A patient with rheumatoid arthritis is receiving cyclophosphamide (Cytoxan) for treatment of his disease. When administering an immunosuppressant, the nurse must be alert to which of the following side effects of this medication?
A) Infection
B) Nystagmus
C) Muscle rigidity
D) Hyperthermia
Ans: A
Feedback: When administering immunosuppressant agents such as Cytoxan, the nurse should be alert to manifestations of bone marrow suppression. Clinical manifestations of infection also would be an important assessment for this patient. Nystagmus is a clinical manifestation of multiple sclerosis. Muscle rigidity occurs in Parkinson's disease. Hyperthermia does not occur as a common manifestation when receiving immunosuppressant agents.
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The nurse is helping the client develop a meal plan based on 2000-calorie MyPlate plan. Which of the following menus shows the client understands the plan?
A) 1 cup plain yogurt with fresh strawberry slices, 1 hardboiled egg, 1 cup herbal tea, 1 slice 8-grain toast B) 2 cups Rice Krispies with 1 cup low-fat milk, 1 cup sliced strawberries with 1 tsp sugar, 1 slice whole wheat toast with 1 tsp butter and grape jelly, 1 cup coffee black C) 1 cup raspberry flavored yogurt with 1 tsp flax seeds, 2 sliced toasted sourdough bread with 1 tsp canola margarine, 1 cup coffee with creamer D) 2 cups oatmeal with 2 tbsp brown sugar, ½ cup raisins and 1 cup whole milk, 1 cup hot tea with 1 tsp honey
The nurse is caring for four newborns who have recently been admitted to the newborn nursery. Which labor event puts the newborn at risk for an alteration of health?
1. The infant's mother has group B streptococcal (GBS) disease. 2. The infant's mother had an IV of lactated Ringer's solution. 3. The infant's mother had a labor that lasted 12 hours. 4. The infant's mother had a cesarean birth with her last child.
After a male infant is circumcised, you should monitor for voiding.
Answer the following statement true (T) or false (F)
L.S. is admitted to the pediatric intensive care unit (PICu) for close monitoring. His condition improves,
and 24 hours later is transferred to the floor. Asthma teaching is ordered. You assess Ms. s.'s understanding of asthma and her understanding of the disorder. Which of these statements by Ms. S. would indicate a need for further teaching? a. "He should go to the doctor regularly to make sure his asthma is being treated correctly." b. "If he takes medications for a while, he will outgrow his asthma." c. "Part of his treatment should be avoiding things that irritate his lungs." d. "If I recognize early warning signs, he might be able to take medicine and not go to the ED."