1.c1)cAcnursecisccaringcforcacclientcwithchyper 3.c Calcitoninc(Miacalcin)cRationale
parathyroidismcandcnotescthatcthecclient'sc :
serumccalciumclevelcisc13cmg/dL.cWhichcm Thecnormalcserumccalciumclevelcisc8.6ctoc10.0cmg/dL.cThiscclientciscexperiencingchy
edicationcshouldcthecnursecpreparectocadmi percalcemia.cCalciumcgluconateandccalciumcchloridecaremedicationscusedforthectre
nistercascprescribedctocthecclient? atmentcofctetany,cwhichcoccurscascacresultcofcacutechypocalcemia.cInchypercalce
1. Calciumc chloride mia,clargecdosescofcvitamincDcneedctocbecavoided.cCalcitonin,cacthyroidchormone,cd
2. Calciumcgluconate ecreasescthecplasmaccalciumclevelcbycinhibitingcbonecresorptioncandcloweringcthe
3. Calcitoninc(Miacalcin) cserumccalciumcconcentration.
4. LargecdosescofcvitamincD
2.c2.)cOralcironcsupplementscarecprescribedcfor 4.c Orangecjuice
a 6-year-
c c cRationale:
oldcchildcwithcironcdeficiencycanemia.cThec VitamincCcincreasescthecabsorptioncofcironcbycthecbody.cThecmothercshouldcbecins
nursecinstructscthecmotherctocadministerct tructedctocadministercthecmedicationcwithcaccitruscfruitcorcacjuicecthatcischighcincvitami
hecironcwithcwhichcbestcfoodcitem? ncC.cMilkcmaycaffectabsorptioncofctheciron.cWatercwillcnotcassistcincabsorption.cOrangecj
1. Milk uiceccontainscacgreatercamountcofcvitamincCcthancapplecjuice.
2. Water
3. Applec juice
4. Orangec juice
3.c3.)cSalicyliccacidciscprescribedcforcacclientc 1.cTinnituscRatio
withcacdiagnosiscofcpsoriasis.cThecnursecm nale:
onitorscthecclient,cknowingcthatcwhichcofcth Salicyliccacidciscabsorbedcreadilycthroughcthecskin,candcsystemicctoxicityc(salicylism)ccan
ecfollowingcwouldcindicatecthecpresencecofc cresult.cSymptomscincludectinnitus,cdizziness,chyperpnea,candcpsychologicalcdistur
systemicc toxicityc fromc thisc medication? bances.cConstipationcandcdiarrheacarecnotcassociatedcwithcsalicylism.
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreasedc respirations
4.c4.)cTheccampcnursecaskscthecchildrencpre 4.cAtcleastc30cminutesc beforeexposurectocthecsunc
paringctocswimcinctheclakecifctheychavecap Rationale:
pliedcsunscreen.cThecnursecremindscthecc Sunscreenscarecmostceffectivecwhencappliedcatcleastc30cminutescbeforeexposurectoct
hildrencthatcchemicalcsunscreenscarecmostc hecsuncsocthatctheyccancpenetratecthecskin.cAllcsunscreenscshouldcbecreappliedcaftercs
effectivecwhencapplied: wimmingcorcsweating.
1. Immediatelycbeforec swimming
2. 15cminutescbeforecexposurectocthecsun
3. Immediatelycbeforecexposurectocthecsun
4. Atcleastc30cminutescbeforecexposurecto
cthecsun
5.c5.)cMafenidecacetatec(Sulfamylon)ciscpresc 3. Informingcthecclientcthatcthisciscnormalc
ribedcforcthecclientcwithcacburncinjury.cWhen Rationale:
capplyingcthecmedication,cthecclientccompl Mafenideacetateiscbacteriostaticcforgram-negativeandcgram-
ainscofclocalcdiscomfortcandcburning.cWhichc positivecorganismscandciscusedctoctreatburnsctocreducebacteriacpresentcincavascula
ofcthecfollowingciscthecmostcappropriatecnu rctissues.cThecclientcshouldcbecinformedcthatcthecmedicationcwillccauselocalcdiscomf
rsingcaction? ortcandcburningcandcthatcthisciscacnormalcreaction;cthereforecoptionsc1,c2,candc4car
1. Notifyingcthecregisteredc nurse ecincorrect
2. Discontinuingcthecmedication
3. Informingcthecclientcthatcthisciscnormal
4. Applyingcacthinnercfilmcthancprescribe
dctocthecburncsite
,6.c6.)cThecburncclientciscreceivingctreatmentscofc 1. Hyperventilation
topicalcmafenidecacetate(Sulfamylon)ctothec cRationale:
sitecofcinjury.cThecnursecmonitorscthecclient,c Mafenideacetateciscaccarboniccanhydraseinhibitorcandccancsuppresscrenalexcretionco
knowingcthatcwhichcofcthecfollowingcindicatesc fcacid,ctherebyccausingcacidosis.cClientscreceivingcthisctreatmentcshouldcbecmoni
