Ch 50 Antineoplastic and Targeted Therapies, Ch 52 Skin Disorder Topical DRugs, Ch 53 Otic and Ophtalmic, Ch 48 UT, Ch 33 Diuertics

A client has been prescribed melphalan for the treatment of an ovarian tumor. The client wants to know how the drug acts. Which of the following would the nurse integrate into the response?

B) Change to a more alkaline cell environment

18. A client is diagnosed with springtime allergic conjunctivitis. The nurse would expect which of the following to be prescribed? Select all that apply.

Pemirolast (Alamast)

A client with a UTI is experiencing dysuria. The nurse would expect which of the following to be prescribed?

Phenazopyridine

19. A nurse is caring for a patient who is prescribed 1% hydrocortisone/4.71 mg neomycin (Coly-Mycin S Otic) for bacterial infections of the external auditory canal. Which of the following instructions should be followed by the nurse administering the otic solution?

When the patient is upright, remove the solution running out of the ear with gauze.

A client is prescribed a topical corticosteroid. Which of the following would be appropriate for the nurse to do?

apply sparingly

28. A client is prescribed a diuretic that is to be taken twice a day. When instructing the client about the schedule for administration, the nurse would suggest that the client take the drug at which times?

at breakfast and midafternoon

When admin an otic solution, the drug is instilled in to the

auditory canal

A nurse is caring for a client being treated with antineoplastic drugs. The client is at risk for thrombocytopenia due to bone marrow suppression. The nurse would assess the client for which of the following?

bloody urine

A nurse is caring for a client with edema due to congestive heart failure (CHF). The primary health care provider has prescribed indapamide. The client is also receiving digoxin. Which intervention would be most appropriate for the nurse to implement?

frequently monitor to pts pulse rate and rhythm

23. A nurse is conducting an in-service presentation for a group of nurses about UTIs and hospitalized clients. When discussing preventive measures, the nurse would identify which of the following as the primary nursing intervention for prevention?

hand hygiene

A nurse is preparing to administer spironolactone to a client. The nurse would contact the primary health care provider about the need to change the order if the client has a history of which of the following

hyperkalemia

A nurse is educating a client undergoing treatment for genitourinary tract bacterial infections on an outpatient basis. What instructions should the nurse offer the client as part of the client teaching plan?

increase fluid intake to at least 2000 mL daily

A primary health care provider has prescribed a loop diuretic for a client with hypertension. The client also has diabetes mellitus. The nurse would assess the client for which of the following after administering the drug?

increased blood glucose levels

A nurse is caring for a client undergoing treatment with plant alkaloids for cancer. The client is also receiving warfarin for a history of atrial fibrillation. The nurse would monitor the client for which of the following as a possible interaction?

increased risk for prolonged bleeding

A client visits the health care facility for information on cancer. The client asks the nurse if regular consumption of green tea can cause harm. Which of the following should the nurse inform the client as possible effects of green tea?

insomnia

A nurse is caring for an older adult client who is hospitalized. The client develops a UTI and is receiving prescribed anti-infective therapy. Which of the following should the nurse perform while caring for this client?

monitor VS signs every 4 hours

When assessing the client for leukopenia, the nurse

monitros the client for fever, sore throat, and chills

After teaching a group of nursing students about topical drugs for skin disorders, the instructor determines that the teaching was successful when the students identify which of the following as used to prevent institutional outbreaks of methicillin-resistant Staphylococcus aureus (MRSA)?

mupircon

Which intervention woul dbe most helpful for a client with stomatitis

proved frequent mout care with normal saline

29. A client who is receiving diuretic therapy comes to the clinic for a follow-up visit. The client states that his mouth is often dry and that he is "urinating like there is no tomorrow." Assessment reveals dry mucous membranes and decreased skin turgor. Which nursing diagnosis would the nurse most likely identify?

risk for deficient fluid volume

23. A client receiving ophthalmic drugs reports blurred vision. He tells the nurse, "I almost fell yesterday." The nurse identifies which nursing diagnosis?

risk for injury

Which is most common symptom of extravasion

swelling around injection

23. A nurse is caring for a client with increased intraocular pressure who is receiving urea. After administering the drug, the nurse would assess the client for which of the following?

syncope

A physician prescribes diuretic therapy to a client with nephrotic syndrome. The nurse suspects that the client is hyponatremic based on assessment of which of the following?

tachycardia

26. A nurse administers a thiazide diuretic to a client with renal compromise as prescribed by the primary health care provider. Which action by the nurse would be most appropriate if the client's blood urea nitrogen level increases?

withhold the next dose

A nurse is caring for a client who is being prescribed phenazopyridine. The client is distressed on seeing that the urine is exhibiting a reddish-orange discoloration. Which response by the nurse would be most appropriate?

