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Home Q & A Board Biology-Related Homework Help Medicine
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jshuo jshuo
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6 years ago
The nurse is caring for a patient with cancer who has been undergoing chemotherapy. The patient now suffers from oral mucositis as a result of the chemotherapy.
 
  An order is written for palifermin (Kepivance). The nurse plans to discontinue the dose at least ____ hours prior to the next chemotherapy dose.
  a. 8
  b. 12
  c. 24
  d. 72
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#1
6 years ago
ANS: C
The nurse should discontinue the palifermin 24 hours prior to the chemotherapy, because palifermin may increase the severity and duration of oral mucositis.
Holding the drug for 8 or 12 hours before chemotherapy is not long enough; this would increase the severity and duration of oral mucositis.
The medication need not be discontinued 72 hours before the chemotherapy. The minimum time is 24 hours in advance.
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