Pharm II Exam 1 practice test questions
A nurse is evaluating teaching for a client who has RA and a new prescription for methotrexate. Which of the following statements by the client indicates understanding of the teaching?
"I'll let the doctor know if I develop sores in my mouth while taking this medication"
A nurse is caring for a client who has a new prescription for adalimumab for RA. Based on the route of administration of adalimumab, which of the following should the nurse plan to monitor?
The SQ site for redness following injection
A nurse is providing teaching to a client who is taking raloxifene to prevent postmenopausal osteoporosis. The nurse should advise the client that which of the following are adverse effects of this medication? (SATA)
-Hot flashes -Swelling in redness or calf -Shortness of breath
A nurse is providing teaching for a client who has gout and a new prescription for allopurinol. For which of the following adverse effects should the client be taught to monitor? (SATA)
-Nausea -Rash -Increased gout pain
What patient education is needed for patients on medications that cause bone marrow suppression?
-Report bruising or bleeding (gums) -Avoid crowds and contact with infectious individuals
A nurse is teaching a client who has osteoporosis and a new prescription for alendronate (bisphosphonate). Which of the following instructions should the nurse provide? (SATA)
-Take medication in the morning before eating -Drink an 8oz glass of water with each tablet -Avoid lying down after taking this medication
Why do we use combination chemotherapy?
-decrease chance of resistant cancer cells -less side effects -more effective -decreased toxicity
A nurse is caring for a client who has breast cancer and asks why the treatment plan contains a combination therapy of cyclophosphamide, methotrexate, and fluorouracil. The response by the nurse should include that combination chemotherapy is used to do which of the following? (SATA)
-decrease med resistance -attack cancer cells at different stages of cell growth -decrease injury to normal body cells
A nurse is caring for a client who is being treated with interferon alfa-2B for malignant melanoma. For which of the following adverse effects (3) should the nurse monitor?
-depression -peripheral neuropathy -muscle aches
What is the normal range for serum calcium?
9-10.5
A nurse is teaching a client who has breast cancer about *tamoxifen*. Which of the following adverse effects of tamoxifen should the nurse discuss with the client?
Abnormal uterine bleeding
A nurse is teaching a client who has breast cancer about tamoxifen. Which of the following adverse effects of tamoxifen should the nurse discuss with the client?
Abnormal uterine bleeding
What is an adverse effect of cyclophosphamide that the nurse should monitor for?
Acute hemorrhagic cystitis
A nurse is providing instruction to a client who has a new prescription for calcitonin-salmon for postmenopausal osteoporosis. Which of the following instructions should the nurse include in the teaching?
Alternate nostrils each time calcitonin-salmon is inhaled
What teaching should included for patients taking meds that causes immunosuppression?
Avoid crowds and sick people and report fever or sore throat
Side effects of immunosuppression (patient education)
Avoid sick people, stay away from crowds, wash hands, report fever and sore throat
A nurse is caring for a client who receives rituximab to treat non-Hodgkin's leukemia and who asks the nurse how rituximab works. The appropriate reply by the nurse is that rituximab destroys cancer cells by...
Binding with specific antigens on tumor cells
Who is paclitaxel contraindicated in?
Client who have a neutrophil count less than 1,500/mm3
A nurse is caring for a client whose blood calcium is 8.8 mg/dL. Which of the following medications should the nurse anticipate administering to this client?
Calcium carbonate
What are two priority adverse effects that could occur when taking trastuzumab?
Cardiac toxicity and hypersensitivity reaction
What is the priority teaching to provide to a childbearing age female who is receiving a prescription for methotrexate?
Don't get pregnant, use birth control
What assessment should be done before hydroxychloroquine is started?
Eye exam
List 3 adverse effects of DMARD meds
Immunosuppression Bone marrow suppression Skin/GI issues
With methotrexate, what labs would we want to know about?
LFT, CBC
What are priority assessments for patients receiving doxorubicin?
Monitor ECG and cardiac function and advise patient to receive follow up care to monitor delayed cardiac toxicity
Who do we NOT give methotrexate to?
Pregnant women (women of childbearing age must be on contraceptive), people with renal or liver disease (ex: hepatitis)
A nurse is caring for a client who has a new prescription for calcitonin-salmon for osteoporosis. Which of the following tests should the nurse tell the client to expect before beginning this medication?
Skin test for allergy to the medication
What is the priority nursing action if redness is noted at the site of an IV where chemo meds are infusing?
Stop infusion
What education should be provided to patients taking bisphosphonate medications?
Take med on empty stomach with full glass of water Sit upright or walk for 30 minutes
What instructions do we give a patient taking Alendronate (Bisphosphonate) for osteoporosis?
Taken on an empty stomach, stay upright for 30 minutes, take with full glass of water, report painful swallowing (s/s of esophagitis)
What are patients at risk for when on LT steroids?
bone loss, adrenal suppression, infection, hypERglycemia
What a patients at risk for when taking calcium supplements?
kidney stones (renal calculi)
A nurse is preparing to administer cyclophosphamide IV to a client who has Hodgkin's disease. Which of the following medications should the nurse expect to administer concurrently with the chemotherapy to prevent an adverse effect?
protectant agent such as Mesna
What should we teach a patient who has been put on a SERM medication?
they are at increased risk for DVT