thatcacsystemicceffectchascoccurred? toredcforcsignscofcancacid-
1. Hyperventilation basecimbalancec(hyperventilation).cIfcthiscoccurs,cthecmedicationcshouldcbecdiscontin
2. Elevatedc bloodc pressure uedcforc1ctoc2cdays.cOptionsc3candc4cdescribeclocalcrathercthancsystemicceffects.cAncel
3. Localcpaincatcthecburncsite evatedcbloodcpressurecmaycbecexpectedcfromcthecpaincthatcoccurscwithcacburncinjur
4. Localcrashcatcthecburncsite y.
7.c7.)cIsotretinoinciscprescribedcforcacclientcwith
cseverecacne.cBeforecthecadministrationcofcthi 2. Triglycerideclevel
scmedication,cthecnursecanticipatescthatcwhi cRationale:
chclaboratoryctestcwillcbecprescribed? Isotretinoinccancelevatectriglycerideclevels.cBloodctriglycerideclevelscshouldcbecme
1. Plateletc count asuredcbeforectreatmentcandcperiodicallycthereaftercuntilctheceffectconcthectriglyc
2. Triglycerideclevel erideschascbeencevaluated.cOptionsc1,c3,candc4cdocnotcneedctocbecmonitoredcspecifical
3. Completec bloodc count lycduringcthisctreatment.
4. Whitecbloodccellc count
8.c8.)cAcclientcwithcseverecacneciscseencinctheccl
iniccandcthechealthccarecproviderc(HCP)cpres 1. VitamincA
cribescisotretinoin.cThecnursecreviewscthecclie cRationale:
nt'scmedicationcrecordcandcwouldccontactcthe IsotretinoiniscametabolitecofcvitamincAandccanproducegeneralizedintensificationc
c(HCP)cifcthecclientcisctakingcwhichcmedicatio ofcisotretinoinctoxicity.cBecausecofcthecpotentialcforcincreasedctoxicity,cvitamincAc
n? supplementscshouldcbecdiscontinuedcbeforeisotretinointherapy.Optionsc2,c3,c andc4c
1. VitamincA arecnotccontraindicatedcwithcthecusecofcisotretinoin.
2. Digoxinc(Lanoxin)
3. Furosemidec (Lasix)
4. Phenytoinc(Dilantin)
9.c9.)cThecnurseciscapplyingcactopicalccorticoste
roidctocacclientcwithceczema.cThecnursecwoul 2. Axillac
dcmonitorcforcthecpotentialcforcincreasedcsys Rationale:
temiccabsorptioncofcthecmedicationcifcthecm Topicalcorticosteroidsccancbecabsorbedintocthecsystemicccirculation.cAbsorptioncisc
edicationcwerecbeingcappliedctocwhichcofcthec highercfromcregionscwherecthecskinciscespeciallycpermeablec(scalp,caxilla,cface,c
followingcbodycareas? eyelids,cneck,cperineum,cgenitalia),candclowercfromcregionscincwhichcpermeabilitycisc
1. Back poorc(back,cpalms,csoles).
2. Axilla
3. Solesc ofcthec feet
4. Palmscofcthechands
10.c10.)cTheccliniccnurseciscperformingcancadmis
sioncassessmentconcacclient.cThecnursecnotesc 1. AcnecR
thatcthecclientcisctakingcazelaiccacidc(Azelex) ationale:
.cBecausecofcthecmedicationcprescription,cthec Azelaiccacidciscactopicalcmedicationcusedctoctreatcmildctocmoderatecacne.cThecacidcapp
nursecwouldcsuspectcthatcthecclientciscbeingctr earsctocworkcbycsuppressingcthecgrowthcofcPropionibacteriumcacnescandcdecrea
eatedcfor: singcthecproliferationcofckeratinocytes.cOptionsc2,c3,candc4carecincorrect.
