The nurse is assessing a patient with metastatic prostate cancer who was admitted with sudden onset of back pain, lower extremity weakness, difficulty walking, and paresthesia in their toes.
What intervention will the nurse implement for this patient?

Administer isotonic intravenous fluid bolus and loop diuretic.

Administer STAT anticoagulants and supplemental oxygen via nasal cannula.

Perform frequent neurologic assessments and administer intravenous corticosteroids.

Administer interferon beta-1a injections and assist the patient with stretching.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Administering isotonic intravenous fluids and a loop diuretic is a treatment for conditions like hypercalcemia or fluid overload but is not appropriate for a patient with metastatic prostate cancer presenting with neurologic symptoms.

Choice B rationale

Administering anticoagulants and supplemental oxygen is a treatment for pulmonary embolism but does not address the neurologic symptoms and back pain related to metastatic prostate cancer.

Choice C rationale

Frequent neurologic assessments and administering intravenous corticosteroids are essential for managing spinal cord compression, a common complication in metastatic prostate cancer that can cause back pain, weakness, and paresthesia.

Choice D rationale

Interferon beta-1a is used in multiple sclerosis to reduce inflammation and immune response. Stretching exercises may help but are not the primary intervention for acute neurologic symptoms in metastatic prostate cancer. .

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Correct Answer is ["A","C","D"]

Explanation

Choice A rationale

Administering filgrastim (G-CSF) as ordered is crucial for patients with a low ANC. Filgrastim stimulates the production of neutrophils in the bone marrow, helping to reduce the risk of infections. For a patient with an ANC of 500/mm³, which indicates severe neutropenia, this intervention can significantly enhance the immune response and decrease susceptibility to infections.

Choice B rationale

Keeping the patient's central line insertion site clean and open to air is incorrect and could increase the risk of infection. Central line sites must be covered with a sterile dressing to prevent bacterial contamination and infection. Open exposure to air can introduce pathogens, especially in a patient with neutropenia.

Choice C rationale

Educating the patient and family about food safety and hygiene is essential for preventing infections in patients with neutropenia. Proper food handling and hygiene practices reduce the risk of bacterial and other infections. This education can help patients and their families implement measures to protect the patient from potential sources of infection.

Choice D rationale

Providing a high-protein, high-calorie diet is appropriate for supporting the patient's overall health and recovery. High-protein and high-calorie foods support the body's immune function, repair tissues, and maintain energy levels. Proper nutrition is vital for patients with leukemia to help them cope with the demands of their illness and treatment.

A. Dysmenorrhea. B. Constipation. C. Sore throat. D. Increased urine output.

Correct Answer is C

Explanation

Choice A rationale

Dysmenorrhea, or painful menstrual cramps, is not a common side effect of propylthiouracil (PTU). PTU is used to manage hyperthyroidism, and it primarily affects the thyroid gland and related metabolic processes. Dysmenorrhea is typically related to reproductive system disorders and hormonal changes, rather than the medication for thyroid conditions.

Choice B rationale

Constipation is also not a typical symptom associated with propylthiouracil (PTU). PTU's effects are focused on thyroid hormone production, and constipation is more commonly related to other factors such as diet, hydration, and gastrointestinal conditions. Reporting constipation would not be as relevant in the context of PTU therapy.

Choice C rationale

Sore throat is a significant symptom to report as it can indicate agranulocytosis, a rare but severe side effect of propylthiouracil (PTU). Agranulocytosis is a condition where the body has a dangerously low number of white blood cells, which compromises the immune system, making infections more likely and harder to fight off. Early detection and intervention are crucial to prevent serious complications.

Choice D rationale

Increased urine output is not typically associated with propylthiouracil (PTU). While changes in metabolism can occur, increased urine output is more often related to other conditions such as diabetes mellitus or diuretic use. Reporting this symptom would not directly relate to PTU therapy.

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The nurse is assessing a patient with metastatic prostate cancer who was admitted with sudden onset of back pain, lower extremity weakness, difficulty walking, and paresthesia in their toes.What intervention will the nurse implement for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with leukemia who has an absolute neutrophil count (ANC) of 500/mm³. What interventions will the nurse include in the plan of care for this patient related to this finding? Select All That Apply.

Correct Answer is ["A","C","D"]

Explanation

The nurse is providing discharge instructions to a patient with Graves' disease who has a prescription for propylthiouracil (PTU) 300 mg orally every 8 hours.Which symptom will the nurse teach the patient to report to the healthcare provider?

Correct Answer is C

Explanation

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The nurse is assessing a patient with metastatic prostate cancer who was admitted with sudden onset of back pain, lower extremity weakness, difficulty walking, and paresthesia in their toes.
What intervention will the nurse implement for this patient?