Final Review (part 4) Flashcards
A client is on Cytoxan, an alkylating agent which would be a primary concern for the nurse?
A. I have been having chills and a fever for three days.
B. I have been nauseated and been vomiting.
C. My blood sugars have been running 200mg every morning
D. I have had insomina and can’t sleep.
A. I have been having chills and a fever for three days.
S/S of bone marrow depression.
Hyperglycemia is not an adverse effect.
The others are common side effects.
Leucovorin, folic acid, is ordered for someone with leukemia. What is its significance?
A. Adjunctive therapy for plant alkaloid, Vincristine
B. Prevent toxic effects of Methotrexate, a metabolite
C. To supplement vitamin B12
D. Used with Adriamycin a cytotoxic antibiotic.
B. Prevent toxic effects of Methotrexate, a metabolite
Leucovorin is a rescue drug to prevent the toxic effects of methotrexate.
The nurse is caring for a client with lymphotic leukemia and is on benorebaline a plant alkaloid. What is an appropriate question?
A. Are you allergic to grass or plants?
B. Are you photosensitive to the sun?
C. Do you have hypertenstion?
D. Are you diabetic?
A. Are you allergic to grass or plants?
A client is on taxol a taxane and ifosfamide a nitrogen mustard. She askes why does she need to be on both?
A. Both drugs given orally are the most effective
B. Chemo administration works best if the two drugs have the same nadir as these two do.
C. Combination chemo increases likelihood to eradicate all cancer cells.
D. Taxol has significant side effects and isosfamide is given to minimize them.
C. Combination chemo increases likelihood to eradicate all cancer cells.
A client has been mouth ulcers r/t to chemo. An appropriate nursing intervention would be?
A. Encourage the client to keep NPO until ulcers heal.
B. Have the client eat bland and cool foods to minimize discomfort
C. Have the client use a medium tooth brush for tooth care
D. Use brand name mouth wash.
B. Have the client eat bland and cool foods to minimize discomfort
Client should not be NPO due to chemo and must keep up nutrition.
The others are not intervention for stomatitis.
The client is on an alkylating agent. Which laboratory finding would support stopping the drug.
A. BUN of 12 mg/dl
B. Hgb of 14 g/dl
C. Plt of 8000 g/dl
D. WBC count of 8,000 cells/mcl
C. Plt of 8000 g/dl
Too low out of range for platelets. And client is at risk for hemorrhaging.
Client is on a magnesium sulfate and has preeclampsia. What is your critical assessment?
A. Peripheral edema
B. Fetal heart sounds
C. Deep tendon reflexes
D. Breath sounds
C. Deep tendon reflexes
Deep tendon reflexes indicates low mag level. Preeclampsia (pregnancy hypertension) clients can be at risk for seizures due to DTR
Client is on enteral nutrition 60 ml/hr. The bag states it’s a specialized formulation, what does that mean to the nurse?
A. It contains a single nutrient, protein, and lipid.
B. It contains a specific nutrient combination for a particular disease condition.
C. Contains a mixture of carbohydrates, proteins, and lipds.
D. Contains various amounts of free amino acids and peptides.
B. It contains a specific nutrient combination for a particular disease condition.
What is common complication with TPN?
A. Fluid overload
B. Hyperglycemia
C. Liver Toxicity
D. Nephrotoxicity
B. Hyperglycemia
High glucose in TPN
Which of the following teachings should be including with tegretol, an antiseizure medication.
A. Expect discoloration of lenses
B. Immediately report unusual bleeding or bruising.
C. Monitor blood glucose and report decreased sugar levels
D. Urine will be greenish tinge
B. Immediately report unusual bleeding or bruising.
Vitamin K metabolism is effected by tegretol.
Why would narcan is kept in a room of client who has a PCA. What is the rationale for it?
A. Narcan enhances the effect of the opioid in the PCA by increasing its analgesic effect
B. Narcan is the antidote to an anaphylactic effect of PCA.
C. Narcan is used to treat any systimc side effect of the opioid PCA syringe
D. Narcan reverses the effect of an overdose.
D. Narcan reverses the effect of an overdose.
Which of the following are correctly paired for anti-epileptic with its therapeutic action
A. Ethosuximide, a succinimide: absence seizures
B. Dilantin/phenytoin, hydantoin: petite mal seizures
C. Depakene/Valporic acid: petite acid
D. Carbamzepine/tegretol, an anti epileptic: absence seizures in children.
A. Ethosuximide, a succinimide: absence seizures
Succinimides are beneficial to treat such disease processes
Client is on aspirin. Which assessment would be an adverse effect
A. Bright lights give me a headach
B. I have to get up a lot to urinate
C. My stool can be gray in color
D. There is a constant ringing in my ears
D. There is a constant ringing in my ears
