Pharm Unit 4 Exam

A patient with late-stage HIV infection also has Pneumocytosis jirovecii pneumonia. The nurse anticipates treatment with which medication for this pneumonia?

Atovaquone (Mepron)

When giving chemotherapy as cancer treatment, the nurse recognizes that toxicity to rapidly growing normal cells also occurs. Which rapidly growing normal cells are also harmed by chemotherapy? Select all that apply

Bone marrow cells Hair follicle cells Gastrointestinal mucous membrane cells

A patient who is HIV-positive has been receiving medication therapy that includes zidovudine (Retrovir). However, the prescriber has decided to stop the zidovudine because of its dose-limiting adverse effect. Which of these conditions is the dose limiting effect of zidovudine therapy?

Bone marrow suppression

A patient who was diagnosed with genital herpes is taking topical acyclovir, and the nurse is providing instructions about adverse effects. The nurse will discuss which adverse effects of topical acyclovir therapy?

Burning when applied

The nurse is providing counseling to a woman who is HIV positive and has just discovered that she is pregnant. Which anti-HIV drug is given to HIV-infected pregnant women to prevent transmission of the virus to the infant?

Zidovudine (Retrovir)

During therapy with hematopoietic drugs, the nurse will monitor the patient for which adverse effects? Select all that apply

Edema Diarrhea Nausea and vomiting Headache

When monitoring patients on anti tubercular drug therapy, the nurse knows that which drug may cause a decrease in visual acuity?

Ethambutol (Myambutol)

When monitoring a patient's response to interferon therapy, the nurse notes that the major dose-limiting factor for interferon therapy is which condition?

Fatigue

The nurse is reviewing the information about the herpes zoster vaccine (Zostavax) before administering the dose. Which statements about the vaccine are true? Select all that apply

It is a one-time vaccine The vaccine is recommended for patients 50 years of age and older The vaccine is used to prevent reactivation of the zoster virus that causes shingles

A patient has an order for cyclosporine (Sandimmune). The nurse finds that cyclosporine-modified product (Neoral) is available in the automated medication cabinet. Which action by the nurse is correct?

Notify the pharmacy to obtain the Sandiummune form of the drug

The nurse is discussing adverse effects of anti tubercular drugs with a patient who has active tuberculosis. Which potential adverse effects of anti tubercular drug therapy should the patient report to the prescriber?

Numbness and tingling of extremities

A patient who has been taking isoniazid (INH) has a new prescription for pyridoxine. She is wondering why she needs this medication. The nurse explains that pyridoxine is often given concurrently with the isoniazid to prevent which condition?

Peripheral neuropathy

The client with ovarian cancer is being treated with vincristine (Vincasar). The nurse monitors the client, knowing that which adverse effect is specific to this medication?

Peripheral neuropathy

The nurse is reviewing the medication administration record of a patient who is taking isoniazid (INH). Which drug or drug class has a significant drug interaction with isoniazid?

Phenytoin (Dilantin)

A patient with long-term intravenous catheter is going home. The nurse knows that if the patient is allergic to seafood, which antiseptic agent is contraindicated?

Povidone-iodine (Betadine)

A patient has an infestation with flukes (trematodes). The nurse anticipates the use of which drug to treat this infestation?

Praziquantel (Biltricide)

A patient is experiencing the exoerythrocytic phase of malaria. The nurse expects which drug to be used for this patient?

Primaquine

Methotrexate is ordered for a patient with a malignant tumor, and the nurse is providing education about self-care after the chemotherapy is given. Which statements by the nurse are appropriate for the patient receiving methotrexate? Select all that apply

Report unusual bleeding or bruising Prepare for hair loss Avoid areas with large crowds or gatherings Avoid foods that are too hot or too cold or rough in texture

A patient has an order for the monoclonal antibody adalimumab (Humira). The nurse notes that the patient does not have a history of cancer. What is another possible reason for administering this drug?

Rheumatoid arthritis

An infant has been hospitalized with severe a lung infection caused the respiratory synctyial virus (RSV) and will be receiving medication via the inhalation route. The nurse expects which drug to be used?

