The nurse suspects that the client may be experiencing peripheral neuropathy as a result of receiving paclitaxel (Taxol). What is the highest priority nursing intervention to use in monitoring the client for this adverse reaction?
a. Decrease in levels of white blood cells and platelets
b. Increase in overactive deep tendon reflexes
c. Numbness and/or tingling of the fingers and toes
d. Paralysis of the muscles in the lower extremities
ANS: C
Symptoms of neuropathy include feelings of numbness and/or tingling in the fingers and toes.
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During an assessment, the nurse is collecting information on a patient's medication history. Why should the nurse assess the patient's use of over-the-counter (OTC) drugs? (Select all that apply.)
a. To determine the cost the patient spends on medications monthly b. OTC drugs may make existing medical problems worse c. To assess for potential unsafe interactions with prescribed medications d. Patients often neglect to tell their providers about OTC products e. To assess if the patient and his or her spouse has any common medications
A patient with exophthalmos is distressed about her appearance and asks when it will go away. What is the best response by the nurse?
a. It is not reversible. b. It can be disguised with sunglasses and makeup. c. It usually subsides after medication for hyperthyroidism is started. d. It can be minimized with plastic surgery to the eyelids.
Which statement by a patient with non-Hodgkin lymphoma (NHL) indicates that more teaching about chemotherapy is needed?
A) "High grade NHL is treated with combination chemotherapy." B) "A watch and wait approach may be used in indolent NHL." C) "Slow growing NHL may be treated with one chemotherapeutic agent." D) "Chemotherapy is more effective in t
A PHN treats a patient who may be depressed. To verify suspicions, the PHN checks ____, the definitive clinical guide for diagnosing mental disorders and providing consistency and accuracy in the screening for mental disorders
A. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) B. The Center for Epidemiological Studies Depression Scale (CESD-10) C. Patient Health Questionnaire 2 D. Brief System Checklist-18 of the My Mood Monitor