A patient is receiving vincristine (Oncovin) for cancer treatment. Which assessment finding should indicate to the nurse that the patient is experiencing a toxic reaction?
1. pain and motor weakness
2. hypotension
3. cardiac dysrhythmias
4. stomatitis and alopecia
Correct Answer: 1
The toxicity of vincristine is characterized by depression of deep tendon reflexes, paresthesias, motor weakness, cranial nerve disruptions, and paralytic ileus. The worst common toxic side effect of etoposide is hypotension resulting from too rapid intravenous administration. The main toxic effect of antitumor antibiotics is damage to the cardiac muscle. Toxic effects of antimetabolites include stomatitis and alopecia.
You might also like to view...
A child is admitted to the hospital for hypercalcemia and is placed on diuretic therapy. Which diuretic would the nurse expect to give?
1. Furosemide (Lasix) 2. Hydrochlorothiazide (Aquazide) 3. Spironolactone (Aldactone) 4. Mannitol (Osmitrol)
The nurse working in an STI clinic teaches female clients with what STI the importance of regular gynecological examinations and Papanicolaou (Pap) tests?
1. Herpes genitalis 2. Gonorrhea 3. AIDS 4. Human papillomavirus (HPV)
The use of "I" messages by the nurse means that the nurse has developed the ability to:
1. be assertive. 2. manage others. 3. give excellent directions. 4. be a leader.
A 66-year-old male client has had a diagnosis of benign prostatic hyperplasia (BPH) for several months and is now slated for transurethral prostate resection (TURP) surgery
The man states to the nurse, "Finally I'll be able to get my sex life back in order.". How can the nurse best respond? A) Tell the client that the surgery is likely to result in erectile dysfunction B) Explain that the surgery is unlikely to bring a rejuvenation of sexual performance C) Explain that while sexual performance is likely to improve, incontinence is often a consequence of the surgery. D) Tell the client that there will probably be no effect on sexual performance.