"the discoloration is a normal result. nothing is wrong."

A client asks the nurse about drinking cranberry juice to prevent UTIs. The nurse informs the client that it is safe to use, suggesting an intake of which amount daily?

4-8 oz

A client is prescribed topical benzocaine (anesthetics). The nurse would monitor the client for which of the following as a possible adverse reaction?

A) Stinging, tenderness, and sloughing

24. After teaching a client how to administer eye drops, the nurse determines that additional teaching is needed when the client states which of the following? Select all that apply.

B) "I'll drop the solution into the nasal side of the lower eye sac."

A nurse needs to start methenamine for a client. The nurse checks the client's medical record for an allergy to which of the following?

B) Tartrazine

A nurse is caring for a client who has been prescribed lidocaine viscous to be used for pain control of the oral mucosa. Which of the following instructions regarding the intake of food should the nurse give the client?

Do not eat food for 1 hour after use.

Cancerous cell grow when

G0 phase of the cell cycles is skipped

20. When describing the adverse reactions associated with anti-infectives for UTIs, which of the following would the nurse explain as being most common?

GI

A client is receiving mannitol as treatment to promote diuresis in acute renal failure. The nurse would expect to administer the drug by which route?

IV

5. A nurse is preparing to administer spironolactone to a client. When reviewing the client's medical record, the nurse would be alert for the development of hyperkalemia if the client was also receiving which of the following?

Lisinopril (Prinivil)

Which phase in cell cycle splits into two daughter cells

M

The nurse is providing care to a client with anorexia due to antineoplastic therapy. The nurse identifies a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements. Which of the following would be least appropriate for the nurse to include in the client's plan of care?

Offering fatty foods to stimulate the taste buds

used to treat impetigo due to staphylococcus or streptococcus

Retapamulin

After teaching a group of nursing students about the cell cycle and how it relates to antineoplastic drugs, the instructor determines that the teaching was successful when the students identify which phase of the cell cycle as being affected by antimetabolites?

S phase

12. A nurse is caring for a client receiving amoxicillin for the treatment of an acute bacterial urinary tract infection. After administering the drug, the nurse would be alert for which of the following as an adverse reaction to the drug?

Stomatitis

6. A nurse caring for a client taking warfarin (Coumadin) develops a UTI. The nurse should monitor the client for increased risk of bleeding if which of the following anti-infectives is prescribed?

Sulfamethoxazole

Which instructions would be included in a teaching plan for an ophthalmic solution

a temp stinging or burning may occur

A nurse is caring for a client with edema. The physician has prescribed diuretic therapy for the client. Which of the following would be most appropriate for the nurse to do?

admin drug early in day

A nurse is preparing to administer phenazopyridine to a client. To help promote maximum effectiveness, the nurse would expect to administer this drug at which time?

after meals

The primary health care provider has prescribed dexamethasone sodium phosphate for a client being treated for immunologic skin disorder. Assessment of which of the following would lead the nurse to suspect that the client is experiencing an adverse reaction to the drug?

allergic contact dermatitis

Which advers to antineoplastic drugs is most likely to affect the clients body image

alopecia

28. A client is receiving cisplatin. Based on the nurse's understanding that this drug can be nephrotoxic, the nurse anticipates that the primary health care provider will prescribe which of the following?

aminofostone

What action do the corticosteroids have when used topically

anti inflame

A nurse is caring for a client receiving methenamine as outpatient treatment for chronic bacterial UTIs. Which instruction should the nurse include in the teaching plan for the client about the administration of the drug?

avoid excess intake of citrus products and milk products

22. A physician has prescribed bumetanide for a client with high blood pressure who also has renal insufficiency. Which of the following instructions should the nurse include in the teaching plan for this client?

avoid over-the-counter drugs for cold symptoms

1. When describing the use of anti-infectives to treat urinary tract infections, which of the following would the nurse identify as the most common structure affected?

bladder

26. After teaching a group of nursing students about various ophthalmic drugs, the instructor determines that the teaching was successful when the students identify which of the following as a carbonic anhydrase inhibitor?

