PATHO HESI EXIT
Terms in this set (120)
A 5-year-old child is being Oral hygiene is essential, especially during the
given dactinomycin and administration of medications that have a negative effect
doxorubicin therapy after on the oral mucosa. Although pain may be present,
nephrectomy for Wilms aspirin is avoided because doxorubicin is also being
tumor. What will the nursing used, and a side effect of this medication is
care include? thrombocytopenia. Aspirin is contraindicated for
Administering aspirin for children because it is associated with Reye syndrome.
pain Citrus juice will aggravate stomatitis, which is a common
Offering citrus juices with side effect of dactinomycin. Spicy foods may aggravate
meals the stomatitis that occurs with chemotherapy. However,
Ensuring meticulous oral usually any food that the child requests is permitted.
hygiene
Eliminating spicy foods from
the diet
,A 19-year-old adolescent is Withdrawal from central nervous system depressants,
admitted to the emergency such as barbiturates, is associated with more severe
department with multiple morbidity and mortality. Symptoms begin with anxiety,
fractures and potential shakiness, and insomnia; within 24 hours convulsions,
internal injuries. The client's delirium, tachycardia, and death may occur. Withdrawal
history reveals multiple from heroin or methadone is rarely life threatening, but it
drug abuse for the past 8 does cause severe discomfort, including abdominal
months. When caring for cramping and diarrhea. Withdrawal from amphetamines
this client, the nurse is rarely life threatening, but it causes severe exhaustion
determines that the most and depression.
serious life-threatening
responses usually result
from withdrawal from which
drug?
1
Heroin
2
Methadone
3
Barbiturates
After assessing a client, the Modafinil is a unique nonamphetamine stimulant used to
nurse suspects that the treat shift-work sleep disorder (SWSD). This drug
client has shift-work sleep promotes wakefulness in clients suffering from excessive
disorder (SWSD). Which sleepiness associated with SWSD. Caffeine is a central
medication would be nervous stimulant used to promote wakefulness, but this
prescribed to the client? drug is not as effective in the treatment of SWSD.
1 Atomoxetine is a nonstimulant used to treat attention
Caffeine deficit hyperactivity disorder (ADHD). Methylphenidate
2 is considered the first choice drug for the treatment of
Modafinil attention deficit hyperactivity disorder (ADHD).
3
Atomoxetine
4
Methylphenidate
,After taking a typical Pseudoparkinsonism has adaptations similar to those of
antipsychotic medication Parkinson disease (e.g., shuffling gait, tremors, rigidity,
for 1 month, a client reports, bradykinesia). Pseudoparkinsonism, an extrapyramidal
"I feel stiff, my hands shake, side effect of typical antipsychotics, can occur any time
and I started drooling." The after initiation of therapy. Dystonia is muscle spasms of
picture illustrates the client's the face, tongue, head, neck, jaw, and back, usually
physical status observed by causing exaggerated posturing of the head. Akathisia is
the nurse in the clinic. What exhibited by motor restlessness. Tardive dyskinesia is
extrapyramidal side effect exhibited by facial, ocular, oral/buccal,
does the nurse conclude lingual/masticatory, and systemic movements.
that the client has
developed?
1
Dystonia
2
Akathisia
3
Tardive dyskinesia
4
Pseudoparkinsonism
, After the birth of her child, The absence of intestinal flora in the newborn results in a
a mother tells the nurse, "I low level of vitamin K, causing a transient blood
was told that my baby has coagulation deficiency; for this reason an injection of
to have an injection of vitamin K is given prophylactically on the day of birth.
vitamin K. Why is this Vitamin K has no effect on erythropoiesis. Vitamin K is
necessary?" How should important for the synthesis of the clotting factor in the
the nurse respond? liver, but it will not prevent jaundice. Newborns have a
1 blood coagulation deficiency; the blood clots more
"Your baby needs the slowly, not more quickly.
injection to promote
development of red blood
cells."
2
"An injection of vitamin K
will help keep your baby
from becoming jaundiced."
3
"Newborns are deficient in
vitamin K. This treatment will
ensure adequate levels."
4
"A newborn's blood clots
extremely rapidly. This
injection will help decrease
the clotting time."
Amytryptaline
benzodiazapine seizure and antianxiety drug, raises seizure threshold
Bupropion smoking cessation and antidepressant
opioid (contraindicated in transition or expulsion phase
butorphanol
of labor because can cause infant resp depression)
