PSYCHOPHARMACOLOGY LATEST EDITION TEST BANK Stahl's Essential Psychopharmacology Neuroscientific Basis
a nurse is caring for a patient admitted for
... [Show More] non-hodgkin's lymphoma and chemotherapy. The pt reports nausea, flank pain, and muscle cramps. What action by the nurse if most important?
a- order for serum electrolytes and uric acid
b- increase pt's IV infusion rate
c- instruct CNA to strain all urine
d- administer an IV antiemetic - answer-A- serum electrolytes and uric acid
symptoms are consistent with tumor lysis syndrome
Pt. in the oncology clinic reports her family is frustrated at her ongoing fatigue 4 months after radiation therapy for breast cancer. What response by the nurse is most appropriate?
a- are you getting adequate rest and sleep each day?
b- it is normal to be fatigued even for months afterward
c- this is not normal and ill let your primary health care provider know
d- try adding more vitamins B and C to your diet - answer-B- normal to be fatigued
radiation-induced fatigue can be debilitating and can last for months
A pt is receiving chemotherapy through a peripheral IV. What action by the nurse is most important?
A- assessing the IV site and blood return every hour
B- educating the client on side effects
C- monitoring the client for nausea
D- providing warm packs for comfort - answer-A- assess the IV site for local tissue destruction caused by extravasation
a pt has a platelet count of 9800. What action by the nurse is most appropriate?
a- asses the client for calf pain, warmth, and redness
b- instruct the pt to call for help to get out of bed
c- obtain cultures as per the faculty's standing policy
d- place the client on protective isolation precautions - answer-B- instruct the pt to call for help to get out of bed
-low platelets mean high risk for serious bleeding episodes
A nurse works with clients who have alopecia from chemotherapy. What action by the nurse takes priority?
a- helping pt adjust to their appearance
b- reassuring pts that this change is temporary
c- referring pts to a reputable wig shop
d- teaching measure to prevent scalp injury - answer-D- teach measures to prevent scalp injury
medication- rituximab - answer-precents the start of cell division in cancer cells, priority is to assess blood pressure
the nurse is caring for an older client who has kyphosis and a widened gait. For which health problems is the client at risk?
a- osteoporosis
b- contracture
c- osteopenia
d- falls - answer-d- falls (signs of osteoporosis)
A client had an arthroscopy 1 hour ago on the left knee. The nurse finds the left lower leg to be pale and cool, with a 1+ pedal pulse. What action would the nurse perform first?
a- assess the neurovascular status of the right leg
b- document the findings in the patient's chart
c- elevate the left leg on at least two pillows
d- notify the primary health care provider immediately - answer-a- assess neurovascular of the right leg
a client has a bone density score of -2.8. what intervention would the nurse anticipate based on this assessment?
a- asking the client to complete a food diary
b- planning to teach about bisphosphonates
c- scheduling another scan in 2 years
d- scheduling another scan in 6 months - answer-b- planning to teach about bisphosphonates
**scan score -2.5 or lower means osteoporosis
the nurse is caring for several clients with osteoporosis. for which client would bisphosphonates not be a good option?
a- client with diabetes who has a serum creatinine of 0.8 mg/dL
b- client who recently fell and has vertebral compression fractures
c- hypertensive client who takes calcium channel blockers
d- client with a spinal cord injury who can't tolerate sitting up - answer-d- client who can't sit up
*bisphosphonates requiring sitting up for 30-60 minutes after taking it
A client has been prescribed benosumab. What health teaching about this drug is most appropriate for the nurse to include? [Show Less]