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Just before the second course of chemotherapy, the laboratory calls to report
that the patient's neutrophil count is 450 cells/mm3. The nurse expects that
the oncologist will follow which course of treatment?
a. Chemotherapy will be withheld until the neutrophil count returns
toward normal levels.
b. Chemotherapy will resume after a transfusion of neutrophils.
c. Chemotherapy will resume with a lowered dosage.
d. Chemotherapy will continue as scheduled.
a
When a patient is receiving cisplatin (Platinol-AQ) chemotherapy, the nurse will
monitor for which adverse effects? (Select all that apply.)
a. Hearing loss
b. Heart failure
c. Tinnitus
d. Elevated blood urea nitrogen and creatinine levels
e. Elevated glucose and ketone levels
f. Numbness or tingling in the extremities
a,c,d,f
,Chlorpromazine (Thorazine) is prescribed for a patient, and the nurse provides
instructions to the patient about the medication. The nurse includes which
information?
a. Long-term therapy may result in nervousness and excitability.
b. The patient needs to wear sunscreen while outside because of photosensitivity.
c. The patient needs to avoid caffeine while on this drug.
d. The medication may be taken with an antacid to reduce gastrointestinal upset.
b
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.)
a. Hair follicle cells
b. Nerve myelin cells
c. Gastrointestinal (GI) mucous membrane cells
d. Retinal cells
e. Bone marrow cells
a,c,e
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?
a. Electrocardiogram
b. Blood glucose level
c. Serum potassium level
d. Fluid volume status
d
,During a routine appointment, a patient with a history of seizures is found to have
a phenytoin (Dilantin) level of 23 mcg/mL. What concern will the nurse have, if
any?
a. The patient is at risk for seizures because the drug level is not at a therapeutic
level.
b. The patient's seizures should be under control if she is also taking a
second antiepileptic drug.
c. The drug level is at a toxic level, and the dosage needs to be reduced.
d. The patient's seizures should be under control because this is a therapeutic
drug level.
c
A patient, newly diagnosed with hypothyroidism, has received a prescription for
thyroid replacement therapy. The nurse will instruct the patient to take this
medication at which time of day?
a. At bedtime
b. With the evening meal
c. With the noon meal
d. In the morning
d
, The nurse is preparing to administer a barbiturate. Which conditions or
disorders would be a contraindication to the use of these drugs? (Select all
that apply.)
a. Severe liver disease
b. Diabetes mellitus
c. Epilepsy
d. Gout
e. Severe chronic obstructive pulmonary disease
f. Pregnancy
a,e,f
A patient was diagnosed with pancreatic cancer last month, and has complained
of a
dull ache in the abdomen for the past 4 months. This pain has been gradually
increasing, and the pain relievers taken at home are no longer effective. What
type of pain is the patient experiencing?
a. Neuropathic pain
b. Acute pain
c. Chronic pain
d. Somatic pain
c