The client with breast cancer has been given a prescription for ...

[CharlieWard]

The client with breast cancer has been given a prescription for cyclophosphamide (Cytoxan). The nurse determines that the client understands the proper use of the medication if the client states that he or she will:
 
  1. Increase dietary intake of potassium.
  2. Take the medication with large meals.
  3. Decrease dietary intake of magnesium.
  4. Increase fluid intake to 2 to 3 L/day.

Question 2

A 3-year-old child with human immunodeficiency virus (HIV) infection is being discharged from the hospital. The nurse is providing instructions to the mother regarding home care and infection control measures.
 
  Which of the following statements, if made by the mother, indicates a need for further education? 1. I should discard any unused food immediately.
  2. If the nipple becomes soft and sticky, I will discard the nipple.
  3. I need to wash all vegetables carefully before preparing them.
  4. I should wash the eating utensils, baby bottle, and dishes in the dishwasher.

[TDubDCFL]

Answer to Question 1

4

Rationale: A toxic effect of cyclophosphamide (Cytoxan) is hemorrhagic cystitis. The client should drink large amounts of fluid during the administration of this medication. Clients also should observe for hematuria. The medication should be taken on an empty stomach, unless gastrointestinal upset occurs. Hyperkalemia can result from the use of the medication; therefore, the client would not be encouraged to increase potassium intake. The client would not be instructed to alter magnesium intake.

Answer to Question 2

1

Rationale: The parents should be instructed to cover unused food and formula and refrigerate. They should also be informed to discard unused refrigerated food or formula after 24 hours. If the nipple becomes soft and sticky, I will discard the nipple. I need to wash all vegetables carefully before preparing them. and I should wash the eating utensils, baby bottle, and dishes in the dishwasher. are accurate instructions related to basic infection control.

[CharlieWard]

Excellent

[ricroger]

TYSM