Author Question: The nurse at a public health clinic is assessing a patient's risks for heart disease. A patient who ... (Read 78 times)

luvbio · **on:** Jul 23, 2018

The nurse at a public health clinic is assessing a patient's risks for heart disease. A patient who has a BMI of 28 would require which intervention?

a. No intervention is indicated; the patient's BMI is within normal limits.
b. The patient should be instructed in methods for gaining weight
c. The patient should be educated about weight reduction.
d. The patient should be referred for surgical intervention for extreme obesity.

Question 2

The nurse is caring for a patient with cancer who has been undergoing chemotherapy. The patient now suffers from oral mucositis as a result of the chemotherapy.

An order is written for palifermin (Kepivance). The nurse plans to discontinue the dose at least ____ hours prior to the next chemotherapy dose.
a. 8
b. 12
c. 24
d. 72

connor417 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
A BMI of 30 or higher indicates obesity. A BMI of 25 to 29.9 indicates that the patient is overweight.
The patient's BMI is within the range of being overweight.
The patient is neither underweight nor obese.

Answer to Question 2

ANS: C
The nurse should discontinue the palifermin 24 hours prior to the chemotherapy, because palifermin may increase the severity and duration of oral mucositis.
Holding the drug for 8 or 12 hours before chemotherapy is not long enough; this would increase the severity and duration of oral mucositis.
The medication need not be discontinued 72 hours before the chemotherapy. The minimum time is 24 hours in advance.