The client who has been diagnosed with cancer is to receive chemotherapy with both cisplatin (Platinol-AQ) and vincristine (Oncovin). The client asks the nurse why both medications must be given together
The nurse's response is based on the understanding that the purpose of using both medications is to: 1. Prevent the destruction of normal cells.
2. Increase the destruction of tumor cells.
3. Decrease the risk of the alopecia and stomatitis.
4. Increase the likelihood of erythrocyte and leukocyte recovery.
2
Rationale: Cisplatin (Platinol-AQ) is an alkylating-like medication, and vincristine (Oncovin) is a vinca alkaloid. Alkylating medications are cell cycle phase–nonspecific. Vinca alkaloids are cell cycle phase–specific and act on the M phase. Single-agent medication therapy seldom is used. Combinations of medications are used to increase the destruction of tumor cells.
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The charge nurse is supervising care for a group of patients monitored with a variety of invasive hemodynamic devices. Which patient should the charge nurse evaluate first?
a. A patient with a central venous pressure (RAP/CVP) of 6 mm Hg and 40 mL of urine output in the past hour b. A patient with a left radial arterial line with a BP of 110/60 mm Hg and slightly dampened arterial waveform c. A patient with a pulmonary artery occlusion pressure of 25 mm Hg and an oxygen saturation of 89% on 3 L of oxygen via nasal cannula d. A patient with a pulmonary artery pressure of 25/10 mm Hg and an oxygen saturation of 94% on 2 L of oxygen via nasal cannula
The nursing manager understands that the phrase "active failure" in regard to patient safety means a(n)
a. system process is actively injuring patients and needs modification. b. workplace practice is actively contributing to poor patient outcomes. c. error has actively caused a patient to have a negative consequence. d. unsafe act was committed by someone in direct contact with patients.
When caring for a client who has received recombinant tissue plasminogen activator (t-PA), for a large deep vein thrombosis (DVT), the nurse would be most concerned if the client developed which of these?
A. Small amount of blood at the IV insertion site B. Heavy menstrual bleeding C. +1 pitting edema of the affected extremity D. Client stating that the year is 1967
A client with a 16-year history of diabetes mellitus is having renal function tests because of recent fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels. Which finding should the nurse conclude as an early symptom of renal insufficiency?
A) Dyspnea. B) Nocturia. C) Confusion. D) Stomatitis.