Answer to Question 1
4
Rationale 1: The most frequent, and most potentially serious, adverse effect of anticoagulant and antiplatelet drugs is bleeding.
Rationale 2: Ataxia is not associated with epoetin alfa (Procrit).
Rationale 3: Headache is not associated with epoetin alfa (Procrit).
Rationale 4: Hypertension is a common adverse effect of epoetin alfa.
Global Rationale: The most frequentadverse effect of epoetin alfa (Procrit) is hypertension that may occur in as many as 30 of patients receiving the drug. Blood pressure should be monitored during therapy, and an antihypertensive drug may be indicated.
Answer to Question 2
2
Rationale 1: Epoetin alfa (Epogen) stimulates the production of red blood cells.
Rationale 2: Filgrastim (Neupogen) stimulates the production of white blood cells.
Rationale 3: Dalteparin (Fragmin) is a low molecular weight heparin anticoagulant.
Rationale 4: Warfarin (Coumadin) is an anticoagulant.
Global Rationale: Filgrastim (Neupogen) assists in restoring white blood cell counts in a patient who has suppressed immune system. Filgrastim (Neupogen) stimulates the production of white blood cells.
Nurse-patient interaction; nonveral communication
A physician is performing a colonoscopy on a client and viewing the internal structures of the colon
Application of an ostomy bag or pouch: B, An ostomy nurse applying an ostomy bag to a stoma;
Client files are kept in alphabetical order in locked file cabinets.
Survey and posture of client: Lateral view
Client positioned and draped