Author Question: A client is receiving cisplatin. Based on the nurse's understanding that this drug can be ... (Read 45 times)

jilianpiloj · **on:** Jul 23, 2018

A client is receiving cisplatin. Based on the nurse's understanding that this drug can be nephrotoxic, the nurse anticipates that the primary health care provider will prescribe which of the following?

A) Mesna
B) Leucovorin
C) Dexrazoxane
D) Amifostine

Question 2

After administering the pneumococcal vaccine (Pneumovax) to a client, the nurse documents which of the following in the client's chart? Select all that apply.

A) Date of next vaccination
B) Vaccine lot number
C) Vaccine expiration date
D) Route and site of vaccine administration
E) Name, address, and title of client vaccinated

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

Answer to Question 1

Ans: D
Feedback:
Amifostine binds with the metabolites of cisplatin to protect the kidneys from the nephrotoxic effects. Mesna would be used with ifosfamide to protect the bladder from hemorrhagic cystitis. Leucovorin is used to provide folic acid to the cells after methotrexate administration. Dexrazoxane is a cardioprotective agent used with doxorubicin.

Answer to Question 2

Ans: B, C, D
Feedback:
After administering a vaccine to a client, the nurse documents the following information in the client's chart: date of vaccination, route and site, vaccine type, manufacturer, lot number, expiration date, and name, address, and title of individual administering the vaccine.