Quiz 2

Tamoxifen citrate is prescribed for a client with metastatic breast carcinoma. The client asks the nurse if a 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."

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

Venous thromboembolism

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?

Orthostatic hypotension

The nurse is teaching the client about prescribed prednisone. Which statement, if made by the client indicates that further teaching is necessary?

"I can take aspirin or my antihistamine if I need it."

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

A client with hyperthyroidism has been given methimazole. Which nursing considerations are associated with this medication? Select all that apply.

Administer methimazole with food. Assess the client for unexplained bruising or bleeding. Instruct the client to report side and adverse effects such as sore throat, fever, or headaches.

The camp nurse asks the children preparing to swim in the lake if they applied sunscreen. The nurse reminds the children that chemical sunscreens are most effect when applied at which times?

At least 30 minutes before exposure to the sun.

A client with non-Hodgkin's lymphoma is receiving daunorubacin. 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.

A client with diabetes mellitus is taking Humulin NPH insulin and regular insulin every morning. The nurse would provide which instructions to the client? Select all that apply.

Hypoglycemia may be experienced before dinnertime. The insulin should be administered at room temperature.

Chemotherapy dosage is frequently based on total body surface area, so it is important for the nurse to perform which assessment before administering chemotherapy?

Measure the client's current weight and height.

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

Peripheral neuropathy

Silver sulfadiazine is prescribed for a client with a partial-thickness burn, and the nurse provides teaching about the medication. Which statement made by the client indicates a need for further teaching about the treatments?

The medication is likely to cause stinging every time it is applied.

Salicylic acid is prescribed for a client with a diagnosis of psoriasis . The nurse monitors the client, knowing that which finding indicates the presence of systemic toxicity from this medication?

Tinnitus

A client with severe acne is seen in the clinic, the primary health care provider prescribes isotretinoin. The nurse reviews the client's medication record and would collaborate with the PHCP about the prescription if the client is also taking which medication?

Vitamin A

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

The nurse is providing discharge teaching for a client newly diagnosed with type 2 diabetes mellitus who has been prescribed metformin. Which client statement indicates the need for further teaching?

"I need to constantly watch for signs of low blood sugar."

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

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

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 of the body areas? Select all that apply.

Back Soles of the feet Palms of the hands

The home health care nurse is visiting a client who was recently diagnosed with type 2 diabetes mellitus. The client is prescribed repaglinide and metformin. The nurse would provide which instructions to the client? Select all that apply.

Diarrhea may occur secondary to the metformin. The repaglinide is not taken if a meal is skipped. The repaglinide is taken 30 minutes before eating. A simple sugar food item is carried and used to treat mild hypoglycemia episodes.

A burn client is receiving treatments of topical mafenide acetate to the site of injury. The nurse monitors the client, knowing that which finding indicates that a systemic effort has occurred?

Hyperventilation

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

Increase fluid intake to 2000 to 3000 mL daily.

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

Increased uric acid level

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?

Itching

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?

Pulmonary function studies

Glimepiride is prescribed for a client with diabetes mellitus. The nurse instructs the client that which food items are most acceptable to consume while taking this medication? Select all that apply.

Red meats Whole grain cereals Carbonated beverages

The home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin. The nurse would tell the client to take which action?

Refridgerate the insulin

The nurse is monitoring the intravenous 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 medication has slowed in rate. The nurse suspects extravasating and would 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 to the site.

Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed?

Triglyceride level

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

Uric acid level

The health education nurse plans to provide instructions to a group of clients regarding measures that will assist in preventing skin cancer? Select all that apply.

Use sunscreen when participating in outdoor activities Wear a hat, opaque clothing, and sunglasses when in the sun Examine your body monthly for any lesions that may be suspicious

Silver sulfadiazine is prescribed for a client with a burn injury. Which laboratory finding requires the need for follow-up by the nurse?

White blood cell count, 3000 mm3

The nurse is teaching a client with diabetes mellitus how to mix regular insulin and NPH insulin in the same syringe. Which action, if performed by the client indicates the need for further teaching?

Withdraws the NPH insulin first

The primary health care provider prescribes semaglutide for a client with type 1 diabetes mellitus who takes insulin. The nurse would plan to take which most appropriate intervention?

Withhold the medication and call the PHCP, questioning the prescription for the client.