Sirolimus (Rapamune) is prescribed to a post-renal transplantation client. Upon the review of the chart, the nurse expects which of the following laboratory results?         A. Elevated serum potassium      B. Decreased cholesterol level      C. Elevated platelet count      D. Elevated triglyceride level           Correct Answer: D. Elevated triglyceride level Sirolimus… Read More »

Which of the following nursing diagnoses might occur when administering large parenteral doses of amphotericin B with vancomycin (Vancocin)?         A. Decreased cardiac output      B. Ineffective airway clearance      C. Ineffective breathing pattern      D. Fluid volume excess           Correct Answer: D. Fluid volume excess These two drugs are both nephrotoxic,… Read More »

Nurse Gretchen is discussing the use of cocaine as a local anesthetic with a nursing student. Which statement by the student indicates understanding of this agent?         A. “Anesthetic effects develop slowly and persist for several hours.”      B. “Cocaine is a local anesthetic administered by injection.”      C. “Vasoconstrictors should not be used as… Read More »

A client is receiving methocarbamol (Robaxin) as an adjunct to physical therapy for the relief of painful muscle discomfort. Which of the following is not true regarding the use of the medication?         A. The parenteral form causes hypotension and bradycardia when given rapidly.      B. The medicine can cause the urine to turn brown, black, or… Read More »

The client with a testicular cancer is being treated with Etoposide (Etopophos). Which of the following side effect is specifically associated with this medication?         A. Chest pain      B. Edema      C. Alopecia      D. Orthostatic hypotension           Correct Answer: D. Orthostatic hypotension While on etoposide infusion, blood pressure is monitored… Read More »

A client who is taking mycophenolate mofetil must follow which of the following instructions?         A. Take with food.      B. Avoid use of corticosteroid.      C. Monitor for adverse effects.      D. Practice effective contraception.           Correct Answer: D. Practice effective contraception. Effective contraception is essential because of the potential for… Read More »

A post-kidney transplant client went to the health care facility to ask the nurse regarding vaccinations while on tacrolimus (Prograf) a medication used to prevent organ rejection. Which of the following is an appropriate response of the nurse?         A. “Do not skip due doses of vaccination for this can help in your treatment”.   … Read More »

Arvic, a 16-year-old student, has acquired systemic fungal infection, he should be treated with:         A. Amphotericin B (Fungizone)      B. Miconazole (Monistat IV)      C. Ketoconazole (Nizoral)      D. Griseofulvin (Fulvicin)           Correct Answer: A. Amphotericin B (Fungizone) Serious life-threatening fungal infections are treated with amphotericin B. Amphotericin B deoxycholate belongs… Read More »

The client asks the nurse to explain the action of infiltration anesthesia. The nurse’s response is based on the knowledge that infiltration anesthesia:         A. Is applied only to mucous membranes to provide local anesthesia.      B. Blocks a specific group of nerves in tissues close to the operative area.      C. Blocks sensation to… Read More »

Allopurinol (Zyloprim) is prescribed for a client for the treatment of gout. And the nurse is providing medication instructions. The nurse tells the client to?         A. Take the medication on an empty stomach      B. To limit the use of vitamin C      C. A rash is a normal side effect of the medication… Read More »