Pharm exam 2

A nurse is administering vincristine to a client with cancer. The client asks the nurse how the medication works.Which statement by the nurse is appropriate?

"It prevents cell division of cancer cells."

The nurse is teaching a client who is postoperative cesarean section about prescribing morphine via a patient-controlled device. Which statement should the nurse include in client teaching about the medication?

"Let a staff member know if you experience any trouble breathing."

8) An adolescent with leukemia is receiving vincristine. The mother reports that the child is complaining of feeling 'tingles' all over. Which response by the nurse is most appropriate regarding the effect of this medication?

'It is a neurological side effect.

A nurse is reviewing laboratory data prior to administering methotrexate to a client with breast cancer. Which clinical finding will the nurse report to the healthcare provider before administering the medication?

ALT of 55 IU/mL

Pyridoxine (vitamin B 6) and isoniazid (INH) are prescribed as part of the medication protocol for aclient with tuberculosis. Which response indicates that vitamin B 6 is effective

Absence of paresthesias

42)A client with lymphosarcoma is receiving allopurinol and methotrexate. The nurse can help the client prevent complications related to uric acid nephropathy by administering which medication in relation to which changes in fluid intake?

Allopurinol and encouraging increased fluid intake

1479) An adolescent is to begin a chemotherapeutic medication regimen. Which side effect of vincristine is most important for the nurse to prepare the adolescent to expect?

Alopecia

403) Which primary anxiolytic medication would the nurse anticipate developing a teaching plan for when aclient with social anxiety disorder has a history of exhibiting an intense, irrational fear of being scrutinized byothers? Select all that apply. One, some, or all responses may be correct.

Alprazolam

419) Which medication would the nurse anticipate developing a teaching plan for when a client reports becoming panicked and having an irrational fear of talking in public?

Alprazolam

A client with adenocarcinoma receives doxorubicin intravenously (IV) to reduce the tumor mass. Which clinical finding indicates that doxorubicin toxicity may have occurred?

Alteration in cardiac rhythm

A client has an anaphylactic reaction after receiving intravenous penicillin. Which would the nurseconclude is the cause of this reaction?

Antibodies to penicillin developed after a previous exposure.

95) A child with juvenile idiopathic arthritis is prescribed non steroidal anti-inflammatory drug (NSAID)therapy at home. Which important toxic effect of NSAIDs would the nurse include in discharge instructions to the child and family?

Blood in the urine

A client is prescribed trimethoprim/sulfamethoxazole for recurrent urinary tract infections. Which informationshould the nurse include during client teaching?

Drink at least eight large glasses of water a day

A health care provider has prescribed isoniazid for a client. Which instruction will the nurse give the clientabout this medication?

Drinking alcohol daily can cause medication-induced hepatitis.

18) A primary health care provider prescribes 0.25 mg of alprazolam by mouth three times a day for a clientwith anxiety and physical symptoms related to work pressures. Which side effect of this medication will thenurse monitor for in this client?

Drowsiness

A client with stage III Hodgkin's disease is started on a multiple-drug regimen of doxorubicin, bleomycin,vinblastine, and dacarbazine. Why are so many drugs necessary?

Each drug destroys the cancer cell at a different time in the cell cycle.

Which adverse response to isoniazid (INH) in a client with tuberculosis would cause the nurse to determine that prompt intervention is needed?

Yellow sclera

A client begins treatment with rifampin for suspected pulmonary tuberculosis. Which information should thenurse include when teaching the client about this drug?

You may notice an orange-red color to your urine.

Which rationale will the nurse give for the need to take penicillin G and probenecid for syphilis?

probenecid delays excretion of penicillin, thus maintaining blood levels for longer periods

372) Which administration guidelines would the nurse follow when administering midazolam to an older client?

the increments should be smaller, and the rate of injection should be slower

A nurse is preparing to administer doxorubicin to a client with bladder carcinoma. How will the nurse prepare this medication?