Ribavririn (Virazole)

The nurse is administering an interferon and will implement which intervention?

Rotating injection sites

One patient has cancer of the bone; another has cancer in the connective tissues of his leg muscles; a third patient has cancer in her vascular tissues. These patients have in common a type of tumor referred to as a

Sarcoma

The nurse is reviewing the results of serum laboratory studies drawn on a client with acquired immunodeficiency syndrome who is receiving didanosine. The nurse interprets that the client may have the medication discontinued by the health care provider if which elevated result is noted?

Serum amylase level

The nurse is assigned to care for a client with cytomegalovirus retinitis and acquired immunodeficiency syndrome who is receiving foscarnet, an antiviral medication. The nurse should monitor the results of which laboratory study while the client is taking this medication?

Serum creatinine level

During therapy with amphotericin B, the nurse will monitor the patient for known adverse effects that would be reflected by which laboratory result?

Serum potassium level of 2.7 mEq/L

A 45 year old man has received a series of immunizing drugs in preparation for a trip to a developing country. Within hours, his wife brings him to the emergency department because he has developed edema of the face, tongue, and throat and is having trouble breathing. The nurse suspects that, based on the patient's history and symptoms, he is experiencing which condition?

Serum sickness

A patient is about to undergo a kidney transplant. She will be given an immunosuppressant drug before, during, and after surgery to minimize organ rejection. During the preoperative teaching session, which information will the nurse include about the medication therapy?

Several days before the surgery, the medication will be administered orally

The nurse is hanging a new infusion bag of a chemotherapy drug, but the tubing becomes disconnected and a small amount of the solution drips onto the floor. Which action by the nurse is appropriate?

Use a spill kit to clean the area

The nurse follows which procedures when giving intravenous (IV) cyclosporine? Select all that apply

Using an infusion pump to administer the medication Monitoring the patient closely for the first 30 minutes for severe adverse effects Checking blood levels periodically during cyclosporine therapy Performing frequent oral care during therapy

A patient who has been hospitalized for 2 weeks has developed a pressure ulcer that contains multi-drug resistant Staphylococcus aureus (MRSA). Which drug would the nurse expect to be chosen for therapy?

Vancomycin (Vancocin)

Megestrol acetate, an antineoplastic medication, is prescribed for a client with metastatic endometrial carcinoma. The nurse reviews the client's history and should contact the primary health care provider if which diagnosis is documented in the client's history?

Venous thromboembolism

The nurse is reviewing antimalarial drug therapy with a patient and instructs that patient to watch for and report which potential adverse reactions?

Visual disturbances

A patient who has received chemotherapy has a steadily decreasing white blood cell count. The chemotherapy will end on Tuesday afternoon. The oncologist has mentioned that a colony-stimulating factor will be started soon. The nurse knows that the appropriate time to start this medication is when?

Wednesday afternoon, 24 hours after the chemotherapy ends

During antibiotic therapy, the nurse will monitor closely for signs and symptoms of a hypersensitivity reaction. Which of these assessment findings may be an indication of a hypersensitivity reaction? Select all that apply

Wheezing Shortness of breath Swelling of the tongue Itching

When monitoring a patient who is on immunosuppressant therapy with azathioprine (Imuran), the nurse will monitor which laboratory results?

White blood cell (leukocyte) count

The nurse is preparing to administer morning medications to a patient who has been newly diagnosed with tuberculosis. The patient asks, "Why do I have to take so many different drugs?" Which response by the nurse is correct?

"Taking multiple drugs is recommended because of the increasing presence of resistance to TB drug therapy."

A patient is receiving aminoglycoside therapy and will be receiving a beta-lactam antibiotic as well. The patient asks why two antibiotics have been ordered. What is the nurse's best response?

"The combined effect of both antibiotics is greater than each of them alone."

A patient who is being treated for malaria has started therapy with quinine and tetracycline. He asks the nurse why he is on an antibiotic when malaria is caused by a parasite. Which response by the nurse is correct?

