Describe any side effects and special considerations associated with the use of CAF
What will be an ideal response?
All three agents cause myelosuppression, significant nausea and vomiting, and alopecia.
When her blood counts are low, she needs to be monitored closely for symptoms related to
infection, anemia, and thrombocytopenia. She will need prophylactic therapy for managing
the nausea and monitoring for dehydration. Advise her regarding photosensitivity and
precautions to take.
• Other effects of cyclophosphamide include hemorrhagic cystitis, cardiotoxicity, pulmonary
fibrosis, and hypersensitivity reactions. Ensure that the patient is aware to drink plenty of fluid and
to urinate frequently to decrease the possibility of hemorrhagic cystitis.
• Other effects of doxorubicin are cardiotoxicity and red urine. The maximum lifetime cumulative
dose must not be exceeded because of the risk of cardiac toxicity. Teach the patient the signs and
symptoms of cardiac dysfunction (shortness of breath, palpitations, edema in extremities) and to
report these immediately. Inform the patient that the red urine is to be expected.
• Other effects of 5-FU include diarrhea and oral and gastrointestinal (GI) ulcerations.
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An ICU manager is taking classes toward earning a master?s degree in nursing. The manager realizes employee characteristics that most influence job effectiveness are:
1. Ability and motivation. 2. Age and religion. 3. Education and gender. 4. Experience and attitude.
A new mother asks why she has to open a new bottle of formula for each feeding. The nurse's best response is:
a. "This makes it easier to keep track of how much the baby is taking." b. "Formula loses some nutritional value once it is opened." c. "Bacteria can grow rapidly in warm milk." d. "Formula may turn sour after it is opened."
A nurse can deal preventively with the potential for experiencing negative feelings while working
with a severely depressed client by (more than one response may be correct) A. understanding the part neurotransmitters play in depression. B. establishing realistic expectations for the client and self. C. focusing as little as possible on feelings toward the client. D. disregarding empathic information originating in the client.
A 55-year-old female patient asks a nurse about calcium supplements. The nurse learns that the patient consumes two servings of dairy products each day. The patient's serum calcium level is 9.5 mg/dL. The serum vitamin D level is 18 ng/mL
The nurse will recommend adding ____ daily and ____ IU of vitamin D3 each day. a. 1200 mg of calcium once; 10,000 b. 1500 mg of calcium twice; 1000 c. 600 mg of calcium once; 10,000 d. 600 mg of calcium twice; 2000