Author Question: A nurse has just initiated a patient's first dose of doxorubicin (Adriamycin). Which assessment ... (Read 57 times)

go.lag · **on:** Jul 23, 2018

A nurse has just initiated a patient's first dose of doxorubicin (Adriamycin). Which assessment finding would cause the nurse to stop the infusion and seek immediate collaboration with the oncologist?

1. The patient's cardiac monitor reveals sinus bradycardia.
2. The patient reports being nauseated.
3. The patient mentions drinking green tea for breakfast.
4. The patient becomes dyspneic.
5. The patient becomes pale.

Question 2

The nurse is reviewing some medication administration orders for her clients. Which drug administration abbreviations are matched correctly with their definitions? (Select all that apply.)

1. hshour of sleep/bedtime
2. acafter meals; after eating
3. prnwhen needed/necessary
4. qidthree times per day
5. pcbefore meals

C.mcnichol98 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1,4
Rationale 1: Bradycardia may indicate cardiac toxicity, which is the major dose-limiting effect.
Rationale 2: Nausea is expected and will be treated with an antiemetic.
Rationale 3: Green tea may enhance the antitumor effect. The nurse should discuss this statement with the oncologist, but it is not necessary to immediately stop the infusion.
Rationale 4: Dyspnea may indicate heart failure.
Rationale 5: The patient may be pale for any number of reasons. It is not necessary to discontinue the infusion.

Global Rationale: Bradycardia may indicate cardiac toxicity, which is the major dose-limiting effect. Dyspnea may indicate heart failure. Nausea is expected and will be treated with an antiemetic. Green tea may enhance the antitumor effect. The nurse should discuss this statement with the oncologist, but it is not necessary to immediately stop the infusion. The patient may be pale for any number of reasons. It is not necessary to discontinue the infusion.

Answer to Question 2

1, 3

Rationale 1:hshour of sleep/bedtime is correctly matched.
Rationale 2:acafter meals; after eating is incorrect because ac means before meals.
Rationale 3:prnwhen needed/necessary is correctly matched.
Rationale4:qidthree times per day is incorrect because qid stands for four times per day.
Rationale 5:pcbefore meals is incorrect because pc means after meals.

Global Rationale: hshour of sleep/bedtime is correctly matched. prnwhen needed/necessary is correctly matched. acafter meals; after eating is incorrect because ac means before meals. qidthree times per day is incorrect because qid stands for four times per day. pcbefore meal is incorrect because pc means after meals.