A patient who is receiving cancer chemotherapy has been ordered to receive epoetin alfa (Procrit) 150 units/kg 3 times weekly. The nurse reviews the patient's chart and notes a hemoglobin level of 10.1 g/dL

The nurse will perform which action?
a. Administer the medication as ordered.
b. Hold the dose and notify the provider.
c. Reduce the dose by 25%.
d. Request an order for an increased dose.


ANS: B
For patients receiving cancer chemotherapy, erythropoietin-stimulating agents should not be initiated at a hemoglobin level greater than or equal to 10 g/dL.

Nursing

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Diminished to absent breath sounds on the right side, tracheal deviation to the left side, and asymmetrical chest movement are indicative of which of the following disorders?

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The patient is ordered a CT scan with contrast. Which question should the nurse ask the conscious patient before the procedure?

a. Are you allergic to penicillin? b. Are you allergic to iodine-based dye? c. Are you allergic to latex? d. Are you allergic to eggs?

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Which instructions would be appropriate for the nurse to give a patient with acute viral conjunctivitis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply

1. "You should wash your hands before cleansing the eye and using eyedrops.". 2. "You can soak your lids with warm saline to soften crusts and exudates.". 3. "You should not share towels or makeup with anyone else.". 4. "Do not return to work for at least 2 weeks.". 5. "You can use warm compresses to relieve eye discomfort.".

Nursing

The nursing manager of a surgical unit has been asked by administration to evaluate client outcomes post cardiac catheterization

Using data about client outcomes post cardiac catheterization for the past 6 months so as to modify practice is an example of: a. Information. b. Cost-effective care. c. Meeting standards. d. Evidence-based practice.

Nursing