Pharmacology Final

The nurse is reviewing the history and physical examination of a client who will be receiving asparaginase, an anti-neoplastic agent. The nurse contacts the Primary Health care provider before administering this medication if which disorder is documented in the client's history? 1. Pancreatitis 2. diabetes mellitus 3. myocardial infarction 4. COPD

1 -impairs pancreatic function -pancreatic function test before administration

Salicylic acid is prescribed for a client diagnosed with psoriasis. The nurse monitors for the client, knowing that which finding indicated the presence of systemic toxicity from this medication? a. Tinnitus b. Diarrhea c. Constipation d. Decreased respirations

1 absorbed through the skin. symptoms include tinnitus, dizziness, hyperpnea, and psychological disturbances

The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of injury. The nurse monitors the client knowing that which indicates a systemic effect has occurred? 1. Hyperventilation 2. Elevated BP 3. local rash at burn site 4. Local pain at burn site

1 can suppress renal excretion of acid causing acidosis leading to hyperventilation

The clinic nurse is performing an admission assessment on a client and notes that the client is taking azelaic acid to treat acne. The nurse determines that which client complaint may be associated with the use of this medication? 1. itching 2. euphoria 3. drowsiness 4. frequent urination

1 topical medication used to treat mild to moderate acne AE include burning, itching, stinging, redness, hypopigmentation

Megestrol acetate, an anti-neoplastic medication, is prescribed for a client with metastatic endometrial carcinoma. The nurse reviews the client history and should contact the Primary Health care provider if which diagnosis is documented in the client's history? 1. Gout 2. Asthma 3. myocardial infarction 4. venous thromboembolism

4 -suppresses the release of LH

a 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? 1. Echocardiography 2. Electrocardiography 3. Cervical radiography 4. Pulmonary function studies

4 antineoplastic medication that can cause interstitial pneumonitis, which can progress to pulmonary fibrosis.

a client with non-Hodgkin's lymphoma is receiving daunorubicin. Which findings would indicate to the nurse that the client is experiencing an adverse effect related to the medication? 1. Fever 2. sores in the mouth and throat 3. complaints of nausea and vomiting 4. crackles on auscultation of the lungs

4 cardiomyopathy manifested as heart failure (lung crackles) is an AE

A client with small cell lung cancer is being treated with etoposide. the nurse monitors the client during administration, knowing that which adverse effect is specifically associated with this medication? 1. Alopecia 2. chest pain 3. pulmonary fibrosis 4. orthostatic hypotension

4 should be administered slowly over 30-60 minutes; monitor blood pressure

Silver sulfadiazine is precribed for a client with a burn injury. Which lab values requires the need for follow up by the nurse? 1. glucose 99 2.platelet 300,000 3.magnesium 1.5 4. WBC 3,000

4 used for treatment of burn injuries AE include rash and itching, blue-green or gray skin discoloration, leukopenia, interstial nephritis

A client with ovarian cancer is being treated with vincristine. The nurse monitors the client, knowing that which medication indicates an adverse effect specific to this medication? 1. Diarrhea 2. hair loss 3. chest pain 4. peripheral neuropathy

4 · Occurs in almost every client · Manifested as numbness and tingling in the fingers and toes · Depression of achilles tendon reflex may be first sign of peripheral neuropathy

the nurse is monitoring the IV infusion of an anti-neoplastic medication. During the infusion, the client complaints of pain at the insertion site. On inspection of the site, the nurse notes redness and swelling and that the infusion of the medication has slowed in rate the nurse suspects extravasation and should take which actions? Select all that apply 1. stop the infusion 2. prepare to apply ice or heat to the site 3. notified the PHCP 4. prepare to administer a prescribed an adult into the site 5. increase the flow rate of the solution to flush the skin and subcutaneous tissue

1, 2, 4, 5

The nurse is applying a topical corticosteroid to a client with eczema. The nurse understands that it is safe to apply the medication to which areas of the body? 1. Back 2. Axilla 3. Eyelids 4. Soles of the feet 5. Palms of the hands

1, 4, 5

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? 1. Take the medication with food 2. increase fluid intake to 2000 to 3000ML daily 3. decrease sodium intake while taking this medication 4. increase potassium intake while taking the medication

2

A client with metastatic breast cancer is receiving tamoxifen. The nurse specifically monitors which laboratory value while the client is taking this medication? 1. Glucose 2. Calcium 3. Potassium 4. prothrombin time

2 -may increase calcium, cholesterol, and triglyceride levels

A client with acute myelocytic leukemia is being treated with busulfan. Which laboratory value would the nurse specifically monitor during treatment with this medication? 1. clotting 2. uric acid level 3. potassium level 4. blood glucose

2 can cause an increase in uric acid hyperuricemia can produce uric acid neuropathy, renal stones, and acute kidney injury

Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which lab test will be prescribed 1. potassium 2. triglyceride 3. hemoglobin A1C 4. Total cholesterol level

2 can elevate triglyceride levels

The health education nurse provides instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which instructions should the nurse provide. SATP 1. suncreen q 8 hours 2. sunscreen when outside 3. wear a hat, opaque clothing, and sunglasses 4. avoid sun exposure in late afternoon and early evening hours 5. examine body monthly for lesions

2, 3, 5

Chemotherapy dosages frequently based on total body surface area, so it is important for the nurse to perform which assessment before administering chemotherapy? 1. Measure the clients abdominals girth 2. calculate the clients body mass index 3. measure the clients current weight and height 4. ask the client about his weight or height

3

The nurse is analyzing the laboratory values of a client with leukemia who has received a regimen of chemotherapy. Which laboratory value what the nurse specifically note as a result of the massive cell destruction that a curd from the chemotherapy? 1. Anemia 2. decrease platelets 3. increased uric acid level 4. decreased leukocyte count

3 -kills massive cells resulting in increased uric acid

A client with severe acne is seen in the clinic and the Primary Health care provider prescribes isotretinoin. The nurse reviews the client's medication record and would contact the PHCP if the client is also taking which medication? 1. Digoxin 2. Phenytoin 3. Vitamin A 4. Furosemide

3 metabolizes vitamin A causing toxicity

Silver sulfadiazine is prescribed for a client with a partial thickness burn, in the nurse provides teaching about the medication. Which statement made by the client indicates a need for further teaching about the treatments? 1. "The medication is an antibacterial" 2. "the medication will help heal the burn" 3. "the medication should be applied directly to the wound" 4. "likely to cause singing every time it is applies"

4