Question

A patient who received an eighth cycle of doxorubicin, bleomycin, vinblastine, and dacarbazine reports difficulty breathing several days after administration. Fine rales are auscultated in both lower lungs. The nurse suspects the onset of:

A. Pleural Effusion.

B. Noncardiogenic Pulmonary edema.

C. Drug-induced pneumonitis.

D. Pneumonia.

Answer 1

Ans-

C)Drug induced pneumonitis.

Explaination-

Where the patient having received the treatment of eighth cycle of drugs doxorubicin, bleomycin, vinblastine, and dacarbazine.where these drugs used in the Hodgkin's disease.where only used up to 4th cycle is effective.where the simultaneously used of these drugs leads to drug induced pneumonitis.the main symptoms of drug induced pneumonitis is Difficulty in breathing often accompanied by a dry cough is the most common symptom of pneumonitis.where these drugs caused lower lung ausculted.

Where the pleural effusion is build up of fluid between the tissue of cheat and lungs.where the pulmonary edema is the result from the increase in the permeability of the normal alveolar capillary Barrier.