A patient on an oncology unit has been receiving ifosfamide [Ifex] for a few days. Before administering the next dose, the nurse reviews the patient's laboratory test results. Which finding would cause the nurse to hold the dose?
a. Elevated white blood cell count
b. Low hemoglobin and hematocrit levels
c. Low levels of ketones in the urine
d. Microscopic hematuria
D
The nurse should hold the dose for microscopic hematuria, because this may indicate hemorrhagic cystitis. An elevated white blood cell count is not an indication to hold the dose. Low he-moglobin and hematocrit levels are expected for a patient undergoing chemotherapy. Ketones may reveal some other problem, but they are not associated with ifosfamide.
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1. Assessment of the details of the family's income and expenditures. 2. Case management to limit costly, unnecessary duplication of services. 3. To advocate for the child by encouraging the family to investigate its SCHIP eligibility. 4 To educate the family about the need for keeping regular well-child visit appointments.
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The nurse admits to the coronary care unit a patient diagnosed with an acute myocardial infarction. The patient's blood pressure reading is 86/38 secondary to an infusing nitroglycerine drip
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During a vaginal examination, the nurse palpates the fetal posterior fontanel. Which describes the fetal lie?
a. Flexion c. Transverse b. Occiput d. Longitudinal