hard · NCLEX-RN Pharmacological and Parenteral Therapies

A home health nurse is conducting a medication safety assessment for a 54-year-old client with breast cancer who has been prescribed oral cyclophosphamide 100 mg daily. Which actions, if performed by the client or home caregiver, require immediate corrective education by the nurse? Select all that apply.

  1. The client splits the cyclophosphamide tablet in half with a pill cutter to make it easier to swallow.
  2. The caregiver wears a single pair of standard vinyl examination gloves when handling the drug container.
  3. The caregiver washes the client's soiled bed linens in a separate load from other household laundry.
  4. The client disposes of expired cyclophosphamide tablets directly into the household trash container.
  5. The caregiver double-flushes the toilet with the lid closed for 48 hours after the client's dose.

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