Fuck Pharma PDF

Finals examination 7. Your client is scheduled to receive high dose of 1. Your male client is to receive 3 different cyclophosphamide (cytoxan) via iv infusion as anticancer drugs to treat his condition. He asks treatmen...

Finals examination 7. Your client is scheduled to receive high dose of 1. Your male client is to receive 3 different cyclophosphamide (cytoxan) via iv infusion as anticancer drugs to treat his condition. He asks treatment for cancer. Which of the following the nurse why he needs so muchchemotherapy. would the nurse include in the client teaching The nurse’s best response would be that plan? combination chemotherapy: Drink 2 to 3 L of fluid a day Increases tumor cell kill. 8. The nurse knows that interferon, as a 2. A client on the outpatient oncology unit has biotherapy drug for cancer, is a: developed mucositis after receiving Cytokine fluorouracil. Which of the following statements 9. All of the following are alkylating agents for made by the client would indicate the need for cancer, except? additional teaching by the nurse? Corticosteroids a. “i am buying a mouthwash that is 10. Vincristine can cause: alcohol-based to clean my mouth.” Neurotoxicity b. “i will try to use ice pops or ice chips to 11. Which one is an angiogenesis inhibitor? help relieve my mouth pain.” Bevacimuzab c. “i am supposed to frequently rinse my 12. Colony stimulating factors do the following, mouth with normal saline.” except? 3. A hospitalized client developed severe a. Enhance macrophage or granulocyte neutropenia after his third cycle of destroying ability chemotherapy. His physician prescribed b. Permit delivery of higher doses of drugs filgrastim. The appropriate explanation that the c. Increase thrombocytopenia nurse should provide the patient is: 13. Sex hormones slow growth of hormone- “this can help you to recover your dependent tumors such as: depleted white blood cells.” Prostate cancer 4. A client is treated with 5-fluoruoracil. As a 14. Anti-tumor antibiotics: nurse, you know that the chemotherapeutic Inhibit protein and rna synthesis and mechanism of this drug is to: bind dna, causing fragmentation. a. Prevent formation of microtubules 15. The hpv vaccine can prevent: necessary for cellular division. Cervical cancer b. Disrupt cellular metabolic and 16. Which of the following second generation enzymatic processes. antihistamines manages allergic rhinitis with c. Alter crosslinking of both normal and fever with fewer adverse reactions? abnormal dna base pairing. Loratadine 5. You have explained the process of 17. The following are true about inhaled chemotherapy to a cancer patient who will glucocorticoids, except: receive it for the first time. Which of the a. It has side effects similar to a steroidal following statements of the client would agent. indicate understanding of the information? b. It reduces the inflammation of the “chemotherapy can weaken my bronchial smooth muscles. resistance to infection.” c. It has a rapid onset when administered 6. You are preparing a patient for chemotherapy. to counter an acute exacerbation. Upon assessment, you learned that he had 18. You are teaching a client about inhaling hyperthermic episodes the night before the salbutamol. Which of the following adverse procedure. What would be the most prudent reactions, when manifested, should prompt thing to do? the client to consult his physician? Hold the treatment and notify the Intense palpinations physician about the findings. 19. A nurse has taught a client taking theophylline 28. Nicolas is a 5-year-old male diagnosed with about the drinks he must avoid. Which of the asthma. He is given cromolyn sodium. Which following beverages, when chosen by the client, statement by the child’s mother indicates would indicate further instruction? understanding of the use of cromolyn sodium? Energy drink a. “I will instruct my child to sniff the 20. Muscarinic bronchodilators relax the medication upon inhalation.” bronchioles by: b. “i will let my child take this medication Inhibiting the acetylcholine receptors in to prevent asthma attack.” the bronchial smooth muscles. c. “i will have my child take this 21. A client is having a productive cough. To aid in medication during an attack.” expelling mucus, the nurse expects to 29. The nurse knows that which adverse effect administer: should be monitored when administering Expectorants theophylline to a client with asthma? 22. Which anticholinergic causes bronchial dilation Dizziness by reducing the inflammation of bronchial 30. All are correct about acetylcysteine, except? muscles? a. Should not be mixed with other drugs Ipratropium b. An antidote for acetaminophem 23. A client with asthma suddenly experienced an overdose within 12 to 24 hours given acute attack. The nurse expects that this drug is orally least likely to be given. c. Liquefy and loosen thick mucus a. Epinephrine secretions in the upper respiratory b. Montelukast tracts c. Fluticasone 31. A client was prescribed metoprolol to treat 24. A client with COPD is taking a leukotriene hypertension. It is important for the nurse to antagonist. The nurse is aware that this monitor the client for: medication is given for the following reasons, bradycardia, except: bradypnea, a. Treats inflammatory response in the hyperthermia bronchial smooth muscles. 