During an admission interview the client says, I was given ...

[iveyjurea]

During an admission interview the client says, I was given Interferon alfa-2b for cancer treatment. The nurse should look for evidence of which type of cancer in this client's history?
 
  1. Breast cancer
  2. Malignant melanoma
  3. Kaposi's sarcoma
  4. Bladder cancer
  5. Cancer of the sinuses

Question 2

The most important nursing consideration when a client is receiving immunostimulant therapy is to
 
  1. monitor for changes in mental status.
  2. monitor intake and output.
  3. monitor for changes in hepatic enzymes.
  4. monitor vital signs.

[canderson530]

Answer to Question 1

Correct Answer: 2,3,4
Rationale 1: Breast cancer is not treated with Interferon alfa-2b.
Rationale 2: Malignant melanoma is one of the cancers treated with interferon alfa-2b.
Rationale 3: Kaposi's sarcoma is one of the cancers treated with interferon alfa-2b.
Rationale 4: An off-label use of interferon alfa-2b is the treatment of bladder cancer.
Rationale 5: There is no indication for use of interferon alfa-2b in treatment of cancers located in the sinuses.

Answer to Question 2

Correct Answer: 3
Rationale 1: Changes in mental status can increase certain disorders, but this is not the first priority.
Rationale 2: Monitoring intake and output is important but not the most important consideration.
Rationale 3: Hepatic enzymes may become elevated which could require discontinuation of the drug.
Rationale 4: Vitals signs are necessary with any medication.

[iveyjurea]

Thank you!

[canderson530]

Always glad to help...