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Author Question: The nurse has a patient who is receiving selegiline (Carbex, Eldepryl). What is the nurse's priority ... (Read 79 times)

james

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on: Jul 23, 2018
The nurse has a patient who is receiving selegiline (Carbex, Eldepryl). What is the nurse's priority assessment?
 
  A) Irregular heart rate
  B) Elevated blood pressure
  C) Decreased urinary output
  D) Gingival hyperplasia

Question 2

The patient has just been started on an alkylating agent to treat cancer. What is the most common adverse effect of most alkylating agents that the nurse will monitor for?
 
  A) Bone marrow suppression
  B) Nephrotoxicity
  C) Confusion
  D) Depression


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flexer1n1

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

B
Feedback:
The excessive stimulation of the sympathetic nervous system can cause severe hypertension and stroke so it is important for the nurse to assess blood pressure. Gingival hyperplasia is an adverse effect of phenytoin (Dilantin). Irregular heart rate and decreased urinary output are not adverse effects of selegiline.

Answer to Question 2

A
Feedback:
Hematological effects include bone marrow suppression, with leukopenia, thrombocytopenia, anemia, and pancytopenia, secondary to the effects of the drugs on the rapidly multiplying cells of the bone marrow. Therefore, options B, C, and D are not correct.


james

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Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review

marict

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Reply 3 on: Yesterday
:D TYSM

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Vital signs (blood pressure, temperature, pulse rate, respiration rate) should be taken before any drug administration. Patients should be informed not to use tobacco or caffeine at least 30 minutes before their appointment.

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