The nurse is caring for a patient receiving cyclophosphamide ...

[Arii_bell]

The nurse is caring for a patient receiving cyclophosphamide (Cytoxan). What is the priority nursing action for this patient?
 
  A) Monitor urinalysis results.
  B) Provide small, frequent meals.
  C) Administer an antiemetic when needed.
  D) Provide oral care.

Question 2

When a combination of drugs needs to be incorporated into the drug regimen for a hypertensive patient, what type of diuretic would the nurse expect to administer?
 
  A) Thiazide
  B) Loop
  C) Potassium-sparing
  D) Osmotic

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Answer to Question 1

A
Feedback:
The priority nursing action would be to monitor the patient's urinalysis results because hemorrhagic cystitis is a potentially fatal adverse effect of cyclophosphamide. Providing small frequent meals, and oral care and administering an antiemetic are necessary to maintain nutrition when GI effects are severe but, assessments come before interventions and these interventions are of lower priority than monitoring for hemorrhagic cystitis.

Answer to Question 2

A
Feedback:
A somewhat controversial study, the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT), reported in 2002 that patients taking the less expensive, less toxic diuretics did better and had better blood pressure control than patients using other antihypertensive agents. Replications of this study have supported its findings, and the use of a thiazide diuretic is currently considered the first drug used in the stepped-care management of hypertension.

[Arii_bell]

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