The client receives cyclophosphamide (Cytoxan) as treatment for ...

[jrubin]

The client receives cyclophosphamide (Cytoxan) as treatment for cancer and is experiencing oral irritation as an adverse effect. What does the best plan by the nurse include as it relates to providing oral comfort?
 
  1. Teach the client to avoid extreme temperatures of food selections.
  2. Teach good oral hygiene, including the use of an antiseptic mouthwash.
  3. Administer megestrol (Megace ES) to the client.
  4. Teach the client to inspect the mouth weekly.

Question 2

Why are generic names preferred over chemical or trade names when prescribing a medication? (Select all that apply.)
 
  1. Chemical names are often complicated and difficult to remember.
  2. The generic name can consistently be matched to the active ingredients.
  3. There might be multiple trade names for a drug.
  4. The generic name is always a shortened version of the chemical name.
  5. Chemical names often change.

[zoeyesther]

Answer to Question 1

1
Rationale 1: Avoiding extreme temperatures of foods will help prevent further trauma and discomfort to the mouth.
Rationale 2: Most mouthwashes contain alcohol, which will make the problem worse.
Rationale 3: Megestrol (Megace ES) can be effective for appetite stimulation in cancer clients but will not help oral irritation.
Rationale 4: The client should inspect the mouth at least once daily.
Global Rationale: Avoiding extreme temperatures of foods will help prevent further trauma and discomfort to the mouth. Most mouthwashes contain alcohol, which will make the problem worse. Megestrol (Megace ES) can be effective for appetite stimulation in cancer clients but will not help oral irritation. The client should inspect the mouth at least once daily.

Answer to Question 2

1, 2, 3

Rationale 1:Generic names are preferred because chemical names are often complicated and difficult to remember.
Rationale 2:Generic names are preferred because the generic name can consistently be matched to the active ingredients.
Rationale 3:Generic names are preferred because there might be multiple trade names for a drug.
Rationale 4:The generic name is not always a shortened version of the chemical name. For example, the chemical name of diazepam is 7-chloro-1,3-dihydro-1-methyl-5-phenyl-2H-1,4-benzodiazepin-2-one.
Rationale 5: The chemical name of the drug will not change unless the composition of the drug changes.

Global Rationale: Generic names are preferred becausechemical names are often complicated and difficult to remember.Generic names are also preferred because the generic name can consistently be matched to the active ingredients. It is also correct that there might be multiple trade names for a drug. The generic name is not always a shortened version of the chemical name. For example, the chemical name of diazepam is 7-chloro-1, 3-dihydro-1-methyl-5-phenyl-2H-1,4-benzodiazepin-2-one. The chemical name of the drug will not change unless the composition of the drug changes.

[jrubin]

TY

[zoeyesther]

You're welcome