Pharm chp 14, 17, 40, 41

Which of the following instructions would be most appropriate for a patient who is receiving temsirolimus?

• Avoiding grapefruit juice

• Promoting frequent rest periods

• Drinking adequate fluids

• Maintaining adequate nutrition

A client has just started on an alkylating agent to treat their cancer. What is the most common side effect of most alkylating agents?

• Myelosuppression

• Nephrotoxicity

• Confusion

• Depression

Which drug would have the least effect on healthy human cells?

• Etoposide

• Imatinib

• Vincristine

• Doxorubicin

What are important precautions a nurse should teach a client receiving an immunosuppressant? (Select all that apply.)

• Avoid crowds.

• Take precautions to avoid getting pregnant.

• Receive vaccinations with a live virus.

• Eat a diet high in protein and low in carbohydrates.

• Keep follow-up appointments for laboratory assessments.

The nurse monitors the client receiving eculizumab for what serious potential adverse effect?

• Hemolysis

• Suicidality

• CNS complications

• Neoplasms

The nurse is teaching a client receiving interferon therapy about measures to combat possible adverse effects. Which statement by the client indicates the need for more teaching?

• “I need to be out in the sun so that I can get vitamin D.”

• “I should drink plenty of liquids, including water.”

• “I can use acetaminophen if I get a fever.”

• “I might need some blood tests to check my blood count.”

A patient is to start on misoprostol (Cytotec) therapy to produce uterine contractions. Before therapy begins, the nurse should prioritize which assessment?

• History of hypertension

• Mental status

• History of previous cesarean delivery

• Intake and output for the last 24 hours

A female client began an infusion of oxytocin 2 hours ago and the nurse has been conducting regular assessments on her as well as monitoring the fetal heart rate closely. The nurse should prioritize which potential nursing diagnosis in the organization of the client's immediate care?

• Excess fluid volume

• Ineffective breathing pattern

• Hyperthermia

• Altered thought processes

An adult woman began using oral contraceptives several months ago and has presented for an appointment to discuss recent worrisome changes in her health status. Which change in the woman's health may the nurse potentially attribute to the use of oral contraceptives?

• Fatigue

• Frequent high blood pressure readings

• Frequent headaches without aura

• Nausea and vomiting

A nurse is caring for clients receiving androgen therapy. For which conditions may androgen therapy be given as replacement therapy? Select all that apply.

• testosterone deficiency

• Male pattern baldness

• delayed puberty

• benign prostatic hypertrophy

• testicular development failure