A 50-year-old man has just been diagnosed with liver cancer, and the care team is finalizing the chemotherapy regimen that will begin imminently. Administration of chemotherapeutic drugs is best achieved through which of the following?
A) An intramuscular depot
B) A peripheral IV in the nondominant forearm
C) Peripheral intravenous access in the antecubital fossa
D) A central venous catheter
D
Feedback:
Insertion of an indwelling central venous catheter is often appropriate for patients who have poor peripheral venous access, who require many doses of chemotherapy, or who require continuous infusions. Overall, a CVC is preferable to peripheral access. IM administration is uncommon.
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A patient diagnosed with depression tells the nurse that his pain has been "unrelenting" over the last several weeks. What should the nurse consider as contributing to this patient's amount of pain?
1. Depression can cause an increase in pain sensations. 2. The pain medication has not been working. 3. Medication to treat the depression is interfering with the control of pain. 4. The patient is exaggerating the amount of pain.
The nurse is preparing to give a 34-month-old toddler who has a persistent cough some cough syrup. Which of the following statements by the nurse would best help the toddler understand why he or she is being given this medicine?
a. "This will help you not to cough your head off." b. "This medicine will help you feel better and will help your cough go away." c. "If you take this, you won't have to have a stick in the arm." d. "The doctor wants you to take this medicine whenever you have a bad cough."
Dr. Torres is treating a patient with glaucoma. She considers using a carbonic anhydrase inhibitor to produce diuresis. Dr. Torres should reconsider her choice of diuretic if the patient:
A. is hypokalemic. B. is hyponatremic. C. has acute mountain sickness. D. has an edema.
Factors of a General Survey
What will be an ideal response?