The client is receiving cyclophosphamide, doxorubicin, and vincristine as chemotherapy for lung cancer. At the second round of therapy, the client tells you that a lot of blood was in the urine for 3 days after the therapy
What is your best action? A. Obtain a urine specimen for culture and sensitivity.
B. Document the information as the only action.
C. Check the client's platelet count.
D. Notify the physician.
D
Hemorrhagic cystitis is a frequent side effect of cyclophosphamide therapy. The physician should be notified to prescribe increased hydration during therapy and the co-administration of a bladder-protecting agent.
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The nurse admitting an adolescent for a physical exam asks the client if he prefers to have the parent with him or should the parent wait in the waiting room. When the nurse asks the client's preference, it indicates:
1. Belief the adolescent needs the mother present to provide a thorough history. 2. The mother is no longer in charge of the teen's health care. 3. The nurse respects the client enough to allow the choice to be his. 4. The nurse suspects the mother of abuse, and wants to talk to the teen alone.
A client is being treated with blood transfusions for a large peptic ulcer in the duodenum. Which information in the client's history should the nurse suspect as causing this health problem?
A) Allergies to penicillin and morphine sulfate B) History of chronic atrial fibrillation C) Daily medications include naproxen sodium and warfarin (Coumadin). D) Six weeks postoperative cataract extraction with lens implant
A patient is wheezing and short of breath. The nurse assesses a heart rate of 88 beats per minute, a respiratory rate of 24 breaths per minute, and a blood pressure of 124/78 mm Hg. The prescriber orders a nonspecific beta agonist medication
Besides evaluating the patient for a reduction in respiratory distress, the nurse will monitor for which side effect? a. Hypotension b. Tachycardia c. Tachypnea d. Urinary retention
Health promotion programs focus on
a. Reducing the cost of health care. b. Controlling risk factors for disease. c. Immunizations. d. Occupational health programs.