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.
Client on IV patient-controlled analgesia (PCA).
A physician is performing a colonoscopy on a client and viewing the internal structures of the colon
Example of simplified note for one-time client.
Testing client’s ability to identify sharp sensations
Testing the client’s ability to feel vibrations, the toe
Testing the client’s ability to feel vibrations, the knee