A 70-year-old patient with acute myelocytic leukemia is receiving ...

[penza]

A 70-year-old patient with acute myelocytic leukemia is receiving sargramostim (Leukine). What is a priority nursing action for this patient?
 
  A) Providing a quiet environment
  B) Increasing fluids
  C) Providing comfort measures related to nausea
  D) Encouraging appropriate dietary intake

Question 2

The nurse provides teaching to a patient with chronic obstructive pulmonary disease who has been prescribed budesonide (Pulmicort) two puffs and fluticasone (Flovent) three puffs t.i.d.
 
  The nurse evaluates that further teaching is needed when the patient makes what statement? A) Take all five puffs as quickly as possible.
  B) Replace the inhalers before they run out.
  C) Rinse the mouth after taking the medication.
  D) Continue medication even when symptoms start to subside.

[emilymalinowski12]

Answer to Question 1

B
Feedback:
A common adverse effect of this drug is vomiting and diarrhea. Due to the patient's age it would be important to keep him hydrated. Vomiting and diarrhea can cause dehydration quickly in the elderly. Providing a quiet environment and comfort measures for the nausea would be important but not as critical as increasing fluids. Diet is very important to this patient; however, usually this drug causes a loss of appetite. Therefore, increasing fluids would be extremely important to the patient's nutritional status.

Answer to Question 2

A
Feedback:
The nurse needs to review how to administer the drug via inhalation because the patient must hold the medication in the airways as long as possible before exhaling and should not try to rush the treatment. The other statements are correct and would not require clarification.

[penza]

Thanks for the timely response, appreciate it

[AngeliqueG]

Gracias!