The treatment plan for patients taking highly emetogenic drugs ...

[SO00]

The treatment plan for patients taking highly emetogenic drugs should include which of the following? (Select all that apply.)
 
  a. Aprepitant (Emend)
  b. Oprelvekin (Neumega)
  c. Erythropoietin (Epogen)
  d. Ondansetron (Zofran)
  e. Diphenhydramine (Benadryl)

Question 2

The nurse is creating a plan of care for a patient newly admitted to the oncology unit. What nursing actions would be considered priority for a patient undergoing extended chemotherapy treatment? (Select all that apply.)
 
  a. Monitor the patient's temperature.
  b. Instruct the patient about a neutropenic diet.
  c. Monitor the neutrophil count.
  d. Administer erythropoietin for fatigue.
  e. Order a wig to manage the patient's alopecia.

[Yixagurpuldink]

Answer to Question 1

ANS: A, D
The regimen of choice for patients taking highly emetogenic drugs consists of aprepitant, dexamethasone, and a serotonin antagonist, such as ondansetron.
Neumega stimulates platelet production and would not be used for nausea.
Epogen facilitates the production of red cells and would not be used to treat nausea.
Benadryl would not be useful for treating this type of nausea.

Answer to Question 2

ANS: A, C
Because of a lack of neutrophils as a result of chemotherapy, signs of infection may be masked. A slight temperature may be a sign of infection. The nurse should monitor the neutrophil count to prevent infection, and also should prevent exposure of the patient to individuals with infectious illness.
There is no such thing as a neutropenic diet.
Erythropoietin is given for anemia, not for fatigue.
Alopecia is a concern, but not the most pressing concern for this patient.

[SO00]

TYSM

[isabelt_18]

Excellent