This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A nurse is caring for a patient with cancer who has been undergoing chemotherapy. The patient has ... (Read 152 times)

ssal

  • Hero Member
  • *****
  • Posts: 572
on: Jul 23, 2018
A nurse is caring for a patient with cancer who has been undergoing chemotherapy. The patient has oral mucositis as a result of the chemotherapy, and the provider has ordered palifermin (Kepivance).
 
  Which is an appropriate nursing action when giving this drug?
  a. Administering the drug as a slow IV infusion
  b. Flushing the IV line with heparin before infusing the drug
  c. Giving the drug within 6 hours of the chemotherapy
  d. Warning the patient about the potential for distortion of taste

Question 2

A patient with gastroesophageal reflux disease (GERD) is to begin taking oral metoclopramide (Reglan). The patient asks the nurse about the medication. Which response by the nurse is correct?
 
  a. After 3 months, if the drug is not effective, you may need to increase the dose.
  b. Metoclopramide may cause hiccups, especially after meals.
  c. Serious side effects may occur but will stop when the drug is discontinued.
  d. You should take the drug 30 minutes before each meal and at bedtime.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

elizabethrperez

  • Sr. Member
  • ****
  • Posts: 344
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Palifermin is generally well tolerated but commonly causes reactions involving the skin and mouth, including taste distortion. The drug should be given as an IV bolus. Palifermin binds with heparin, so the IV line should not be flushed with heparin before giving palifermin. If the interval between administration of palifermin and the chemotherapeutic drugs is too short, palifermin actually may increase the severity and duration of oral mucositis; therefore, palifermin should be given 24 hours before the chemotherapeutic drugs.

Answer to Question 2

ANS: D
Metoclopramide should be given 30 minutes before meals and at bedtime. Metoclopramide should not be used long term, and increasing the dose after 3 months of therapy is not recommended. Metoclopramide is used to treat hiccups; it does not cause hiccups. Tardive dyskinesia is a serious and irreversible side effect.


ssal

  • Hero Member
  • *****
  • Posts: 572
Reply #2 on: Jul 23, 2018
Thank you!


elizabethrperez

  • Sr. Member
  • ****
  • Posts: 344
Reply #3 on: Jul 23, 2018
Always glad to help...


« previous next »
 

Did you know?

In 2010, opiate painkllers, such as morphine, OxyContin®, and Vicodin®, were tied to almost 60% of drug overdose deaths.

Did you know?

For pediatric patients, intravenous fluids are the most commonly cited products involved in medication errors that are reported to the USP.

Did you know?

Adolescents often feel clumsy during puberty because during this time of development, their hands and feet grow faster than their arms and legs do. The body is therefore out of proportion. One out of five adolescents actually experiences growing pains during this period.

Did you know?

There are more nerve cells in one human brain than there are stars in the Milky Way.

Did you know?

Green tea is able to stop the scent of garlic or onion from causing bad breath.

Signs and symptoms of a patient with heart failure. Signs and symptoms of a patient with heart failure.
Breast surgery. Surgical removal of all or part of the breast is a treatment against the spread of b Breast surgery. Surgical removal of all or part of the breast is a treatment against the spread of b
Bacteria Undergoing Conjugation Bacteria Undergoing Conjugation
It is important to act concerned when a patient is upset. It is important to act concerned when a patient is upset.
The relationship of substrate con- version (as measured by optical density) to the amount of patient ... The relationship of substrate con- version (as measured by optical density) to the amount of patient ...
Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 2) Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 2)
Video: Effect of blood chemistry - stimuli, hyperventilation response and hypoventilation response

For a complete list of videos, visit our video library