A client is on chemotherapy and has a platelet count of 25,000 . Which intervention is most important to teach this client?
a. "Eat a low-bacteria diet." b. "Take your temperature daily." c. "Use a soft-bristled toothbrush." d. "Avoid alcohol-based mouthwashes."
A student asks the healthcare professional how the aging process of the T-cell activity affects older adults. What response by the professional is best?
a. Poor heat regulation abilities b. Increased risk for bone fractures c. Tendency to develop various infections d. Likelihood of experiencing benign skin lesions