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Author Question: A patient with multiple sclerosis began a treatment regimen with mitoxantrone (Novantrone) 2 weeks ... (Read 94 times)

mcmcdaniel

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on: Jul 23, 2018
A patient with multiple sclerosis began a treatment regimen with mitoxantrone (Novantrone) 2 weeks ago. Which nursing diagnosis would have the highest priority in the plan of care?
 
  a. Risk for sleep pattern disturbance related to irritability
  b. Risk for infection related to depressed production of neutrophils
  c. Impaired urinary elimination related to blue-green urine
  d. Disturbed sensory perception, auditory, related to ototoxicity

Question 2

The nurse is caring for a patient who is taking rifabutin (Mycobutin). The patient begins to complain of a sudden onset of eye pain and blurred vision. The nurse suspects the patient is ex-periencing
 
  a. cataracts.
  b. uveitis.
  c. glaucoma-like syndrome.
  d. conjunctivitis.


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wfdfwc23

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Reply #1 on: Jul 23, 2018
Answer to Question 1

B
Loss of neutrophils, which occurs at maximal level 10 to 14 days after initial dosing, increases the risk of severe infection.
The patient is not at risk for sleep pattern disturbance.
Blue-green urine is a harmless effect of the drug and would not result in impaired urinary elimi-nation.
Mitoxantrone does not have the adverse effect of ototoxicity.

Answer to Question 2

B
Rifabutin poses a risk of uveitis and should be discontinued if ocular pain or blurred vision de-velops.
Cataracts, a glaucoma-like syndrome, and conjunctivitis are not effects associated with rifabutin.


mcmcdaniel

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


wfdfwc23

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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