The patient, diagnosed with chronic myelocytic leukemia (CML), has not been responding to chemotherapy and the provider changes the patient to imatinib
The patient asks the nurse, "What adverse effects am I going to have to deal with from this drug?" What is the nurse's best response? A) "Adverse effects from this drug are more serious but this drug is stronger and more effective."
B) "Adverse effects are similar to other drugs including bone marrow suppression, nausea, and hair loss."
C) "Adverse effects are much less likely or severe including GI upset, headache, and muscle pain."
D) "Adverse effects vary from patient to patient and depend on your overall health as to what will occur."
C
Feedback:
Patients who have CML and who have been switched to imatinib after traditional chemotherapy have been amazed at how good they feel and how much they have recovered from the numerous adverse effects of traditional chemotherapy. Administer with a meal and a full glass of water, arrange for small frequent meals if GI upset is a problem, provide analgesics for headache and muscle pain, monitor CBC, and examine for edema. Options A, B, and D are not correct.
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