1. Acne
2. Eczema
3. Haircloss
4. Herpescsimplex
,11.c11.)cThechealthccarecproviderchascprescribedcsilverc 3. "Thecmedicationcwillcpermanentlycstaincmycskin."c
sulfadiazinec(Silvadene)cforcthecclientcwithcacpartial- Rationale:
cthicknesscburn,cwhichchascculturedcpositivecforcgram Silvercsulfadiazinec(Silvadene)ciscancantibacterialcthatchascacbroadcspectrumcof
- cactivitycagainstcgram-negativebacteria,cgram-
cnegativecbacteria.cThecnurseciscreinforcingcinforma positivecbacteria,candcyeast.cItciscappliedcdirectlyctocthecwoundctocassistcinc
tionctocthecclientcaboutcthecmedication.cWhichcstatem healing.cItcdoescnotcstaincthecskin.
entcmadecbycthecclientcindicatescaclackcofcundersta
ndingcaboutcthectreatments?
1. "Thecmedicationciscancantibacterial."
2. "Thecmedicationcwillchelpchealcthecburn."
3. "Thecmedicationcwillcpermanentlycstaincmycskin."
4. "Thecmedicationcshouldcbecappliedcdirectlyctocthe
cwound."
1. Notifycthecregisteredcnurse.c
12.c12.)cAcnursecisccaringcforcacclientcwhociscreceivingcanc Rationale:
intravenousc(IV)cinfusioncofcancantineoplasticcmedi Whencantineoplasticcmedicationsc(ChemotheraputiccAgents)carecadminis
cation.cDuringtheinfusion,cthecclientccomplainscofcpa teredcviacIV,cgreatcaremustcbectakenctocpreventthecmedicationcfromcescapingci
incatcthecinsertioncsite.cDuringcancinspectioncofcthecs ntocthectissuescsurroundingcthecinjectioncsite,cbecausecpain,ctissuecdamage,ca
ite,cthecnursecnotescrednesscandcswellingcandcthatct ndcnecrosisccancresult.cThecnursecmonitorscforcsignscofcextravasation,csu
hecratecofcinfusioncofcthecmedicationchascslowed.cT chcascrednesscorcswellingcatcthecinsertioncsitecandcacdecreasedinfusioncra
hecnursecshouldctakecwhichcappropriatecaction? te.cIfcextravasationoccurs,cthecregisterednurseneedsctocbecnotified;checorcs
1. Notifycthecregisteredc nurse. hecwillcthenccontactcthechealthccarecprovider.
2. Administerpainmedicationtoreducecthec
discomfort.
3. Applycicecandcmaintaincthecinfusioncrate,cas
cprescribed.
4. ElevatecthecextremitycofcthecIVcsite,candcslowcthe
cinfusion.
13.c13.)cThecclientcwithcsquamousccellccarcinomacofcthecl 4. Pulmonarycfunctioncstudiesc
arynxciscreceivingcbleomycincintravenously.cThecnur Rationale:
seccaringcforcthecclientcanticipatescthatcwhichcdiagn Bleomycinciscanantineoplasticcmedicationc(ChemotheraputiccAgents)cthatcc
osticcstudycwillcbecprescribed? anccausecinterstitialcpneumonitis,cwhichccancprogressctocpulmonarycfibrosis.cPul
1. Echocardiography monarycfunctioncstudiescalongcwithchematological,chepatic,candcrenalcfunc
2. Electrocardiography tionctestscneedctocbecmonitored.cThecnursecneedsctocmonitorclungcsound
3. Cervicalcradiography scforcdyspneacandccrackles,cwhichcindicatecpulmonaryctoxicity.cThecmedicat
4. Pulmonarycfunctioncstudies ioncneedsctocbecdiscontinuedcimmediatelycifcpulmonaryctoxicitycoccurs.cO
ptionsc1,c2,candc3carecunrelatedctocthecspecificcusecofcthiscmedication.
2. Uriccacidclevel
14.c14.)cThecclientcwithcacutecmyelocyticcleukemiaciscbei cRationale:
ngctreatedcwithcbusulfanc(Myleran).cWhichclaborato Busulfanc(Myleran)ccanccausecancincreasecincthecuriccacidclevel.cHyperu
rycvaluecwouldcthecnursecspecificallycmonitorcduring ricemiaccanproduceuricacidcnephropathy,crenalstones,candcacutecrenalcfai
ctreatmentcwithcthiscmedication? lure.cOptionsc1,c3,candc4carecnotcspecificallycrelatedctocthiscmedication.