In a biological safety cabinet

A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information should the nurse include in the client's instruction?

Take the medication with food.

505) The nurse is planning care for a toddler who has ingested aspirin. Which assessment warrants close monitoring because an increase would result in further complications?

Body temperature

The nurse is providing teaching to a client who has been prescribed cyclophosphamide for breast cancertreatment. Which of the following statements made by the client would indicate that additional teaching isneeded?

"I should limit the amount of fluids I drink while taking this medication."

The nurse is educating a client with seizure disorder about newly prescribed phenytoin. Which statement shouldthe nurse include in the teaching?

"You will need to have routine visits with a dentist when taking this medication."

628) The mother of a toddler with hemophilia A asks the nurse, 'Can I give my child ibuprofen for fever or pain?' How will the nurse respond?

'Give your child acetaminophen. Ibuprofen may cause bleeding.

Which medication is considered first-line therapy for an infant with congenital syphilis?

*Intravenous (IV) penicillin

The nurse is preparing to administer doxycycline to a client to treat syphilis. Which lab results should the nursereview before administering this medication?

A Pregnancy test

A client who is addicted to opioids undergoes emergency surgery. During the postoperative period, the health care provider decreases the previously prescribed methadone dosage. Which clinical manifestations will the nurse monitor for when assessing this client?

Agitation and attempts to escape from the hospital

A client with an infection is receiving vancomycin. Which laboratory blood test result would the nurse report?

Blood urea nitrogen (BUN): 30 mg/dL (10.2 mmol/L)

A client diagnosed with breast cancer is prescribed doxorubicin. Which assessment finding would the nurse recognize as a toxic effect of this medication?

Cardiac dysrhythmias

A nurse is reviewing prescriptions for a client with a history of rheumatoid arthritis and peptic ulcer disease.The client has prescriptions for ibuprofen and ranitidine. Which action will the nurse perform?

Clarify the prescription for ibuprofen

Which common side effect will the nurse address in the care plan of a client with cancer receiving theplant alkaloid vincristine?

Constipation

A client is diagnosed with pulmonary tuberculosis, and the health care provider prescribes a combination of rifampin and isoniazid. The nurse evaluates that the teaching regarding the medications is effective when the client reports which action as most important?

Continue taking the medicine even after I feel better.

When caring for a client on isoniazid therapy for tuberculosis, the nurse would focus on which diagnostic testing for this client?

Liver function tests

Which side effect would the nurse assess for in a child receiving vincristine?

Neurological complications

Which information would the nurse include in the teaching plan on ampicillin?

Notify the health care provider if diarrhea develops.

The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old client with arthritis. The client reports hearing non-stop ringing in the ears. Which action should the nurse implement?

Notify the healthcare provider of the finding immediately

The client is using non steroidal anti-inflammatory drugs (NSAIDs) to manage arthritis pain. The nurse should caution the client about which potential side effect?

Occult bleeding

Which class is contraindicated in clients who take rifampin?

Oral contraceptives

936) Which relationship reflects the relationship of naloxone to morphine sulfate?

Protamine sulfate to heparin

496) Which instruction would the nurse provide to parents of a school-age child who has been on long-termphenytoin therapy to prevent side effects?

Provide good oral hygiene

Which nursing care will be included for a client who is receiving doxorubicin for acute myelogenous leukemia?

Providing frequent oral hygiene

09) Diazepam is administered to the client with status epilepticus. In addition to decreasing central neuronal activity, which effect would the nurse anticipate?

Relaxing of peripheral muscles

A client is prescribed rifampin after being exposed to active tuberculosis. Which finding would the nurse immediately report to the health care provider? Select all that apply. One, some, or all responses may be correct

Small, red, pinpoint areas on the arms

A client is receiving chemotherapy with doxorubicin. Which development will the nurse teach the client to report immediately?

Sore throat

20) A client has been robbed, beaten, and sexually assaulted. The primary health care provider prescribes 0.25mg of alprazolam for agitation. Which event would alert the nurse to administer this medication?

