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NURS6521 Final 2024/2025 ;100% complete newest version guide (verified)
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NURS6521 Final"Both classes of drugs have adverse effects, but targeted therapies tend to have
less of an effect on healthy body cells." - ANS-A patient will soon begin targeted therapy as a
component of her treatment plan for chronic leukemia. The nurse is conducting health education
about this new aspect of the patient's drug regimen and the patient has asked about the
potential side effects of treatment. How should the nurse best respond?
"Do you ever use alcohol or drugs?" - ANS-A 15-year-old boy has been diagnosed with bone
cancer after several months of fatigue and
pain. What question should the nurse include in an assessment when trying to minimize the
potential for adverse drug reactions?
"Do you feel like you're having any pain in your bones?" - ANS-Mr. Singh is a 66-year-old man
who is receiving chemotherapy for the treatment of lung
cancer that has metastasized to his liver. In an effort to prevent infection, Mr. Singh has been
prescribed filgrastim (Neupogen). Which of the nurse's following assessment questions most
directly addresses a common adverse effect of filgrastim?
"Insulin is usually the drug of choice for controlling blood glucose levels during pregnancy
because it does not cross into the placenta." - ANS-A patient is pregnant and is at 7 weeks'
gestation. She has type 1 diabetes and has been taking
insulin since she was 13 years old. She asks the nurse if the insulin will be harmful to her
baby. The best response to the patient by the nurse would be
"Lately, I have to get up three or four times a night to go to the bathroom." - ANS-A 71-year-old
man has just been prescribed finasteride (Proscar). Which of the following
complaints by this patient most likely indicated a need for this drug?
"Make sure to seek care quickly if you experience bad headaches, calf pain, or
changes in vision." - ANS-A 20-year-old woman will soon begin taking oral contraceptives for
the first time. What
advice should the nurse provide to this patient?
"Natural testosterone undergoes a high first-pass effect and is not used orally." - ANS-A male
patient with a medical background tells the nurse that he is not satisfied with the oral
synthetic testosterone that has been prescribed for him and he would like to try a natural form
of oral testosterone. Which of the following would be an appropriate response by the nurse?
"Take this drug once each day on an empty stomach." - ANS-A 30-year-old man with a BMI of
59 has recently been diagnosed with type 2 diabetes
mellitus. In light of the man's lack of success with weight loss programs in the past, his care
, provider has prescribed sibutramine (Meridia). What instructions should the nurse
consequently provide to this patient?
"Take this drug once each day on an empty stomach." - ANS-A 30-year-old man with a BMI of
59 has recently been diagnosed with type 2 diabetes mellitus. In light of the man's lack of
success with weight loss programs in the past, his care provider has prescribed sibutramine
(Meridia). What instructions should the nurse consequently provide to this patient?
"You might find that your face becomes flushed or you get a headache after you
take Viagra." - ANS-A 59-year-old man with a recent history of erectile dysfunction has been
assessed and
prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should
tell him which of the following?
2000 mg - ANS-A nurse practitioner orders a single dose of 2 g Metronidazole orally. How many
milligrams
will the patient receive in one dose?
400 mghour - ANS-A nurse is administering rituximab to a patient via the IV route. The nurse will
set the IV pump at 50 mghour for the first half hour of the initial infusion. If there are not
apparent reactions after 30 minutes of the infusion, the nurse will increase the dosage every 30
minutes by 50 mghour until the maximum infusion rate reaches which of the following?
A 19-year-old male receiving radiotherapy - ANS-A nurse has administered filgrastim to a
diverse group of patients in recent months. Which of
the following patients should the nurse observe for extremely elevated white blood cell
counts following administration of the drug?
A 48-year-old Caucasian man who has adult-onset diabetes - ANS-A nurse works at a weight
management clinic. To which of the following overweight patients
could the nurse safely administer dextroamphetamine?
A 62-year-old male with cancer - ANS-Which of the following patients will be at the greatest risk
for anemia and would be the most
likely candidate for epoetin alfa therapy?
A baseline complete blood count - ANS-A patient is receiving long-term clindamycin therapy for
a life-threatening infection. The
nurse will begin by monitoring this drug therapy by obtaining
A child has a greater body surface area, creating greater permeability resulting in
Answer: an increase in absorption of topical agents, which may result in more adverse effects. -
ANS-A nurse is explaining to the parents of a 6-year-old child suffering from angina why
nitroglycerin patches for chest pain would not be appropriate. Which of the following will the
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