"The two drugs are more effective against malaria when given together."

A patient newly diagnosed with tuberculosis (TB) has been taking anti tubercular drugs for 1 week calls the clinic and is very upset. He says, "My urine is dark orange! What's wrong with me?" Which response by the nurse is correct?

"This is an expected side effect of the medicine. Let's review what to expect."

Tamoxifen citrate is prescribed for a client with metastatic breast carcinoma. The client asks the nurse if her family member with bladder cancer can also take this medication. The nurse most appropriately responds by making which statement?

"This medication can be taken to prevent and treat clients with breast cancer."

A clinic nurse prepares a teaching plan for a client receiving an antineoplastic medication. When implementing the plan, the nurse should make which statement to the client?

"You need to consult with the primary health care provider before receiving immunizations."

A patient who has started drug therapy for tuberculosis wants to know how long he will be on the medications. Which response by the nurse is correct?

"You should expect to take these drugs for as long as 24 months."

The nurse is reviewing instructions for vaginal anti fungal drugs with a patient. Which statement by the nurse is an appropriate instruction regarding these drugs?

"Abstain from sexual intercourse until the treatment has been completed and the infection has resolved."

The nurse is providing teaching to a patient taking an oral tetracycline antibiotic. Which statement by the nurse is correct?

"Avoid direct sunlight and tanning beds while on this medication."

A patient is receiving her third course of 5-fluorouracil therapy and knows that stomatitis is a potential adverse effect of antieoplastic therapy. What will the nurse teach her about managing this problem?

"Be sure to examine your mouth daily for bleeding, painful areas and ulcerations."

A patient who is diagnosed with genital herpes is taking topical acyclovir. The nurse will provide which teaching for this patient? Select that apply

"Be sure to wash your hands thoroughly before and after applying this medicine." "Use a clean glove when applying this ointment." "You will need to avoid touching the area around the eyes." "You will have to practice abstinence when these lesions are active."

A patient tells the nurse that he is having nausea and decreased appetite during drug therapy with a tetracycline antibiotic. Which statement is the nurse's best advice to the patient?

"Drink a full glass of water with each dose."

A young adult calls the clinic to ask for a prescription for "that new flu drug." He says he has had the flu for almost 4 days and just heard about a drug that can reduce the symptoms. What is the nurse's best response to his request?

"Drug therapy should be started within 2 days of symptom onset, not 4 days."

A 30 year old woman is in the clinic for her yearly gynecologic exam and asks the nurse about the "new vaccine that prevents HPV." She wants to receive the papillomavirus vaccine (Gardasil). Which response by the nurse is most appropriate?

"For women, the recommended age for this vaccine is 13 to 26 years of age."

The nurse is teaching about infection prevention measures with a patient who is receiving antineoplastic drug therapy. During a teach-back session, which statement by the patient indicates the need for further education?

"I will eat only fresh fruits and raw vegetables."

A patient is taking nystatin (Mycostatin) oral lozenges to treat an oral candidiasis infection resulting from inhaled corticosteroid therapy for asthma. Which instruction by the nurse is appropriate?

"Let the lozenge dissolve slowly and completely in your mouth without chewing it."

The nurse is providing patient teaching for a patient who is starting anti tubercular drug therapy. Which of these statements should be included? Select all that apply

"Take the medication at the same time every day." "Avoid alcoholic beverages while on this therapy." "If you experience a burning or tingling in your fingers or toes, report it to your prescriber immediately." "Oral contraceptives may not work while you are taking these drugs, so you will have to use another form of birth control."

A client with metastatic breast cancer is receiving tamoxifen. The nurse specifically monitors which laboratory value while the client is taking this medication?

Calcium level

A patient is being evaluated for a possible helminthic infection. The nurse knows that which statement about antihelminic therapy is true?

Antihelmintics are very specific in their actions

Aldesleukin [IL-2] (Proleukin) is prescribed for a patient. The nurse reviews the patient's medication list and would note a potential drug interaction if which drug class is also ordered?

