What injection technique will the nurse use when administering a medication subcutaneously?
Insert the needle at a 45- or 90-degree angle, depending on patient size, to administer into the subcutaneous tissue.
The nurse would teach the patient about what expected adverse effect of filgrastim?
Bone pain
How would the nurse define the term nadir to a patient?
Average number of days it takes for chemotherapy to have its peak effect on the bone marrow
Epinephrine, as an adrenergic (sympathomimetic) drug, produces which therapeutic effect?
Increased heart rate and contractility
Nonselective beta blockers may be used to treat hypertension and what other condition?
Supraventricular dysrhythmias
The nurse will use a Z-track technique when giving an intramuscular (IM) injection in which situation?
With medications that are known to be irritating, painful, or staining to tissues
Before administering an intravenous (IV) injection of basiliximab, the nurse would anticipate giving what medication?
Methylprednisolone
Combinations of antineoplastic drugs are frequently used for what purpose?
Prevent drug resistance, Provide a synergistic action, Decrease the severity of adverse effects
The health care provider has prescribed dopamine to treat the patient’s hypovolemic shock secondary to severe blood loss. The nurse prepares what additional treatment to be completed with this medication administration?
Fluid replacement
Cholinergic (parasympathomimetic) drugs have which therapeutic effect?
Increased gastrointestinal (GI) motility
The recommended safe dosage of erythromycin for a child is 20 mg/kg/day in four equal doses. The child’s weight is 33 lb. The medication is supplied in 125 mg/mL. Calculate the safe and therapeutic dosage for this child.
75 mg/dose
The nurse would teach a patient prescribed cyclosporine to avoid what substance?
Grapefruit juice
Nausea and vomiting are frequent adverse effects associated with antineoplastic therapy. What would the nurse advise to patients experiencing these unpleasant adverse effects?
Try to maintain hydration and nutrition, which are very important during treatment.
A patient weighing 176 lb is to receive a dopamine continuous intravenous (IV) infusion at 5 mcg/kg/min. The solution strength available is dopamine 400 mg in 500 mL D5W. The nurse will infuse the medication at which rate?
30 mL/hr
The nurse is following up with a patient prescribed tolterodine. What does the nurse anticipate the patient to report as the outcome of starting this medication?
Decrease in urinary frequency
A health care provider orders 500 mL of D50.45% NS to infuse at 50 mL/h. The tubing drop factor is 60 gtt/mL. Calculate the rate in drops per minute.
50 gtt/min
Administration of what substance provides passive immunity?
Immunoglobulins
What is considered a major dose-limiting adverse effect of doxorubicin?
Cardiomyopathy
The nurse assesses the patient’s IV site, and it has infiltrated during the infusion of dopamine. The nurse will prepare which medication to treat this infiltration?
Phentolamine
What are the expected adverse effects of anticholinergic (parasympatholytic) drugs?
Dry mouth, Dilated pupils, Urinary retention
What cells are activated by aldesleukin, interleukin-2?
T cells
The current immunization for tetanus and diphtheria toxoids and pertussis, Tdap, is administered to people in what age range?
11 years of age and older
The nurse is discussing the use of alkylating drugs with a patient. What is the appropriate way for the nurse to describe the action of alkylating drugs on cancer cells?
They alter the chemical structure of the deoxyribonucleic acid.
The nurse is caring for a patient with a history of angina and hypertension who is diagnosed with moderate heart failure. The patient’s current medication regimen includes digoxin, furosemide, and quinapril. What medication would the nurse anticipate the health care provider adding to the patient’s medication regimen?
Carvedilol
What would be the priority nursing diagnosis for a patient receiving anticholinergic (parasympatholytic) drugs?
Impaired gas exchange related to thickened respiratory secretions