After completing a medication history, the nurse is concerned ...

[lracut11]

After completing a medication history, the nurse is concerned that a patient is at risk for secondary thrombocytopenia. Which medications did the nurse learn that the patient takes that increase this risk?
 
  Select all that apply.
 
  1. digoxin
  2. warfarin
  3. penicillin
  4. cimetidine
  5. furosemide

Question 2

A patient was recently diagnosed with Hodgkin disease. The nurse provided education for the patient and the patient's spouse. Which patient statements indicate the need for further education?
 
  Select all that apply.
  1. The physician is ordering radiation therapy for me.
  2. My white blood cell count was low and my red blood cell count was high, and that helped the physician diagnose me.
  3. The doctor has classified my Hodgkin disease as stage III because I have involved lymph nodes in my liver and in my spleen.
  4. One out of every four patients without symptoms of Hodgkin disease dies of this disease.
  5. Because I had a heart attack in the past, the physician will probably prescribe rituximab for me.

[millet]

Answer to Question 1

Correct Answer: 1, 4, 5
Medications identified as causing secondary thrombocytopenia include digoxin, cimetidine, and furosemide. Warfarin and penicillin are not identified as medications that cause secondary thrombocytopenia.

Answer to Question 2

Correct Answer: 2, 3, 5
The CBC of a patient with Hodgkin disease often shows that the patient has a mild case of anemia and leukocytosis. With stage III lymphoma, there is involvement of lymph node regions or structures above and below the diaphragm. The situation described is more characteristic of stage II lymphoma. Rituximab should be used cautiously in patients who have a history of cardiac disorders. Many lymphomas are highly responsive to radiation, so this would be an appropriate method of treatment. Three of every four patients without systemic symptoms achieve complete remission.