A patient is prescribed cyclophosphamide (Cytoxan) for treatment of lymphoma. What should the nurse instruct to maximize the health status of the patient while receiving this medication?
Select all that apply.
1. Avoid eating spicy foods.
2. Discuss approaches to manage hair loss.
3. Identify approaches to reduce bone pain.
4. Brainstorm ways to manage constipation.
5. Ingest 2 to 3 liters of fluid during treatment.
Correct Answer: 1, 2, 5
Adverse effects of cyclophosphamide (Cytoxan) include hemorrhagic cystitis, renal failure, alopecia, stomatitis, and liver dysfunction. The nurse should encourage a daily fluid intake of 2 to 3 liters during treatment and offer suggestions to manage hair loss. However, spicy foods are not recommended for patients with stomatitis.
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After the client teaching has been completed, the nurse identifies which of the following as potential evaluation outcomes: Standard Text: Select all that apply
1. Teaching may have to be modified 2. Follow-up teaching may be needed 3. Behavior changes immediately 4. Clients may forget some things 5. Review is seldom necessary
For a nurse working in a hospital using a robotics pharmacy system, which describes the advantage for nurses?
1. The nurse will be able to leave out some of the 6 rights since the robot checks the medications. 2. The nurse should get medications quicker since the robot can work more consistently without breaks. 3. The nurse can delegate medication administration to the nursing assistant since they have already been checked. 4. The nurse can expect that medication administration will be easier and with less potential for error.
A 75-year-old patient in an acute care hospital who underwent surgery for an abdominal aneurysm developed a urinary tract infection 3 days after placement of a Foley catheter
The nurse believes that this is a reportable incident, and which of the following will happen as a re-sult? a. Medicare will be denied to the patient. b. Medicare will take the hospital to court. c. Nothing; it is not a reportable incident. d. Medicare will not reimburse the hospital for this infection.
A nurse is providing end-of-life care to a client at a health care facility. The client is anticipating death. The nurse understands that the client is in the acceptance stage of dying
Which of the following indicates that the client is in the acceptance stage of dying? A) The client hopes to live long enough to see his daughter settled in life. B) The client gets into arguments with the health care personnel. C) The client wants to get a second opinion on the diagnostic reports. D) The client has settled all financial matters for his surviving family members.