The clinic nurse provides instructions to a client receiving an antineoplastic medication. When implementing the plan, the nurse tells the client to?         A. To consult with health care providers before receiving immunization.      B. To avoid hot foods and high fiber-rich foods.      C. To take acetylsalicylic acid as needed for headache.      D.… Read More »

Which of the following client comments demonstrates that teaching has been successful regarding cyclosporine therapy?         A. “I need to mix the medicine in Styrofoam.”      B. “I should take the medication on an empty stomach.”      C. “If I vomit I should take another dose.”      D. “I need to be consistent about when… Read More »

A nurse is giving instructions to a client who is receiving mycophenolate mofetil (CellCept) and mycophenolic acid (Myfortic) after undergoing a heart transplant. The nurse tells the client to anticipate the following side effects, except?         A. Hypersomnia.      B. Vomiting.      C. Hypertension.      D. Diarrhea.           Correct Answer: A. Hypersomnia. Mycophenolate… Read More »

Which of the following must always be present before beginning antifungal therapy?         A. Coagulation profile      B. Confirmed diagnosis      C. Biopsy of the infected site      D. Urinalysis           Correct Answer: B. Confirmed diagnosis The diagnosis of fungal infection, as opposed to infection caused by virus or bacteria, is necessary… Read More »

All narcotics, regardless of their origin, reduce pain by:         A. Stimulating opiate receptors.      B. Promoting the release of excitatory transmitters.      C. Releasing large quantities of endorphin.      D. Blocking the mu receptors.           Correct Answer: A. Stimulating opiate receptors. It is the stimulation of cerebral opiate receptors that reduces… Read More »

A client is prescribed Colchicine. After taking three doses, the client complains of nausea, vomiting, and loose bowel stools. Which of the following should the client do?         A. Skip the next dose, and take the another dose.      B. Withhold the medication and the physician is notified.      C. Continue taking the medication as… Read More »

The client with non-Hodgkin’s lymphoma is being managed with vincristine (Vincasar). Which of the following indicates a side effect specific to this medication?         A. Alopecia      B. Numbness in the toes      C. Chest heaviness      D. Weight gain           Correct Answer: B. Numbness in the toes A side effect specific… Read More »

Antirheumatics are used to:         A. Retard progression of joint deterioration.      B. Encourage excretion of autoantibodies.      C. Directly affect the inflammatory response.      D. Mediate the action of NSAIDs.           Correct Answer: A. Retard progression of joint deterioration These drugs cannot stop the disease itself but are believed to retard… Read More »

Amikacin (Amikin) is given to a client with E-coli infection. The nurse advises the client to report which of the following symptoms immediately?         A. Muscle pain      B. Constipation      C. Fatigue      D. Hearing loss           Correct Answer: D. Hearing loss Option D: Amikacin is an aminoglycoside. Side effects of this medication… Read More »

Which choice describes the action of nucleoside analogs?         A. Exert anti-HIV activity at the reverse transcriptase level and cause premature termination of viral DNA chain synthesis.      B. Completely stop the replication of HIV virus.      C. Allow for a patient to become non-contagious after taking for at least 3 days.      D. Are… Read More »