Author Question: A patient is receiving bleomycin (Blenoxane) as part of a chemotherapeutic regimen to treat ... (Read 19 times)

HCHenry · **on:** Jul 23, 2018

A patient is receiving bleomycin (Blenoxane) as part of a chemotherapeutic regimen to treat leukemia. During intravenous administration of this drug, what will the nurse observe the patient closely for?

a. Hypotension and visual disturbances
b. Pain and blistering at the IV site
c. Pink to red urine
d. Shortness of breath and wheezing

Question 2

The nurse is teaching a patient who will take oral cyclophosphamide (Cytoxan). Which statement by the patient indicates understanding of the teaching?

a. I should follow a diet high in organ meats and beans while taking this drug.
b. I should brush my teeth and gums vigorously twice daily.
c. I should report any low-grade temperature elevation immediately.
d. I should take the drug at bedtime to minimize side effects.

sylvia · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Bleomycin can cause anaphylaxis, so patients should be monitored for respiratory distress. Pain and blistering at the IV site is common to antitumor antibiotics except for bleomycin. Urine color changes occur with doxorubicin. Vincristine causes hypotension and visual disturbances.

Answer to Question 2

ANS: C
Even a low-grade temperature should be reported because it can indicate significant infection in immunocompromised patients. Patients should eat a low-purine diet while taking this medication. Patients should brush teeth and gums with a soft bristle toothbrush. Patients should take the medication early in the day to avoid accumulation in the bladder.