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Author Question: Which drug does the nurse prepare to administer to a patient receiving combination chemothe-rapy who ... (Read 79 times)

ec501234

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on: Jul 23, 2018
Which drug does the nurse prepare to administer to a patient receiving combination chemothe-rapy who has a red blood cell (RBC) count of 120 million/mm3?
 
  a. Bleomycin (Blenoxane)
  b. Oprelvekin (Neumega)
  c. Epoetin alfa (Procrit)
  d. Megestrol (Megace)

Question 2

A patient arrives to receive a second round of combination chemotherapy. What is the most important patient assessment finding for the nurse to report to the prescriber?
 
  a. Height
  b. Weight
  c. Blood pressure
  d. Pulse rate and rhythm


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l.stuut

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Reply #1 on: Jul 23, 2018
Answer to Question 1

C
The RBC count is low and the patient is anemic. Epoetin alfa is a biological response modifier that increases bone marrow production of RBCs and reduces the severity of anemia. The other drugs are chemotherapy agents (bleomycin), hormones (megestrol), and a biological response modifier that affects platelets rather than RBCs (oprelvekin Neumega).

Answer to Question 2

B
Many intravenous chemotherapy drugs are dosed based on the patient's meter square (m2) of to-tal body surface area. This measurement is calculated from the patient's height in centimeters and weight in kilograms. The patient's weight can change drastically from one round of chemo-therapy to the next. Height does not change. Because this is the patient's second round, an accu-rate weight is needed to calculate the correct drug dosages.


ec501234

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


l.stuut

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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