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 139 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?

The newest statin drug, rosuvastatin, has been called a superstatin because it appears to reduce LDL cholesterol to a greater degree than the other approved statin drugs.

Did you know?

Though the United States has largely rejected the metric system, it is used for currency, as in 100 pennies = 1 dollar. Previously, the British currency system was used, with measurements such as 12 pence to the shilling, and 20 shillings to the pound.

Did you know?

Amoebae are the simplest type of protozoans, and are characterized by a feeding and dividing trophozoite stage that moves by temporary extensions called pseudopodia or false feet.

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Did you know?

The effects of organophosphate poisoning are referred to by using the abbreviations “SLUD” or “SLUDGE,” It stands for: salivation, lacrimation, urination, defecation, GI upset, and emesis.

The nurse assists the patient in reflecting on his feelings The nurse assists the patient in reflecting on his feelings
Nurse's hand over patients abdomen Nurse's hand over patients abdomen
Preparing the Patient’s Skin for Surgical Procedures Preparing the Patient’s Skin for Surgical Procedures
Hepatitis B antigens and antibody in an acutely infected patient with recovery. Note the indicators ... Hepatitis B antigens and antibody in an acutely infected patient with recovery. Note the indicators ...
Classes and Frequency of Breast Cancer Susceptibility Genes Classes and Frequency of Breast Cancer Susceptibility Genes
Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 3) Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 3)
Video: Exocytosis - secretion

For a complete list of videos, visit our video library