The client requests something to calm her

The nurse is caring for a client who has been prescribed vancomycin intravenous infusion for the treatment of methicillin-resistant staphylococcus aureus. Which of the following laboratory values should be immediately reported to the healthcare provider?

Vancomycin trough of 15 mcg/dl

A client who had an organ transplant is receiving cyclosporine. The nurse would monitor for whichserious adverse effect of cyclosporine?

increased creatinine level

716) The client wants to know why midazolam will be administered preoperatively. Which reason would the nurse provide?

it induces sedation.

516) Trimethoprim/sulfamethoxazole is prescribed for a child with a urinary tract infection. Which statement bythe parent indicates the nurse's instructions about administration have been understood?

'll make sure to give each pill with 6 to 8 oz of fluid

Which clinical finding indicates that doxorubicin toxicity may have occurred?

Alteration in cardiac rhythm

The nurse understands which immunosuppressant medication interacts with allopurinol and may cause bone marrow suppression in children?

Azathioprine

142) Which characteristic identifies the reason that methadone is useful in the treatment of opioid addiction?

Has an effect of longer duration

A nurse is administering an intravenous piggyback infusion of penicillin. Which client statement would require the nurse's immediate attention?

I am itching all over.

The nurse in the urgent-care clinic is reviewing discharge instructions with a client who is prescribed doxycycline. Which statement by the client indicates understanding of the instructions?

I will apply sunscreen when outside to prevent a sunburn."

Which action would the nurse take to avoid red man syndrome when preparing to administer a vancomycin infusion?

Infuse slowly

1522) The nurse administers acetaminophen to a child who complains of pain after abdominal surgery. The mother asks the nurse why her child isn't being given ibuprofen. Which response by the nurse is most appropriate?

It could prolong bleeding time

the nurse is educating a client prescribed metronidazole. Which of the following findings should the nurse include in the education as reportable to the healthcare provider?

Pinpoint red spots on the skin

265) Which finding would the nurse report to the health care provider when caring for a client prescribed temazepam at bedtime?

Sleep driving

238) A client who is addicted to heroin has major surgery. Afterward, the client receives methadone. Whichpurpose does the methadone serve?

Switches the user from illicit opioid use to use of a legal drug

159) In addition to hydration, parenteral lorazepam is prescribed for a client during alcohol withdrawal delirium. Which primary purpose accurately explains why this medication is given during detoxification?

To reduce the anxiety tremor state and prevent more serious withdrawal symptoms

Which anticipatory guidance would the nurse include when teaching an adolescent about side effects ofdactinomycin and doxorubicin therapy?

Wear a baseball cap

The nurse is teaching a client who has been diagnosed with recurrent genital herpes about newly prescribed valacyclovir. Which statement by the client indicates understanding?

this medication is preferable because I can take it less often than other antivirals

500) The parent of a toddler taking methotrexate asks the nurse whether the child should be started on vitamin supplements. Which statement by the nurse is appropriate?

*'Supplements that contain folic acid interfere with the effectiveness of chemotherapy.'

A client received hydromorphone orally one hour ago. When the nurse enters the client's room, the client is unresponsive to verbal stimuli and has a respiratory rate of six breaths per minute. Which action should the nurse take next?

Prepare to administer naloxone

The nurse is monitoring a client who received a first dose of intravenous ampicillin. Which finding should indicate to the nurse that the client may be experiencing an allergic reaction?

Hives on the extremities

An older adult client has been prescribed zolpidem for insomnia. The nurse should monitor the client for which side/adverse effect of this medication?

Hypotension

While taking a medical history, the client states, "I am allergic to penicillin." What related allergy to anothertype of antiinfective agent should the nurse ask the client about when taking the nursing history?

Cephalosporins

34) A client is prescribed alprazolam. Which action must the nurse include in the client assessment during the initiation of therapy?

Check the client's blood pressure

A client who takes rifampin tells the nurse, 'My urine looks orange.' Which action would the nurse take?