brinzolamide

A kerotlytic agent woul dbe safe to use on which skin condition

calluses

18. A nurse is caring for a client with increased intracranial pressure caused by cerebral edema. The physician has prescribed mannitol. After administering the drug, the nurse should do which of the following?

check response of pupil to light

Which drug listed is most likely to cause N/V

cisplatin

used to treat acne vulgaris.

clindamycin

Which drug has a proteolyics action

collagenase

Chlorhexidine gluconate is being used in a client for preoperative skin preparation. Which of the following if noted would alert the nurse to a possible adverse reaction?

deafness

A physician has prescribed furosemide to a client with pulmonary edema. The client informs the nurse that he is also taking phenytoin as treatment for seizures. The nurse would assess the client closely for which of the following?

decreased diuretic effectiveness

A client has been diagnosed with cancer. The physician prescribes antineoplastic drug therapy to the client. Which of the following would the nurse include in the discussion about the prescribed therapy?

delays sprad of cancer to other sites

14. A nurse is caring for a client receiving fosfomycin for the treatment of an acute bacterial UTI. Which of the following interventions should the nurse include in the teaching plan for the client about this drug?

drink immediately after mixing with water and take with food

Which finding woul dbe most indicative to the nurse that the client has thrombocytopenia

easy bruising

Trifluridine is being administered to a patient who is being treated for epithelial keratitis. The nurse caring for this patient should know that which of the following is a local reaction to trifluridine?

edema of the eyes

The nurse is developing a plan of care for a client who is receiving an anti-infective drug for treatment of a UTI. The nurse has identified a nursing diagnosis of Impaired Urinary Elimination. Which of the following would the nurse include?

encourage a fluid intake of 2000 mL daily

Outermost layer of skin

epidermis

A client is admitted to the health care facility with acute glaucoma. After administering the prescribed ophthalmic drugs, the nurse continues to assess the client for pain relief at which frequency?

every 2 hours

A patient with open-angle (chronic) glaucoma has been prescribed brimonidine tartrate to lower intraocular pressure (IOP). After administering the drug, the nurse should monitor which of the following in the patient as a local effect of brimonidine tartrate?

foreign body sensation

27. When developing the plan of care for a client with a skin lesion requiring topical therapy, which nursing diagnosis would the nurse most likely identify?

impaired skin intergrity

What reaction could happen when a topical drug is covred with a heating pad

increased drug absorption

The cochlea and ossicles are in which segment of the ear

inner

Wha t is the rationale for warming an otic solution before instilling the drops

it helps to prevent dizziness

When admin an ophthalmic, the drug is instilled into the

lower conjunctival sace

Which sections of the ear are typically treated with topical prep

middle, outer ear

A client has been receiving treatment with antineoplastic drugs that depress the bone marrow. Which preadministration assessment would be most important for the nurse to complete with respect to this effect?

obtain CBC

The nurse is gathering supplies to change the dressing of a clients central line. Which drug is est suited to be used as a topical antiseptic

povidone-iodine

A nurse is administering methenamine to a client with a UTI. Which of the following would the nurse instruct the client to avoid?

sodium bicarbonate

A client is to start chemotherapy. The client is worried about going bald in the course of the treatment. How can the nurse assist the client in being comfortable with her body image?

suggest use of wig or cap

What reaction could occur with prolonged use of a topical antibiotic

superficial superinfectipn

Whci adverse would the nurse suspect in a client receiving prolonged treatmen

superinfection

in flaucome IOP builds because

the drainage of the anterior eye chamber is blocked

Bacitracin

used for relief of skin infections and to prevent infections with minor cuts and burns

24. A nurse is caring for a client who is at risk for erythema during antineoplastic drug therapy. The nurse identifies a nursing diagnosis of Impaired Tissue Integrity. Which of the following would be appropriate to suggest?

wear loose protective clothing

After nitrofurantoin is administered to a client with an acute bacterial UTI, assessment reveals dyspnea, chest pain, cough, fever, and chills. Which of the following actions would be most appropriate?

withhold drug and contact PCP

A client is prescribed two ophthalmic drugs that are to be administered at about the same time each day. The nurse instructs the client to separate the drug administration by which amount of time?

5-10 min

A nurse is caring for a client who is prescribed Velban, a vinca alkaloid. The client asks the nurse about how the drug acts. Which of the following would the nurse integrate into the response?

A) Interference with amino acid production in the S phase