Lipid emulsion - Which of the following CANNOT be filtered through a 0.2 micron filter? bleomycin sulfate (Blenoxane) - Consider the following policies: Resuscitation equipment should be in the immediate vicinity. Safe cumulative dose is 220 units/m2 or a total dose of 400 units, whichever is less. A test dose should be given. These policies are appropriate for which of the following antineoplastic agents? Hypomagnesemia - Nausea, hyperreflexia, dysphasia, confusion and parasthesias are symptoms of which of the following electrolyte disturbances? Clean the skin around the catheter with alcohol - The correct skin preparation prior to removal and culture of the tip of a central vascular access site would be? Quantitative or semiquantitative - Which of the following is the recommended method of culture for purulent drainage? Rebound hypoglycemia - A patient has just begun cyclic TNA and completed a 12 hour infusion within the last hour. The patient complains of weakness, headache, chills, tingling in hands and feet, and nervousness. The symptoms most likely indicate? Poor skin turgor, and dry dusky skin - Which of the following nursing assessments is indicative of isotonic dehydration in an infant? Air embolism - A patient receiving an infusion through a subclavian catheter complains of dyspnea and is cyanotic, on auscultation, there is a churning sound over the pericardium. Which of the following should the nurse suspect? Nausea, vomiting, lethargy - A patient with a fractured hip who received 5?xtrose in water at 150 mL/hour for 48 hours may exhibit which of the following sets of symptoms? Dilutional hyponatremia - Nausea, vomiting, and lethargy are indicative of which F&E imbalance resulting from an excess of free water? 1.2 microns (µ) - A lipid emulsion is composed of particles as large as? To prevent pulmonary complications - Why is bleomycin sulfate (Blenoxane) stopped when the cumulative dose of 220 units/m2 is reached? Resuscitation equipment should be available and a test dose should be given - 1% of patients show a hypersensitivity to bleomycin sulfate (Blenoxane) and therefore dactinomycin (Cosmegen) - Which antineoplastic agent does not require a test dose, nor does it have a cumulative lifetime dose limit? carmustine (BiCNU) - Which antineoplastic agent has a recommended total cumulative dose of 1400 mg/m2? daunorubicin HCI (Cerubidine) - Which antineoplastic agent does not require a test dose and its lifetime cumulative dose is 550 mg/m2? Isotonic - What form of fluid volume deficit is the most common form of dehydration? Hypotonic - What form of dehydration results in more severe signs and symptoms because more sodium than water is lost? Poor skin turgor, lethargy, oliguria, dry skin, and weight loss. - The clinical signs of isotonic dehydration include? Hypertonic - What form of dehydration results in a greater loss of water than sodium? Irritability, doughy skin, a high-pitched cry, and seizures - Signs and symptoms of hypertonic dehydration include? Anorexia and edema - Which signs and symptoms are not associated with isotonic dehydration? Cyanosis, dyspnea, chest pain, shortness of breath, hypotension, and a weak rapid pulse - Symptoms of an air embolism include? A distinctive mill-wheel murmur - When auscultating the precordium, one should suspect an air embolism if _________ is found? Hypertension and frothy sputum - Signs and symptoms of pulmonary edema include? Sudden chest pain, shortness of breath upon catheter insertion, and possibly a crunching sound with the heartbeat upon auscultation - Signs and symptoms of a pneumothorax include? Facial flushing, headache, medication related symptomology, and possible anaphylaxis - Signs and symptoms of speed shock include? Uses less narcotic to achieve pain control - The patient benefit of narcotics given by PCA infusion with a basal rate is that it? PCA - What method of administration provides a steady state of analgesia, avoiding the peaks and valleys of analgesia, sedation, and pain? Sun exposure - A home care patient receiving doxycycline hyclate (Vibramycin Hyclate IV) should be instructed to avoid which of the following? monoamine oxidase inhibitors (MAOI's) - Certain cheeses are contraindicated in combination with?