Explain that this is expected

A nurse is teaching parents of a child recently prescribed the medication phenytoin for seizure control. Which side effect will the nurse include?

Gingival hyperplasia

71) To minimize the side effects of the vincristine that a client is receiving, which diet would the nurse advise?

High in fluids

The nurse is caring for a client who is receiving intermittent intravenous piggyback (IVPG) doses ofvancomycin every 12 hours. The primary health care provider prescribes trough levels of the antibiotic. Thenurse schedules the blood sample to be obtained at which time?

Just before the medication is administered

24) The nurse provides care for a client with a long history of alcohol abuse. Which medication would thenurse anticipate will be prescribed for the client to prevent symptoms of withdrawal?

Lorazepam

The nurse is caring for a child diagnosed with seizures. While teaching the family and the child about the medication phenytoin, which concept should the nurse emphasize?

Maintain good oral hygiene and dental care

The nurse is caring for a pregnant client who has contracted a trichomonal protozoan infection. For which oral medication would the nurse anticipate preparing to provide education?

Metronidazole

371) Which medications would the nurse identify as commonly used as an adjunct during conscious sedation for minor surgeries?

Midazolam

1002) Which substance history of a severe allergic reaction results in avoidance of the cephalosporins such ascefazolin, cefditoren, cefotetan, and ceftriaxone? Select all that apply. One, some, or all responses may be correct.

Milk Aspirin Calcium Penicillin

66) Which primary reason identifies why oxazepam is given during detoxification?

Minimizes withdrawal symptoms the client may experience

Which nursing care will be included for a client who is receiving doxorubicin for acute myelogenousleukemia?

Providing frequent oral hygiene

A client with a history of heart disease has been prescribed prophylactic aspirin daily. Which action should the nurse implement to help prevent aspirin toxicity?

Monitor serum albumin

738) The nurse considers that the safe administration of high-dose methotrexate therapy would include whichintervention?

Monitoring plasma levels of the medication

925) A client with a myocardial infarction is admitted to the cardiac intensive care unit. Which pain relief medication would the nurse expect to find on the plan of care for this client?

Morphine

A client with tuberculosis is started on rifampin. The nurse evaluates that the teaching about rifampin is effective when the client makes which statement?

My sweat will turn orange from this medication

132) Which medication is indicated for management of clinical manifestations associated with an opioid overdose?

Naloxone

92) The alkylating agent cyclophosphamide is prescribed for a school-age child with cancer. Which clinical manifestation would the nurse be alert for while the child is receiving this medication?

Pain with urination

A child with pinworms is prescribed mebendazole. Which expected response to the medication would thenurse teach the parents watch for?

Passage of worms

71) A client with leukemia who is receiving vincristine reports lower leg numbness. Which statement about vincristine explains this occurrence?

Peripheral neuropathies can result from vincristine chemotherapy.

514) A school-age child with leukemia is receiving treatment with vincristine. Which toxic response would the nurse assess the child for?

Peripheral neuropathy

Which toxic effect would a nurse monitor for in a client who is prescribed vincristine?

Peripheral paresthesia

596) A child receiving methotrexate and undergoing cranial radiation is very weak. The mother asks the nurse if she should give her child vitamins. Which response by the nurse is most appropriate?

That won't be possible. Vitamins interfere with the action of methotrexate.'

A client with tuberculosis takes combination therapy with isoniazid, rifampin, pyrazinamide, and streptomycin. The client says, 'I've never had to take so much medication for an infection before.' How would the nurse respond?

The bacteria causing this infection are difficult to destroy.

The nurse is educating a client about newly prescribed alprazolam. Which information should the nurse include in the teaching?

The use of grapefruit juice should be avoided

96) A child receiving methotrexate and undergoing cranial radiation is very weak. The mother asks the nurse if she should give her child vitamins. Which response by the nurse is most appropriate?

'That won't be possible. Vitamins interfere with the action of methotrexate.

