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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.A patient is starting -arfarin (Coumadin) therapy as part of treatment for atrial fibrillation. The nurse -ill follo- -hich principles of -arfarin therapy? (Select all that apply.) a )Teach proper subcutaneous administrationb )Administer the oral dose at the same time every dayc) Assess carefully for excessive bruising or unusual bleedingd )Monitor laboratory results for a target INR of 2 to 3e )Monitor laboratory results for a therapeutic aPTT value of 1.5 to 2.5 times the control valueBy asking the patient to describe certain characteristics regarding the symptoms, you can ensure that the chief complaint is documented thoroughly. Match the following characteristic with its description. Radiation Setting and timing Alleviating factors Severity Associated symptoms Location Quality Aggravating factors Where is the symptom located? What area does the symptom cover? Describe the characteristic of the symptom. Describe the pain associated with the symptom. Describe other minor symptoms in addition to the CC. Describe what makes symptoms worse. Describe what makes the symptoms better. Describe when the symptoms started and what the patient was doing at the time.
- Now that Mr. James has completed 25 days of antibiotics to treat S. marcescens in the blood, should single or double antibiotic coverage be recommended for the remainder of his 6-week course of therapy? Provide the rationale for your recommendation. Mr. Jones’ serum creatinine is 1.4 mg/dL at 1 month after discharge. At what point would you consider restarting the ACE inhibitor? Justify the use of ACE inhibitors in patients with chronic kidney disease.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?Of the available types of surgery, why would TURBT be a choice for many patients despite the high risk of relapse post-surgery? Give at least two reasons why patients might select this option.
- Ordered: Amoxicillin 100,000 units/kg/dose q12h Weight: 40 lbs (round to the nearest tenth) Recommended dose: 100,000-250,000 units/kg/dose Available: 150,000 units/mL A) what is the safe daily range for this client in units? B) is the ordered dose safe? C) How many mL will the client receive as ordered per dose? D) How many mL will the client receive as ordered per day?Explain the adverse effects radiation therapy can have ona patients’ immune system, digestion, reproductivefunctions and possible congenital issues.While caring for a patient with a central venous catheter, the LPN should prioritize which action to reduce the risk of infection? A) Encouraging the patient to perform deep breathing exercises B) Changing the dressing over the catheter site using aseptic technique C) Administering pain medication as prescribed D) Monitoring the patient's daily fluid intake
- Define micro-injection.Patient X- diagnosed with G6PD deficiency since birth, was prescribed with cotrimoxazole for UTI. She did not reveal her diagnosis to her physician. After 3 days, she began experiencing paleness and easy fatigability, when she went back for a follow-up, her RBC count was low. Which sets of laboratory and diagnostic parameters must be done to monitor the patient’s response to therapy? a. CBC, urinalysis, WBC with differentials and electrolytes b. CBC, urinalysis, serum creatinine, WBC differential, ALT c. CBC, urinalysis, fecalysis, ECG, ALT and AST, d.CBC, urinalysis, serum creatinine, ECGA 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 route