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Asked by DeanLoris633
1. The physician has prescribed epoetin alfa (Epogen) for the client. What is the priorityÂ
assessment by the nurse?
a. The client’s blood pressure
b. The client’s report of a headache, indicating a stroke
c. The client’s ability to use the proper injection techniques for self-administration
d. The client’s hemoglobin and hematocrit levels
2. The client complains of constipation while receiving ferrous sulfate (Feosol). What isÂ
the best plan by the nurse to assist the client in resolving this common side effect?
a. Plan to teach the client about which laxatives are the safest to use.
b. Plan to teach the client to increase fluids and high-fiber foods in the diet.
c. Plan to teach the client to self-administer Fleets enemas.
d. Plan to teach the client to increase exercise.
3. The client is receiving chemotherapy for cancer. The physician has prescribedÂ
oprelvekin (Neumega). The nurse has completed medication education and evaluates itÂ
as effective when the client makes which statement?
a. This medication will help my chemotherapy work better.
b. This medication will help increase my platelet count.
c. This medication will help me regain the weight I have lost.
d. This medication will help increase my red blood cell count.
4. A client with pancreatic cancer is receiving chemotherapy even though prognosis isÂ
grim. How does the nurse explain the rationale for this treatment? Select all that applyÂ
(3)
a. It is a long shot, but maybe the chemotherapy will cure him.
b. Sometimes the chemotherapy can reduce the size of the tumor.
c. We just hate to give up on him. He is such a nice man.
d. Chemotherapy can sometimes reduce the pain.
e. Hopefully, the chemotherapy will improve his quality of life.
5. The client has hyperthyroidism. The nurse teaches the client to avoid which foodÂ
selections?
a. Soy sauce
b. Milk products
c. High-calorie foods
d. Caffeine-free soda
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6. The client receives glucocorticoid therapy. The nurse would prioritize assessment forÂ
which finding?
a. Hypothermia
b. Hypotension
c. Hypertension
d. Weight loss
7. The primary goal of pharmacotherapy in hyperthyroidism (Graves’ disease) is to
a. increase metabolism.
b. increase synthesis of corticosteroid.
c. lower the activity of the thyroid hormone.
d. increase the activity of the thyroid hormone.
8. The client has type 1 diabetes mellitus and receives insulin. He asks the nurse whyÂ
he can’t just take pills instead. What is the best response by the nurse?
a. I know it is tough, but you will get used to the shots soon.
b. Have you talked to your doctor about taking pills instead?
c. Insulin can’t be in a pill because it is destroyed in stomach acid.
d. Insulin must be injected because it needs to work quickly.
9. The client takes Ortho-Novum for 3 months and calls the clinic to report she is havingÂ
vaginal bleeding. What is the best plan by the nurse at this time?
a. Ask the client if she has been having sexual intercourse recently.
b. Tell the client to go to the emergency department for medical treatment.
c. Ask the client if she is bleeding between cycles or if this is her regular period.
d. Tell the client not to worry if the bleeding resembles her monthly flow.
10. The nurse teaches the client about oxytocin (Pitocin). The nurse evaluates thatÂ
learning has occurred when the client makes which statement?
a. It will increase my uterine contractions.
b. It will increase my volume of fluid loss.
c. It will increase my vaginal muscle tone.
d. It will increase my milk production.
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