32. 32. A 2-month-old male is diagnosed with b. Functions for immediate relief of congestive heart failure and is being treated labored breathing from asthma attacks. with digoxin. What discharge health teaching is c. Acts as a prophylaxis drug to minimize the most important for the nurse to tell the asthma attacks. child’s parents? 25. You are teaching a construction worker who is Take apical pulse prescribed to take diphenhydramine once a day. 33. The nurse knows that which of the following is Which instruction would be the most an adverse effect to closely watch out for when appropriate regarding the time of giving digoxin? administration? Vomiting Take the drug before sleeping. 34. A client taking nitroglycerin complains of 26. Which should be included in a teaching plan for headache. The nurse is aware that this is a/an: a client taking an antitussive? a. toxic effect, Avoid drinking alcohol while taking this b. adverse effect, drug c. Hypersensitivity reaction 27. Which drug may cause a rotten egg odor due to 35. What severe skeletal muscle adverse reaction its release of hydrogen sulfide? could occur when taking statins? Acetylcysteine Rhabdomyolysis 36. Which new bile acid sequestrant has fewer side effects than others in the same category? Colesevelam 37. A client is diagnosed with peripheral arterial 47. Client teaching for use of antiplatelets include disease. He is prescribed isoxsuprine hcl. What all of the following, except? is the action of this Drug? Encourage client to play contact sports Relax arterial walls within skeletal utilizing a safety razor when shaving muscles avoiding use of any otc drugs 38. Which of the following is a common side effect 48. Which of the following drugs is an antidote for of digoxin (lanoxin)? thrombolytic agents? Colored vision Ibuprofen protamine sulfate 39. Which of the following is a desired effect of aminocaproic acid digoxin (lanoxin)? 49. The nurse knows that which of the following Negative chronotropic effect drugs is used to break up already formed clots? 40. The nurse should take into consideration which Streptokinase of the following when administering digoxin to 50. What is the primary side effect of captopril an adult? therapy among hypertensive clients? a. Take apical pulse for 15 seconds Cough b. Teach client to report nausea, vomiting, 51. The nurse knows that which hypertensive drug and anorexia may be linked to breast cancer and may cause c. Advise client to seek consult if heart suicidal depression? rate is greater than 90 beats per minute Reserpine 41. The nurse knows that which of the following is 52. Which side effect should the nurse teach the an indication for the use of digoxin immune fab client to watch out for while taking clonidine (digibind)? (catapress) for hypertension? Lanoxin overdose Irritability 42. Of the following, which should be included in a 53. Furosemide acts on: teaching plan for a client taking nifedipine for loop of henle angina? 54. Which nursing action is not appropriate while a. Encourage rigorous exercise caring for a client receiving intravenous b. Take with alcohol to enhance mannitol? absorption Administer solution if at least half of the c. encourage high fiber diet crystals are removed from the bottle 43. Which of the following is correct concerning 55. Which one is a Ca-channel blocker for angina? transdermal nitroglycerin? Felodipine a. The patch can be safely placed over skin 56. The nurse tells a client that the group of folds or hairy areas laxatives that is considered the safest and most b. a new patch should be applied if the old natural is the: one falls off bulk forming group c. Swimming or taking a bath should be 57. The nurse knows that she should not avoided administer an oral laxative to a client who 44. Which direct acting vasodilator for states he has: hypertension may cause cyanide poisoning? a. increase in appetite Nitroprusside b. Nausea 45. An increased risk of ototoxicity may occur c. Excess body weight when which diuretic drug is administered iv 58. Which statement by a client demonstrates her push too quicky? understanding of dimenhydrinate therapy? Furosemide “i will have my husband drive the car for 46. Which of the following diuretics can cause me.” hyperkalemia? Spironolactone 59. A client has been instructed that to enhance 68. A client in a community reported to the home the effectiveness of ipecac syrup, she should do care nurse that he hasn’t been able to pass which of the following? stool for almost two weeks and was given Follow dose with water appropriate medications. The home care nurse 60. The nurse explains to a client that sucralfate realized that the client is experiencing: enables her ulcer to heal by: Constipation a. Binding with all gastric contents to 69. A client asks the nurse how the syrup of ipecac inactivate function in stomach can induce vomiting. The most appropriate b. attracting white and red blood cells to response of the nurse is: stomach to increase circulation “it irritates the gastric mucosa.” c. Forming a paste-like substance at the 70. Anticholinergics for ulcer: ulcer site that serves as a protective Delay gastric emptying time barrier 71. A client is receiving hydrocortisone od. The 61. Which of the following teaching points about healthcare provider understands that this drug sucralfate should the nurse emphasize with a mimics a hormone from the: client to ensure success with therapy? Adrenal cortex Take drug 1 hour before or 2 hours after 72. A client is given ergocalciferol. The healthcare meals provider knows that this drug is used to treat: 62. The following statements are true about Hypoparathyroidism sucralfate, except? 