Self check quiz week 1-6 Flashcards
The nurse is preparing to administer cyclophosphamide (Cytoxan) and knows that the patient will experience a nadir in approximately 9 to 14 days. Which laboratory value(s) will indicate to the nurse that the patient has reached the nadir?
White blood cell count
A large number of antineoplastic medications are absorbed through what route?
Skin and mucous membranes
The cells of the immune system secrete substances that mediate the immune response that are called:
cytokines.
A client has been started on a first-generation nonsteroidal anti-inflammatory medication for arthritis pain. The client says, “I remember something about one of these drugs causing heart attacks and strokes. Which drug was that?” The nurse responds that the drug was celecoxib (Celebrex) but that:
the client has been prescribed a different medication.
[Celecoxib (Celebrex) is an effective second-generation NSAID but has limited use due to increased risk of myocardial infarction and stroke.]
What is the age-related change in the gastrointestinal tract that can affect medication administration?
Decreased motility
Which factor would lead to the dilution of the drug furosemide (Lasix) in the newborn?
The higher proportion of water to fat dilutes water-soluble drugs.
A pregnant client tells the nurse that her prescribed medication is not as effective as it was before her pregnancy. Which response by the nurse is the most appropriate?
“This is because high estrogen levels increase stomach acid, which may decrease absorption.”
The nurse administers an evening medication to the client in the morning. The medication did go to the correct client. What is the nurse’s best course of action at this time?
Notify the healthcare provider about the error, and complete an incident report.
What are the four phases of pharmacokinetics that a drug goes through?
Absorption, distribution, metabolism, and excretion
Prior to administering medications, the nurse reviews the therapeutic index. What is the therapeutic index used to identify?
Clients who will need to have serum blood levels monitored
[Drugs with a narrow therapeutic index have low margins of safety and need to be monitored through serum drug levels.]
