Which drug does the nurse prepare to administer to a patient receiving combination chemothe-rapy who has a red blood cell (RBC) count of 120 million/mm3?
a. Bleomycin (Blenoxane)
b. Oprelvekin (Neumega)
c. Epoetin alfa (Procrit)
d. Megestrol (Megace)
C
The RBC count is low and the patient is anemic. Epoetin alfa is a biological response modifier that increases bone marrow production of RBCs and reduces the severity of anemia. The other drugs are chemotherapy agents (bleomycin), hormones (megestrol), and a biological response modifier that affects platelets rather than RBCs (oprelvekin [Neumega]).
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A six-year-old child has been newly diagnosed with cystic fibrosis. During discharge teaching, the nurse is instructing the parents on nutritional requirements specifically related to the child's decreased ability to absorb fats
The nurse teaches the family that the child will need supplementation with vitamins that are fat soluble, such as: 1. Vitamin K. 2. Riboflavin. 3. Vitamin B12. 4. Thiamin.
The nurse is reviewing the concept of drug polymorphism. Which factors contribute to drug polymorphism? (Select all that apply.)
a. The number of drugs ordered by the phy-sician b. Inherited factors c. The patient's diet and nutritional status d. Different dosage forms of the same drug e. The patient's health beliefs and practices f. The patient's drug history g. The various available forms of a drug
The nurse knows that being a competent provider of cognitive behavioral interventions involves understanding and being aware of cultural considerations. Characteristics that nurses must be aware of during assessment include:
1. Illness prevention, disability, and gender. 2. Family matters, self-awareness, and age. 3. Gender, sexual orientation, and religion. 4. Group expression, self-awareness, and religion.
While administering an enema, the client complains of abdominal cramping. What should the nurse do?
1. Raise the height of the solution container. 2. Clamp the flow for 30 seconds, and restart at a slower rate. 3. Discontinue the enema infusion. 4. Assist the client to a supine position.