Antihypertensive drugs

A patient is in the urgent care center after experiencing a black widow spider bite. The nurse prepares to give which product to treat his injury?

Antivenins or antisera

A 12 month old infant has received an MMR II (measles, mumps and rubella virus vaccine), and her mother calls the clinic that afternoon to ask about helping her fussy infant to "feel better." What will the nurse suggest?

Apply warm compresses to the injection site

A patient who has been on methotrexate therapy is experiencing mild pain. The patient is asking for aspirin for the pain. The nurse recognizes that which of these is true in this situation?

Aspirin can lead to methotrexate toxicity

A patient has received a prescription for a 2-week course of anti fungal suppositories for a vaginal yeast infection. She asks the nurse if there is an alternative to this medication, saying, "I don't want to do this for 2 weeks!" Which is a possibility in this situation?

A single dose of fluconazole (Diflucan) oral tablet

During a patient's therapy with interleukins, the nurse monitors the patient for capillary leak syndrome. Which assessment finding, if present, would indicate this problem?

A sudden 15 pound weight gain

A patient is receiving a third session of chemotherapy with daunorubicin (Cerubidine). The nurse will assess the patient for which signs of a potential severe toxic effect of this drug?

A weight gain of 2 pounds or more in 24 hours

A nurse is working in an immunization clinic. A new colleague asks, "When is the first dose of the diphtheria, tetanus and acellular pertussis (DtaP, Daptacel) given?" The nurse knows that this series is started at what age?

6 weeks

The nurse is preparing to administer an injection of monoclonal antibodies. Which additional drug will the nurse administer to minimize adverse reactions to the monoclonal antibodies?

A corticosteroid

The nurse is monitoring the laboratory results of a client receiving an antineoplastic medication by the intravenous route. The nurse plans to initiate bleeding precautions if which laboratory result is noted?

A platelet count of 50,000 mm3 (50 x 109/L)

The nurse is preparing an infusion of amphotericin B for a patient who has a severe fungal infection. Which intervention is appropriate regarding the potential adverse effects of amphotericin B?

Before beginning the infusion, administering an antipyretic and an antiemetic drug

A patient is admitted with a fever of 102.8F, origin unknown. Assessment reveals cloudy, foul-smelling urine that is dark amber in color. Orders have just been written to obtain stat urine and blood cultures and to administer an antibiotic intravenously. The nurse will complete these orders in which sequence?

Blood and urine cultures, antibiotic dose

The nurse is caring for a post renal transplantation client taking cyclosporine. The nurse notes an increase in one of the client's vital signs, and the client is complaining of a headache. What vital sign is most likely increased?

Blood pressure

A patient is receiving doxorubicin (Adriamycin) as part of treatment for ovarian cancer. Which of these is a possible adverse effect of doxorubicin?

Cardiotoxicity

A patient is infected by invasive aspergillosis, and his medical record reveals that he has not been able to tolerate several antifungal drugs. The nurse anticipates an order for which medication to treat this infection?

Caspofungin (Cancidas)

When reviewing the allergy history of a patient, the nurse notes that the patient is allergic to penicillin. Based on this finding, the nurse would question an order for which class of antibiotics?

Cephalosporins

Just before the second course of chemotherapy, the lab calls to report that a patient's absolute neutrophil count is 450 cells/mm3. The nurse expects that the oncologist will follow which course of treatment?

Chemotherapy will be withheld until the neutrophil count returns toward normal levels

The nurse is monitoring a patient who is receiving muromonab-CD3 (Orthoclone OKT3) after an organ transplant. Which effect is possible with muromonab-CD3 therapy?

Chest pain

Abatacept (Orencia) is prescribed for a patient with severe rheumatoid arthritis. The nurse checks the patient's medical history, knowing that this medication would need to be used cautiously if which condition is present?

Chronic obstructive pulmonary disease

A patient has been diagnosed with carbapenem-resistant Enterobacteriaceae (CRE). The nurse expects to see orders for which drug?

