The nurse is caring for a patient on the oncology unit who recently was diagnosed with advanced renal carcinoma. The nurse prepares to administer aldesleukin (Proleukin) as part of the treatment regimen
The primary adverse effect of this drug is
a. hypertension.
b. capillary leakage syndrome.
c. hyperglycemia.
d. hyperuricemia.
ANS: B
Capillary leakage syndrome, an adverse effect of aldesleukin, is a particular concern, because it is a potentially fatal reaction characterized by hypotension and reduced organ perfusion.
Proleukin is not associated with hypertension, hyperglycemia, or hyperuricemia.
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When performing a physical assessment, the nurse auscultates adventitious breath sounds. The nurse should documents this finding as:
1. Breath sounds clear. 2. Breath sounds unequal. 3. Wheezing noted on expiration. 4. Breath sounds diminished.
The nurse is planning interventions to meet a patient's tertiary care needs. Which would be applicable for the patient?
1. providing preoperative instructions 2. instruction in self-examination of breasts 3. screening for glaucoma 4. counseling on healthy nutrition
Nurses and caregivers need to be aware of the more common opportunistic infections associated with AIDS. Which of the following infections causes small, painful blisters on the skin of the lips, nose, or genitalia?
A) Cryptococcus B) Cytomegalovirus C) Toxoplasmosis D) Histoplasmosis
What precautions should you take when administering H.J.'s chemotherapy to reduce the
risk of injury? Select all that apply. a. Independently verify the completeness of the drug order and infusion rate. b. Dispose of any equipment that contained the drug in special biohazard containers. c. Scrub any skin that comes into contact with the drug for 5 minutes with a surgical brush. d. Wear goggles, powder-free gloves, and a disposable, fluid-resistant, long-sleeved gown. e. If using a peripheral site, place a disposable drape under the arm where the drug will be infused. f. Use a Luer-Lok connector to attach the drug tubing to the main IV line, using the IV port closest to H.J.