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RA
GOUT
WHATS IN CALCIUM
CHEMO BASICS
BREAST CANCER
100
A patient is beginning therapy with oral methotrexate [Rheumatrex] for rheumatoid arthritis. The nurse will teach this patient about the importance of:
What is having routine renal and hepatic function tests
100
A patient who is hospitalized for an acute gout attack has received several doses of hourly oral colchicine but still reports moderate to severe pain. As the nurse prepares to administer the next dose, the patient begins vomiting. What will the nurse do?
What is Hold the medication and notify the prescriber
100
A 55-year-old female patient asks a nurse about calcium supplements. The nurse learns that the patient consumes two servings of dairy products each day. The patient’s serum calcium level is 9.5 mg/dL. The serum vitamin D level is 18 ng/mL. The nurse will recommend adding ____ daily and ____ IU of vitamin D3 each day.
What is 600 mg of calcium once; 10,000
100
The nurse wants to evaluate a nursing student’s understanding of chemotherapy. The nurse asks, “Which factor would be a major obstacle to successful chemotherapy?” What is the student’s best response?
What is “The toxicity of anticancer drugs to normal tissues.”
100
A nursing student asks the nurse what differentiates antiestrogen drugs from aromatase inhibitors in the treatment of breast cancer. What is the correct response by the nurse?
What is Antiestrogen drugs increase the risk for endometrial cancer.
200
A patient will begin taking hydroxychloroquine [Plaquenil] for rheumatoid arthritis. The patient is currently taking high-dose NSAIDs and methotrexate. What will the nurse teach the patient?
What is an eye exam is necessary at the beginning of therapy with this drug
200
A patient with gout who has increasingly frequent acute gouty attacks will begin receiving allopurinol [Zyloprim] and colchicine. The nurse will include which statement when teaching the patient about this drug regimen?
What is “You will take both drugs initially and then stop taking the colchicine.”
200
A nurse is providing education to a patient who will begin taking alendronate [Fosamax]. Which complication should the patient be instructed to report immediately?
What is Difficulty swallowing
200
A nurse is teaching a group of nursing students about cancer treatment. Which statement by a student indicates an understanding of the characteristics of cancer cells?
What is “Cancer cells are characterized by unrestrained growth and division.”
200
A -year-old patient with a strong family history of breast cancer considers taking tamoxifen [Nolvadex] for cancer prevention. Which assessment finding is a possible contraindication?
What is History of deep vein thrombosis (DVT)
300
A patient will begin taking etanercept [Enbrel] for severe rheumatoid arthritis. The patient has been taking methotrexate [Rheumatrex]. The patient asks if the etanercept is stronger than the methotrexate. The nurse will tell the patient that etanercept ____ methotrexate.
What is etanercept is better at delaying progression of joint damage than methotrexate.
300
A patient has had three gouty flare-ups in the past year. Which drug class will the nurse expect the provider to order for this patient?
What is Urate-lowering drugs
300
A A nurse provides teaching for a woman who will begin taking supplemental calcium. Which statement by the woman indicates understanding of the teaching?
What is “I should not take more than 600 mg of calcium at one time.”
300
A patient is receiving chemotherapy. Seven days after a dose, the patient’s neutrophil count is 1000 cells/mm3. The nurse will tell this patient:
What is that the provider will probably repeat the lab work in 3 to 5 days.
300
A 45-year-old patient with a family history of breast cancer is considering using tamoxifen [Nolvadex] for cancer prevention. The nurse performs a health history and learns that the woman had a child when she was 35 years old, that she has not had a hysterectomy, and that she experienced DVT when she was pregnant. What will the nurse tell the patient?
What is Her history of DVT outweighs any possible benefits she may have with this drug.
400
A nurse is discussing the administration of an intravenous infusion of rituximab (Rituxan) with a nursing student. Which statement by the student indicates a need for further education about the care of a patient receiving this drug?
What is “Angioedema and hypersensitivity may occur, but they are usually self-limiting and mild.”
400
A patient who will begin taking colchicine for gout reports taking nonsteroidal anti-inflammatory drugs, simvastatin, amoxicillin, and digoxin. What will the nurse do?
What is Notify the provider about the potential risk of muscle injury when simvastatin is taken with colchicine
400
A nurse is preparing to administer IV calcium chloride to a patient with a low serum calcium level. Which drug on the patient’s medication record, administered concurrently, would require additional patient monitoring by the nurse?
What is Digoxin [Lanoxin]
400
A nurse is teaching a group of nursing students about how cytotoxic anticancer drugs affect normal cells. Which statement by a student indicates an understanding of this teaching?
What is “Cytotoxic drugs lack tissue specificity.”
400
A premenopausal woman has ER-positive breast cancer, and her prescriber has ordered tamoxifen [Nolvadex]. She asks the nurse if anastrozole [Arimidex] would work better for her. What will the nurse tell her?
What is Until she is postmenopausal, anastrozole will not be effective
500
A child who has juvenile idiopathic arthritis and who has been taking methotrexate [Rheumatrex] will begin a course of abatacept [Orencia]. What will the nurse include when teaching the child’s family about this drug?
What is signs of infection may warrant immediate discontinuation of abatacept
500
A patient is being treated with warfarin [Coumadin] to prevent thrombus. The patient develops hyperuricemia, and the provider orders allopurinol [Zyloprim]. The nurse will contact the provider to discuss ____ the ____ dose.
What is reducing; warfarin
500
A nurse is discussing the role of vitamin D in calcium regulation with a nursing student. Which statement by the student indicates a need for further teaching?
What is “Adequate amounts of vitamin D occur naturally in the diet.”
500
A patient who has undergone surgical removal of a solid tumor has just begun chemotherapy. The patient experiences severe nausea and vomiting as well as alopecia. The nurse will expect the provider to:
What is continue the chemotherapeutic agent at the same dose
500
The nurse is caring for a patient in the oncology unit who was recently diagnosed with advanced renal carcinoma. The nurse prepares to administer aldesleukin [Proleukin] as part of the treatment regimen. What is the primary adverse effect of this drug?
What is Capillary leakage syndrome