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DIF: COGNITIVE LEVEL: Analyzing (Analysis) REF: p. 851TOP: NURSING PROCESS: PlanningMSC: NCLEX: Safe and Effective Care Environment: Safety and Infection ControlMULTIPLE RESPONSE1. A patient is on a chemotherapy regimen in an outpatient clinic and is receiving a chemotherapy drug that is known to be highly emetogenic. The nurse will implement which interventions regarding the pharmacologic management of nausea and vomiting? (Select all that apply.)a.Giving antinausea drugs at the beginning of the chemotherapy infusionb.Administering antinausea drugs 30 to 60 minutes before chemotherapy is startedc.For best therapeutic effects, medicating for nausea once the symptoms begind.Observing carefully for the adverse effects of restlessness and anxietye.Instructing the patient that the antinausea drugs may cause extreme
drowsinessf.Instructing the patient to rise slowly from a sitting or lying position because of possible orthostatic hypotensionANS: B, E, FAntiemetics should be given before any chemotherapy drug is administered, often 30 to 60 minutes before treatment, but not immediately before chemotherapy is administered. Do not wait until the nausea begins. Most antiemetics cause drowsiness,not restlessness and anxiety. Orthostatic hypotension is a possible adverse effect that may lead to injury.DIF: COGNITIVE LEVEL: Applying (Application) REF: pp. 853-854TOP: NURSING PROCESS: ImplementationMSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral TherapiesOTHER1. An adult patient is about to receive intravenous (IV) ondanestron (Zofran) during a chemotherapy treatment. A dose of 0.15 mg/kg IV 30 minutes before chemotherapy is ordered. The patient weighs 140 pounds. The medication is supplied in a vial marked 2 mg/mL for IV administration. How many milliliters will the nurse administer for this dose? (Record answer to one decimal place.)ANS:4.8 mLConvert pounds to kilograms: 140 2.2 = 63.6 kgCalculate mg per dose: 0.15 mg/kg 63.6 kg = 9.54 = 9.5 mg doseCalculate mL to be given:2 mg : 1 mL :: 9.5 mg : xmL
(2 x) = (1 9.5); 2x= 9.5; x= 4.75, which rounds to 4.8 mLDIF: COGNITIVE LEVEL: Applying (Application) REF: p. N/ATOP: NURSING PROCESS: ImplementationMSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral TherapiesChapter 53: Vitamins and MineralsTest BankMULTIPLE CHOICE
1. The nurse is reviewing conditions caused by nutrient deficiencies. Conditions such as infantile rickets, tetany, and osteomalacia are caused by a deficiency in which vitamin or mineral?a.Vitamin Db.Vitamin Cc.Zincd.Cyanocobalamin (vitamin B12)ANS: AInfantile rickets, tetany, and osteomalacia are all a result of long-term vitamin D deficiency. The other options are incorrect.DIF: COGNITIVE LEVEL: Remembering (Knowledge) REF: p. 862TOP: NURSING PROCESS: AssessmentMSC: NCLEX: Physiological Integrity: Physiological Adaptation2.