The client receives chemotherapy as therapy for cancer. The physician orders epoetin alfa (Procrit) subcutaneously. The client asks the nurse if this drug is also chemotherapy. What is the best response by the nurse?
1. "No, but it works with your chemotherapy to make it more effective."
2. "No, this drug helps to counteract the nausea and vomiting caused by your chemotherapy."
3. "No, it will stimulate your immune system to help you battle the cancer."
4. "No, this drug will help prevent anemia that can be caused by your chemotherapy."
4
Rationale 1: Epoetin alfa (Procrit) is prescribed to treat anemia associated with chemotherapy; it does not make the chemotherapy more effective.
Rationale 2: Epoetin alfa (Procrit) is prescribed to treat anemia associated with chemotherapy; it does not counteract nausea and vomiting.
Rationale 3: Epoetin alfa (Procrit) is prescribed to treat anemia associated with chemotherapy; it does not stimulate the immune system.
Rationale 4: Epoetin alfa (Procrit) is given to clients undergoing cancer chemotherapy to counteract the anemia caused by antineoplastic agents.
Global Rationale: Epoetin alfa (Procrit) is given to clients undergoing cancer chemotherapy to counteract the anemia caused by antineoplastic agents. It does not make chemotherapy more effective, counteract nausea and vomiting, or stimulate the immune system.
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Another term for accepting responsibility is ________________
ANS:
A child is having tests done to determine parathyroid function. The clinic nurse knows that the parathyroid hormone (PTH) regulates the homeostasis of what in the serum?
a. Sodium b. Calcium c. Potassium d. Magnesium
A nurse is taking the history of a client who presents with nausea, vomiting, fever, and a stiff neck. What information in this client's history would lead the nurse to suspect that the client has encephalitis?
A. The client is excessively thirsty. B. The client has had difficulty sleeping. C. The client works in a daycare facility. D. The client has had a recent viral infection.
A public health nurse (PHN) is working with families and communities. Which of the following best illustrates the nursing action that is being implemented?
a. Learning about the core competencies for public health professionals b. Facilitating a client discharge from an in-patient facility c. Assessing the structure of a family d. Assisting clients who are uninsured in finding resources and services