Question 20 a 54 year old male patient with small

 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?