Answer to Question 1
A
Doxorubicin (Adriamycin) has been found to help patients with bladder carcinoma in situ (site of origin) by reducing tumor recurrence and by eliminating residual malignant cells after surgery. The solution is instilled into the bladder via a urinary catheter. The patient should change position every 15 to 30 minutes, and the catheter is clamped for 2 hours. The nurse should not unclamp the catheter. While it is important to educate the patient about potential for positive PPD tests, education should be done at a time when the patient can focus on the information. Ambulation is not appropriate at this time.
Answer to Question 2
A, B, D, E
The patient should sleep on the unaffected side, use a stool softener to prevent straining, wash hands before instilling eyedrops, and follow the prescribed medication schedule exactly. The pa-tient should not bend from the waist as the position increases intraocular pressure.