A client has been prescribed melphalan for the treatment of an ovarian tumor. The client wants to know how the drug acts. Which of the following would the nurse integrate into the response?
A) Increased acidity of the cell environment
B) Change to a more alkaline cell environment
C) Neutralization of the alkalinity of the cell environment
D) Change in the cell to a neutral environment
Ans: B
Feedback:
The nurse should explain to the client that the alkylating agent changes the cell to a more alkaline environment, which in turn damages malignant cells, which are more susceptible to the effects of the alkylating drugs. Alkylating drugs do not increase the acidity of the cell environment, neutralize the alkalinity of the cell environment, or change the cell to a neutral environment.
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A patient injured in the home and unable to receive help or healthcare for 48 hours has a blood urea nitrogen level of 50 mg/dL and serum creatinine level of 1.0 mg/dL. For which problem should the nurse plan care for first for this patient?
1. dehydration 2. anxiety 3. pain 4. poor nutrition
The nurse is working with a client who has been diagnosed with diabetes and who must learn how to self-administer insulin. Which statement regarding feedback will be most beneficial to the client?
A) "If you don't learn this, you can't be discharged." B) "You know, there are children who can learn to do this." C) "Next time, dart the needle in your skin, instead of pushing it in." D) "Maybe it would be better if we taught your spouse to help you with this?"
The nurse admits a client to the hospital who follows the Mormon faith. Which does the nurse provide to maintain the client's dietary practices in accordance with this faith?
1. Pork 2. Yogurt 3. Caffeine 4. Shellfish
A nurse is preparing a client for a Pap test. What information should the nurse provide
to the client? A) Pap test is very accurate in detecting uterine cancer B) It is done during menstrual periods C) The client has to maintain knee-chest position for the test D) It helps in the early detection of cervical cancer