Question

36. A client is administered methotrexate for the treatment of severe rheumatoid arthritis. Administration of this drug should be performed with particular care because of the associated high risk of a. Intracapsular bleeding d. Myocardial infarction or CVA 37. A client with a diagnosis of bladder cancer is started on a chemotherapeutic regimen that includes three agents. What is the rationale for using multiple antineoplastic agents? a. The use of three agents decreases the development of cell resistance b. The use of three agents increases adherence to c. The use of three agents increases the serum levels of one of the agents. d. The use of three agents decreases the total adverse 38. An oncology nurse is preparing to administer cytotoxic chemotherapy medications. Which measure best protects the nurse from harm related to the chemotherapy? a. Wearing protective equipment b. Performing thorough hand hygiene c. Mixing medication in a 1000-mL bag 39. A 50-year-old man has just been diagnosed with liver cancer, and the care team is finalizing the extensive chemotherapy regimen that will begin imminently Administration of chemotherapeutic drugs is best achieved through which route? a. An intramuscular depot b. a peripheral IV in the no dominant forearm c. peripheral intravenous acess in the antecubital fossa d. a central venous catheter (CVC 40. A client is seen in the primary care provider's office with reports of polydipsia and polyuria without polyphagia. An assessment notes very edematous ankles and an elevation of blood pressure. These data support which diagnosis associated with the adrenal cortex? d. Adrenal hyperplasia 41. A client is to be discharged with a prescriptiu9on for prednisone to be administered every other day at 09-00 AM. When implementing discharge teaching. what should the nurse explain as th4 rationale for giving the medication a. It reduces adverse effects.

Answer 1

36. A client is administered methotrexate for the treatment of severe rheumatoid arthritis. Administration of this drug should be performed with particular care because of the associated high risk of bleeding a. In d. Myocardial infarction or CVA 37. A client with a diagnosis of bladder cancer is started on a chemotherapeutic regimen that includes three agents. What is the ranonale for using multiple antincoplastic agents? use of three agents decreases the development of cell resistance. b. The use of three agents increases adherence to c. The use of three agents increases the serum levels of d. The use of three agents decreases the total adverse treatment. one of the agents. effects 38. An oncology nurse is preparing to administer cytotoxic medications. Which measure best protects the pise from harm related to the chemotherapy? Wearing protective equipment b. Performing thorough hand hygiene e. Mixing medication in a 1000-mL bag possible 39. A 50-year-old man has just been diagnosed with liver cancer, and the care team is finalizing the extensive chemotherapy regimen that will begin imminently Administraion of chemotherapeutic drugs is best achieved throug aAn intramuscular depot a peripheral IV in the no dominant forearm c. peripheral intravenous acess in the antecubital fossa d. a central venous catheter (CVC 40. A client is seen in the primary care provider's office with reports of polydipsia and polyuria without polyphagia. An assessment notes very edematous ankles and an elevation of blood pressure. These data support which diagnosis with the adrenal cortex? tumors d. Adrenal hyperplasia 41. A client is to be discharged with a prescriptiu9on for prednisone to be administered every other day at 09-00 AM. When implementing discharge teaching. what should the nurse explain as th4 rationale for giving the medication every other day? adverse effects. It prolonged therapeutic effects c. It prevents steroid tolerance d. It increa

42. A client with a diagnosis of breast cancer is administered a addition to chemotherapy agents. What corticosteroids have on this client's course of effect w The corticosteroid will decrease signs and symptoms of cancer. b. The corticosteroid will alter the action of the c. The corticosteroid will decrease metastasis to distant d. The corticosteroid will decrease hepatic effects of the chemotherapy agent. 43. An adult client has been prescribed oral prednisone for the treatment of an acute dermatological condition. Whern teaching this client about this course of treatment, what teaching point should the nurse emphasize? a. The need to supplement prednisone with high doses of b. The noed to avoid drinking grapefruit juice for the on of treatment importance of gradually reducing rather than abruptly stopping the drug d. The importance of matching each day's dose to the 44. 12-year-old, recently diagnosed with asthma, has been is drug achieves a therapeutic effect by severity of symptoms prescribed a to be administered by metered- which mcans? By increasing the number of beta-adrenergic receptors b. By increasing muscle tone in the smooth musele of the c. By increasing the permeability of the alveolar d. By increasing the number of binding sites on 45, The nurse should be aware that ranitidine achieves a therapeutic effect by which mean? the pH of gastric secretions the secretion of gastric acid c. Binding to proton pumps d. Decreasing gastric motility 46. An older adult client with risk factors for thrombophlebitis is to be administered heparin 3000 units subcutaneously. The heparin vial is labeled 10,000 units mL. How many milliliters will the nurse administered to the client? a. 50 mL b. 1.5 mL 47. The health care provider orders potassium chloride 40 mEq to be added to the client's IV solution. The vial reads 10 mEq/5 mL. How many millimeters will be added to the IV solution? a. 0.25 mL b. 20 mL