A patient with cancer is taking rasburicase (Elitek) to treat hyperuricemia and develops neutropenia with fever and respiratory distress on the fourth day of treatment. The nurse caring for this patient will expect to:
a. administer allopurinol instead of rasburicase.
b. continue giving the drug and monitor the patient's symptoms closely.
c. tell the patient that this drug should never be used again.
d. tell the patient that these symptoms indicate severe sepsis.
ANS: B
Rasburicase is used for management of hyperuricemia in patients undergoing treatment with chemotherapy for leukemias, lymphomas, and solid tumors. Fever and respiratory distress may occur; patients should be monitored closely. These symptoms do not warrant stopping the drug, and they do not indicate severe sepsis.
You might also like to view...
A 60-year-old patient with a diagnosis of prostate cancer is scheduled to have an interstitial implant for high-dose radiation (HDR). What safety measure should the nurse include in this patient's subsequent plan of care?
A) Limit the time that visitors spend at the patient's bedside. B) Teach the patient to perform all aspects of basic care independently. C) Assign male nurses to the patient's care whenever possible. D) Situate the patient in a shared room with other patients receiving brachytherapy.
To avoid withdrawal symptoms, drugs that are known to cause physical dependence are discontinued abruptly
Indicate whether the statement is true or false
What is the key element in the horizontal integration of health-care services?
a. The use of a fee-for-service method of payment b. One hospital providing the entire scope of services, so clients can be cared for with-out referral outside the system c. Several health-care agencies working to-gether to cut costs by sharing resources d. The development of clinics outside the hospital to provide services traditionally found in the hospital
Which of the following are true statements about quantitative research? (Choose all that apply.)
a. Correlational research involves the use of statistics to determine relationships among variables. b. Experimental research is the only type of quantitative research that is valid. c. Quasi-experimental research is a useful option when controlled conditions are not possible. d. Statistical tests are employed with quantitative research studies.