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HESI
PHARMACOLOGY
A healthcare provider prescribes cephalexin monohydrate (Keflex) for
a client with a postoperative infection. It is most important for the nurse
to assess for what additional drug allergy before administering this
prescription?
A) Penicillins.
B) Aminoglycosides.
C) Erythromycins.
D) Sulfonamid
es. A)
Penicillins.
Cross-allergies exist between penicillins (A) and cephalosporins, such as
cephalexin monohydrate (Keflex), so checking for penicillin allergy is a wise
precaution before administering this drug.
Which nursing intervention is most important when caring for a
client receiving the antimetabolite cytosine arabinoside (Arc-C) for
chemotherapy?
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A) Hydrate the client with IV fluids before and after infusion.
B) Assess the client for numbness and tingling of extremities.
C) Inspect the client's oral mucosa for ulcerations.
D) Monitor the client's urine pH for
increased acidity. C) Inspect the client's
oral mucosa for ulcerations.
Cytosine arabinoside (Arc-C) affects the rapidly growing cells of the body,
therefore stomatitis and mucosal ulcerations are key signs of antimetabolite
toxicity (C). (A, B, and D) are not typical interventions associated with the
administration of antimetabolites.
When assessing an adolescent who recently overdosed on acetaminophen
(Tylenol), it is most important for the nurse to assess for pain in which area
of the body?
A) Flank.
B) Abdomen.
C) Chest.
D) Head.
B) Abdomen.
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Acetaminophen toxicity can result in liver damage; therefore, it is especially
important for the
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nurse to assess for pain in the right upper quadrant of the abdomen (B),
which might indicate liver damage. (A, C, and D) are not areas where pain
would be anticipated.
An adult client is given a prescription for a scopolamine patch
(Transderm Scop) to prevent motion sickness while on a cruise. Which
information should the nurse provide to the client?
A) Apply the patch at least 4 hours prior to departure.
B) Change the patch every other day while on the cruise.
C) Place the patch on a hairless area at the base of the skull.
D) Drink no more than 2 alcoholic drinks
during the cruise. A) Apply the patch at least 4
hours prior to departure.
Scopolamine, an anticholinergic agent, is used to prevent motion sickness and
has a peak onset in 6 hours, so the client should be instructed to apply the
patch at least 4 hours before departure (A) on the cruise ship. The duration of
the transdermal patch is 72 hours, so (B) is not needed.
Scolopamine blocks muscarinic receptors in the inner ear and to the vomiting
center, so the best application site of the patch is behind the ear, not at the
base of the skull (C). Anticholinergic medications are CNS depressants, so the
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