The nurse is preparing to administer cyclophosphamide (Cytoxan), ...

[tnt_battle]

The nurse is preparing to administer cyclophosphamide (Cytoxan), which can cause nausea and vomiting. The nurse can best manage this by:
 
  1. giving the client bland foods during treatment.
  2. administering antiemetic drugs as necessary.
  3. withholding food during administration.
  4. increasing fluids during administration.

Question 2

With administering cyclophosphamide (Cytoxan), which has the potential adverse effect of cardiotoxicity, what is the best action by the nurse during treatment?
 
  1. Obtain baseline and periodic ECGs.
  2. Stop the drug if abnormal heart sounds are auscultated.
  3. Obtain baseline and periodic echocardiograms.
  4. Obtain baseline and periodic cardiac enzymes.

[Eunice618]

Answer to Question 1

Correct Answer: 2
Rationale 1: This is not the best way to manage nausea and vomiting.
Rationale 2: This is the best way to manage nausea and vomiting.
Rationale 3: This is not the best way to manage nausea and vomiting.
Rationale 4: This is not the best way to help with nausea and vomiting, even though this can help prevent dehydration.
Global Rationale: The best method of managing nausea and vomiting is prevention by administering antiemetics prior to therapy. The other options may add to nausea or result in malnutrition.

Answer to Question 2

Correct Answer: 1
Rationale 1: This is the correct answer.
Rationale 2: A health care provider should be notified before the drug is stopped by the nurse.
Rationale 3: This is not necessarily indicated.
Rationale 4: This is not the best answer.
Global Rationale: The easiest, most cost effective screening is periodic ECGs. Abnormal heart sounds should be reported, but the drug should not be stopped on that basis. Echocardiogram and cardiac enzymes may be ordered based upon patient symptoms, but are not logically used for screening.

[tnt_battle]

Excellent

[Joy Chen]

Gracias!