The client with cancer is about to be started on mitomycin (Mutamycin). The nurse should suggest contacting the physician after noting that the client is also taking which of the following medications?
1. Furosemide (Lasix)
2. Ondansetron (Zofran)
3. Warfarin (Coumadin)
4. Allopurinol (Zyloprim)
3
Rationale: Mitomycin is an antitumor antibiotic. The use of aspirin, anticoagulants, and thrombolytic agents should be avoided concurrent with this medication, because mitomycin causes thrombocytopenia. Warfarin (Coumadin) is an anticoagulant, and the risk of bleeding is increased if administered during mitomycin therapy. Furosemide is a diuretic and is not related to the question. Ondansetron (Zofran) is an antiemetic used to prevent or treat nausea and vomiting during chemotherapy. Allopurinol is an antigout medication, which prevents or treats hyperuricemia resulting from blood dyscrasias caused by cancer chemotherapy.
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Fill in the blank with correct word
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A. Client goals. B. The subjective data. C. The nursing diagnosis. D. The objective data.