This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient who has been receiving intermittent chemotherapy through a peripheral IV site is ordered ... (Read 54 times)

Lisaclaire

  • Hero Member
  • *****
  • Posts: 569
on: Jul 23, 2018
A patient who has been receiving intermittent chemotherapy through a peripheral IV site is ordered to receive a high dose of vancomycin through the same vein. Why does this concern the nurse?
 
  a. Chemotherapy is irritating to the vascular system and may cause the vein to infiltrate.
  b. Two medications should never be placed into the same IV site.
  c. Once chemotherapy is in a patient's system, any additional medicine given will cause a synergistic effect.
  d. Chemotherapy treatments require a special pump designed solely for chemotherapy.

Question 2

The patient is to receive phenytoin (Dilantin) at 0900. The nurse knows that the ideal time to draw a trough level is
 
  a. 0800.
  b. 0830.
  c. 0900.
  d. 0930.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

mammy1697

  • Sr. Member
  • ****
  • Posts: 341
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Chemotherapy medications and vancomycin are irritating to the veins and introduce increased risk for infiltration. Infiltration of a chemotherapy medication can lead to extravasation, a serious IV complication. Medications can be placed into the same IV site if they are compatible. Chemotherapy does not cause a synergistic effect with antibiotics. Chemotherapy medications can be infused through the same device as maintenance IV fluids or even antibiotics.

Answer to Question 2

ANS: B
Trough levels are generally drawn 30 minutes before the drug is administered. If the medication is administered at 0900, the trough should be drawn at 0830.


Lisaclaire

  • Member
  • Posts: 569
Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

dawsa925

  • Member
  • Posts: 326
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

In 2006, a generic antinausea drug named ondansetron was approved. It is used to stop nausea and vomiting associated with surgery, chemotherapy, and radiation therapy.

Did you know?

Multiple sclerosis is a condition wherein the body's nervous system is weakened by an autoimmune reaction that attacks the myelin sheaths of neurons.

Did you know?

Chronic marijuana use can damage the white blood cells and reduce the immune system's ability to respond to disease by as much as 40%. Without a strong immune system, the body is vulnerable to all kinds of degenerative and infectious diseases.

Did you know?

Pregnant women usually experience a heightened sense of smell beginning late in the first trimester. Some experts call this the body's way of protecting a pregnant woman from foods that are unsafe for the fetus.

Did you know?

You should not take more than 1,000 mg of vitamin E per day. Doses above this amount increase the risk of bleeding problems that can lead to a stroke.

Symptoms of a patient in shock. Symptoms of a patient in shock.
The site of Dmanisi has produced some of the earliest H. erectus outside of Africa. The site of Dmanisi has produced some of the earliest H. erectus outside of Africa.
The reminder card should be completed and handed to the patient after the appointment is scheduled. The reminder card should be completed and handed to the patient after the appointment is scheduled.
Example of a patient statement. Example of a patient statement.
A patient’s cognitive ability depends on his or her psychologic status, which is influenced by ... A patient’s cognitive ability depends on his or her psychologic status, which is influenced by ...
Cell kill and chemotherapy Cell kill and chemotherapy
Video: Action potentials - electrical characteristics and generation

For a complete list of videos, visit our video library