1. Clottingctime
2. Uriccacidc level
3. Potassiumclevel
4. Bloodc glucosec level
, 15.c15.)cThecclientcwithcsmallccellclungccancerciscb 4.cOrthostaticchypotensioncRationale
eingctreatedcwithcetoposidec(VePesid).cThecnu :
rsecwhociscassistingcinccaringcforcthecclientcduri Acsideceffectcspecificctocetoposideciscorthostaticchypotension.cThecclient'scbloodcpre
ngcitscadministrationcunderstandscthatcwhichcsidec ssureciscmonitoredcduringcthecinfusion.cHairclosscoccurscwithcnearlycallcthecantineo
effectciscspecificallycassociatedcwithcthiscmedi plasticcmedications.cChestcpaincandcpulmonarycfibrosiscarecunrelatedctocthiscmedic
cation? ation.
1. Alopecia
2. Chestcpain
3. Pulmonaryc fibrosis
4. Orthostaticchypotension
16.c16.)cTheccliniccnurseciscreviewingcacteachingcplan 3.c Consultcwithchealthccarecprovidersc(HCPs)cbeforecreceivingcimmunizationscRation
cforcthecclientcreceivingcancantineoplasticcmed ale:
ication.cWhencimplementingcthecplan,cthecnur Becausecantineoplasticcmedicationsclowercthecresistancecofcthecbody,cclientscmustcb
sectellscthec client: ecinformedcnotctocreceiveimmunizationscwithoutcacHCP'scapproval.cClientscalsocn
1. Toctakecaspirinc(acetylsalicyliccacid)cas eedctocavoidccontactcwithcindividualscwhochavecrecentlycreceivedcaclivecviruscva
cneededcforcheadache ccine.cClientscneedctocavoidcaspirincandcaspirin-
2. Drinkcbeveragesccontainingcalcoholcin containingcproductsctocminimizecthecriskcofcbleeding,candctheycneedctocavoidcalc
cmoderatecamountsceachcevening oholctocminimizecthecriskcofctoxicitycandcsideceffects.
3. Consultcwithchealthccarecprovidersc(HCPs
)cbeforecreceivingcimmunizations
4. ThatcitciscnotcnecessaryctocconsultcHCPs
cbeforecreceivingcacflucvaccinecatcthecloca
lchealthcfair
17.c17.)cThecclientcwithcovarianccancerciscbeingctr 4.c Numbnesscandctinglingcincthecfingerscandctoesc
eatedcwithcvincristinec(Oncovin).cThecnursecmo Rationale:
nitorscthecclient,cknowingcthatcwhichcofcthecfollo Acsideceffectcspecificctocvincristineciscperipheralcneuropathy,cwhichcoccurscinca
wingcindicatescacsideceffectcspecificctocthiscmedi lmostceverycclient.cPeripheralcneuropathyccancbecmanifestedcascnumbnesscandctin
cation? glingcincthecfingerscandctoes.cDepressioncofcthecAchillesctendoncreflexcmaycbecthecf
1. Diarrhea irstcclinicalcsigncindicatingcperipheralcneuropathy.cConstipationcrathercthancdiarr
2. Haircloss heaciscmostclikelyctococcurcwithcthiscmedication,calthoughcdiarrheacmaycoccurcoccasi
3. Chestcpain onally.cHairclosscoccurscwithcnearlycallcthecantineoplasticcmedications.
4. Numbnesscandctinglingcincthecfingerscand Chestcpainciscunrelatedctocthiscmedication.
ctoes
18.c18.)cThecnurseciscreviewingcthechistorycandcph 1. Pancreatitis
ysicalcexaminationcofcacclientcwhocwillcbecrec cRationale:
eivingcasparaginasec(Elspar),cancantineoplasti Asparaginasec(Elspar)cisccontraindicatedcifchypersensitivitycexists,cincpancreatitis,corci
ccagent.cThecnursecconsultscwithcthecregistere fcthecclientchascachistorycofcpancreatitis.cThecmedicationcimpairscpancreaticcfu
dcnursecregardingcthecadministrationcofcthecme nctioncandcpancreaticcfunctionctestscshouldcbecperformedcbeforetherapycbeginscan
dicationcifcwhichcofcthecfollowingciscdocumentedc dcwhencacweekcorcmorehascelapsedcbetweencadministrationcofcthecdoses.cThecclie
incthecclient'schistory? ntcneedsctocbecmonitoredcforcsignscofcpancreatitis,cwhichcincludecnausea,cvom
