A nurse on an oncology unit is preparing to administer daunorubicin to a client who has leukemia. Which action should the nurse take before administering this medication?
Educate the client to go to the hospital if she experiences alopecia after receiving this medication.
Administer loperamide to prevent chemotherapy-induced nausea.
Assess the client's skin for desquamation caused by this medication.
Review the results of the client's most recent echocardiogram.
The Correct Answer is D
A. Alopecia is a common side effect of chemotherapy but does not necessitate immediate hospital visit.
B. Loperamide is used to treat diarrhea, not nausea. Antiemetics are used for chemotherapy-induced nausea.
C. Desquamation is not a typical side effect of daunorubicin; skin assessment is not the primary concern.
D. Daunorubicin can cause cardiotoxicity; therefore, reviewing the client's most recent echocardiogram is essential to assess cardiac function before administration.
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Related Questions
Correct Answer is ["B","D"]
Explanation
A. Digoxin improves cardiac output by increasing the force of cardiac contractions, not by increasing the heart rate. In fact, it may slow the heart rate.
B. Holding the dose and calling the doctor if the heart rate is less than 60 beats per minute is correct, as digoxin can cause bradycardia.
C. Doubling the dose is incorrect and dangerous. Missed doses should be handled according to physician instructions, typically by skipping the missed dose and taking the next scheduled dose.
D. Loss of appetite and nausea can be signs of digoxin toxicity and should be reported to the healthcare provider.
E. Frequent urination is not an expected side effect of digoxin; it is more commonly associated with diuretics.
Correct Answer is B
Explanation
A. Plasmapheresis in TTP aims to remove abnormal blood components, not ADAMTS-13. In fact, plasmapheresis helps replenish ADAMTS-13.
B. The primary goal of plasmapheresis in TTP is to remove large von Willebrand factor molecules that are causing platelet aggregation and clot formation.
C. Removing macrophages from the spleen is not the objective of plasmapheresis.
D. Plasmapheresis is usually performed daily until clinical and laboratory parameters improve, not just once a week.
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