Question 1

The nurse is caring for a patient receiving chemotherapy that includes ifosfamide 1.2 g/m² and mesna;20% of the mesna dose is to be given via IV at the same time as the ifosfamide;repeat 4 hr and 8 hr later.The patient's body surface area is 2 m².The nurse anticipates that the pharmacy will supply a ____ mg dose of mesna.

Accepted Answer

The answer of The nurse is caring for a patient...

Question 2

An order for Restoril (temazepam)30 mg po prn for sleep would be questioned for which of the following patients? Select all that apply.
A)A 42-year-old patient hospitalized with a broken femur
B)A 29-year-old patient admitted with depression and attempted suicide
C)A 51-year-old patient admitted with migraine headache
D)A 33-year-old patient admitted with exacerbation of Crohn's disease
E)A 79-year-old patient admitted with a hip fracture
F)A 48-year-old patient admitted with cirrhosis

Accepted Answer

See Contraindications/Precautions for temazepam.Use cautiously when there is a pre-existing hepatic dysfunction or history of a suicide attempt or drug addiction.Elderly patients have increased sensitivity to benzodiazepines.It appears on Beers list and is associated with increased risk of falls (↓ dose required).

Question 3

The nurse is preparing to provide Namenda (memantine)in liquid form.The ordered dose is 10 mg po BID.Liquid preparation is available in 2 mg/mL.The nurse should provide __________________ mL.

Accepted Answer

The answer of The nurse is preparing to provide Namenda...

Question 4

Which of the following laboratory values will be closely monitored for a patient newly started on procainamide after cardioversion? Select all that apply.
A)Mean corpuscular volume
B)Triglycerides
C)White blood cell count
D)Platelet count
E)Magnesium
F)Protein

Accepted Answer

See Lab Considerations for procainamide.Monitor CBC every 2 wk during the first 3 mo of therapy.May cause ↓ leukocyte,neutrophil,and platelet counts.Therapy may be discontinued if leucopenia occurs.Blood counts usually return to normal within 1 mo of discontinuation of therapy.Monitor ANA periodically during prolonged therapy or if symptoms of lupus-like reaction occur.Therapy is discontinued if a steady increase in ANA titer occurs.May cause ↑ AST,ALT,alkaline phosphatase,LDH,and bilirubin,as well as a positive Coombs' test result.

Question 5

In the treatment of a postmenopausal woman with osteoporosis who has been prescribed Evista (raloxifene),which of the following should be included in the patient's plan of care? Select all that apply.
A)Daily weight-bearing exercises
B)Supplemental iron
C)Education on smoking cessation
D)Instruction to limit alcohol consumption
E)Prolonged bed rest
F)Dietary teaching to increase protein intake

Accepted Answer

See Patient/Family Teaching for raloxifene.Emphasize the importance of regular weight-bearing exercise.Discuss the importance of adequate calcium and vitamin D intake or supplementation;iron supplementation will not improve osteoporosis.Advise patient to discontinue smoking and alcohol consumption.Prolonged inactivity should be avoided due to increased risk of thrombosis.Dietary teaching should focus on increased/adequate intake of calcium and vitamin D.

Question 6

A neighbor says to the nurse,"My arthritis is getting worse in this cold weather;what can I take?" The nurse would base the response on the knowledge that which of the following medications would provide both pain relief and help decrease inflammation associated with arthritis.Select all that apply.
A)Ecotrin (aspirin)
B)Choline and magnesium salicylates
C)Tylenol (acetaminophen) 
D)Advil (ibuprofen)
E)Excedrin
F)Acephen (acetaminophen)

Accepted Answer

See Indications for salicylates,ibuprofen,and acetaminophen.Aspirin,other salicylates,and ibuprofen have anti-inflammatory and pain-relieving properties.Acetaminophen has no significant anti-inflammatory property.

Quiz 2: Detecting and Managing Adverse Drug Reactions

An order for Restoril (temazepam) 30 mg po prn for sleep would be questioned for which of the following patients? Select all that apply.

The nurse is preparing to provide Namenda (memantine)in liquid form.The ordered dose is 10 mg po BID.Liquid preparation is available in 2 mg/mL.The nurse should provide __________________ mL.

Which of the following laboratory values will be closely monitored for a patient newly started on procainamide after cardioversion? Select all that apply.

In the treatment of a postmenopausal woman with osteoporosis who has been prescribed Evista (raloxifene) ,which of the following should be included in the patient's plan of care? Select all that apply.

A neighbor says to the nurse,"My arthritis is getting worse in this cold weather;what can I take?" The nurse would base the response on the knowledge that which of the following medications would provide both pain relief and help decrease inflammation associated with arthritis.Select all that apply.