When caring for a patient with cancer who is receiving vincristine, a vesicant, the nurse is especially careful to avoid:

a. the patient getting chilled.
b. the drug extravasating.
c. an infusion time greater than 2 hours.
d. feeding the patient during the infusion.


B
A vesicant such as vincristine can cause tissue damage if it extravasates. The degree of damage is based on the amount of drug that has leaked and the length of time it was in the tissue.

Nursing

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A hospitalized diabetic child is sweating, nauseated, and has a headache. What action by the nurse takes priority?

A. Administer sliding-scale insulin. B. Call laboratory for a stat blood sugar. C. Give the child some orange juice. D. Perform a urine ketone test.

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According to Strauss and Glaser, there are three states of awareness of terminal illness. The nurse cautions the family that they should be aware that these states include:

1. denial, anger, and depression. 2. shock, yearning, and anguish. 3. avoidance, confrontation, and accommodation. 4. closed awareness, mutual pretense, and open awareness.

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A patient's PaO2 level is 76 mm Hg. The nurse would be least concerned regarding this finding in which patient?

1. The patient is 83 years old. 2. The patient is recovering from anesthesia. 3. The patient is a smoker. 4. The patient is intubated.

Nursing

Which of these statements BEST describes scoliosis?

a. exaggeration of the lumbar spine curvature b. grating sensation or sound heard upon joint movement c. increased roundness of the thoracic spinal curve d. lateral curving deviation of the spine

Nursing