A patient is receiving vincristine (Oncovin) for cancer ...

[SAVANNAHHOOPER23]

A patient is receiving vincristine (Oncovin) for cancer treatment. Which assessment finding should indicate to the nurse that the patient is experiencing a toxic reaction?
 
  1. pain and motor weakness
  2. hypotension
  3. cardiac dysrhythmias
  4. stomatitis and alopecia

Question 2

The nurse is caring for a patient undergoing brachytherapy. What personal precautions should the nurse take when caring for this patient?
 
  1. Wear a monitoring device to measure whole-body exposure.
  2. Care for this patient regardless of pregnancy status.
  3. Maintain the least possible distance from the patient.
  4. Avoid indirect exposure with radioisotopes containers.

[xiazhe]

Answer to Question 1

Correct Answer: 1
The toxicity of vincristine is characterized by depression of deep tendon reflexes, paresthesias, motor weakness, cranial nerve disruptions, and paralytic ileus. The worst common toxic side effect of etoposide is hypotension resulting from too rapid intravenous administration. The main toxic effect of antitumor antibiotics is damage to the cardiac muscle. Toxic effects of antimetabolites include stomatitis and alopecia.

Answer to Question 2

Correct Answer: 1
Many safety principles apply when caring for a patient receiving radiation. In brachytherapy, the radioactive material is placed directly into or adjacent to the tumor. The nurse should wear a monitoring device to measure whole-body exposure. If pregnant, avoid contact with radiation sources. Maintain the greatest possible distance from the source of radiation. Avoid direct, not indirect, exposure with radioisotopes containers; for example, do not touch the container.

[SAVANNAHHOOPER23]

Thank you

[xiazhe]

No problemo