A nurse is preparing to administer morphine to a client with chronic pain. Which assessment finding would prompt the nurse to withhold the medication?

Respiratory rate of 11 breaths/min

The nurse on a surgery unit is evaluating which client would be appropriate for patient-controlled analgesia(PCA). Which client would not be appropriate for PCA?

A 4-year-old client with intermittent episodes of alertness

The nurse is caring for a client with acute pain and realizes a medication error has occurred. The client received twice the ordered dose of morphine an hour ago. Which nursing problem is the priority at this time?

Respiratory depression

4) A client with Hodgkin's disease is to receive the cyclic antineoplastic vincristine as part of a therapy protocol. Which mechanism of action would the nurse associate with this medication?

Arresting mitosis in metaphase

A nurse is providing care to a client who takes phenytoin for seizure prevention. The latest laboratory reportshows a phenytoin level of 32 mcg/mL. Which action does the nurse take next?

Assess the pupillary response

A client is prescribed morphine 1 mg IV per hour basal rate with 1 mg IV every 15 minutes per patient-controlled analgesia (PCA) pump for a total of 5 mg IV maximally per hour. Which nursing action has the highest priority before initiating the PCA pump?

Assessment of the rate and depth of the client's respirations

The nurse is preparing to administer newly prescribed intravenous phenytoin to a client. When reviewing theclient's medical record, which prescription should the nurse question?

Continuous infusion of dextrose 5% in 0.9% saline

503) An 18-month-old toddler is being treated with intravenous diazepam every 4 hours for generalized tetanus. Which response to the medication would the nurse anticipate?

Control of hypertonicity and prevention of seizures

805) For which therapeutic effect will the nurse monitor the client who is prescribed alprazolam?Pain relief

Decreased anxiety

081) Leucovorin calcium is prescribed and is to be administered immediately after an infusion ofmethotrexate. Which result of laboratory testing indicates that leucovorin has been effective

Decreased methotrexate level

084) A client with cancer is receiving leucovorin as part of a chemotherapy protocol. Which purpose does leucovorin serve?

Diminishing toxicity of folic acid antagonists

A client receiving doxorubicin (Adriamycin) intravenously (IV) complains of pain at the insertion site, and thenurse notes edema at the site. Which intervention is most important for the nurse to implement?

Discontinue the IV fluids.

The nurse provides teaching about ampicillin. Which client statement indicates that additional teaching is needed?

I can stop this medication after I am symptom-free for 48 hours.

27) A client who has been taking the prescribed dose of zolpidem for 5 days returns to the clinic for a follow-up visit. Which statement by the client indicates the medication has been effective?

I have been sleeping better.

812) A client who is receiving phenytoin asks why folic acid was prescribed. Which explanation would thenurse provide?

Phenytoin inhibits absorption of folate from foods

A client is prescribed ampicillin sodium (Omnipen) for a sinus infection. The nurse should instruct the client tonotify the healthcare provider immediately if which symptom occurs?

Rash

A child with Wilms tumor is prescribed doxorubicin hydrochloride. Which common side effect unique to doxorubicin would the nurse expect to observe in the child?

Red urine

A client diagnosed with tuberculosis is taking isoniazid. To prevent a food and medication interaction, thenurse will advise the client to avoid which food item?

Red wine

the nurse is preparing to administer the next dose of prescribed vancomycin to the client being treated forsepsis. Which of the following laboratory results would be the priority for the nurse to review?

Serum creatinine level

Which action would the nurse take when a client develops a maculopapular rash on the upper extremities and audible wheezing during the admistinration of intravenous vancomycin?

Stop the infusion.

A nurse is preparing to administer reconstituted doxorubicin (Myocet) to a client with thyroid carcinoma.Nuclear medicine calls for the client, and the nurse is unable to administer the medication. Which action should the nurse perform with the medication?

Store the medication in the refrigerator inside the syringe

Which statement by a client prescribed ampicillin 250 mg by mouth every 6 hours indicates to the nursethat teaching has been effective?

