The nurse observes hematuria in a client receiving IV cyclophosphamide (Cytoxan). After notifying the health care provider, what intervention is the nurse's priority?
a. Obtain a urine specimen.
b. Assess laboratory studies.
c. Increase hydration.
d. Stop the medication.
D
Hemorrhagic cystitis is a frequent side effect of cyclophosphamide therapy. The physician should be notified to prescribe co-administration of a bladder-protecting agent. The nurse then should stop the medication. Other actions would be to further assess the client and provide hydration to flush the medication.
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What method is used to visualize soft tissue and to determine adequacy of the pelvis with no detrimental effects to the fetus?
a. Pelvimetry b. Palpation c. Ultrasonography d. X-ray
The nurse is instructing the mother of a toddler regarding accident prevention. This instruction should include information about the leading cause of death in young children as being due to:
a. upper respiratory infections. b. congenital defects. c. accidents. d. heart disorders.
FACES pain rating scale is:
1. A behavioral scale that assigns a number value for facial expression, leg movement, activity/restlessness, cry intensity/continuity, and consolability. 2. Recommended for 1 to 3-year-olds. 3. Intended for ages newborn to 4-years-old. 4. A self-reporting rating scale that assigns a number value to a facial expression to be chosen by a child.
The nurse is caring for a patient in mild shock. Which medication should the nurse question before providing if ordered for a patient experiencing shock?
a. Benadryl b. Morphine c. Dopamine d. Solu-Medrol