A patient with a diagnosis of bladder cancer is started on a chemotherapeutic regimen that includes three agents. What is the rationale for using multiple antineoplastic agents?

A) The use of three agents decreases the development of cell resistance.
B) The use of three agents increases adherence to treatment.
C) The use of three agents increases the serum levels of one of the agents.
D) The use of three agents decreases the total adverse effects.


A
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Most chemotherapy regimens involve a combination of drugs with different actions at the cellular level, which destroys a greater number of cancer cells and reduces the risk of the cancer developing drug resistance.

Nursing

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Which drug is most effective in reducing serum triglyceride levels?

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A nursing assistant tells the psychiatric nurse that normal people do not have mental disorders. What action by the nurse is most appropriate?

1. Instruct the nursing assistant that anyone can have a mental health disorder. 2. Alert the nursing manager of the nursing assistant's remark. 3. Refer the nursing assistant back to the psychiatric orientation materials. 4. Disregard the comment because the nurse has no responsibility in this situation.

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A nurse caring for a complex medical client has been categorizing data as important or not important in an attempt to promote an optimal outcome for the client. The nurse is using:

a. breadth c. clarity b. logic d. depth

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The wife of a victim of a gas explosion says, "It's not bad enough that I've been left alone to care for two children — now the company is denying our claim for compensation and we have to join a class action suit to get my husband's pension." Which statement by the nurse would be therapeutic?

A. "Get a lawyer! That's what you all need to do." B. "Do you believe that a class action suit is the correct thing and that you are in the right?" C. "You're saying that being left a widow with children is difficult enough, but now you've got to fight for your benefits." D. "Walk away. It's too much to even think about at your age, and how can you get caught up in all this with children and work, too?"

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