The school-age child, diagnosed with a medulloblastoma, will receive intrathecal chemotherapy injections after surgery. Which rationale for this type of chemotherapy administration should the nurse include in the medication teaching?
1. It reduces side effects.
2. It does not require the child being "stuck."
3. Many chemotherapy drugs do not cross the blood–brain barrier.
4. Intrathecal administration is less expensive than intravenous administration.
3
Explanation:
1. Intrathecal administration does not reduce side effects.
2. Intrathecal administration is through a spinal tap, so the child will be "stuck" for administration.
3. This is correct for the selection of intrathecal administration of chemotherapy.
4. This is not accurate and would not be a reason to change administration modes.
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A nurse assesses a client after a thoracentesis. Which assessment finding warrants immediate action?
a. The client rates pain as a 5/10 at the site of the procedure. b. A small amount of drainage from the site is noted. c. Pulse oximetry is 93% on 2 liters of oxygen. d. The trachea is deviated toward the opposite side of the neck.
You are assisting a person with a transfer from the wheelchair to the bed. During the transfer, the person starts to fall. What equipment must be in place to ensure the person's safety? What should you do?
What will be an ideal response?
A parent shares with a nurse a concern that an adolescent "constantly reads about Hitler and watches history television programs that show concentration camp footage.". Which statement would be the most therapeutic response?
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