You are caring for a 63-year-old patient with ovarian cancer. The patient is to receive chemotherapy consisting of Taxol and Paraplatin. What adverse effect of this treatment would you monitor the patient for?

A) Leukopenia
B) Metabolic acidosis
C) Hyperphosphatemia
D) Respiratory alkalosis


Ans: A

Feedback: Chemotherapy is usually administered IV on an outpatient basis using a combination of platinum and taxane agents. Paclitaxel (Taxol) plus carboplatin (Paraplatin) are most often used because of their excellent clinical benefits and manageable toxicity. Leukopenia, neurotoxicity, and fever may occur. Therefore options B, C, and D are incorrect.

Nursing

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The nurse instructs the adult post-tonsillectomy patient to avoid: (Select all that apply.)

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Which clinical manifestation supports the concept that filtration is directly related to hydros-tatic pressure?

A. Capillary refill is faster in fingers than in toes. B. Central venous pressure is lowest in the right atrium. C. Pitting edema is usually detected first in dependent areas. D. Systolic blood pressure is higher than diastolic blood pressure.

Nursing

The nurse reconstitutes a powdered medication in a vial. The label on the vial states 1.5 ml of diluent yields 200,000 U/ml of the medication. The client has an order for 150,000 U of the me-dication. How much does the nurse administer?

1. 0.5 ml 2. 1.0 ml 3. 1.5 ml 4. 0.75 ml

Nursing