A patient who is receiving intravenous (IV) chemotherapy asks why the nurse is wearing a mask, gloves, and gown when giving the drugs. What is the nurse's best response?
a. "These drugs will reduce your immune response, and with these coverings I am protecting you from getting an infection from me."
b. "Because your immunity is reduced by this therapy, I am preventing the spread of infection from you to me or any other patient here."
c. "The drugs are powerful and I handle them every day. The clothing protects me from accidentally absorbing these strong drugs."
d. "The hospital policy is for any nurse giving these drugs to wear gowns, gloves, and masks to prevent other people from getting cancer."
C
Most chemotherapy drugs are absorbed through the skin and mucous membranes. As a result, health care workers who prepare or give these drugs (especially nurses and pharmacists) are at risk for absorbing them. Even at low doses, chronic exposure to chemotherapy drugs can affect health. The Oncology Nursing Society and OSHA have specific guidelines for using caution and wearing protective clothing whenever preparing, giving, or disposing of chemotherapy drugs.
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The immune response is complex and involves humoral and cell-mediated components. Which of the following is considered the first stage of the immune response?
A) Helper T cells are activated with the help of interleukin. B) Macrophages process antigens and give them to T cells in lymph tissue. C) T cells produce lymphokines which stimulate antibody-producing B cells. D) Macrophages remove cellular debris.
The physician anticipates the CVC dwelling time to be 10 to 20 days. The nurse anticipates that the CVC will be placed in the
a. SC vein. c. EJ vein. b. IJ vein. d. femoral vein.
When using the Poker Chip Tool, it is important for the nurse to know that
a. Any number of chips can be used. b. Only a specified number of chips can be used. c. The assessment tool is used with adolescents. d. The assessment tool is most effectively used with 2-year-old children.
The nurse is communicating with a patient following a routine physical examination. Which statement best demonstrates summarization of the appointment?
A) "I think all went well with your physical, don't you? B) "Do you have any questions about all that was discussed during the exam?" C) "We reviewed your plans for your new diet and medications. Do you have any other questions?" D) "Will we see you in 6 months to see how your diet has progressed?"