Colistimethate sodium (Coly-Mycin), a polypeptide antibiotic

A patient who has had a recent organ transplant is taking sirolimus as part of the immunosuppressant therapy. Today, the patient realized that a dose was missed, and it is now time for the next dose. Which action is appropriate?

Contact the transplant physician for instructions

The client with non-Hodgkin's lymphoma is receiving daunorubicin (DaunoXome). Which finding would indicate to the nurse that the client is experiencing an adverse effect related to the medication?

Crackles on auscultation of the lungs

The nurse is monitoring for therapeutic results of antibiotic therapy in patient with an infection. Which laboratory value would indicate therapeutic effectiveness of this therapy?

Decreased white blood cell count

A patient is receiving irinotecan (Camptosar), along with other antineoplastic drugs, as treatment for ovarian cancer. The nurse will monitor for which potentially life-threatening adverse effect that is associated with this drug?

Delayed-onset cholinergic diarrhea

A patient who has a helminthic infection has a prescription for pyrantel (Antiminth). Which is one of the common adverse effects that the patient may experience while on this therapy?

Diarrhea

Hydroxycholoroquine (Plaquenil) is prescribed as part of malaria prophylaxis for a patient who will be traveling. The nurse will discuss which potential adverse effects with the patient? Select all that apply

Diarrhea Dizziness Rash Headache

During an intravenous (IV) infusion of amphotericin B, a patient develops tingling and numbness in his toes and fingers. What will the nurse do first?

Discontinue the infusion immediately

The nurse is administering an amphotericin B infusion. Which actions by the nurse are appropriate? Select all that apply

Discontinuing the drug immediately if the patient develops tingling and numbness in the extremities Using an infusion pump for IV therapy Monitoring the IV site for signs of phlebitis and infiltration Administering premedication for fever and nausea

The nurse is preparing to use an antiseptic. Which statement is correct regarding how antiseptics differ from disinfectants?

Disinfectants are used only on nonliving objects to destroy organisms

The nurse is assessing a patient who is receiving chemotherapy with an alkylating drug. Which assessment findings would be considered indications of an oncologic emergency? Select all that apply

Dry, scratchy or swollen throat White patches in the mouth or throat Temperature of 100.7F (38.2C) Decreased urine output

The nurse is monitoring a patient who has severe bone marrow suppression following antineoplastic drug therapy. Which is considered a principal early sign of infection?

Fever

The nurse is reviewing the culture results of a patient with an infection, and notes that the culture indicates a gram-positive organism. Which generation of cephalosporin is most appropriate for this type of infection?

First-generation

A patient must be treated immediately for acute organ transplant rejection. The nurse anticipates that muromonab-CD3 (Orthoclone OKT3) will be ordered. What is the priority assessment before beginning drug therapy with muromonab-CD3?

Fluid volume status

A client who is human immunodeficiency virus seropositive has been taking stavudine. The nurse should monitor which most closely while the client is taking this medication?

Gait

A patient who has undergone a lung transplant has contracted cytomegalovirus (CMV) retinitis. The nurse expects which drug to be ordered for this patient?

Ganciclovir (Cytovene)

A patient with multiple sclerosis (MS) will be starting therapy with an immunosuppressant drug. The nurse expects which drug will be used?

Glatiramer acetate (Copaxone)

Two patients arrive in the clinic; one is a young boy with sickle cell anemia, another is a 57-year-old woman with early stages of Hodgkin's disease. The nurse notices that both patients need the same vaccine. What vaccine would that be?

Haemophilus influenzae type B (Hib) vaccine

Amikacin is prescribed for a client with a bacterial infection. The nurse instructs the client to contact the primary health care provider immediately if which occurs?

Hearing loss

The nurse will assess the patient for which potential contraindication to anti tubercular therapy?

Hepatic impairment

A sanitization worker has experienced a needle stick by a contaminated needle that was placed in a trash can. The employee health nurse expects that which drug will be used to provide passive immunity to hepatitis B infection?

