The nurse is caring for a patient who is receiving a third dose of high-dose cyclophosphamide (Cytoxan). The nurse notes hematuria. The nurse will notify the provider and will perform which action?
a. Ask whether the patient takes allopurinol (Lopurin).
b. Assess the patient's skin and fingernails for darkening.
c. Question the patient about fluid intake.
d. Reassure the patient that this is an expected side effect.
ANS: C
Hemorrhagic cystitis is a common adverse effect of high-dose cyclophosphamide and can be mitigated by increasing fluid intake. Allopurinol is given to treat gout, which is characterized by uric acid crystalluria. Darkening of the fingernails and skin is a common adverse effect of cyclophosphamide but is unrelated to hemorrhagic cystitis.
You might also like to view...
Stool guaiac is a test for
a. Parasites in the stool b. Abnormal epithelial cells c. Blood in the stool d. Large amounts of white blood cells
Which of the following defines the scope of practice for nursing?
a. Hospital policies c. State board of nursing b. State Nurse Practice Act d. State Department of Health
The client uses a technique of releasing blocked energy within an individual when specific points along the meridians are pressed or massaged by the practitioner's fingers, thumbs, and heels of the hands. This is an example of:
a. acupressure c. therapeutic massage b. acupuncture d. therapeutic touch
The nursing student is performing tracheostomy care on a client. Which action by the student leads the supervising nurse to intervene?
a. Using folded gauze dressings on both sides of the stoma b. Cutting a slit in a gauze 4 ? 4 pad to fit around the stoma c. Applying new tracheostomy ties before removing old ones d. Tying the twill tape in a square knot on the side of the neck