1. Pancreatitis iting,candcabdominalcpain.cThecconditionscnotedcincoptionsc2,c3,candc4carecnotccontr
2. Diabetescmellitus aindicatedcwithcthiscmedication.
3. Myocardialc infarction
4. Chroniccobstructivecpulmonarycdisease
parathyroidismcandcnotescthatcthecclient'sc :
serumccalciumclevelcisc13cmg/dL.cWhichcm Thecnormalcserumccalciumclevelcisc8.6ctoc10.0cmg/dL.cThiscclientciscexperiencingchy
edicationcshouldcthecnursecpreparectocadmi percalcemia.cCalciumcgluconateandccalciumcchloridecaremedicationscusedforthectre
nistercascprescribedctocthecclient? atmentcofctetany,cwhichcoccurscascacresultcofcacutechypocalcemia.cInchypercalce
1. Calciumc chloride mia,clargecdosescofcvitamincDcneedctocbecavoided.cCalcitonin,cacthyroidchormone,cd
2. Calciumcgluconate ecreasescthecplasmaccalciumclevelcbycinhibitingcbonecresorptioncandcloweringcthe
3. Calcitoninc(Miacalcin) cserumccalciumcconcentration.
4. LargecdosescofcvitamincD
2.c2.)cOralcironcsupplementscarecprescribedcfor 4.c Orangecjuice
a 6-year-
c c cRationale:
oldcchildcwithcironcdeficiencycanemia.cThec VitamincCcincreasescthecabsorptioncofcironcbycthecbody.cThecmothercshouldcbecins
nursecinstructscthecmotherctocadministerct tructedctocadministercthecmedicationcwithcaccitruscfruitcorcacjuicecthatcischighcincvitami
hecironcwithcwhichcbestcfoodcitem? ncC.cMilkcmaycaffectabsorptioncofctheciron.cWatercwillcnotcassistcincabsorption.cOrangecj
1. Milk uiceccontainscacgreatercamountcofcvitamincCcthancapplecjuice.
2. Water
3. Applec juice
4. Orangec juice
3.c3.)cSalicyliccacidciscprescribedcforcacclientc 1.cTinnituscRatio
withcacdiagnosiscofcpsoriasis.cThecnursecm nale:
onitorscthecclient,cknowingcthatcwhichcofcth Salicyliccacidciscabsorbedcreadilycthroughcthecskin,candcsystemicctoxicityc(salicylism)ccan
ecfollowingcwouldcindicatecthecpresencecofc cresult.cSymptomscincludectinnitus,cdizziness,chyperpnea,candcpsychologicalcdistur
systemicc toxicityc fromc thisc medication? bances.cConstipationcandcdiarrheacarecnotcassociatedcwithcsalicylism.
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreasedc respirations
4.c4.)cTheccampcnursecaskscthecchildrencpre 4.cAtcleastc30cminutesc beforeexposurectocthecsunc
paringctocswimcinctheclakecifctheychavecap Rationale:
pliedcsunscreen.cThecnursecremindscthecc Sunscreenscarecmostceffectivecwhencappliedcatcleastc30cminutescbeforeexposurectoct
hildrencthatcchemicalcsunscreenscarecmostc hecsuncsocthatctheyccancpenetratecthecskin.cAllcsunscreenscshouldcbecreappliedcaftercs
effectivecwhencapplied: wimmingcorcsweating.
1. Immediatelycbeforec swimming
2. 15cminutescbeforecexposurectocthecsun
3. Immediatelycbeforecexposurectocthecsun
4. Atcleastc30cminutescbeforecexposurecto
cthecsun
5.c5.)cMafenidecacetatec(Sulfamylon)ciscpresc 3. Informingcthecclientcthatcthisciscnormalc
ribedcforcthecclientcwithcacburncinjury.cWhen Rationale:
capplyingcthecmedication,cthecclientccompl Mafenideacetateiscbacteriostaticcforgram-negativeandcgram-
ainscofclocalcdiscomfortcandcburning.cWhichc positivecorganismscandciscusedctoctreatburnsctocreducebacteriacpresentcincavascula
ofcthecfollowingciscthecmostcappropriatecnu rctissues.cThecclientcshouldcbecinformedcthatcthecmedicationcwillccauselocalcdiscomf
rsingcaction? ortcandcburningcandcthatcthisciscacnormalcreaction;cthereforecoptionsc1,c2,candc4car
1. Notifyingcthecregisteredc nurse ecincorrect
2. Discontinuingcthecmedication
3. Informingcthecclientcthatcthisciscnormal
4. Applyingcacthinnercfilmcthancprescribe
dctocthecburncsite
,6.c6.)cThecburncclientciscreceivingctreatmentscofc 1. Hyperventilation
topicalcmafenidecacetate(Sulfamylon)ctothec cRationale:
sitecofcinjury.cThecnursecmonitorscthecclient,c Mafenideacetateciscaccarboniccanhydraseinhibitorcandccancsuppresscrenalexcretionco
knowingcthatcwhichcofcthecfollowingcindicatesc fcacid,ctherebyccausingcacidosis.cClientscreceivingcthisctreatmentcshouldcbecmoni
