Author Question: A 69-year-old female patient has been diagnosed with malignant melanoma. The care team has ... (Read 64 times)

Destiiny22 · **on:** Jul 23, 2018

A 69-year-old female patient has been diagnosed with malignant melanoma. The care team has collaborated with the patient and her family and agreed on a plan of care that includes administration of interferon alfa-2b.

After administering interferon alfa-2b, the oncology nurse should anticipate that the patient may develop which of the following adverse effects? A) Profound diaphoresis
B) Decreased level of consciousness
C) Flu-like symptoms
D) Cyanosis and pallor

Question 2

A pediatric nurse is providing inpatient care for a child who was diagnosed with necrotizing otitis externa. The child is currently being treated with ciprofloxacin. What microorganism is the most likely cause of this child's infection?

A) Aspergillus
B) Candida albicans
C) Pseudomonas aeruginosa
D) Escherichia coli

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

Answer to Question 1

C
Feedback:
In the majority of patients, flu-like symptoms (e.g., fever, chills, fatigue, muscle aches, headache, tachycardia) develop within 2 hours of administration of interferon alfa-2b and last up to 24 hours. Diaphoresis, changes in LOC, and changes in oxygenation are not associated with the use of interferon alfa-2b.

Answer to Question 2

C
Feedback:
Health care providers use ciprofloxacin for the treatment of Pseudomonas aeruginosa in patients with necrotizing otitis externa. If the causative agent is Aspergillus, amphotericin B is the drug of choice. E. coli and Candida are not typically implicated in cases of necrotizing otitis externa.