The nurse is caring for a patient with cancer who has been undergoing chemotherapy. The patient now suffers from oral mucositis as a result of the chemotherapy. An order is written for palifermin (Kepivance)
The nurse plans to discontinue the dose at least ____ hours prior to the next chemotherapy dose. a. 8
b. 12
c. 24
d. 72
C
The nurse should discontinue the palifermin 24 hours prior to the chemotherapy, because pali-fermin may increase the severity and duration of oral mucositis.
Holding the drug for 8 or 12 hours before chemotherapy is not long enough; this would increase the severity and duration of oral mucositis.
The medication need not be discontinued 72 hours before the chemotherapy. The minimum time is 24 hours in advance.
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The nurse is working with an adolescent parent. The adolescent tells the nurse, "I'm really scared that I won't take care of my baby correctly. My mother says I'll probably hurt the baby because I'm too young to be a mother
" The best response by the nurse is: 1. "You are very young, and parenting will be a challenge for you." 2. "Your mother was probably right. Be very careful with your baby." 3. "Mothers have instincts that kick in when they get their babies home." 4. "We can give the baby's bath together. I'll help you learn how to do it."
During a respiratory assessment, the nurse notes a sinking in of soft tissues relative to the cartilaginous and bony thorax. What is the term for this finding?
a. Grunting b. Tachypnea c. Retractions d. Nasal flaring
A nomogram is a special chart that can be used to determine a patient's ____________
___________ _______________. Fill in the blank(s) with correct word
An ________________ maintains immobilization of the extremities to protect the patient from accidental removal of a therapeutic device
Fill in the blanks with correct word