A nurse is administering methotrexate to a purchaser who has lymphosarcoma. The nurse
ought to inspire the purchaser to hold an ok fluid intake to prevent which of the following
damaging outcomes of the drugs
A. Kidney harm
B. Alopecia
C. Thrombocytopenia
D. Dermatitis - ANS-A
The pt needs 2,000-3,000 mL of fluids in step with day to promote medicine excretion and
prevent kidney harm
A nurse is assessing a client for ache who's 4 hr postoperative following surgical treatment and
nevertheless experiencing the results of anesthesia. Which of the subsequent findings need to
the nurse discover as an indication that the purchaser might be experiencing pain and requires
ache medicine
A. Reduced blood glucose
B. Pupil constriction
C. Diaphoresis
D. Facial flushing - ANS-C
A consumer in ache can be come diaphroetic in an try and maintain the frame temperature
under control for the duration of strain
--
A, blood glucose can growth in a customer who has ache as the body tries to make greater
electricity to be had
B, pupils can dilate in a customer who has pain to help enhance imaginative and prescient
D, a consumer in pain can grow to be pale as the frame shifts blood to the relevant circulate and
away from the peripheral circulation
A nurse is assessing a client who has Alzheimer's ailment and is taking oral rivastigmine. Which
of the subsequent findings suggests the patron is experiencing an detrimental effect of the
medication
A. Diarrhea
B. Tachycardia
C. Dry skin
D. Weight benefit - ANS-A
Diarrhea is an unfavorable effect of this med d/t the peripheral cholinergic impact of the med
,--
B, the med is a cholinesterase inhibitor, which reasons cholinergic moves including bradycardia,
AV block, and cardiac arrest
C,the med is a cholinesterase inhibitor, which causes cholinergic actions one of these
diaphroesis
D, the med is a cholinesterase inhibitor, which causes cholinergic movements inclusive of
anorexia, nausea, vomiting, diarrhea, and abdominal ache which could cause weight reduction
A nurse is assessing a purchaser who has been taking simvastatin and has alanine
aminotransferase (ALT) and aspartate aminotransferase (AST) elevations. Which of the
subsequent findings is the nurse's priority assessment
A. Knowledge of the drugs's unfavorable effects
B. Dietary consumption of grapefruit
C. Changes in workout recurring
D. Recent weight advantage - ANS-B
The finest hazard to this customer is injury from liver harm due to multiplied simvastatin stages,
finding out that the pt beverages grapefruit juice is priority. Grapefruit juice inhibits the drug
metabolizing enzyme and hepatic enzyme. The end result is improved blood stages of
stimvastatin and the capacity for critical damaging results, consisting of multiplied liver enzymes
and rhabdomyolysis (Potentially fatal disintegration of muscular tissues)
A nurse is assessing a patron who has chronic pain sickness and is inquiring for ache remedy.
Which of the subsequent findings ought to the nurse discover because the maximum reliable
indicator of the patron's ache
A. The patron's behavior
B. Changes inside the purchaser's important signs and symptoms
C. The patron's facial features
D. The customer's verbal file - ANS-D
The nurse should ask the customer about the place, satisfactory, and intensity of the ache
A nurse is assessing a purchaser who has preeclampsia and is receiving magnesium sulfate IV
therapy. A nurse need to become aware of which of the following findings as an indication that
the purchaser is having a therapeutic response
A. Increase in contractions
B. No seizure pastime
C. No uterine bleeding
D. Decreased deep tendon reflexes - ANS-B
Magnesium sulfate is indicated to save you seizures from preeclampsia or excessive eclampsia
A nurse is assessing a patron who is dehydrated. Which of the subsequent findings is an
indication of hypokalemia
, A. Muscle weak point
B. Hyperactive bowel sounds
C. Positive Chvostek's signal
D. Red tongue - ANS-A
Weakness, fatigue, and lethargy are manifestations of hypokalemia
--
B, decreased bowel motility is a manifestation of hypokalemia. Hyperactive bowel sounds is a
manifestation of hyperkalemia
C, nice Chvosteks sign is a manifestation of hypocalcemia and hypomagnesemia
D, dry, swollen crimson tongue is manifestation of hypernatremia
A nurse is assessing a patron who's receiving morphine thru a affected person managed
analgesia (PCA) pump and finds the customer sedated and tough to arouse. Which of the
following moves need to the nurse take
A. Increase the top of the mattress
B. Prepare to manage diphenhydramine
C. Decrease the call for dosage
D. Prepare to manage fulmazenil - ANS-A
Raise the top of the mattress for a customer who's tough to arouse following opioid
administration to help improve air flow
--
B, diphenhydramine is used to treat unfavorable outcomes, consisting of itching, and administer
epinephrine for anaphylaxis
C, the nurse must stop the PCA so that the client gets no further morphine and notify the
provider so modifications may be made to the prescription
D, Flumazenil treats benzodiazepine toxicity. The nurse need to prepare to administer naloxone,
an opiate antagonist, to a purchaser who has opioid toxicity
A nurse is assessing a customer who's receiving vincristine for the remedy of breast most
cancers. Which of the subsequent manifestations must the nurse perceive as an unfavourable
effect of the drugs
A. Hematuria
B. Numbness of palms
C. Anxiety
D. Diarrhea - ANS-B
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