The patient is taking ifosfamide as part of his or her cancer treatment. Mesna (Mesnex) is added to the treatment regimen to prevent cystitis induced by the ifosfamide. The nurse explains that mesna works by what action?
A) By increasing urine output
B) By shielding the kidney from ifosfamide
C) By increasing white blood cell production
D) By combining with a metabolite of ifosfamide
D
Feedback:
Mesna combines with a urotoxic metabolite of ifosfamide to reduce the damaging effects of ifosfamide. It has no effect on urine output, does not provide a shield for the kidney, and has no impact on white blood cell production.
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a. JCAHO standards. b. Information systems. c. Informatics competencies. d. Requirements for nursing licensure.
The client with a diagnosis of major depression tells the nurse that multiple generations of women in her family also suffered from depression. She states, "I guess it is a family tradition to have problems dealing with stress."
The nurse tells the client: A) There is no evidence to suggest a familial occurrence of mood disorders. B) Mood disorders do seem to have some basis in heredity, among other contributing factors. C) There is evidence to suggest that genotype is not influenced by stress. D) There is probably a shared stressful environment.
The nurse counseling a newly graduated nurse just starting employment on the maternity floor explains that certified nurse-midwives frequently incorporate complementary and alternative therapies into treatment for: Note: Credit will be given
only if all correct and no incorrect choices are selected. Select all that apply. 1. Nausea and vomiting. 2. Stimulation of labor. 3. Lactation disorders. 4. Rupture of membranes. 5. Stimulation of ovulation.
A couple is at the clinic for preconceptual counseling. Both parents are 40 years old
The nurse knows that the education session has been successful when the wife makes which statement? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "We are at low risk for having a baby with Down syndrome." 2. "Our children are more likely to have genetic defects." 3. "Children born to parents this age have sex-linked disorders." 4. "The tests for genetic defects can be done early in pregnancy." 5. "It will be almost impossible for us to conceive a child."