thatcacsystemicceffectchascoccurred? toredcforcsignscofcancacid-
1. Hyperventilation basecimbalancec(hyperventilation).cIfcthiscoccurs,cthecmedicationcshouldcbecdiscontin
2. Elevatedc bloodc pressure uedcforc1ctoc2cdays.cOptionsc3candc4cdescribeclocalcrathercthancsystemicceffects.cAncel
3. Localcpaincatcthecburncsite evatedcbloodcpressurecmaycbecexpectedcfromcthecpaincthatcoccurscwithcacburncinjur
4. Localcrashcatcthecburncsite y.
7.c7.)cIsotretinoinciscprescribedcforcacclientcwith
cseverecacne.cBeforecthecadministrationcofcthi 2. Triglycerideclevel
scmedication,cthecnursecanticipatescthatcwhi cRationale:
chclaboratoryctestcwillcbecprescribed? Isotretinoinccancelevatectriglycerideclevels.cBloodctriglycerideclevelscshouldcbecme
1. Plateletc count asuredcbeforectreatmentcandcperiodicallycthereaftercuntilctheceffectconcthectriglyc
2. Triglycerideclevel erideschascbeencevaluated.cOptionsc1,c3,candc4cdocnotcneedctocbecmonitoredcspecifical
3. Completec bloodc count lycduringcthisctreatment.
4. Whitecbloodccellc count
8.c8.)cAcclientcwithcseverecacneciscseencinctheccl
iniccandcthechealthccarecproviderc(HCP)cpres 1. VitamincA
cribescisotretinoin.cThecnursecreviewscthecclie cRationale:
nt'scmedicationcrecordcandcwouldccontactcthe IsotretinoiniscametabolitecofcvitamincAandccanproducegeneralizedintensificationc
c(HCP)cifcthecclientcisctakingcwhichcmedicatio ofcisotretinoinctoxicity.cBecausecofcthecpotentialcforcincreasedctoxicity,cvitamincAc
n? supplementscshouldcbecdiscontinuedcbeforeisotretinointherapy.Optionsc2,c3,c andc4c
1. VitamincA arecnotccontraindicatedcwithcthecusecofcisotretinoin.
2. Digoxinc(Lanoxin)
3. Furosemidec (Lasix)
4. Phenytoinc(Dilantin)
9.c9.)cThecnurseciscapplyingcactopicalccorticoste
roidctocacclientcwithceczema.cThecnursecwoul 2. Axillac
dcmonitorcforcthecpotentialcforcincreasedcsys Rationale:
temiccabsorptioncofcthecmedicationcifcthecm Topicalcorticosteroidsccancbecabsorbedintocthecsystemicccirculation.cAbsorptioncisc
edicationcwerecbeingcappliedctocwhichcofcthec highercfromcregionscwherecthecskinciscespeciallycpermeablec(scalp,caxilla,cface,c
followingcbodycareas? eyelids,cneck,cperineum,cgenitalia),candclowercfromcregionscincwhichcpermeabilitycisc
1. Back poorc(back,cpalms,csoles).
2. Axilla
3. Solesc ofcthec feet
4. Palmscofcthechands
10.c10.)cTheccliniccnurseciscperformingcancadmis
sioncassessmentconcacclient.cThecnursecnotesc 1. AcnecR
thatcthecclientcisctakingcazelaiccacidc(Azelex) ationale:
.cBecausecofcthecmedicationcprescription,cthec Azelaiccacidciscactopicalcmedicationcusedctoctreatcmildctocmoderatecacne.cThecacidcapp
nursecwouldcsuspectcthatcthecclientciscbeingctr earsctocworkcbycsuppressingcthecgrowthcofcPropionibacteriumcacnescandcdecrea
eatedcfor: singcthecproliferationcofckeratinocytes.cOptionsc2,c3,candc4carecincorrect.
