TESTBANK pharm, pharm final practice questions with correct answers

TESTBANK pharm, pharm final practice questions with correct answers The client receives a nonsteroidal anti-inflammatory drug (NSAID) for treatment of arthritis. What is a priority for the nurse to include when doing medication education? 1. "Constipation is common; include roughage in your diet." 2. "Drink at least eight glasses of water a day." 3. "Take your medication with food." 4. "Take your medication on an empty stomach." - Answer-2 The nursing instructor teaches student nurses about chemotherapy for cancer. Which statement best explains why lung cancers are less sensitive to antineoplastic agents than other types of cancer? A."Lung cancer cells have been growing for a long time before detection, so they are less sensitive to antineoplastic agents." "B. "Lung cancer cells have a very erratic cell cycle, and this is why there isn't much difference between the number of replicating and resting cells." C"Lung cancer cells have a low-growth fraction, which means there isn't much difference between the number of replicating and resting cells." D. "Lung cancer cells grow in a high-oxygen environment, so they are not very sensitive to antineoplastic agents." - Answer-B Harder to treat bc cancer tx works better on cells that are replicating quickly EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 2/62 A mother calls the clinic and tells the nurse that her 4-month-old baby has a fever. The mother asks if she can use the liquid acetaminophen (Tylenol) that is used for her 10-year-old child. What is the best response by the nurse? 1. "Infants should not have acetaminophen (Tylenol) because it damages the liver." 2. "It is best if the pediatrician is called; he can be asked this question." 3. "It is fine to use the same medicine for both children." 4. "Infant drops should be used for the baby; they are different from liquid medicine." - Answer-4 2. The client receives tamoxifen (Nolvadex) for treatment of breast cancer. She asks the nurse why the medicine works. What is the best response by the nurse? A. "Tamoxifen (Nolvadex) works by binding to the DNA of breast cancer cells." B. "Tamoxifen (Nolvadex) works by blocking estrogen receptors on breast tissue." C. "Tamoxifen (Nolvadex) works by inhibiting the metabolism of breast cancer cells." D. "Tamoxifen (Nolvadex) works by inhibiting the cellular mitosis of breast cancer." - Answer-B The nurse is managing care for clients who will receive ibuprofen (Advil) for long-term therapy. What are the primary laboratory tests the nurse will assess prior to initiation of therapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 3/62 1. Electrolytes 2. Hemoglobin and hematocrit 3. Bleeding times 4. Liver function tests 5. Serum amylase - Answer-2,3,4 3. The client receives cisplatin (Platinol) as therapy for cancer. Which assessment finding would prompt the nurse to contact the client's physician immediately? A. An elevation in blood glucose B. A temperature greater than 101°F C.Nausea and projectile vomiting D. A complaint of painful leg cramps - Answer-B The client experienced a sports-related injury to his leg. During the morning assessment, what signs of inflammation will the nurse most likely assess? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Swelling 2. Pain 3. Warmth EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 4/62 4. Pallor 5. Pitting edema - Answer-1,2,3 A client is prescribed methotrexate (Rheumatrex) for treatment of osteogenic sarcoma. The client says, "My friend took methotrexate, but she has never had cancer." How should the nurse respond to this statement? Select all that apply. A. "Methotrexate is used to treat some autoimmune disorders as well." B. "Methotrexate is used to treat some forms of liver disease." (it can cause liver disease) C. "You must have misinterpreted what your friend said." D. "She must have had cancer and not told you." E. "Does your friend have rheumatoid arthritis?" - Answer-A, E A client's dosage schedule includes chemotherapy for each of 5 days and then no chemotherapy for 5 days. The client says, "Why don't they just keep giving me the chemo? I want to kill this cancer and get on with my life." How should the nurse respond? Select all that apply. A. "The chemotherapy is not always immediately available, so pauses are taken to allow for more stock to arrive." B. "This chemotherapy is so strong that you cannot physically stand to take it for more than 5 days." C. "You should let the doctors worry about that." D. "We need to give your normal cells time to recover from the medication before you get more chemotherapy." EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 5/62 E. "We need to let some of the cancer cells develop into the stage where the chemotherapy can kill them." - Answer-D, E The client receives prednisone as treatment for his inflammatory disease. He has experienced great relief and asks the nurse if he can just keep taking this medication. What is the best response by the nurse? 1. "No, because this medication has serious adverse effects." 2. "No, your doctor said the best treatment for your illness is to alternate medications." 3. "No, your body would get used to it and it would lose its effectiveness." 4. "No, because your illness is in remission and you don't need medication now." - Answer-1 The nurse in the emergency department frequently sees clients who have overdosed on acetaminophen (Tylenol). Which client is at highest risk for developing hemolysis? 1. A Native American client 2. A Jewish client 3. An African American client 4. A Caucasian client - Answer-3 The nurse works with a physician who frequently prescri