The nurse is caring for a patient in the oncology unit who was recently diagnosed with advanced renal carcinoma. The nurse prepares to administer aldesleukin (Proleukin) as part of the treatment regimen
What is the primary adverse effect of this drug?
a. Hypertension
b. Capillary leakage syndrome
c. Hyperglycemia
d. Hyperuricemia
ANS: B
Capillary leakage syndrome, an adverse effect of aldesleukin, is a particular concern, because it is a potentially fatal reaction characterized by hypotension and reduced organ perfusion. Proleukin is not associated with hypertension, hyperglycemia, or hyperuricemia.
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The nurse serving as a mentor documents the following information in a mentoring log:
Mentee: Sandra Martin, RN: During last shift Sandra questioned her ability to meet goals negotiated several weeks ago. Discussed clarifying the goals strategies to achieve them. Shared personal experiences with achieving goals and efforts taken to be successful. In which mentoring phase is the nurse when mentoring this new employee? 1. Preceptor phase 2. Invitational phase 3. Questioning phase 4. Transitional phase
The nurse is performing an assessment on the following 5 newborns. Which of the newborns does the nurse expect to exhibit Mongolian spots? Standard Text: Select all that apply
1. African American newborn 2. Caucasian newborn 3. Hispanic newborn 4. Native American newborn 5. Asian newborn
During an assessment, the patient asks why the nurse is "feeling her armpit." How should the nurse respond?
Select all that apply. 1. "I'm counting the ribs." 2. "Don't you feel your own armpits?" 3. "Breast tissue extends into this area." 4. "I'm assessing hair distribution in this area." 5. "The armpits should be part of a breast self-exam."
The nurse explains to a pregnant woman that her antepartum assessment will include assessment of clinical pelvimetry. Which patient response reflects understanding of the reason for this test?
1. "It will help understand how big a baby I can have." 2. "It will be used to find out whether my baby has a chromosomal abnormality." 3. "It will help tell whether my pelvis is big enough to deliver my baby vaginally." 4. "It will be used to screen for gestational diabetes."