Hepatitis B immunoglobulin (BayHep B)

A female patient is receiving palliative therapy with androgen hormones as part of treatment for inoperable breast cancer. The nurse will discuss with the patient which potential body image changes that may occur as adverse effects?

Hirsutism and acne

During interleukin drug therapy, a patient is showing signs of severe fluid retention, with increasing dyspnea and severe peripheral edema. The next dose of the interleukin is due now. Which action will the nurse take next?

Hold the drug and notify the prescriber

The nurse checks the patient's laboratory work prior to administering a dose of vancomycin (Vancocin) and finds that the rough vancomycin level is 24 mcg/mL. What will the nurse do next?

Hold the drug, and notify the prescriber.

Cyclosporine is prescribed for a patient who had an organ transplant. The nurse will monitor the patient for which common adverse effect?

Hypertension

The nurse is providing medication instructions to a client with breast cancer who is receiving cyclophosphamide. The nurse should tell the client to take which action?

Increase fluid intake to 2000 to 3000 mL/day

If a patient is taking fluconazole (Diflucan) with an oral anticoagulant, the nurse will monitor for which possible interaction?

Increased effects of oral anticoagulants

When administering cyclosporine, the nurse notes that allopurinol is also ordered for the patient. What is a potential result of this drug interaction?

Increased levels of cyclosporine and toxicity

The nurse is analyzing the laboratory results of a client with leukemia who has received a regimen of chemotherapy. Which laboratory value would the nurse specifically note as a result of the massive cell destruction that occurred from chemotherapy?

Increased uric acid level

The nurse is administering intravenous acyclovir (Zovirax) to patient with a viral infection. Which administration technique is correct?

Infuse intravenous acyclovir slowly, over at least 1 hour

The nurse is administering a vancomycin (Vancocin) infusion. Which measure is appropriate for the nurse to implement in order to reduce complications that may occur with this drug's administration?

Infusing the drug over at least 1 hour

When giving cisplatin (Platinol-AQ), the nurse is aware that adverse effect of this drug is which condition?

Kidney damage

During drug therapy for pneumonia, a female patient develops a superinfection. The nurse explains that this infection is caused by which of these?

Large doses of antibiotics that kill normal flora

A patient is receiving high doses of methotrexate and is experiencing severe bone marrow suppression. The nurse expects which intervention to be ordered with this drug to reduce this problem?

Leucovorin rescue

A patient has started azathioprine (Imuran) therapy as part of renal transplant surgery. The nurse will monitor for which expected adverse effect of azathioprine therapy? Select all that apply

Leukopenia Thrombocytopenia Hepatotoxicity

A patient is in the HIV clinic for a follow-up appointment. He has been on antiretroviral therapy for HIV for more than 3 years. The nurse will assess for which potential adverse effects of long-term antiretroviral therapy? Select all that apply

Lipodystrophy Liver damage Osteoporosis Type 2 Diabetes

A patient will be receiving nitrofurantoin (Macrodantin) treatment for a urinary tract infection. The nurse is reviewing the patient's history and will questions the nitrofurantoin order if which disorder is present in the history? Select all that apply

Liver disease Chronic renal disease

The nurse is reviewing the medication orders for a patient who will be receiving aminoglycoside therapy. Which other medication or medication class, if ordered, would be a potential interaction concern?

Loop diuretics

Chemotherapy dosage is frequently based on total body surface area (BSA), so it is important for the nurse to do which of the following before administering chemotherapy?

Measure client's current weight and height

Ketoconazole is prescribed for a client with candidiasis. Which intervention should the nurse include when administering this medication? Select all that apply

Monitor liver function studies Instruct the client to avoid alcohol Instruct the client to avoid exposure to the sun

The nurse is administering intravenous Vancomycin to a patient who has had gastrointestinal surgery. Which nursing measures are appropriate? Select all that apply

Monitoring serum creatinine levels Warning the patient that a flushed feeling or facial itching may occur Instructing the patient to report dizziness of a feeling of fullness in the ears Reporting a trough drug level of 24 mcg/mL and holding the drug

A patient asks about his cancer treatment with monoclonal antibodies. The nurse tells him that which is the major advantage of treating certain cancers with monoclonal antibodies?

