The nurse is developing a plan of care for a child who is receiving cyclophosphamide. Which of the following would the nurse expect to include?
A) Withholding food and fluids from the child during the infusion
B) Encouraging frequent voiding during and after the infusion
C) Monitoring for signs of anaphylaxis during infusion
D) Assessing the child for complaints of bone pain
B
Feedback:
Cyclophosphamide may cause hemorrhagic cystitis. Therefore, the nurse needs to provide adequate hydration and have the child void frequently during and after the infusion to decrease the risk of hemorrhagic cystitis. Fluids need to be encouraged, not withheld. Monitoring for anaphylaxis would be appropriate when asparaginase or etoposide is given. Bone pain is associated with the administration of filgrastim or sargramostim.
You might also like to view...
Which of the following patients is most at risk for hypovolemic shock after emergency surgery?
a. 14-year-old adolescent with gastroenteritis b. 59-year-old patient with pneumonia c. 12-year-old patient with H1N1 flu d. 28-year-old patient with a fractured ankle
An older patient diagnosed with type 2 diabetes mellitus has been prescribed insulin with different onsets and durations of action. Why would this type of insulin be prescribed for this patient?
1. It simplifies the dosing. 2. It can be refrigerated when not in use. 3. It can be injected into the thigh muscle. 4. It reduces the incidence of complications.
When assessing a client who is taking long-term ibuprofen (Motrin) for pain, the nurse finds numerous areas of bruising. What is the nurse's first action?
a. Assess for gastric discomfort. b. Assess for the presence of pain. c. Continue to monitor bruising. d. Place client on falls precaution.
The client is being treated with etretinate (Tegison, Soriatane). She has been using the medication for 6 weeks and is concerned because she has not seen an improvement in her symptoms
The most accurate response from the nurse is that it may be _____ months for the client to notice an improvement in her symptoms. a. 2 b. 8 c. 4 d. 6