1. Acne
2. Eczema
3. Haircloss
4. Herpescsimplex
,11.c11.)cThechealthccarecproviderchascprescribedcsilverc 3. "Thecmedicationcwillcpermanentlycstaincmycskin."c
sulfadiazinec(Silvadene)cforcthecclientcwithcacpartial- Rationale:
cthicknesscburn,cwhichchascculturedcpositivecforcgram Silvercsulfadiazinec(Silvadene)ciscancantibacterialcthatchascacbroadcspectrumcof
- cactivitycagainstcgram-negativebacteria,cgram-
cnegativecbacteria.cThecnurseciscreinforcingcinforma positivecbacteria,candcyeast.cItciscappliedcdirectlyctocthecwoundctocassistcinc
tionctocthecclientcaboutcthecmedication.cWhichcstatem healing.cItcdoescnotcstaincthecskin.
entcmadecbycthecclientcindicatescaclackcofcundersta
ndingcaboutcthectreatments?
1. "Thecmedicationciscancantibacterial."
2. "Thecmedicationcwillchelpchealcthecburn."
3. "Thecmedicationcwillcpermanentlycstaincmycskin."
4. "Thecmedicationcshouldcbecappliedcdirectlyctocthe
cwound."
1. Notifycthecregisteredcnurse.c
12.c12.)cAcnursecisccaringcforcacclientcwhociscreceivingcanc Rationale:
intravenousc(IV)cinfusioncofcancantineoplasticcmedi Whencantineoplasticcmedicationsc(ChemotheraputiccAgents)carecadminis
cation.cDuringtheinfusion,cthecclientccomplainscofcpa teredcviacIV,cgreatcaremustcbectakenctocpreventthecmedicationcfromcescapingci
incatcthecinsertioncsite.cDuringcancinspectioncofcthecs ntocthectissuescsurroundingcthecinjectioncsite,cbecausecpain,ctissuecdamage,ca
ite,cthecnursecnotescrednesscandcswellingcandcthatct ndcnecrosisccancresult.cThecnursecmonitorscforcsignscofcextravasation,csu
hecratecofcinfusioncofcthecmedicationchascslowed.cT chcascrednesscorcswellingcatcthecinsertioncsitecandcacdecreasedinfusioncra
hecnursecshouldctakecwhichcappropriatecaction? te.cIfcextravasationoccurs,cthecregisterednurseneedsctocbecnotified;checorcs
1. Notifycthecregisteredc nurse. hecwillcthenccontactcthechealthccarecprovider.
2. Administerpainmedicationtoreducecthec
discomfort.
3. Applycicecandcmaintaincthecinfusioncrate,cas
cprescribed.
4. ElevatecthecextremitycofcthecIVcsite,candcslowcthe
cinfusion.
13.c13.)cThecclientcwithcsquamousccellccarcinomacofcthecl 4. Pulmonarycfunctioncstudiesc
arynxciscreceivingcbleomycincintravenously.cThecnur Rationale:
seccaringcforcthecclientcanticipatescthatcwhichcdiagn Bleomycinciscanantineoplasticcmedicationc(ChemotheraputiccAgents)cthatcc
osticcstudycwillcbecprescribed? anccausecinterstitialcpneumonitis,cwhichccancprogressctocpulmonarycfibrosis.cPul
1. Echocardiography monarycfunctioncstudiescalongcwithchematological,chepatic,candcrenalcfunc
2. Electrocardiography tionctestscneedctocbecmonitored.cThecnursecneedsctocmonitorclungcsound
3. Cervicalcradiography scforcdyspneacandccrackles,cwhichcindicatecpulmonaryctoxicity.cThecmedicat
4. Pulmonarycfunctioncstudies ioncneedsctocbecdiscontinuedcimmediatelycifcpulmonaryctoxicitycoccurs.cO
ptionsc1,c2,candc3carecunrelatedctocthecspecificcusecofcthiscmedication.
2. Uriccacidclevel
14.c14.)cThecclientcwithcacutecmyelocyticcleukemiaciscbei cRationale:
ngctreatedcwithcbusulfanc(Myleran).cWhichclaborato Busulfanc(Myleran)ccanccausecancincreasecincthecuriccacidclevel.cHyperu
rycvaluecwouldcthecnursecspecificallycmonitorcduring ricemiaccanproduceuricacidcnephropathy,crenalstones,candcacutecrenalcfai
ctreatmentcwithcthiscmedication? lure.cOptionsc1,c3,candc4carecnotcspecificallycrelatedctocthiscmedication.
