A 45-year-old patient is undergoing treatment for testicular cancer. Cisplatin (Platinol-AQ) is the medication being used. The nurse has completed the shift assessment and has reviewed the day's laboratory results
Which of the following developments will require the nurse to notify the health care provider? 1. The patient has voided 500 cc in the past 24 hours.
2. The patient complains of nausea 2 hours after the medication is administered.
3. The patient reports noticing an increase in hair loss over the past 2 days.
4. The patient's white blood cell count is 7,000.
The patient has voided 500 cc in the past 24 hours.
Rationale: Cisplatin (Platinol-AQ) may be accompanied with an impairment in renal function. Urinary output of 500 cc for a 24-hour period is inadequate and may signal a reduction in renal function. The use of chemotherapy medications may have side effects including nausea, vomiting, and alopecia. These are not life threatening at this time. The white blood cell count is within normal limits.
You might also like to view...
The nurse makes an effort to provide high-quality care to patients by obtaining and analyzing the best available scientific research. This activity demonstrates an important component of which of the following?
A) Evidence-based nursing B) Medical justification C) Nursing data synthesis D) Scientific nursing
The father of an American Indian has just died. Immediately after death, the nurse should:
a. provide privacy so that the family may touch and kiss the deceased goodbye. b. ask about providing help with the death ceremony. c. carefully wrap the deceased's clothing for the family to take home. d. mention the deceased by name frequently.
A patient taking a drug for insomnia reports becoming sunburned even when only minimally exposed to the sun. What is your best action?
a. Ask the patient whether he or she usually burns when exposed to the sun. b. Instruct the patient to stop the drug and notify the prescriber immediately. c. Teach the patient to use sunscreen and wear protective clothing when outdoors. d. Document the report as the only action and reassure the patient that this problem is temporary.
The nurse administers a medication to a child and realizes an incorrect dose was provided. What should the nurse do after measuring the child's vital signs?
A) Give the correct dosage the next time the medication is given B) Monitor the child for any change in vital signs or behavior C) Follow the facility policy regarding medication errors D) Notify the next nurse who cares for this child that a dosage error has been made