The medicine should be taken 1 hour before or 2 hours after meals.

0) A school-age child diagnosed with acute lymphocytic leukemia (ALL) becomes constipated after receiving induction therapy with prednisone, vincristine, and asparaginase. Which would the nurse suspect as the cause?

Vincristine, which decreases peristalsis

806) Warfarin is prescribed for the client who takes phenytoin for a seizure disorder. Which medicationinteraction complicates seizure therapy?

Warfarin inhibits the metabolism of phenytoin

The nurse is teaching the client with bacterial vaginosis who has been prescribed metronidazole tablets. What statement is appropriate?

You should avoid drinking alcohol while taking this medication

The nurse is educating an older adult client about newly prescribed levofloxacin for the treatment of pneumonia. The nurse should teach the client that which side effect is a priority for the client to report to the provider?

joint tenderness

219) Which instruction about phenytoin will the nurse provide during discharge teaching to a client with epilepsy who is prescribed phenytoin for seizure control?

"Antiseizure medications will probably be continued for life."

The nurse is preparing a client for discharge from the emergency department. Which client statement provides evidence that the client understands medication teaching for high-dose ampicillin?

must increase my intake of fluids while taking this medication

The nurse is reinforcing teaching to a 24-year-old woman receiving acyclovir for a Herpes Simplex Virus type 2infection. Which instructions should the nurse provide the client with?

Begin treatment with acyclovir at the onset of symptoms of recurrence

1081) Leucovorin calcium is prescribed and is to be administered immediately after an infusion of methotrexate. Which result of laboratory testing indicates that leucovorin has been effective?

Decreased methotrexate level

798) A client is treated with lorazepam for status epilepticus. Which effect of lorazepam is the reason it is given?

Depresses the central nervous system (CNS

797) A client has a tonic-clonic seizure. The nurse anticipates that the health care provider will prescribe theintravenous administration of which medication?

Diazepam

The nurse teaches a teenage client about the administration of levofloxacin to treat a sinus infection. The nurse concludes the teaching is effective when the client makes which statement?

i should take the medication 1 hour before a meal

The nurse is caring for a client who is receiving azathioprine, cyclosporine, and prednisone before receiving a kidney transplant. Which medication action would the nurse identify as the purpose of these medications?

Reduce antibody production

090) A client in the coronary care unit develops 'viselike' chest pain radiating to the neck. Assessment reveals a blood pressure of 124/64 mm Hg, an irregular apical pulse of 64 beats per minute, and diaphoresis. Cardiac monitoring is instituted, and morphine sulfate 4 mg intravenous (IV) push stat is prescribed. Which intervention is the priority nursing care for this client?

Relief of pain

The nurse is preparing to administer trimethoprim and sulfamethoxazole (TMP-SMX) to a client. When assessing client allergies, the client reports that they are allergic to glipizide. What action by the nurse is most appropriate?

Report the allergies to the healthcare provider

The healthcare provider prescribes naloxone (Narcan) for a client in the emergency room. Which assessment data would indicate that the naloxone has been effective?

Respiratory rate is 16 breaths/minute.

A client receiving intravenous vancomycin reports ringing in both ears. Which initial action would the nurse take?

Stop the infusion.

93) Donepezil is prescribed for a client who has mild dementia of the Alzheimer type. Which information would the nurse include when discussing this medication with the client and family?

Blood tests that reflect liver function will be performed routinely.

Which laboratory test result would alert the nurse that fluid intake would need to be increased in a child receiving vincristine?

Blood uric acid level of 7.5 mg/dL

The nurse is caring for an 81-year-old client with colorectal cancer. Previously, the client's pain was managed with acetaminophen with codeine. However, the client is now experiencing frequent, severe pain and intravenous morphine has been prescribed. What should the nurse recognize about this order?

D Appropriate pain management and should be available around the clock

Which purpose would the nurse identify as the reason for prescribing vitamin B 6 when a chemotherapyprotocol prescribed for a client with tuberculosis includes vitamin B 6 and isoniazid (INH)?

