A nurse is caring for a patient currently on anastrazole for the treatment of breast cancer. The
nurse understands that treatment of the malignancy is directly due to which action of the
medication? - ANS-Blocking of estrogen receptors.
Antagonism of androgen receptors.
Agonism of gonadotropin-release hormone.
Inhibition of aromatase.
D
A nurse is caring for a patient currently on cetuximab infusions for the treatment of a
malignancy. The nurse understands to perform which action prior to the administration of the
medication? - ANS-Begin to monitor for elevations in blood pressure.
Obtain a serum medication trough level.
Insertion of a Foley urinary catheter.
Premedication with diphenhydramine.
D
A nurse is caring for a patient currently on chlordiazepoxide for the management of alcohol
withdrawal. The nurse understands that the goal of the medication therapy is to: -
ANS-decrease the patient's risk of a seizure.
A nurse is caring for a patient currently on chlorpromazine for the management of
schizophrenia. Upon assessment, the nurse notes that the patient has spasms of the tongue,
neck, and face. Which action by the nurse is the most appropriate? - ANS-Place the patient on
continuous telemetry.
Administer intravenous diphenhydramine.
Implement a 1000 mL fluid restriction.
Position the patient in Trendelenburg.
B
A nurse is caring for a patient currently on cyclophosphamide for the treatment of multiple
myeloma. The nurse is reviewing the patient's most recent urine diagnostics. Which finding is of
most concern for a medication-related adverse effect? - ANS-Positive for hematuria.
Negative for glycosuria.
, Specific gravity 1.010.
Negative for proteinuria.
A
A nurse is caring for a patient currently on leuprolide for the treatment of prostate cancer. The
nurse is providing education to the patient on changes in bone density. The nurse correctly
instructs the patient to perform which action while on the medication? - ANS-Perform
weight-bearing exercises.
Maintain bedrest and limit activity.
Restrict vitamin D supplementation.
Avoid intake of dairy products in diet.
A
A nurse is caring for a patient currently on levodopa/carbidopa for the management of
Parkinson's disease. The nurse understands that therapeutic effects with the medication are
due to: - ANS-Monoamine oxidase promotion.
Dopamine receptor antagonism.
Increased dopamine synthesis.
Catecholamine-0-methyltransferase promotion.
C
A nurse is caring for a patient currently on methotrexate for the treatment of non-Hodgkin's
lymphoma. The nurse is reviewing the patient's labs and notes that the patient's uric acid level is
elevated. The nurse correctly anticipates which orders? - ANS-Intravenous ibuprofen and fluid
restriction.
Subcutaneous insulin and glucose monitoring.
Intramuscular epinephrine and telemetry monitoring.
Oral allopurinol and increased fluid intake.
D
A nurse is caring for a patient currently on metoclopramide for management of diabetic
gastroparesis. Which finding upon assessment is of most concern for a medication-related
adverse effect? - ANS-Urinary retention and dry mucous membranes.
Polydipsia and elevated bedside blood glucose.
Repetitive, involuntary movements in the upper extremities.
Prolonged QT interval upon inspection of telemetry.
C
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