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65 Cards in this Set
- Front
- Back
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A pt is taking guaifinisen(humibid) as part of the tx for infuenza. which interaction should the nurse include during pt teaching?
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force fluids
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the nurse should instruct the pt about a possible systemic effect that may occur if excessive amounts of topically applied adrenergic nasal decongestants are used. which systemic effect may occur?
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nervousness
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A pt w/ a tracheostomy has difficulty removing excessive, thick mucus from the respiratory tract. the nurse anticipates that which drug will be ordered to aid in the removal of mucus?
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guiefenesin(humibid)
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A pt has been advised to add a nasal spray(adrenergic decongestant) to treat a cold. Which instruction by the nurse is correct?
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limit use of the spray to 3 -5 days
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5. The nurse is reviewing the medication hx of a pt who will be taking an antibiotic. During antibiotic therapy a significant drug interaction may occur with which drugs group
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oral contraceptives
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Which drug acts by blocking leukotrienes, thus reducing inflammation in the lungs
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montelukast
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When pts are receiving aminoglycosides , the nurse must monitor for tinnitus and dizziness, which may indicate which problem
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ototoxicity
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8. A pt is being prepared for colon surgery and will be receiving neomycin tablets the day before surgery. he asks the nurse why he is taking it, nurses best response
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helps reduce the bacteria in your intestine before surgery
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A pt who is receiving vancomycin therapy should notify the nurse immediately if which effects are noted
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ringing, dizziness, hearing loss, fullness
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10. A pt diagnosed with shingles is taking topical acyclovir and the nurse is providing instructions about adverse effects. Which are adverse effects of topical acyclovir should be discussed with the pt
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this question was removed. be aware of transient burning
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11. The nurse is administering IV acyclovir to a pt with a viral infection, which administration technique is correct
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iv slowly over an hour
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13. When monitoring pt on anti tubercular drug therapy the nurse knows that which drug may cause a decrease in visual acuity?
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ethambutol
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14. The nurse is counseling a woman who will be starting rifampin. the pt is on oral contraceptives . which statement is true regarding rifampin therapy for this pt
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oral contraceptives are less effective
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15. The nurse is administering acyclovir and recalls that it is considered the drug of choice for treatment of which viral infection
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varicella zoster virus
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A pt is taking xanthine derivatives as part of tx for COPD the nurse will monitor for adverse effects associated with the use of xanthine derivatives
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palpitations
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After receiving a nebulizer tx with a beta agonist a pt complains of feeling slightly nervous and wonders if his asthma is getting worse, what is the nurses best response
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this is an expected adverse effect let me take your pulse
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21. A pt has prescriptions for two inhalers. bronchodilator and corticosteroid. which interaction regarding the inhalers should the nurse give the pt
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bronchodilator should be taken first
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22. When education a pt recently placed on inhaled corticosteroids the nurse will discuss which potential adverse effects
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oral candiadis and dry mouth
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23. During an Iv amphotericin B a pt develops tingling an numbness in his toes and fingers, what would the nurse do?
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discontinue the infusion immediately
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24. The nurse is preparing an infusion of amphotericin b for a pt who has a severe fungal infection which intervention is appropriate regarding the potential adverse effect of amphotericin b
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before beginning the infusion, administer antipyretic and antiemtic
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25. During therapy w/ amphotericin B the nurse would monitor for known adverse effects that would be reflected by which lab result
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2.9 (removed)
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26. A pt has received a prescription for a 2 week course of anti fungal suppositories for a vaginal yeast infection . she asks the nurse is there is an alternative prescription, the nurse responds
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single dose of fluconazole (difucan)
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27. A pt calls the gynecologic clinic because she has begun menstruate while taking medication for a vaginal infection. She asks the nurse what should i do about taking this vaginal medication right now
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its okay to continue
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28. A pt with a late stage HIV also has pneumocystitis jirovecii pneumonia. the nurse would anticipate tx with which medication
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atavoquane(mepron)
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29. The nurse is reviewing antihelminthitic drug therapy with a pt and instructs the pt to look for and report which potential adverse rx
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visual disturbances
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30. The nurse is administering an antifungal drug to a pt who has a severe systemic fungal infection, which drug is most appropriate for this pt
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amphotericn b(fungizone)
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31. A pt has used buffered aspirin for several years as tx for osteoarthritis. however, the symptoms are worse and she now needs something stringer. the physician prescribes NSAIDS and misoprostol(cytotec) she asks the nurse why am i now taking two pills for arthritis? best response
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help prevent gastric ulcers
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32. Your male pt is receive three different anticancer drugs to treat his cancer, he asks the nurse why he needs so much chemotherapy. the nurses BEST respinse to combo therapy
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increases tumor cell kill
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33. Your pt has a low platelet count secondary to the administration of chemotherapy. which of the following nursing actions would be MOST appropriate
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assists for occult bleeding apply pressure
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34. One pt has cancer of the bone, another has cancer in the CT of leg muscle, a third pt has cancer in her vascular tissue . these pt have in common a type of tumor referred to as
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sarcoma
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35. A pt is receiving her 3rd course of 5-fluoruacil therapy and knows that the stomatitis is a potential adverse effects of antineoplastic therapy. what will the nurse teach her about this problem
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examine her mouth daily
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36. the nurse is developing a plan of care for a pt who is experiencing GI adverse effects, anorexia and nausea after her first course of antineoplatic therapy . what is an appropriate goal for this pt when dealing with this problem, the pt will
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maintain a diet of frequent feeding with supplements as a snack within 2 weeks
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37. a pt is receiving methotrexate and is experiencing severe bone marrow suppression. the nurse will expect interventions to be ordered with this drug to reduce the problem:
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leucovorin rescue
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38. a pt who has been on methotrexate therapy has developed a fever. Her husband calls to see if he can give her some ibuprofen for the fever. the nurses best responses based on the fact that ibuprofen
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can mask signs of infection (removed)
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39. Premedication with antiemetics at the time of administation of antineoplastic s is begun is the preferred tx protocol to help reduce n/v and prevent dehydtration and malnutrition and promote comfort.
