Answer to Question 1
3
Rationale 1: There are many side effects from this treatment.
Rationale 2: Cyclophosphamide can be given PO and IV but the drug is well absorbed when given orally.
Rationale 3: Cyclophosphamide is one of only a few anticancer drugs that are well absorbed when given orally.
Rationale 4: Cyclophosphamide is well absorbed when given orally.
Global Rationale: Cyclophosphamide is one of only a few anticancer drugs that are well absorbed when given orally. There are many side effects from this treatment. Cyclophosphamide can be given PO and IV.
Answer to Question 2
3
Rationale 1:Nausea and vomiting are caused by the medulla, and avoiding food will not eliminate nausea and vomiting.
Rationale 2:The client needs to take an antiemetic to stop vomiting.
Rationale 3: The vomiting center in the medulla is triggered by many antineoplastics, resulting in severe nausea and vomiting. Vomiting is often so severe that patients may be treated with antiemetic drugs such as prochlorperazine (Compazine) or ondansetron (Zofran) before beginning antineoplastic therapy.
Rationale 4:Decrease water intake is incorrect because this will lead to dehydration and affect the nausea.
Global Rationale: The vomiting center in the medulla is triggered by many antineoplastics, resulting in severe nausea and vomiting. Vomiting is often so severe that patients may be treated with antiemetic drugs such as prochlorperazine (Compazine) or ondansetron (Zofran) before beginning antineoplastic therapy.
A nurse prepares a client for anesthesia and surgery.
The surgical nurse assists the client into the correct position
The nurse applies a pulse oximeter sensor on the client’s finger.
Intervention Model-Response to Client Misconduct
Measuring the client’s blood pressure
Client positioned and draped