1. Clottingctime
2. Uriccacidc level
3. Potassiumclevel
4. Bloodc glucosec level
, 15.c15.)cThecclientcwithcsmallccellclungccancerciscb 4.cOrthostaticchypotensioncRationale
eingctreatedcwithcetoposidec(VePesid).cThecnu :
rsecwhociscassistingcinccaringcforcthecclientcduri Acsideceffectcspecificctocetoposideciscorthostaticchypotension.cThecclient'scbloodcpre
ngcitscadministrationcunderstandscthatcwhichcsidec ssureciscmonitoredcduringcthecinfusion.cHairclosscoccurscwithcnearlycallcthecantineo
effectciscspecificallycassociatedcwithcthiscmedi plasticcmedications.cChestcpaincandcpulmonarycfibrosiscarecunrelatedctocthiscmedic
cation? ation.
1. Alopecia
2. Chestcpain
3. Pulmonaryc fibrosis
4. Orthostaticchypotension
16.c16.)cTheccliniccnurseciscreviewingcacteachingcplan 3.c Consultcwithchealthccarecprovidersc(HCPs)cbeforecreceivingcimmunizationscRation
cforcthecclientcreceivingcancantineoplasticcmed ale:
ication.cWhencimplementingcthecplan,cthecnur Becausecantineoplasticcmedicationsclowercthecresistancecofcthecbody,cclientscmustcb
sectellscthec client: ecinformedcnotctocreceiveimmunizationscwithoutcacHCP'scapproval.cClientscalsocn
1. Toctakecaspirinc(acetylsalicyliccacid)cas eedctocavoidccontactcwithcindividualscwhochavecrecentlycreceivedcaclivecviruscva
cneededcforcheadache ccine.cClientscneedctocavoidcaspirincandcaspirin-
2. Drinkcbeveragesccontainingcalcoholcin containingcproductsctocminimizecthecriskcofcbleeding,candctheycneedctocavoidcalc
cmoderatecamountsceachcevening oholctocminimizecthecriskcofctoxicitycandcsideceffects.
3. Consultcwithchealthccarecprovidersc(HCPs
)cbeforecreceivingcimmunizations
4. ThatcitciscnotcnecessaryctocconsultcHCPs
cbeforecreceivingcacflucvaccinecatcthecloca
lchealthcfair
17.c17.)cThecclientcwithcovarianccancerciscbeingctr 4.c Numbnesscandctinglingcincthecfingerscandctoesc
eatedcwithcvincristinec(Oncovin).cThecnursecmo Rationale:
nitorscthecclient,cknowingcthatcwhichcofcthecfollo Acsideceffectcspecificctocvincristineciscperipheralcneuropathy,cwhichcoccurscinca
wingcindicatescacsideceffectcspecificctocthiscmedi lmostceverycclient.cPeripheralcneuropathyccancbecmanifestedcascnumbnesscandctin
cation? glingcincthecfingerscandctoes.cDepressioncofcthecAchillesctendoncreflexcmaycbecthecf
1. Diarrhea irstcclinicalcsigncindicatingcperipheralcneuropathy.cConstipationcrathercthancdiarr
2. Haircloss heaciscmostclikelyctococcurcwithcthiscmedication,calthoughcdiarrheacmaycoccurcoccasi
3. Chestcpain onally.cHairclosscoccurscwithcnearlycallcthecantineoplasticcmedications.
4. Numbnesscandctinglingcincthecfingerscand Chestcpainciscunrelatedctocthiscmedication.
ctoes
18.c18.)cThecnurseciscreviewingcthechistorycandcph 1. Pancreatitis
ysicalcexaminationcofcacclientcwhocwillcbecrec cRationale:
eivingcasparaginasec(Elspar),cancantineoplasti Asparaginasec(Elspar)cisccontraindicatedcifchypersensitivitycexists,cincpancreatitis,corci
ccagent.cThecnursecconsultscwithcthecregistere fcthecclientchascachistorycofcpancreatitis.cThecmedicationcimpairscpancreaticcfu
dcnursecregardingcthecadministrationcofcthecme nctioncandcpancreaticcfunctionctestscshouldcbecperformedcbeforetherapycbeginscan
dicationcifcwhichcofcthecfollowingciscdocumentedc dcwhencacweekcorcmorehascelapsedcbetweencadministrationcofcthecdoses.cThecclie
incthecclient'schistory? ntcneedsctocbecmonitoredcforcsignscofcpancreatitis,cwhichcincludecnausea,cvom
1. Pancreatitis iting,candcabdominalcpain.cThecconditionscnotedcincoptionsc2,c3,candc4carecnotccontr
2. Diabetescmellitus aindicatedcwithcthiscmedication.
3. Myocardialc infarction
4. Chroniccobstructivecpulmonarycdisease
