The nurse is preparing to administer intravenous monoclonal antibodies to a patient who has cancer. What is an important nursing action for this patient?
a. Having resuscitation equipment readily available
b. Monitoring the patient's renal function during the infusion
c. Observing the patient closely for development of a rash
d. Performing careful intake and output
ANS: A
When administering monoclonal antibodies intravenously, resuscitation equipment should be nearby, and nurses should stay with the patient for the first 15 minutes of the infusion.
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The nurse is caring for a client who has just undergone traditional cholecystectomy surgery and has a Jackson-Pratt (JP) drain in place. The nurse notes serosanguineous drainage present in the drain. Which is the nurse's priority action?
a. Gently milk the drain tubing. b. Notify the surgeon immediately. c. Document the finding in the client's chart. d. Irrigate the drain with sterile normal sa-line.
Central parenteral nutrition involves intravenous infusion into a large central vein because the solution:
1. Contains insulin 2. Contains lipids 3. Is given in such large amounts 4. Is so concentrated
The nurse has received an end of shift report in the high-risk maternity unit. Which patient should the nurse see first?
1. 26 weeks' gestation with placenta previa experiencing blood on toilet tissue after a bowel movement 2. 30 weeks' gestation with placenta previa whose fetal monitor strip shows late decelerations 3. 35 weeks' gestation with grade I abruptio placentae in labor who has a strong urge to push 4. 37 weeks' gestation with pregnancy-induced hypertension whose membranes ruptured spontaneously
The nurse has provided a client with education about intrinsic factor. Which statement indicates an understanding of the information?
A. "Intrinsic factor is secreted by the chief cells of the stomach." B. "Intrinsic factor is necessary for absorption of vitamin B6." C. "Intrinsic factor aids in the secretion of mucus to protect the stomach." D. "Intrinsic factor is necessary for absorption of vitamin B12."