Comprehensive Nursing Pharmacology Q 250

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The nurse is providing teachings to a client receiving cyclophosphamide (Cytoxan). The nurse tells the client to which of the following?

  

     A. Eat foods rich in potassium.

     B. Increase fluid intake to 2-3 liters per day.

     C. Take the medication with food.

     D. Eat foods rich in purine.

    

    

Correct Answer: B. Increase fluid intake to 2-3 liters per day.

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Cyclophosphamide can cause hemorrhagic cystitis. Encourage the client to increase their fluid intake to 2- 3 liters per day, unless contraindicated.

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Option A: This medication can cause hyperkalemia.

Option C: The medication is taken without food.

Option D: Client must follow a low purine diet to alkalinize the urine and lowers the uric acid level.

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