To counteract the peripheral neuritis that INH may cause

The chemotherapy protocol prescribed for a client with tuberculosis includes vitamin B 6 and isoniazid(INH). Which would the nurse identify as the reason for prescribing vitamin B 6?

To counteract the peripheral neuritis that INH may cause

Which statement by the client indicates to the nurse a need for further teaching on rifampin therapy?

i can expect my skin to turn yellow

Levofloxacin is prescribed for a woman who has been experiencing urinary frequency and burning for the past 24 hours. The nurse concludes the teaching has been effective when the client states she will make which change in her routine?

take mineral supplements 2 hours before or after levofloxacin.

A toddler ingested half a bottle of aspirin tablets. Which finding should the nurse expect to see in this child?

Epistaxis

A client receives doxorubicin as part of a chemotherapy protocol. The nurse would assess the client for signs and symptoms of which adverse effect

Heart failure

625) After surgery, an adolescent has a patient-controlled analgesia (PCA) pump that is set to allow morphine delivery every 6 minutes. Which statement indicates to the nurse that the family understand instructions about the PCA pump?

She needs to push the PCA button whenever she needs pain medication

The nurse is teaching a client with diabetes about newly prescribed trimethoprim and sulfamethoxazole (TMP-SMX) to treat a urinary tract infection. Which statement by the client indicates understanding?

I will stop taking this medication if I develop a rash."

An adolescent who has been prescribed prednisone and vincristine for leukemia tells the nurse that he isconstipated. Which reason would the nurse cite as the probable cause of the constipation?

it is a side effect of the vincristine

54) A client is prescribed the benzodiazepine alprazolam for the management of panic attacks. Which action bythe patient makes the nurse confident that the medication information discussed has been understood?

he client requests a prescription for oral contraceptives before being discharged

The home health nurse is teaching a female client about self-administering vancomycin. Which statement by the client demonstrates understanding of the teaching?

i need to call my provider if my urine changes

1548) Which intervention would the nurse include in the plan of care for a client with breast cancer who received doxorubicin and cyclophosphamide 12 days ago and now has a white blood cell (WBC) count of 1.4cells/mm 3 and reports shortness of breath and activity intolerance? Select all that apply. One, some, or all responses may be correct

institute neutropenic precautions

A parent of three young children has contracted tuberculosis. Which medication would the nurse anticipate being prescribed for members of the family who have been exposed?

isoniazid

the triage nurse at a health clinic receives a call from a client. The client states that they have been experiencing flu-like symptoms for the past 24 hours. The client asks for a prescription for zanamivir. How should the triage nurse respond?

Come in right away so we can start treating you

The nurse is reviewing discharge instructions with a client who has been prescribed ciprofloxacin following a minor burn injury. Which statement by the client requires additional teaching?

I will not take ciprofloxacin prior to sun exposure

Which explanation would the nurse provide to a client with tuberculosis who asks why vitamin B 6(pyridoxine) is given with isoniazid?

isoniazid interferes with the synthesis of this vitamin

A client is receiving doxorubicin as part of a chemotherapy protocol. The nurse will assess the client for which system toxicity?

Cardiotoxicity

328) Which statement indicates that a female client who is receiving rifampin for tuberculosis understands the teaching? Select all that apply. One, some, or all responses may be correct

"This medication may be hard on my liver, so I must avoid alcoholic drinks while taking it." "This medication may reduce the effectiveness of the oral contraceptive I am taking. My health care provider must be called immediately if my eyes and skin become yellow

The nurse is planning discharge instructions for a client prescribed cyclosporine following a liver transplant. Which adverse reactions should the nurse instruct the client to report to the healthcare provider?

Presence of hand tremors.

A client with Hodgkin's disease adds doxorubicin to current therapy. Which advice will the nurse provide about this medication?

Expect urine to turn red for a few days after taking this medication.