Rhea, has malignant lymphoma. As part of her chemotherapy, the physician prescribes chlorambucil (Leukeran), 10 mg by mouth daily. When caring for the client, the nurse teaches her about adverse reactions to chlorambucil, such as alopecia. How soon after the first administration of chlorambucil might this reaction occur?
A. Immediately
B. 1 week
C. 2 to 3 weeks
D. 1 month
Answer: C
Explanation: Chlorambucil-induced alopecia occurs 2 to 3 weeks after therapy begins.
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A nurse cares for a client with excessive production of thyrocalcitonin (calcitonin). For which electrolyte imbalance should the nurse assess?
a. Potassium b. Sodium c. Calcium d. Magnesium
A newly admitted client with schizophrenia approaches the unit nurse and says "The voices are
bothering me. They are yelling and telling me I am bad. I have got to get away from them.". The most helpful reply for the nurse to make would be a. "Do you hear the voices often?" b. "Do you have a plan for getting away from the voices?" c. "I'll stay with you. Focus on what we are talking about, not the voices. " d. "Forget the voices and ask some other clients to play cards with you.".
The nurse checks the capillary refill of a new patient. The amount of time for the nail color to return after the pressure is released on the patient's nail should not exceed which of the following?
a. 1–2 seconds c. 3–4 seconds b. 2–3 seconds d. 4–5 seconds
A nursing student was involved in a very difficult situation with a client, the client's family, and a physician
The student felt she was caught in the middle and was not sure how to respond to some of the questions being asked about care, treatment, and scheduling. Instead of getting her instructor, the student fielded these questions as best she could. In order to help the student work through this situation, the nursing instructor might advise the student to try which of the following? 1. Meditation 2. Guided imagery 3. Reflection 4. Music therapy