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 150 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?

Amoebae are the simplest type of protozoans, and are characterized by a feeding and dividing trophozoite stage that moves by temporary extensions called pseudopodia or false feet.

Did you know?

Allergies play a major part in the health of children. The most prevalent childhood allergies are milk, egg, soy, wheat, peanuts, tree nuts, and seafood.

Did you know?

According to the Migraine Research Foundation, migraines are the third most prevalent illness in the world. Women are most affected (18%), followed by children of both sexes (10%), and men (6%).

Did you know?

The first documented use of surgical anesthesia in the United States was in Connecticut in 1844.

Did you know?

All adults should have their cholesterol levels checked once every 5 years. During 2009–2010, 69.4% of Americans age 20 and older reported having their cholesterol checked within the last five years.

cancer cancer
Responsibilities of the nurse manager Responsibilities of the nurse manager
Patient education Patient education
Patient conditions not appropriate for elctronic blood pressure measurement Patient conditions not appropriate for elctronic blood pressure measurement
Foley catheter with balloon in the bladder of a male patient. Foley catheter with balloon in the bladder of a male patient.
Increased Cancer Risk with BRCA1 or BRCA2 Mutation Increased Cancer Risk with BRCA1 or BRCA2 Mutation
Video: Introduction to Cystic Fibrosis

For a complete list of videos, visit our video library