73. A client is taking levothyroxine (synthroid). For The drug produces more side effects which of the following adverse effects would than pantoprazole. the healthcare provider monitor the client? 63. The nurse knows that which of the following Tachycardia organisms increase the risk of developing 74. A client is given corticotropin. The healthcare peptic ulcer? provider knows to monitor the client for which Helicobacter pylori side effect? 64. Antacids promote ulcer healing in which of the Weight gain following ways? 75. Which of the following drugs increases blood Neutralizing hcl and pepsin activity sugar for insulin- induced hypoglycemia? 65. Mister cesar is taking famotidine to prevent Glucagon acid reflux in the esophagus. Which of the 76. A client is newly diagnosed with type 2 diabetes following are possible side effects of the drug? mellitus and is started on medications. The Gynecomastia healthcare provider is aware that which of the 66. An elderly taking an h2-blocker should be following is true? cautioned for which of the following side Heredity is a major causative factor effects that are very common to their age 77. Antidiabetic drugs are designed to control signs group? and symptoms of diabetes mellitus. The Dizziness healthcare provider primarily expects a 67. A client taking a pepsin inhibitor asks the nurse decrease in which of the following? when she can expect optimal ulcer healing to Blood glucose occur. The nurse answers which of the 78. A client is to receive insulin prior to breakfast, following time frame? and breakfast tray delivery is variable. The 4 weeks healthcare provider knows that which type of insulin should not be administered until the breakfast tray has arrived and the client is ready to eat? Humalog 79. A client is receiving a daily dose of humulin n 89. A client is receiving a rapid-acting insulin as insulin at 6:00 am. The healthcare provider part of the management of diabetes. The nurse expects the peak effect of this drug to occur at knows that the onset of the drug is: which time? 5-15 minutes 3:30 pm 90. A diabetic client reported that his blood sugar 80. The nurse prepares a combination of the surges on awakening. The nurse realizes that following drugs in a single syringe. Which one this condition is known as: must the nurse aspirate first? Dawn phenomenon Insulin zinc 91. Matching type. Identify the respiratory drug 81. When the client is prescribed glipizide, the being described. nurse knows that side effects include which of a. MUCOLYTIC the following? b. METHYLXANTHINE Hypoglycemia c. ANTITUSSIVE 82. Which statement by a client receiving insulin d. SYMPATHOMIMETIC therapy needs further teaching by the nurse? e. LEUKOTRIENE RECEPTOR ANTAGONIST a. “i will inject my insulin in the deltoid area.” A: mucolytic - Liquifies and loosens thick mucus b. “i will carefully draw up my doses of secretions. insulin.” B: methylxanthine - Stimulates central nervous c. “i will take more insulin when i go to my system and dilates pulmonary vessels. exercise class.” C: antitussive - Suppresses cough reflex. 83. The drug of choice to correct growth hormone D: sympathomimetic - Increases cAMP which deficiency is: causes bronchodilation. Somatropin E: leukotriene receptor antagonist - Reduces 84. a client is given levothyroxine to manage his inflammatory respiratory symptoms for hypothyroidism. Which of the following side prophylaxis and maintenance. effects would likely be manifested? Hyperthermia 92. Matching type. Identify the cardiovascular 85. A client taking a drug affecting the pituitary drug being described. gland is said to be experiencing secondary a. ASPIRIN hypothyroidism if: b. LANOXIN Serum t3 and t4 levels are inadequate c. SIMVASTATIN when tsh level is decreased. d. MANNITOL 86. The nurse expects to administer which drug to e. AMINOCAPROIC ACID manage the symptoms of thyrotoxic crisis? Methimazole A: aspirin - An antiplatelet drug to prevent clot 87. Which of the following statements is true about within arteries. lugol’s solution? B: lanoxin - A cardiac glycoside which improves It must be administered using a straw to myocardial contraction in heart failure. avoid discoloration of teeth. C: simvastatin - Can lower lipid or cholesterol 88. Synthetic calcitonin treats level. hyperparathyroidism by: D: mannitol - An osmotic diuretic most effective Inhibiting osteoclastic activity of the for cerebral edema. bones. E: aminocaproic acid - A plasminogen inactivator.