Monoclonal antibodies target certain tumor cells and yet bypass normal cells

The nurse is reviewing principles of immunization. What types of immunization occurs when antibodies pass from mother to infant during breastfeeding or through the placenta during pregnancy?

Natural passive immunization

The nurse is caring for a client who has been taking a sulfonamide and should monitor for signs and symptoms of which adverse effects of the medication? Select all that apply

Nephrotoxicity Bone marrow suppression Gastrointestinal effects

During chemotherapy, a patient develops severe diarrhea caused by a vasoactive intestinal peptide screening tumor (VIPoma). The nurse expects to administer which drug for this problem?

Octreotide (Sandostatin)

A patient who has received chemotherapy has a critically low platelet count. The nurse expects which drug or drug class to be used to stimulate platelet cell production?

Oprelvekin (Neumega)

The nurse is reviewing the medication history of a patient who will be taking sulfonamide antibiotic. During sulfonamide therapy, a significant drug interaction may occur with which of these drugs or drug classes? Select all that apply

Oral contraceptives Sulfonylureas Phenytoin (Dilantin) Warfarin (Coumadin)

The nurse is counseling a woman who will be starting rifampin (Rifadin) as part of anti tubercular therapy. The patient is currently taking oral contraceptives. Which statement is true regarding rifampin therapy for this patient?

Oral contraceptives are less effective while the patient is taking rifampin

The client with small cell lung cancer is being treated with etoposide (Toposar). The nurse assisting in caring for the client during its administration should understand that which side/adverse effect is specifically associated with this medication?

Orthostatic hypotension

The nurse caring for a client who is taking amino glycoside should monitor the client for which adverse effects of the medication? Select all that apply

Ototoxicity Renal toxicity Dysrhythmias

The nurse is reviewing the history and physical examination of a client who will be receiving asparaginase, an antineoplastic agent. The nurse contacts the primary health care provider before administering the medication if which disorder is documented in the client's history?

Pancreatitis

A patient with a severe fungal infection has orders for voriconazole (Vfend). The nurse is reviewing the patient's medical record and would be concerned if which assessment finding is noted?

Patient is also taking quinidine

The nurse is reviewing the health history of a new patient who may need immunizations. Active immunizations are usually contraindicated in which patients? Select all that apply

Patients with a febrile illness Patients who are immunosuppressed Those receiving cancer chemotherapy

A patient will be having oral surgery and has received an antibiotic to take for 1 week before the surgery. The nurse knows that this is an example of which type of therapy?

Prophylactic

The client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. The nurse caring for the client anticipates that which diagnostic study will be prescribed?

Pulmonary function studies

The nurse is evaluating the laboratory results of a patient who has received chemotherapy. The loss of which blood cell leads to lack of energy, fatigue, intolerance of activity and hypoxemia?

Red blood cells

Which problem may occur in a patient who has started aminoglycoside therapy?

Renal damage

A patient is receiving a ribivirin (Virazole) aerosol treatment. Which precaution is important for the pregnant health care provider?

Staying out of the room during the aerosol treatment

A patient is receiving his third intravenous dose of a penicillin drug. He calls the nurse to report that he is feeling "anxious' and is having trouble breathing. What will the nurse do first?

Stop the antibiotic infusion

The nurse is monitoring the intravenous (IV) infusion of an antineoplastic medication. During the infusion, the client complains of pain at the insertion site. On inspection of the site, the nurse notes redness and swelling and that the infusion of the mediation has slowed in rate. The nurse suspects extravasation and should take which actions? Select all that apply

Stop the infusion Prepare to apply ice or heat to the site Notify the primary health care provider Prepare to administer a prescribed antidote into the site

What is the nurse's priority action if extravasation of an antineoplastic drug occurs during intravenous (IV) administration?

