The nurse provides education to the patient and family about ...

[mwit1967]

The nurse provides education to the patient and family about fluorouracil (Adrucil). What statement by the patient most demonstrates the need for further teaching?
 
  a. I may experience darkening skin in some areas of my body.
  b. I should report diarrhea.
  c. I shouldn't anticipate blistering on my palms and soles.
  d. I probably will lose my hair.

Question 2

A patient on an oncology unit has been receiving ifosfamide (Ifex) for a few days. Prior to administration of the next dose, the nurse reviews the patient's laboratory test results. Which finding would cause the nurse to hold the dose?
 
  a. Low levels of ketones in the urine
  b. Hematuria
  c. Blurred vision
  d. Low Hct and Hb

[Dominic]

Answer to Question 1

ANS: C
The patient may experience blistering on the palms and soles; this statement indicates that further teaching is required.
The patient may experience darkening of the skin in some areas; no further teaching is required.
The medication should be discontinued as soon as mild reactions like stomatitis and diarrhea occur.
The patient likely will lose his hair; no further teaching is required.

Answer to Question 2

ANS: B
The nurse should hold the dose for hematuria, because this may indicate hemorrhagic cystitis.
Ketones may reveal some other problem, but they are not associated with ifosfamide.
Blurred vision is a symptom of toxicity; however, the question specifically asks about a laboratory result.
Low Hct and Hb are expected for a patient undergoing chemotherapy.

[mwit1967]

Thanks

[Dominic]

Welcome