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Author Question: A patient is receiving the antitumor antibiotic doxorubicin (Adriamycin) to treat lung cancer. The ... (Read 40 times)

bio_gurl

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on: Jul 23, 2018
A patient is receiving the antitumor antibiotic doxorubicin (Adriamycin) to treat lung cancer. The patient is experiencing shortness of breath and palpitations. The nurse is concerned that the patient has developed which condition?
 
  a. Anemia
  b. Cardiotoxicity
  c. Hypersensitivity
  d. Pulmonary infection

Question 2

The nurse is caring for a patient who is receiving a third dose of high-dose cyclophosphamide (Cytoxan). The nurse notes hematuria. The nurse will notify the provider and will perform which action?
 
  a. Ask whether the patient takes allopurinol (Lopurin).
  b. Assess the patient's skin and fingernails for darkening.
  c. Question the patient about fluid intake.
  d. Reassure the patient that this is an expected side effect.


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TheDev123

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Cardiotoxicity is a known adverse effect of this drug and is manifested in shortness of breath, edema, and palpitations.

Answer to Question 2

ANS: C
Hemorrhagic cystitis is a common adverse effect of high-dose cyclophosphamide and can be mitigated by increasing fluid intake. Allopurinol is given to treat gout, which is characterized by uric acid crystalluria. Darkening of the fingernails and skin is a common adverse effect of cyclophosphamide but is unrelated to hemorrhagic cystitis.


bio_gurl

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


TheDev123

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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