The client at highest risk for nephrotoxicity with aminoglycoside use is a: A. Male with a creatinine of 1.7 and BUN of 52 on a 10-day regimen. B. Female with BUN of 12 and creatinine of 0.8. C. Female with past history of cystitis on 5 days of therapy. D. Male with history… Read More »
The most dangerous metabolic side effect of general anesthesia that can occur during surgery is: A. Hyperglycemia B. Hyperthermia C. Hypoglycemia D. Hypothermia Correct Answer: B. Hyperthermia Malignant hyperthermia is the most dangerous metabolic side effect of general anesthesia. Malignant hyperthermia is a severe reaction to certain… Read More »
The most common dose-limiting toxicity of chemotherapy is: A. Nausea and vomiting. B. Bloody stools. C. Myelosuppression. D. Inability to ingest food orally due to stomatitis and mucositis. Correct Answer: C. Myelosuppression. The overall goal of cancer chemotherapy is to give a dose large enough to be… Read More »
Louie, who is to receive a blood transfusion asks the nurse what is the most common type of infection he could receive from the transfusion. The nurse teaches him that approximately 1 in 250,000 patients contract: A. Human immunodeficiency disease (HIV) B. Hepatitis C infection C. Hepatitis B infection D. West… Read More »
Orlando who has been taking steroids for rheumatoid arthritis over several years presents with a compression vertebral fracture. This fracture is due to: A. An entirely separate condition. B. The osteoporotic effect of long-term steroid use. C. Deterioration in rheumatoid arthritis. D. An excessively high dose of steroids. … Read More »
The client who is human immunodeficiency virus seropositive has been taking saquinavir (Invirase). The nurse provides medication instructions and advises the client to: A. Take the medication in the morning before meals. B. Include a low-fat diet. C. Weight gain is expected. D. Avoid being exposed to sunlight. … Read More »
When assessing clients for evidence of a penicillin allergy, which of the following symptoms may not be considered to be a true hypersensitivity reaction? A. Wheezing B. Nausea C. Urticaria D. Angioneurotic edema Correct Answer: B. Nausea GI disturbances such as nausea are usually caused by direct irritation or… Read More »
Mr. Baltazar will be undergoing surgery with general anesthesia. The client should be given which of the following instructions preoperatively? A. Eat a big breakfast B. Expect to be incontinent of urine postoperatively C. Double your medication doses D. Expect nausea, vomiting, shivering, and pain postoperatively Correct… Read More »
Chemotherapy induces vomiting by: A. Stimulating neuroreceptors in the medulla. B. Inhibiting the release of catecholamines. C. Autonomic instability. D. Irritating the gastric mucosa. Correct Answer: A. Stimulating neuroreceptors in the medulla. Vomiting (emesis) is initiated by a nucleus of cells located in the medulla called the… Read More »
A male patient with blood type AB, Rh factor positive needs a blood transfusion. The Transfusion Service (blood bank) sends type O, Rh factor negative blood to the unit for the nurse to infuse into this patient. The nurse knows that: A. This donor blood is incompatible with the patient’s blood. B. Premedication… Read More »