Chlorambucil has been ordered for a patient with Hodgkin's disease. The patient's son asks the nurse what adverse effects this drug has. What will the nurse include when responding to this question? (Select all that apply.)
A) Tremors
B) Muscle twitching
C) Confusion
D) Gynecomastia
E) Alopecia
A, B, C
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Chlorambucil is a palliative treatment for chronic lymphocytic leukemia, malignant lymphomas, and Hodgkin's disease. Adverse effects include tremors, muscle twitching, confusion, nausea, hepatotoxicity, bone marrow suppression, sterility, and cancer.
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A) Using crutches efficiently B) Exercising joints above and below the cast, as ordered C) Removing the cast correctly at the end of the treatment period D) Reporting signs of impaired circulation
The nurse has been monitoring a patient's vital signs closely after initiating a transfusion of packed red blood cells (PRBCs). The nurse has observed that the patient's temperature is trending upward, and the patient is complaining of chills
The nurse has stopped the transfusion and informed the patient's health care provider, who believes that the patient is experiencing a febrile nonhemolytic transfusion reaction (FNHTR). What course of action should the nurse anticipate? A) Administering a bolus of normal saline B) Monitoring the patient closely and administering antipyretics C) Initiating apheresis and administering IV antihistamines D) Performing a stat cross-match and beginning a transfusion of the correct blood type
The first assessment a child receives to identify neurological development is:
1. APGAR scores. 2. Scoliosis testing. 3. The Denver II study. 4. Kindergarten testing.
The nurse is caring for a 9-year-old patient newly diagnosed with diabetes. The patient has polyuria, polydipsia, and weight loss. Which nursing diagnoses will the nurse include in the care plan? Select all that apply
A) Imbalanced nutrition: less than body requirements B) Deficient fluid volume C) Deficient knowledge regarding disease process D) Noncompliance E) Delayed growth and development