Senior Seminar Quiz 2

433. 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? 1. Tinnitus 2. Diarrhea 3. Constipation 4. Decreased respirations

1. Tinnitus

437. Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates which laboratory test will be prescribed? 1. Potassium (K+) 2. Triglycerides 3. Hemoglobin A1C (Hgb A1C) 4. Total Cholesterol

2. Triglycerides

480. 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. calcium

484. 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 2000-3000 mL daily 3. decrease sodium intake while taking this medication 4. decrease potassium intake while taking this medication

2. increase fluid intake to 2000-3000 mL daily

438. A client with severe acne is seen in the clinic and the PHCP prescribes isotretinoin. The nurse reviews the clients 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. Vitamin A

518. The home health care nurse is visiting a client who was recently diagnosed with type 2 DM. the client is prescribed repaglinide and metformin. the nurse should provide which instructions to the client? *select all that apply* 1. Diarrhea may occur secondary to metformin 2. the repaglnide is not taken if a meal is skipped 3. the repaglinide is taken 30 mins before eating 4. a simple sugar food item is carried and used to treat mild hypoglycemia episodes 5. muscle pain is an expected effect of metformin and may be treated with acetaminophen 6. metformin increases hepatic glucose production to prevent hypoglycemia

1. Diarrhea may occur secondary to metformin 2. the repaglnide is not taken if a meal is skipped 3. the repaglinide is taken 30 mins before eating 4. a simple sugar food item is carried and used to treat mild hypoglycemia episodes

517. A client with DM is taking Humulin NPH insulin and regular insulin every morning. The nurse should provide which instructions to the client? *select all that apply* 1. Hypoglycemia may be experienced before dinnertime 2. the insulin dose should be decreased if illness occurs 3. The insulin should be administered at room temperature 4. the insulin vial needs to be shaken vigorously to break up precipitates 5. The NPH insulin should be drawn into the syringe first, then the regular insulin

1. Hypoglycemia may be experienced before dinnertime 3. The insulin should be administered at room temperature

516. The PHCP prescribes exanatide for a client with type 1 DM who takes insulin. The nurse should plan to take which most appropriate intervention? 1. Withhold the medication and call the PHCP, questioning the prescription for the client 2. Teach the client about the signs and symptoms of hypoglycemia and hyperglycemia 3. monitor the client for GI side effects after administering the medication 4. Withdraw the insulin from the prefilled pen into an insulin syringe to prepare for the administration

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

439. 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 body areas? *Select all that Apply* 1. back 2. axilla 3. eyelids 4. soles of the feet 5. Palms of the hands

1. back 4. soles of the feet 5. Palms of the hands

436. 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 effect has occurred? 1. hyperventilation 2. elevated blood pressure 3. local rash at the burn site 4. local pain at the burn site

1. hyperventilation

519. The nurse is teaching the client about his prescribed prednisone. Which statement, if made by the client, indicates that *further teaching is necessary*? 1. i can take aspirin or my antihistamine if i need it 2. I need to take the medication every day at the same time 3. I need to avoid coffee, tea, cola, and chocolate in my diet 4. If I gain 5 lbs or more a week I will call my doctor

1. i can take aspirin or my antihistamine if i need it

440. 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 compliant may be associated with the use of this medication? 1. itching 2. Euphoria 3. Drowsiness 4. Frequent urination

1. itching

478. 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? 1. pancreatitis 2. diabetes mellitus 3. myocardial infarction 4. COPD

1. pancreatitis

482. The nurse is monitoring the IV infusion of an antineoplastic medication. During the infusion, the client complains of pain at 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 what actions? *Select all that apply* 1. stop the infusion 2. prepare to apply ice or heat to the site 3. restart the IV at a distal part of the same vein 4. notify the PHCP 5. prepare to administer a prescribed antidote into the site 6. increase the flow rate of the solution to flush the skin and subcutaneous tissue

1. stop the infusion 2. prepare to apply ice or heat to the site 4. notify the PHCP 5. prepare to administer a prescribed antidote into the site

512. The nurse is teaching a client with diabetes mellitus how to mix regular insulin with NPH insulin in the same syringe. Which action, if performed by the client, indicates the *need for further teaching*? 1. withdraws the NPH insulin first 2. Withdraws the regular insulin first 3. Injects air into the NPH insulin vial first 4. injects an amount of air equal to the desired dose of insulin into each vial

1. withdraws the NPH insulin first

514. 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* 1. alcohol 2. red meats 3. whole-grain cereals 4. low-calorie desserts 5. carbonated beverages

