Author Question: The nurse is caring for a patient in the oncology unit who was recently diagnosed with advanced ... (Read 63 times)

dakota nelson · **on:** Jul 23, 2018

The nurse is caring for a patient in the oncology unit who was recently diagnosed with advanced renal carcinoma. The nurse prepares to administer aldesleukin (Proleukin) as part of the treatment regimen.

What is the primary adverse effect of this drug?
a. Hypertension
b. Capillary leakage syndrome
c. Hyperglycemia
d. Hyperuricemia

Question 2

A nurse is preparing to administer a second infusion of trastuzumab (Herceptin) to a patient who has breast cancer. The patient tells the nurse that she experienced chills, fever, pain, and nausea after her first infusion. What will the nurse do?

a. Contact the provider to request a CBC to assess for neutropenia.
b. Ensure that oxygen and respiratory support measures are readily available.
c. Reassure the patient that these symptoms will diminish with each infusion.
d. Request an order for an electrocardiogram.

alvinum · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
Capillary leakage syndrome, an adverse effect of aldesleukin, is a particular concern, because it is a potentially fatal reaction characterized by hypotension and reduced organ perfusion. Proleukin is not associated with hypertension, hyperglycemia, or hyperuricemia.

Answer to Question 2

ANS: C
Patients taking trastuzumab may experience a flu-like syndrome with their first infusion that will diminish with subsequent infusions. Neutropenia is not a concern with this drug. Hypersensitivity reactions may occur, but the patient's symptoms are not characteristic of this. Cardiotoxicity may occur, but the symptoms are not characteristic of this.