While monitoring a patient receiving chemotherapy set to infuse over 3 hours, the nurse notes after the first hour that just over 160 mL of the original 500 mL has infused. Which action by the nurse is best?
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While monitoring a patient receiving chemotherapy set to infuse over 3 hours, the nurse notes after the first hour that just over 160 mL of the original 500 mL has infused. Which action by the nurse is best?
A) Alter the pump setting to infuse at 150 mL/hr.
B) Alter the pump setting to infuse at 200 mL/hr to ensure the medication finishes on time.
C) Assure the patient the physician will be informed and new medication orders will be received.
D) Inform the patient the infusion rate is accurate.
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- A patient’s chart includes an order that reads as follows: “Lanoxin 250 mcg once daily at 0900.” Which action by the nurse is correct? a )The nurse gives the drug via the transdermal route. b )The nurse gives the drug orally. c) The nurse gives the drug intravenously. d) The nurse contacts the prescriber to clarify the dosage routeAfter a nebulizer treatment with the beta agonist albuterol, the patient complains of feeling a little “shaky,” with slight tremors of the hands. The patient’s heart rate is 98 beats/min, increased from the pretreatment rate of 88 beats/min. The nurse knows that this reaction is ana) expected adverse effect of the medication.b) allergic reaction to the medicationc indication that he has received an overdose of the medication.d) idiosyncratic reaction to the medication.The nurse has provided patient education regarding therapy with the SERM raloxifene (Evista). Which statement from the patient reflects a good understanding of the instruction? a) “When I take that long flight to Asia, I will need to stop taking this drug at least 3 days before I travel.”b) “I can continue this drug even when traveling as long as I take it with a full glass of water each time.”c )“After I take this drug, I must sit upright for at least 30 minutes.”d )“One advantage of this drug is that it will reduce my hot flashes.”
- It is never ok to administer medications from the same syringe to more than one patient, even if the needle is changed or you are injecting through an intervening length of IV tubing but it is ok to reuse syringes for compounding an iv medication Question options: A) True B) FalseWhich part of the claim consists of the patient portion of the CMS-1500 and what information does it require? What part of the claim consists of the physician component of the CMS-1500 form and what does it consist of?The nurse keeps in mind that which measure is used to reduce the risk of medication errors? a) When questioning a drug order, keep in mind that the prescriber is correct. b )Be careful about questioning the drug order a board-certified physician has written for a patient. c )Always double-check the many drugs with sound-alike and look-alike names because of the high risk of error. d )If the drug route has not been specified, use the oral route
- Define micro-injection.An 86-year-old patient is being discharged to home on digitalis therapy and has very little information regarding the medication. Which statement best reflects a realistic outcome of patient teaching activities? a )The patient and patient’s daughter will state the proper way to take the drug.b )The nurse will provide teaching about the drug’s adverse effects.c) The patient will state all the symptoms of digitalis toxicity.d )The patient will call the prescriber if adverse effects occur.This is a Pediactrcs class for Nursing School Safe Dosage Range Calculation Digoxin 18 mcg po BID Child weighs 7lbs. The safe range is 10-12mcg/kg/24hrs. A) What is the safe 24-hr range? B) Is the ordered dose safe for a 24-hr period? C) If the medication is supplied 50mcg/ml, how many mL will you administer per dose?
- In caring for a patient receiving therapy -ith a myelosuppressive antineoplastic drug, the nurse notes an order to begin filgrastim after the chemotherapy is completed. Which statement correctly describes -hen the nurse -ill begin the filgrastim therapy? a) It can be started during the chemotherapy.b) It -ill begin immediately after the chemotherapy is completed.c) It -ill be initiated 24 hours after the chemotherapy is completed.d) It -ill not be started until at least 72 hours after the chemotherapy is completed.Client is prescribed enoxaparin while admitted to hospital per protocol. The dose is 1mg/kg subcutaneously every 12 hours and the client weighs 140 lbs. Dose available is 80mg per 0.8 mL. How many milliliters will the nurse administer to the client?Charles Christian Baletbet is a 38-year-old woman who has breast cancer. She is receiving radiation and chemotherapy. Mr. Baletbet is experiencing significant nausea and vomiting. Her physician orders ondansetron 32 mg IV to be administered 30 minutes prior to her chemotherapy and 8 to 16 mg PO every 8 hours as needed. She also receives metoclopramide 10 mg PO four times a day: 30 minutes before meals and at bedtime. a. Application of Understanding.1. The physician orders Mr. Baletbet to also receive diphenhydramine with her metoclopramide. What is the rationale for giving these two medications together?2. What nursing measures, in addition to the administration of medication, should you implement to reduce Mr. Baletbet’s nausea and vomiting?3. For what adverse effects would you assess Mr. Baletbet, in relation to ondansetron?