Aaron Greenberg,a 59-year-old retired roofer with mesothelioma,is scheduled for a left pleurodesis for malignant pleural effusion and unresolved spontaneous pneumothorax.The perioperative nurse responsible for the thoracic surgery service has consulted with the surgeon to determine which agent will be used.She has an unsterile product that has been typically used in the past,but sterile processing informs her that they do not have the capacity to sterilize this agent.She also notes that the OR does not have a policy or guidelines for the administration of chemotherapeutic antineoplastic agents or safety training and a spill kit.Based on these conditions,what agent will the surgeon and nurse select for Mr.Greenberg's procedure?

Question

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Perioperative nurses should consult with the surgeon before the procedure to determine the agent used.Silver nitrate coagulates cellular protein to form pleural eschar.Talc stimulates mesothelial cells to coordinate an inflammatory response.Facial talc is unsterile,contains asbestos,and requires stringent sterilization technique.Commercially available sterile talc is preferable.Bleomycin is an antineoplastic requiring special handling to reduce personal exposure.Cyclines indirectly stimulate pleural macrophages,activating pleural mesothelial cells.

Aaron Greenberg,a 59-Year-Old Retired Roofer with Mesothelioma,is Scheduled for a Left