Pharmacology 1530 Final Exam Review CNM (work in progress)
The nurse admits a patient diagnosed with metastatic colorectal cancer. The nurse
anticipates that the health care provider will order which medication?
Panitumumab
Bortezomib
Dasatinib
Rituximab - ANSWER Panitumumab (Vectibix) is indicated for the treatment of
metastatic colorectal cancer.
A patient receiving a unit of red blood cells suddenly develops shortness of breath,
chills, and fever. What will the nurse do first? - ANSWER Discontinue the infusion.
These are the signs and symptoms of blood transfusion reaction that could lead to
anaphylaxis; therefore, this calls for an immediate stop in the transfusion.
The nurse is caring for a patient who has been ordered a treatment regimen for
colorectal cancer. The nurse brings the consent form to the patient to sign prior to
initiating the treatment and the patient tells the nurse, "I really don't understand why I
can't be treated with vitamins and nutritional therapy." What is the nurse's priority
action?
Call the health care provider.
Set up an educational session with the dietician.
Obtain signature of the patient on the consent form.
Consult with the pharmacist concerning the treatment regimen. - ANSWER Inform the
health care provider.
The consent form for the treatment should not be signed by the patient. Thus, the health
care provider should be contacted since it is his responsibility, and not the pharmacist's
or dietician's, that the patient understands the reason for the treatment. The nurse
should not influence the patient to sign the consent form when the patient does not
understand the reason for the treatment.
, Based on the condition of the patient, an intravenous fluid that is hypotonic will be
ordered. Which intravenous fluid is most likely to be ordered by the health care
provider?
Normal saline
5% dextrose and normal saline (D5NS)
5% dextrose and lactated Ringer (D5LR)
0.33% NaCl - ANSWER 0.33% NaCl
Of the solutions below, only one is hypotonic. Normal saline is isotonic; both D5NS and
D5LR are considered hypertonic solutions.
Which of the following statements correctly describes TBW as a percentage of weight?
A 70 kilogram (154 lb) 40-year-old man is 40% water.
A 6 kilogram (13.2 lb) 2-month-old neonate is 75% to 80% water.
A 60 kilogram 70-year-old is 75% water.
A 3 kg 2-week-old is 95% water. - ANSWER A 6 kilogram (13.2 lb) 2-month-old neonate is
75% to 80% water.The TBW of a 70 kg (154 lb) man is approximately 60% (40 L). This
percentage varies with age, sex, and percentage of body fat. Neonates are 75% to 80%
water, whereas older adults are 45% to 55% water. Due to the hormonal effects and
increased amount of adipose tissue that contains very little water, women generally
have less body water than men.
The nurse is preparing to initiate transfusion of a blood component. Which intravenous
solution should the nurse hang as a maintenance infusion?
Lactated Ringer
5% dextrose and water
Ringor solution
Normal saline - ANSWER Normal saline
Of the IV solutions listed, NS is the only one that is compatible with blood products.
The health care provider has ordered 5% dextrose in water as a maintenance fluid for
The nurse admits a patient diagnosed with metastatic colorectal cancer. The nurse
anticipates that the health care provider will order which medication?
Panitumumab
Bortezomib
Dasatinib
Rituximab - ANSWER Panitumumab (Vectibix) is indicated for the treatment of
metastatic colorectal cancer.
A patient receiving a unit of red blood cells suddenly develops shortness of breath,
chills, and fever. What will the nurse do first? - ANSWER Discontinue the infusion.
These are the signs and symptoms of blood transfusion reaction that could lead to
anaphylaxis; therefore, this calls for an immediate stop in the transfusion.
The nurse is caring for a patient who has been ordered a treatment regimen for
colorectal cancer. The nurse brings the consent form to the patient to sign prior to
initiating the treatment and the patient tells the nurse, "I really don't understand why I
can't be treated with vitamins and nutritional therapy." What is the nurse's priority
action?
Call the health care provider.
Set up an educational session with the dietician.
Obtain signature of the patient on the consent form.
Consult with the pharmacist concerning the treatment regimen. - ANSWER Inform the
health care provider.
The consent form for the treatment should not be signed by the patient. Thus, the health
care provider should be contacted since it is his responsibility, and not the pharmacist's
or dietician's, that the patient understands the reason for the treatment. The nurse
should not influence the patient to sign the consent form when the patient does not
understand the reason for the treatment.
, Based on the condition of the patient, an intravenous fluid that is hypotonic will be
ordered. Which intravenous fluid is most likely to be ordered by the health care
provider?
Normal saline
5% dextrose and normal saline (D5NS)
5% dextrose and lactated Ringer (D5LR)
0.33% NaCl - ANSWER 0.33% NaCl
Of the solutions below, only one is hypotonic. Normal saline is isotonic; both D5NS and
D5LR are considered hypertonic solutions.
Which of the following statements correctly describes TBW as a percentage of weight?
A 70 kilogram (154 lb) 40-year-old man is 40% water.
A 6 kilogram (13.2 lb) 2-month-old neonate is 75% to 80% water.
A 60 kilogram 70-year-old is 75% water.
A 3 kg 2-week-old is 95% water. - ANSWER A 6 kilogram (13.2 lb) 2-month-old neonate is
75% to 80% water.The TBW of a 70 kg (154 lb) man is approximately 60% (40 L). This
percentage varies with age, sex, and percentage of body fat. Neonates are 75% to 80%
water, whereas older adults are 45% to 55% water. Due to the hormonal effects and
increased amount of adipose tissue that contains very little water, women generally
have less body water than men.
The nurse is preparing to initiate transfusion of a blood component. Which intravenous
solution should the nurse hang as a maintenance infusion?
Lactated Ringer
5% dextrose and water
Ringor solution
Normal saline - ANSWER Normal saline
Of the IV solutions listed, NS is the only one that is compatible with blood products.
The health care provider has ordered 5% dextrose in water as a maintenance fluid for
