Question 20 A 54-year-old male patient with small-cell lung cancer is receiving etoposide. The nurse will carefully monitor for which of the following? Response Feedback: The nurse should observe the patient closely for hypotension and anaphylactic reactions. The drug should not cause hypertension, hypoglycemia, or tachycardia. Question 21 A 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of the following will be a priority assessment by the nurse before the patient's first dose? Response The amount of alcohol consumption would be the priority assessment, since both 5
Feedback: guaifenesin and alcohol can cause drowsiness. The amount of salt the patient consumes as well as the amount of fatty foods and number of cigarettes would be important to know when planning care for this patient, but none of these would pose the safety risk of drowsiness, especially considering the patient's occupation. Question 22 A 20-year-old woman calls the clinic at 5 PM and reports to the nurse that she forgot to take her morning dose of fexofenadine (Allegra). She usually takes her evening dose at 8 PM. She wants to know what she should do. The nurse will instruct her to Response Feedback: Since it is only 3 hours until her evening dose, the nurse will instruct her to forget about the morning dose and take the evening dose as scheduled. It is not advisable to take two doses at the same time, and there is no need to skip the evening dose as well. Question 23 A patient is being treated for respiratory infection. He is a recovering alcoholic and has impaired liver function. The nurse will instruct the patient to be especially cautious when taking Response Feedback: An elixir is a clear hydro-alcoholic mixture that is usually sweetened. Most elixirs contain ethanol and water. Ethanol is a form of alcohol, and the content may exceed 25%. Patients with a history of alcohol abuse should be informed that elixirs contain alcohol, so they are not inadvertently exposed to alcohol. The other medication forms have no special considerations relevant to this patient. Question 24 A 25-year-old woman comes to the clinic because of a chronic, nonproductive cough. Assessment reveals that she has a history of asthma and dextromethorphan, (Robitussin) is prescribed for her. The nurse will question this order because Response Feedback: Dextromethorphan is contraindicated in patients with asthma. If coughing were to be suppressed, these patients may retain secretions, and this would exacerbate the disease. Dextromethorphan does not result in persistent coughing or thickening of respiratory secretions. The drug may lead to serotonin syndrome if used with MAOIs. Question 25 The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught about their son's medication regimen by the nurse. The nurse is currently teaching the parent's about the appropriate use of a “rescue drug” for acute exacerbations of their son's asthma. What drug should the nurse suggests the parents to use in these situations?
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