Question 28 1 out of 1 points A nurse is caring for a patient who is at 28 weeks' gestation and is receiving terbutaline (Brethine) to control preterm labor. Which of the following assessment parameters should the nurse prioritize? Response Feedback: When a patient is taking terbutaline, the nurse should closely monitor the maternal heart rate, the FHR, and the maternal blood pressure and fluid status. The fetal position may be determined to assess the chances of successful delivery and the need to induce labor, but is not related to taking terbutaline. Question 29 1 out of 1 points A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for metastatic breast cancer. Her medical record indicates she has cardiomyopathy and a cumulative dose of 300 mg/m 2 of doxorubicin. Which of the following measures would help limit the severity of the cardiomyopathy in this patient? Response Feedback: Dexrazoxane, a cardioprotectant, is recommended to reduce the severity and incidence of cardiomyopathy associated with doxorubicin for women with metastatic breast cancer who received a cumulative dose of 300 mg/m 2 . Meticulous monitoring or multiplying daily doses would not reduce the severity and incidence of cardiomyopathy as
effectively as using dexrazoxane, and reducing the dosage is not advisable. Question 30 1 out of 1 points A 66-year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this patient would most likely contraindicate the use of tadalafil for his ED? Response Feedback: Like the other drugs in this class, tadalafil should not be taken within 48 hours of taking nitrates, such as nitroglycerin, because substantially lower blood pressure and possibly death may result. Nitroglycerin use is a contraindication for taking tadalafil, as it is for all drugs in this class. Allopurinol, ginseng, and low bone density do not contraindicate the use of tadalafil. Question 31 1 out of 1 points A patient is being discharged from the hospital and will be taking oxybutynin (Ditropan) for overactive bladder. The nurse will instruct the patient that she will be taking a medication Response Feedback: Oxybutynin is available as a transdermal patch and causes dry mouth approximately 60% of patients. The drug is not noted to cause palpitations or lightheadedness and it is not administered as an IM injection. Question 32 1 out of 1 points 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 Response Feedback: The best response would be to tell the patient that insulin is the drug of choice because it does not cross the placenta and reach the fetus.
- Fall '13