Stop the infusion immediately, but leave the IV catheter in place

A patient has a urinary tract infection. The nurse knows that which class of drugs is especially useful for such infections?

Sulfonamides

A patient is receiving hydroxycholorquine therapy but tells the nurse that she has never traveled out of her city. The nurse knows that a possible reason for this drug therapy is which condition?

Systemic lupus erythematosus

A patient with an intestinal infection that is positive for the Giardia lambda organism will be taking an antiprotozoal drug. The nurse will include which information in the teaching plan for this patient?

Taking the mediations with food reduces gastrointestinal upset

A 79 year old patient is receiving quinolone as treatment for a complicated incision infection. The nurse will monitor for which adverse effect that is associated with these drugs?

Tendonitis and tendon rupture

A client with acquired immunodeficiency syndrome and Pneumocystis jiroveci infection has been receiving pentamidine. The client develops a temperature of 101F. The nurse continues to assess the client, knowing that this sign most likely indicates which condition?

That the client has developed another infection caused by leukopenic effects of the medication

A patient, diagnosed with lymphoma, has an allergy to one of the proposed chemotherapy drugs. The tumor has not responded to other types of treatment. The nurse expects the oncologist to follow which course of treatment?

The chemotherapy will be given along with supportive measures to treat a possible allergic reaction

A woman is traveling to a country where she will be at high risk for malarial infection. What will the nurse teach her regarding prophylactic therapy with hydroxycholorquine (Plaquenil)?

The drug is usually started 1 to 2 weeks before traveling to endemic areas and is continued for 4 weeks after leaving the area

The nurse is administering one of the lipid formulations of amphotericin B. When giving this drug, what concept is important to remember?

The lipid formulations are associated with fewer adverse effects than the older drugs

During treatment of a patient who has brain cancer, the nurse hears the oncologist mention that the patient has reached the "nadir." The nurse knows that this term means which of these?

The lowest level of neutrophils reached during therapy

The nurse is monitoring a patient who has been on antibiotic therapy for 2 weeks. Today the patient tells the nurse that has has had watery diarrhea since the day before and is having abdominal cramps. His oral temperature is 101F. Based on these findings, which conclusion will the nurse draw?

The patient needs to be tested for Clostridium difficile infection

The nurse is developing a plan of care for a patient who is experiencing gastrointestinal adverse effects, including anorexia and nausea, after the first course of antineoplastic therapy. What is an appropriate outcome for this patient when dealing with this problem?

The patient will maintain a diet of small, frequent feedings with nutrition supplements during therapy

When reviewing the medication orders for a patient who is taking penicillin, the nurse notes that the patient is also taking the oral anticoagulant warfarin (Coumadin). What possible effect may occur as the result of an interaction between these drugs?

The penicillin will cause an enhanced anticoagulant effect of the warfarin

A patient has been taking anti tubercular therapy for 3 months. The nurse will assess for what findings that indicate a therapeutic response to the drug therapy?

There is a decrease in symptoms of tuberculosis along with improved chest radiographs and sputum cultures

The nurse is teaching a class about the various chemotherapy drugs. Which of these statements explains why alkylating drugs are also called "cell cycle nonspecific drugs"?

They are cytotoxic in any phase of the cell cycle

A patient is taking a combination of antiviral drugs as treatment for early stages of a viral infection. While discussing the drug therapy, the patient asks the nurse if the drugs will kill the virus. When answering, the nurse keeps in mind which fact about antiviral drugs?

They may also kill healthy cells while killing viruses

When a patient is receiving cisplatin (Platinol-AQ) chemotherapy, the nurse will monitor for which adverse effects? Select all that apply

Tinnitus Hearing loss Elevated blood urea nitrogen and creatinine levels Numbness or tingling in the extremities

When a patient is on amino glycoside therapy, the nurse will monitor the patient for which indicators of potential toxicity?

Tinnitus and dizziness

A client with acute myelocytic anemia is being treated with busulfan. Which laboratory value would the nurse specifically monitor during treatment with this medication?

Uric acid level