A patient with non-Hodgkin's lymphoma is about to begin chemotherapy with methotrexate (Rheumatrex). The nurse will expect to administer which medication concurrently with this drug?
a. Dexamethasone
b. Folic acid
c. Leucovorin
d. Vitamin B12
ANS: C
Leucovorin is used to protect normal cells when large doses of methotrexate are given. Dexamethasone, folic acid, and vitamin B12 are not given concurrently with methotrexate.
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A patient says, "I never know the answers," and "My opinion doesn't count." The nurse correctly assesses that this patient had difficulty resolving which psychosocial crisis?
a. Initiative versus guilt b. Trust versus mistrust c. Autonomy versus shame and doubt d. Generativity versus self-absorption
What therapeutic intervention provides the best chance of survival for a child with cirrhosis?
a. Nutritional support b. Liver transplantation c. Blood component therapy d. Treatment with corticosteroids
A nursing student is caring for a hospitalized client, who stated she cannot afford health care coverage
She heard the Affordable Care Act (ACA) makes it too complicated to get coverage, and it takes too long to complete the online application. She also heard that the plans only paid a fraction of the costs, and she would not be able to continue with her doctor. How should the student respond? A) "I understand your concern because the health care plans are expensive and have high deductibles. In addition, they are limited in the amount of coverage the plan will provide, and often times the plan does not have your doctor or pharmacy included." B) "I can give you the Web site for the Health Insurance Market Place. There is a question and answer area and live chat that you can connect with a spokesperson who can answer your questions." C) "Have you actually tried to use the Health Insurance Market Place, or are you just going by what others have told you?" D) "The Health Insurance Market Place offers coverage based upon income, and at times it can be free or a minimal amount. I can contact our certified case manager to help you get the coverage you need and help you possibly find coverage that also includes your doctor."
The nurse should instruct the patient to take what action if three nitroglycerin tablets taken sublingually are not effective in eliminating chest pain?
A) To call 911 B) To call her health care provider C) To lie down after taking an aspirin D) To take more tablets until pain subsides