RN COMPREHENSIVE ONLINE PRACTICE 2024 B WITH NGN | Real Exam Questions and Answers
A nurse is administering cyclophosphamide orally to a school-age child
... [Show More] who has neuroblastoma. Which of the following
actions should the nurse take when administering this medication?
Give an antiemetic 30 min after medication administration.
The nurse should administer an antiemetic 30 min before administration of the medication to decrease gastrointestinal effects.
Monitor blood glucose levels.
Cyclophosphamide does not affect blood glucose levels.
Maintain hydration with liberal fluid intake.
The nurse should offer fluids frequently to maintain hydration and prevent hemorrhagic cystitis, which is an adverse effect of this
medication.
Monitor for tumor lysis syndrome.
Tumor lysis syndrome can occur in clients who are diagnosed with acute lymphoblastic leukemia, not neuroblastoma.
A nurse in an emergency department is preparing to discharge a client who has experienced intimate partner violence.
Which of the following actions should the nurse take first?
Offer a referral to the client for social services.
A client who has experienced intimate partner abuse can benefit from a referral to social services, but offering a referral is not the
first action the nurse should take.
Develop a safety plan with the client.
The greatest risk to this client is injury from violence. Therefore, the first action the nurse should take is to develop a safety plan
with the client.
Encourage the client to reach out to family and friends.
The client can benefit from the support of family and friends when the client is ready, but encouraging this behavior is not the first
action the nurse should take.
Provide the client with a list of support groups.
The client can benefit from attending a support group, but providing thisinformation is not the first action the nurse should take.
A client is receiving lorazepam IV for panic attacks and develops a respiratory rate of 6/min and a blood pressure of 90/44
mm Hg. Which of the following medications should the nurse anticipate administering?
Naloxone
The nurse should administer naloxone to counteract an opiate overdose, such as morphine.
Flumazenil
The nurse should anticipate administering flumazenil, a competitive benzodiazepine receptor antagonist, to reverse the sedative
effects of lorazepam. In addition, the nurse should continue to support the client's respirations with a bag-valve mask.
Acetylcysteine
The nurse should administer acetylcysteine to counteract an acetaminophen overdose.
Atropine
The nurse should administer atropine to counteract a cholinesterase inhibitor overdose, such as neostigmine. [Show Less]