The home health nurse cares for a patient who has been receiving interferon therapy for treatment of cancer. Which statement by the patient indicates a need for further assessment?
a. "I have frequent muscle aches and pains."
b. "I rarely have the energy to get out of bed."
c. "I experience chills after I inject the interferon."
d. "I take acetaminophen (Tylenol) every 4 hours."
ANS: B
Fatigue can be a dose-limiting toxicity for use of biologic therapies. Flulike symptoms, such as muscle aches and chills, are common side effects with interferon use. Patients are advised to use acetaminophen every 4 hours.
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A nurse has received an order to administer a drug intravenously over a 60-minute period in a patient with NS running at TKO. The nurse should gather supplies and prepare to administer the drug by
A) intravenous piggyback (IVPB). B) intravenous push (IVP). C) peripherally inserted central line (PIC). D) continuous IV infusion.
The priority nursing care associated with an oxytocin (Pitocin) infusion is
a. Measuring urinary output b. Increasing infusion rate every 30 minutes c. Monitoring uterine response d. Evaluating cervical dilation
You ask the patient to state his name and birth date, and the patient responds correctly. Then you give the patient the prescribed drug tablet. The patient says "I haven't ever taken a green pill before." What is your best response?
a. "Go ahead and take the drug. The same medications from different drug companies may have a different color." b. "Go ahead and take the drug. It is likely that your health care provider has prescribed a new drug for you." c. "Don't take this drug right now. It is probably not the one prescribed for you." d. "Don't take this drug right now. Let me recheck everything to be sure."
Late postpartum hemorrhage is most likely caused by:
1. subinvolution of the placental site. 2. defective vascularity of the decidua. 3. cervical lacerations. 4. coagulation disorders.