This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A nurse is caring for a patient with cancer who has been undergoing chemotherapy. The patient has ... (Read 115 times)

ssal

  • Hero Member
  • *****
  • Posts: 572
on: Jul 23, 2018
A nurse is caring for a patient with cancer who has been undergoing chemotherapy. The patient has oral mucositis as a result of the chemotherapy, and the provider has ordered palifermin (Kepivance).
 
  Which is an appropriate nursing action when giving this drug?
  a. Administering the drug as a slow IV infusion
  b. Flushing the IV line with heparin before infusing the drug
  c. Giving the drug within 6 hours of the chemotherapy
  d. Warning the patient about the potential for distortion of taste

Question 2

A patient with gastroesophageal reflux disease (GERD) is to begin taking oral metoclopramide (Reglan). The patient asks the nurse about the medication. Which response by the nurse is correct?
 
  a. After 3 months, if the drug is not effective, you may need to increase the dose.
  b. Metoclopramide may cause hiccups, especially after meals.
  c. Serious side effects may occur but will stop when the drug is discontinued.
  d. You should take the drug 30 minutes before each meal and at bedtime.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

elizabethrperez

  • Sr. Member
  • ****
  • Posts: 344
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Palifermin is generally well tolerated but commonly causes reactions involving the skin and mouth, including taste distortion. The drug should be given as an IV bolus. Palifermin binds with heparin, so the IV line should not be flushed with heparin before giving palifermin. If the interval between administration of palifermin and the chemotherapeutic drugs is too short, palifermin actually may increase the severity and duration of oral mucositis; therefore, palifermin should be given 24 hours before the chemotherapeutic drugs.

Answer to Question 2

ANS: D
Metoclopramide should be given 30 minutes before meals and at bedtime. Metoclopramide should not be used long term, and increasing the dose after 3 months of therapy is not recommended. Metoclopramide is used to treat hiccups; it does not cause hiccups. Tardive dyskinesia is a serious and irreversible side effect.


ssal

  • Hero Member
  • *****
  • Posts: 572
Reply #2 on: Jul 23, 2018
Thank you!


elizabethrperez

  • Sr. Member
  • ****
  • Posts: 344
Reply #3 on: Jul 23, 2018
Always glad to help...


« previous next »
 

Did you know?

To combat osteoporosis, changes in lifestyle and diet are recommended. At-risk patients should include 1,200 to 1,500 mg of calcium daily either via dietary means or with supplements.

Did you know?

Calcitonin is a naturally occurring hormone. In women who are at least 5 years beyond menopause, it slows bone loss and increases spinal bone density.

Did you know?

The types of cancer that alpha interferons are used to treat include hairy cell leukemia, melanoma, follicular non-Hodgkin's lymphoma, and AIDS-related Kaposi's sarcoma.

Did you know?

In 2006, a generic antinausea drug named ondansetron was approved. It is used to stop nausea and vomiting associated with surgery, chemotherapy, and radiation therapy.

Did you know?

Women are 50% to 75% more likely than men to experience an adverse drug reaction.

A computerized patient registration form used by offices with electronic health records. A computerized patient registration form used by offices with electronic health records.
Chest X-ray of a patient with emphysema. Chest X-ray of a patient with emphysema.
The age-adjusted rate of melanoma, a deadly form of skin cancer, from 1973 to 2000. Over that time p The age-adjusted rate of melanoma, a deadly form of skin cancer, from 1973 to 2000. Over that time p
Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 3) Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 3)
Cytotoxic T Cell Killing a Cancer Cell Cytotoxic T Cell Killing a Cancer Cell
Video: Brain Anatomy Animation (Part 2 of 2)

For a complete list of videos, visit our video library