A patient who is taking the tyrosine kinase inhibitor sunitinib (Sutent) calls to report red, painful, and swollen palms and soles of feet. The nurse will perform which action?
a. Notify the patient's provider of this adverse reaction.
b. Reassure the patient that these are common side effects.
c. Recommend taking acetaminophen for discomfort.
d. Suggest taking diphenhydramine to help with the swelling.
ANS: A
The nurse should notify the provider if the patient reports these symptoms, since they may indicate erythrodysesthesia. Reassuring the patient or recommending OTC treatments is not indicated.
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The pediatric nurse caring for children with physical disabilities teaches the student nurse that coping mechanisms give rise to resiliency in children and their families. The nurse further notes that attributes of resilient children include which of the following? (Select all that apply.)
A. Dependence on family B. Physical abilities C. Problem-solving skills D. Sense of purpose and future E. Social competence
The nurse is reviewing the following electrocardiogram waveform. What does the identified wave indicate to the nurse?
A) Atrial depolarization B) Septal depolarization C) Ventricular depolarization D) Ventricular repolarization
The 79-year-old patient with bacterial pneumonia becomes increasingly restless and confused. Temperature is 100° F and pulse, blood pressure, and respirations are elevated since the last as-sessment 6 hours ago
The initial intervention by the nurse should be to: a. take the patient off oral fluids. b. assess oxygen saturation. c. give the ordered mild sedative. d. administer an NSAID for discomfort.
The family of a resident in an assisted living facility contacts the director to say they are "appalled" that the resident is allowed to have pornographic magazines in the room. What re-sponse by the director is most appropriate?
a. "We will take those away immediately." b. "Your loved one has the right to have these." c. "How do you know about these maga-zines?" d. "He cannot stay here if he has these in the room."