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FALSE(removed)
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40. Because drug resistant cells commonly develop, exposure to multiple drugs with multiple mechanism and sites of action will destroy more subpopuations of cancer cells.
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TRUE
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41. High dose methotrexate is associated with bone marrow suppression, and is always given in conjunction with he rescue drug leucovorin, which is an antidote for folic acid antagonists
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TRUE
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42. Elevated WBC count will be the first sign of oncoming infection in an individual with bone marrow suppression
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FALSE
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43. Even if a pt has a known allergic rxn to a given antineoplastic medication, the urgency of treating the pts cancer may still necessitate administering the med and then treating any allergic symptoms with supportive meds. such as antihistamines
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TRUE
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44. The highest neutrophil count reached after a course of chemo is known as nadir
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FALSE
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45. Ensuring hydration will help prevent nephrotoxicity in pts receiving chemo
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TRUE
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46. very small chemotherapy spills can be cleaned up using tap water and paper towels
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FALSE
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47. with an absolute neutrophil count of 600, chemotherapy can be safely adminisered
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FALSE
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48. Bone marrow proliferation is often the reason that a pt with HIV infection has to be switched to another drug
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FALSE
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49. Two HIv drugs can be taken together, cutting back on the dosage of both and thus decreasing the likelihood of toxicity
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TRUE
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Matching:
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51. Herpes simplex virus1,2, herpes zoster, and chickenpox:acyclovir
52. infuenza a+b-relena 53. Respiratory synctial virus:varizol 54. Cytomegalovirus: 55. Influenza A-symetrel |
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56. the nurse knows the drug of coice for tx of MRSA infection is
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vancomyic
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pt who is receiving vancomyicn therapy should notify the nurse immediately if which effects are noted, select all that apply
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ear problems, ringing, dizziness, hearing loss, fullness
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58. when administering ganciclovir(cytovene) the nurse keeps in mind that main dose limiting toxicity for this drug i which condition
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bone marrow suppression
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59. when an antibiotic is refereed to as a broad spectrum, the expectations are that it will act against :select all that apply
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gram positive and negative
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60. a pt will be receiving long term isoniazid (inh) therapy. what lab test are most important for the nurse to monitor
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liver enzyme levels
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61. the nurse should include which information in the teaching plan for a pt who is taking isoniazid
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pyridozibne b6 may be needed to prevent toxicity
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62. pts who are in the initial period of tx of tb need to perform:
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wash there hands, throw dirty tissues away with care, get adequate rest nutrition and relaxation
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a pt with newly diagnosed tb asks the nurse how long he will be taking all the meds, nurse responds that it may last as long as
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24 months
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64. the nurse is explaining anti tb therapy to a pt , the pt asks why do i have to take so many different medicastions, nurses best response
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helps prevent drug resistance
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65. during an infusion of amphotericin B, the nurse monitors for which adverse effects: select all that apply removed ?
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fever, malaise, chills
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66. the nurse understands that lab tests must be assessed while a client is on drug therapy for HIV AIDS. choose the typically most significant lab test for medication administration for HIV AIDS pts
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cd4 lymph counts
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67. Apt is taking quinine therapy for a mild case of malaria. the physician has decided to add a sulfonamide or tetracycline . When the nurse gives the pt prescription, the pt is upset about having to take another pill, what is the nurses best explanation for the second drug
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the antibiotic will help quinine be effective against the malaria
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68. The nurse is reviewing amtihelmintic therapy. which statement is true regarding antihelmintihc therapy
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specific antihlemthintic drugs target specific organisms
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69. several ppl have contracted protozoal infections after a group trip to another country. the nurse is aware that which pt is at the highest risk of dying from a protozoal infection
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an adult with kidney transplant a year ago
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70. a 13 yr old pt has the flu and her mother is concerned about her fever of 103 which medication should the nurse suggest the mother use to treat the teens fever?
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acetaminophen
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71. which intervention is important for the nurse to perform before begining antibiotic therapy
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obtain a specimen for culture and sensitivity
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72. the nurse will instruct a pt who is receiving a tetracycline antibiotic to take it using which guidelines
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8 oz of water
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73. a pt a pt is to receive antibiotic therapy with a cephalosporin. when assessing the pts drug hx the nurse recognizes that an allergy to which drug class may be a possible contraindication to cephalosporin therapy
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penecilins
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74. When pts are receiving aminoglycosides the nurse monitors for tinnitus and dizziness, which may indicate which problem
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ototoxicity
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