An adolescent is receiving methotrexate chemotherapy after undergoing limb-salvage surgery for osteogenic sarcoma. The nurse knows the teen understands the purpose of leucovorin therapy after the methotrexate if the teen says
"I'm glad I only need one dose of the
leucovorin."
2. "I don't have any pain so I won't need
to take the leucovorin this time."
3. "I know I will be taking the
leucovorin every six hours for about
the next three days."
4. "I don't have any nausea so I won't
need the leucovorin."
Answer: 3
Rationale: Leucovorin (citrovorum factor) is a form of folic acid that helps to
protect normal cells from the destructive action of methotrexate. It is started
within 24 hours of methotrexate administration and is given along with
hydration therapy. Usual administration is every six hours times 72 hours or until
serum methotrexate is at the desired level.
You might also like to view...
An older patient with a mobility disorder is being discharged after having a cataract removed as an outpatient. For what should the nurse assess this patient?
1. the ability to administer eye drops postprocedure 2. the ability to read discharge instructions 3. the ability to drive 4. the ability to ambulate
The nurse teaches nursing students that to maintain immunity, the booster for tetanus prevention should be given to adults at what intervals?
1. 5 years 2. 8 years 3. 10 years 4. 15 years
The nurse checks a patient's medication record and discovers these medications in addition to furosemide. Which medication would most concern the nurse?
1. A beta-blocker for hypertension 2. A loop diuretic 3. A calcium channel blocker 4. High-dose aspirin for arthritis
A leader controls members through rewards and often keeps members in the dark about the goals and rationale behind prescribed actions. What type of leadership does this describe?
a. Democratic b. Patriarchal c. Socialist d. Communication structure