A patient is undergoing a cytotoxic chemotherapy regimen for the treatment of stage III lung cancer. What effect will this regimen likely have on the patient's hemostatic function?
A) The patient's platelet count will decline.
B) The patient will be at increased risk of deep vein thrombosis.
C) The patient will require prophylactic heparin.
D) The patient will likely experience thrombocytosis.
A
Feedback:
Thrombocytopenia is a common adverse effect of cytotoxic chemotherapy. Heparin is consequently contraindicated, and DVT is not a priority risk.
You might also like to view...
What type of management was emphasized in the human relations era of management?
A) Participatory B) Authoritarian C) Democratic D) Laissez-faire
A client who has been hospitalized for an infection states, "The nursing assistant told me my vital signs are all within normal limits; that means I'm cured." The nurse's best response would be:
1) "Your vital signs confirm that your infection is resolved; how do you feel?" 2) "I'll let your health care provider know so you can be discharged." 3) "Your vital signs are stable, but there are other things to assess." 4) "We still need to keep monitoring your temperature for a while."
A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea) is
A. Morphine B. Methadone C. Gabapentin D. Lorazepam
A patient with a history of substance abuse is seen for chronic lower back pain. The patient tells the nurse that the only medication that alleviates his pain is Oxycontin, and once he gets the medication, he will leave the clinic
Which of the following should the nurse do? 1. Acknowledge the patient's dependence on the medication and discuss other pain management approaches. 2. Inform the health care provider that the patient wants Oxycontin and provide with the prescription once it is written. 3. Tell the patient that Oxycontin is an addictive substance and that he will need to find another place to get a prescription. 4. Ask what other substances the patient uses, such as alcohol or marijuana.