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Test-Bank-for-Focus-on-Nursing-Pharmacology-6th-Edition-by-Karch
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Test Bank for Focus on Nursing Pharmacology 6th Edition byKarch
Sample
Chapter 17
1. A patient has been diagnosed with hairy cell
leukemia. The patient is to begin taking interferon
alfa 2b. What will the nurse include in her
instructions to the patient concerning this drug?
Avoid drinking alcohol while taking the
A) drug.
B) Continue to maintain maximal physical
activity.
C) Increase fluid intake while taking the drug.
Treat constipation with over-the-counter
D) laxatives.
,Ans: C
Feedback:
Interferon alfa 2b is metabolized in the kidney so
adequate fluid intake is needed to promote metabolism
and excretion of the drug as well as to minimize
common adverse effects including dry skin and
dizziness. Maintaining maximal physical activity is a
good idea but has no relationship to the use of the
drug. Fluids should be increased not decreased while
taking the drug. Constipation is not an associated
adverse effect of this medication.
,2. The health care provider plans to inject an interferon
directly into the patient’s wart. What interferon will the
nurse prepare?
Interferon alfa 2a (Roferon-A)
A)
B) Interferon alfacon 1 (Infergen)
C) Interferon alfa n3 (Alferon N)
Ans C
Interferon alf n3 is used for intralesional treatment of
warts. Interferon alfa 2a is used in the treatment of
leukemia. Interferon alfacon 1 is used in the
treatment of chronic hepatitis C infection in adults.
Interferon beta 1a is used to treat multiple sclerosis in
adults.
3. A 30-year-old woman has been diagnosed with
leukemia and will be using an immune modulator for
treatment. What will be important to discuss with the
patient when the nurse provides patient teaching about
her treatment?
The need to continue oral contraceptives
A)
, The need to use barrier contraceptives while
B) taking the drug
The need to avoid sexual intercourse while
C) taking the drug
D) The importance of taking an aspirin daily to
decrease the adverse effects of the drug
Ans:B
Feedback:
A patient taking an immune modulator would be
advised to use barrier contraceptives to prevent
pregnancy. The interaction of the immune modulator
and the oral contraceptive may interfere with the oral
contraceptive’s ability to work properly. Asking
patients to avoid sexual intercourse is not necessary if
barrier methods are properly used. Daily aspirin would
not decrease adverse effects of this drug.
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