The mechanism of action of bleomycin is:
A. Bleomycin interferes with the dynamics of microtubules
B. Bleomycin binds to DNA and causes double strand breaks
C. Bleomycin disrupts the mitotic spindle
D. Bleomycin depletes the cells folate pool
E. Bleomycin depletes the cells glutathione pool
Ans: B. Bleomycin binds to DNA and causes double strand breaks
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A 6-year-old child is being admitted with newly diagnosed acute lymphocytic leukemia. The multidisciplinary team is meeting to plan care for this child and family
Which statement by the parents should receive priority in the nursing planning process? 1. "We are afraid that the dog will dislodge his central line." 2. "How are we going to pay for parking?" 3. "Can we go out of town for the summer?" 4. "His brother is upset about the amount of time we are away from home."
The nurse describes the following as two variations on the oral medication route: Standard Text: Select all that apply
1. Nasogastric 2. Buccal 3. Lingual 4. Sublingual 5. Intradermal
The mother of a hospitalized toddler states, "He cries when I visit. Maybe I should just stay away." What is the nurse's best response?
a. "Perhaps you are right. He only gets upset when you have to leave." b. "It is important that you are here. This is a common reaction in children when they are separated from their parents." c. "It might be easier for your child if you would stay with him, but this decision is up to you." d. "We take good care of him and he seems fine when you are not here."
A young gay patient being treated for his third sexually transmitted disease does not see why he should use condoms, because "they don't work." The nurse's most appropriate response would be
a. "Condoms may not provide 100% protection, but when used correctly and consistently with every act of sexual intercourse they reduce your risk of getting infected with HIV or other sexually transmitted diseases." b. "You are correct. Condoms don't always work, so your best protection is to limit your number of partners." c. "Condoms do not provide 100% protection, so you should always discuss with your sexual partners their HIV status or ask if they have any STD." d. "Condoms do not provide 100% protection, but when used with a spermicide you can be assured of complete protection against HIV and other STDs."