Final Review (part 2) Flashcards
To combat the most common effect of chemotherapy, the nurse would administer a/an:
A. Anticoagulant
B. Antiemetic
C. Antimetabolite
D. Tumor antibiotic
B. Antiemetic
Antiemetics can help prevent nausea and vomiting.
A client with ovarian cancer will be starting an alkylating agent and a plant alkaloid. When doing a history what is a priority assessment.
A. Client has asthma
B. Client has diabetes
C. Client is allergic to pollen and grass
D. Pt suffers from osteoarthritis.
A client is on an alkylating chemotherapy agent. A side effect of the medication is thrombocytopenia, which could occur?
A. Hot flashes
B. Increased weight
C. Interrupted sleep pattern
D. Nose bleeds
D. Nose bleeds
Nose bleeds / risk for bleeding
Appropriate interventions to prevent nephrotoxcity of some anti-neoplastic agents would include:
A. Ambulate TID and at hs
B. Drink 4-5 glasses of fluid daily
C. Pre-hydrate with IV fluids prior to administering chemo
D. Increase consumption of green leafy vegetables
C. Pre-hydrate with IV fluids prior to administering chemo
Pre-hydrate with IV fluids prior to administration. It helps keep the kidneys flushed.
A client is on methotraxate, and the nurse notes that there is an order for Leucovorin/folinic acid, what is the physician reasoning for this?
A. It is a rescue drug for methotraxate toxicity.
B. Lecovorin prevents stimulation of the emetic cneter so that the client does not vomit
C. Lecovorin is used in conjuction with methotraxate because it is an anklyating agent.
A. It is a rescue drug for methotraxate toxicity.
When blocking beta-1 receptors what will happen? Select all that apply
A. decreased force of contraction
B. decreased heart rate
C. slowed conduction
D. increased myocardial work load
E. increase in the need for oxygen of myocardial tissue
A. decreased force of contraction
B. decreased heart rate
C. slowed conduction
These 3 mechanisms of action combine to decrease myocardial oxygen demand
D and E are opposite effects
What is an adverse effect of a non-selective beta blocker?
A. Wheezing
B. HR of 110
C. BP of 110/72
D. Glucose 150
A. Wheezing
Beta blockers can cause bronchoconstriction.
Bradycardia, HF, CNS effects, & inhibition of glycogenolysis are also some adverse effects.
A patient with a dx of HF and a Hx of HTN, DM and renal complications are prescribed high does of Lasix, digoxin, and ACEI for treatment. Which of the following would to nurse and to watch out for and be most concerned about?
A. Tell patient to decrease the intake of Na+
B. Watch for signs of ototoxicity
C. Notify MD if there are signs of swelling due to possible clot
D. Patient has a blood pressure reading of 122/65
B. Watch for signs of ototoxicity
Watch for signs of ototoxicity because the patient is taking both Lasix and digoxin.
When taking a diuretic it cause levels of toxicity to increase with certain medications like digoxin.
The other options although may be correct is not an assessment.
Patient is diagnosed with CHF. Which of these medications would the physician most likely prescibe first?
A. ACEI
B. ARB
C. Beta blocker
D. Diuretic
A. ACEI
ACEI are first line for CHF.
A patient with newly diagnosed HTN has been prescribed a CCB, and ACEI, and Lasix. Which of the following stated by the client indicates a need for further teaching?
A. I must be careful in taking medications for the first time because there’s a chance I may get very dizzy, especially with the ACEI
B. I should stop any of the medications immediately if I get a headache or feel dizzy.
C. In taking my diuretic, I should fill my diet up with foods such as cocoa, dark leafy greens, and potatoes.
D. If I develop a dry cough it is most likely due to my ACEI.
B. I should stop any of the medications immediately if I get a headache or feel dizzy.
CCB needs to be tapered off if you need to stop the medication for any reason.
All the other answers are correct.
Cocoa, green veggies, and potatoes are good sources of K + which is important to replace when taking a Loop diuretic.
Which replacement would you supply a patient taking Lasix?
A. Salt substitutes
B. K+ rider
C. Digoxin
D. Fluid replacement
B. K+ rider
A patient was taking an ACEI but developed a cough. The physician decides to put him on an ARB? Which of these is the reason why?
A. ACEI inhibitor is giving you a respiratory infection
B. ARB will stop hypokalemia causing the cough
C. ARBs bradykinin not present
D. ARB will work better by inhibiting conversion of angiotensin I to II
C. ARBs bradykinin not present
The absence of Bradykinin causes the cough
Which of the follow is not an contributor to the increase of BP?
A. Epinepherine
B. Renin
C. Decrease ADH
D. Increase stroke volume
C. Decrease ADH
What is a contraindication when taking the herbal garlic?
A. Patient with high cholestorol
B. Patient with showing signs of infection
C. Patient on coumadin
D. Patient has sedentary life.
C. Patient on coumadin
Know your 3 G’s
Ginseng, ginkgo, and garlic
A client who is admitted tells you that they are on saw palmetto for BPH as well as what he was prescribed from his MD. He asks if this herbal is really proven to work.
As the nurse what do you respond?
A. He should throw away the rest of saw palmetto because you know it doesn’t work.
B. This is DSHEA approved and known to actually treat BPH.
C. This drug is FDA approved.
D. You can continue this herbal if your MD approves it. But it is not DSHEA approved.
D. You can continue this herbal if your MD approves it. But it is not DSHEA approved.