2. red meats 3. whole-grain cereals 5. carbonated beverages

513. 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 should tell the client to take which action? 1. freeze the insulin 2. refrigerate the insulin 3. store the insulin in a dark, dry place 4. keep the insulin at room temperature

2. refrigerate the insulin

474. 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 time 2. uric acid level 3. potassium level 4. blood glucose level

2. uric acid level

434. 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? *Select all that apply* 1. sunscreen should be applied every 8 hours 2. use sunscreen when participating in outdoor activities 3. wear a hat, opaque clothing, and sun glasses when in the sun 4. avoid sun exposure in the late afternoon and early evening hours 5. examine your body monthly for any lesions that may be suspicious

2. use sunscreen when participating in outdoor activities 3. wear a hat, opaque clothing, and sun glasses when in the sun 5. examine your body monthly for any lesions that may be suspicious

472. chemotherapy dosage is frequently based on a total BSA, so it is important for the nurse to preform which assessment before administering chemotherapy? 1. measure the client's abdominal girth 2. calculate the client's BMI 3. Measure the client's current height and weight 4. ask the client about his or her height or weight

3. Measure the client's current height and weight

483. The nurse is analyzing the lab results of a client with leukemia who has received a regimen of chemotherapy. which lab value would the nurse specifically note as a result of the massive cell destruction that occurred from the chemotherapy? 1. anemia 2. decreased platelets 3. increased uric acid 4. decreased leukocyte count

3. increased uric acid

486. The nurse is monitoring the laboratory results of a client receiving an antineoplastic medication via IV. The nurse plans to initiate bleedig precautions if whoch lab value is noted? 1. clotting time of 10 minutes 2. ammonia 10 mcg/dL 3. platelet 50,000 mm^3 4. WBC 5000 mm^3

3. platelet 50,000 mm^3

479. 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 his medication. The nurse *most appropriately* responds by making which statement? 1. this medication can be used only to treat breast cancer 2. yes, your family member can take this medication for bladder cancer as well 3. this medication can be taken to prevent and treat clients with breast cancer 4. this medication can be taken by anyone with cancer as long as their HCP approves it

3. this medication can be taken to prevent and treat clients with breast cancer

476. 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? 1. you can take aspirin as needed for headache 2. you can drink beverages containing alcohol in moderate amounts each evening 3. you need to consult with the primary health care provider before receiving immunizations 4. it is fine to receive the flu vaccine at the local health fair without PHCP approval because the flu is so contagious

3. you need to consult with the primary health care provider before receiving immunizations

475. A client with small cell lung cancer is being treated with etoposide. the nurse monitors the client during administration, knowing that which adverse affect is specifically associated with this medication? 1. Alopecia 2. Chest Pain 3. Pulmonary Fibrosis 4. Orthostatic Hypotension

4. Orthostatic Hypotension

473. A client with squamous cell carcinoma of the larynx is receiving bleomycin IV. The nurse caring for the client anticipates that which diagnostic study will be prescribed? 1. Echo 2. ECG 3. Cervical radiography 4. Pulmonary Function Studies

4. Pulmonary Function Studies

481. 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 PHCP if which diagnosis is documented in the client's history? 1. gout 2. asthma 3. MI 4. Venous thromboembolism

4. Venous thromboembolism

435. Silver sulfadiazine (Silvadene) is prescribed for a client with burn injuries. which laboratory finding requires the *need for a follow-up* by the nurse? 1. glucose level 99mg/dL 2. platelet level of 300,000 mm^3 3. magnesium level of 1.5 mEq/L 4. WBC count of 3000 mm^3

4. WBC count of 3000 mm^3

442. The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds the children that chemical sunscreens are most effective when applied at which time? 1. immediately before swimming 2. 5 minutes before exposure to the sun 3. immediately before exposure to the sun 4. at least 30 minutes before exposure to the sun

4. at least 30 minutes before exposure to the sun

485. A client with non-Hodgkin's lymphoma is receiving daunorubicin. which finding 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. complaint of nausea and vomiting 4. crackles on auscultation of the lungs

4. crackles on auscultation of the lungs

477. 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 tis medication? 1. diarrhea 2. hair loss 3. chest pain 4. peripheral neuropathy

4. peripheral neuropathy

441. 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? 1. the medication is an antibacterial 2. the medication will help heal the burn 3. this medication should be applied directly to the wound 4. the medication is likely to cause stinging every time is is applied

4. the medication is likely to cause stinging every time is is applied

515. 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*? 1. it is okay if i skip a meal once in a while. 2. I need to let my doctor know if i get unusually tired 3. i need to constantly watch for signs of low blood sugar 4. I will be sure to not drink alcohol excessively while on medication

I need to constantly watch for signs of low blood sugar