Author Question: A patient in treatment for multiple myeloma is on Mesnex (ifosfamide). She reports to the nurse that ... (Read 73 times)

student77 · **on:** Jul 23, 2018

A patient in treatment for multiple myeloma is on Mesnex (ifosfamide). She reports to the nurse that she is having bouts of nausea and has been unable to eat. Which would be the best advice to give her?

a. Take nothing by mouth until this passes.
b. Replace fluid losses right away.
c. Only eat nonsalty foods.
d. Hold ice chips in your mouth.

Question 2

A patient arrives at the emergency department with a heart rate that is 58 and irregular. After a diagnostic workup, the patient is found to have a cardiac conduction problem. The nurse caring for this patient knows this cardiac disease occurs in patients

who have which abnormalities?
a.
An increased oxygen level in cardiac muscle cells
b.
A decreased oxygen level in cardiac muscle cells
c.
Low level of vitamin B complex
d.
High level of vitamin B complex

Dnite · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
The patient may not be able to eat anything at times but may find holding ice chips in the mouth to be helpful.

Answer to Question 2

ANS: B
Irregular heart action occurs when the cells in the heart's conduction system do not have enough oxygen, when they are destroyed or damaged through disease, or when electrolytes are not present in the right balance.