The nurse is caring for a patient receiving intravesical bladder chemotherapy. The nurse should monitor for which adverse effect?
a. Nausea
b. Alopecia
c. Mucositis
d. Hematuria
ANS: D
The adverse effects of intravesical chemotherapy are confined to the bladder. The other adverse effects are associated with systemic chemotherapy.
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The visiting nurse is talking to the wife of a client, who reports experiencing sleep difficulties recently. The nurse identifies the client's wife as developing
1. Caregiver burden 2. Self-esteem reaction to stress 3. Depression 4. Displacement
A 5-year-old who has an imaginary friend with whom he converses frequently is displaying characteristics consistent with which of Piaget's stages of cognitive development?
a. Operational stage b. Preoperational stage c. Formal operations stage d. Concrete operations stage
A client is receiving morphine sulfate intravenously (IV) every 4 hours as needed for the relief of pain related to a surgical procedure the client had 3 days previously. The physician is discontinuing the IV and will be starting the patient on oral pain medication. What would provide the client with optimal pain relief when discontinuing the IV dose?
a) The client should be ordered the medication to be administered intramuscularly (IM) instead of by mouth. b) Administer a higher dose of the medication by mouth. c) Administer a lower dose so the client does not get addicted to the medication. d) Administer an equianalgesic dose.
If one drug has an effect of 6 and a second drug has an effect of 8, and the combination of the two drugs has an effect of 20, then the interaction is
A. synergistic B. additive C. antagonistic D. all of the above