A Patient on an Oncology Unit Has Been Receiving Ifosfamide

question 3

Multiple Choice

A patient on an oncology unit has been receiving ifosfamide [Ifex] for a few days. Before administering the next dose, the nurse reviews the patient's laboratory test results. Which finding would cause the nurse to hold the dose?

• A) Elevated white blood cell count
• B) Low hemoglobin and hematocrit levels
• C) Low levels of ketones in the urine
• D) Microscopic hematuria

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Definitions:

Stimulant Drug

Substances that increase activity in the central nervous system, resulting in increased alertness and energy.

Parasympathetic

Part of the autonomic nervous system responsible for rest and digestion, counterbalancing the sympathetic system.

Sympathetic

Relating to the sympathy, characterized by feelings of compassion or commiseration towards others.

Peripheral

Relating to or situated on the edge or periphery of something; not central.