jeopardy mrs.kayla

Question 1

the below symptoms are to be reported to the health care provider immediately as they are s/s of ___________.
- temp of 100.4 or greater
-cough
-sore throat
-chills
-frequent urination
-and/or a WBC count or less than 2500

Answer 1

luekopenia
infection

Question 2

The nurse should notify the health care provider immediately if any of the following occurs during assessment of a client receiving an chemotherapeutic drug as they might be s/s of ________.
s/s:
- bleeding gums
- easy bruising
- petechiae
- increased menstrual bleeding
- tarry stools
- **hematuria
- and/or coffee-ground** emesis

Answer 2

thrombocytopenia

Question 3

Leukopenia and thrombocytopenia are both types of ______.

Answer 3

bone marrow suppression

Question 4

What term should the nurse use to describe the process by which cancer cells develop their own blood vessels?

Answer 4

angiogenesis

Question 5

List three examples of immediate adverse reactions to a chemotherapeutic drug.

Answer 5

• nausea, vomiting, and extravasation

Question 6

List treatment(s) that may be used alone or in combination for the treatment of cancer. (list four)

Answer 6

• surgery, radiation, chemotherapy, and/ or immunotherapy

Question 7

Nursing diagnosis: body image disturbance
Nursing Intervention: The nurse can assist the client in being comfortable with their body image by suggesting that the client use ____ until the hair grows back?

Answer 7

-suggest the use of a wig or cap

Question 8

Nursing Diagnosis: altered tissue integrity related to chemotherapeutic drug therapy
Nursing Intervention: The nurse would suggest the client to wear ____ and to watch ______

Answer 8

• suggest to the client to wear loose protective clothing and to watch areas of skinfolds for breakdown

Question 9

Cytokines create an immune response that can be similar to _______.

Answer 9

• flu-like symptoms

Question 10

A checkpoint inhibitor and glipizide may cause what?

Answer 10

-severe drop in blood sugar
-used cautiously together and the nurse should make sure the health care provider is aware of this interaction

Question 11

Nursing Diagnosis: What nursing diagnosis would go with the below nursing intervention?
Nursing Intervention: -provide small frequent meals
-avoid exposure to unpleasant smells
- avoid greasy or fatty foods
- provide foods that are high in protein

Answer 11

• Imbalanced nutrition: less than body requirements

Question 12

This colony stimulating factor drug works to stimulate WBC production and decrease the incidence of infection.

Answer 12

-filgrastim (neopogen)

Question 13

List long-term averse effects of chemotherapeutic drug therapy.
(list four)

Answer 13

-fertility problems, cardiotoxicity, pulmonary toxicity, and neurologic problems

Question 14

What is the first indication of cytokine storm?

Answer 14

-high fever

Question 15

The nurse is caring for a client who is receiving inpatient treatment for cancer and who reports frequent diarrhea. What action should the nurse take?

Answer 15

-request testing of stool sample for C. difficile

Question 16

What PPE equipment should the nurse don when cleaning a chemotherapeutic drug spill?

Answer 16

-don a gown, safety goggles, gloves, and a NIOSH-approved respirator per OSHA guidelines

Question 17

Administration of the drug ______, which is an interleukin results in increased vascular permeability

Answer 17

-aldesleukin

Question 18

__________ syndrome is accompanied by hyperkalemia, hypocalcemia, hyperuricemia, and hyperphosphatemia * Be able to recognize abnormal lab levels**

Answer 18

• tumor lysis syndrome

Question 19

A change in blood pressure when administering aldesleukin may indicate ______?

Answer 19

-capillary leak syndrome

Question 20

Alopecia, leukopenia, and thrombocytopenia, stomatitis, and diarrhea are adverse effects of what type of drugs?

Answer 20

-chemotherapeutic drugs
(and are related to the death of rapidly gowning cells)

Question 21

The injection of ready-made antibodies found in the serum of immune individuals or animals is called ______?

Answer 21

• passive immunity

Question 22

This type of immunity protects the body against viral, bacterial, and fungal infections.

Answer 22

• cell-mediated immunity

Question 23

This type of immunity occurs with an individual is given a killed or weakened antigen in the form of a vaccine, which stimulates the formation of antibodies against the antigen.

Answer 23

• artificially acquired active immunity

Question 24

Experiencing chickenpox results in which type of immunity to the disease?

Answer 24

-naturally acquired active immunity

Question 25

Administration of the influenza vaccine to an individual who has no immunity to the disease would describe which type of immunity?

Answer 25

- artificially acquired active immunity

Question 26

After recovering from pertussis, the client demonstrates which type of immunity against repeat exposure?

Answer 26

- naturally acquired active immunity

Question 27

Administration of the varicella vaccine to an individual who has no immunity to the disease would provide what type of immunity?

Answer 27

- artificially acquired active immunity

Question 28

Administration of the rubella vaccine to an individual who has no immunity to the disease would provide which type of immunity?

Answer 28

- artificially acquired active immunity

Question 29

In which arm would anticipate administering a vaccine?

Answer 29

-the dominate side

Question 30

The nurse determines which situation(s) as a contraindication for the administration of a vaccine?

Answer 30

-acute febrile illness -leukemia -lymphoma -immunosuppressive illness (HIV) - chronic prednisone drug therapy

Question 31

The below nursing intervention would go with this nursing diagnosis? Nursing Intervention: -administering prescribed acetaminophen every 4 hours -provide for frequent rest periods in a quit, non-stimulating environment -apply warm or cool compresses to the injection site -and encourage fluid intake

Answer 31

- acute pain related to the administration of a vaccine

Question 32

The nurse will explain to the client that the antivenin will provide passive, transient protection against bites from which organism(s)?

Answer 32

- black widow spiders - rattlesnakes - copperhead snakes - cottonmouth snakes -and coral snakes

Question 33

Clients may react within which time period if they are sensitive to an antivenin?

Answer 33

- within 30 minutes

Question 34

Which two vaccines are contraindicated in clients with allergies to gelatin, neomycin, and eggs or those who had an allergic reaction to a previous dose of one of the vaccines.

Answer 34

-MMR and varicella vaccines

Question 35

A nurse should recommend vaccination against which disease(s) before travel to endemic areas?

Answer 35

- cholera -diphtheria -japanese encephalitis -Lyme disease -smallpox -typhoid -yellow fever

Question 36

Which vaccines are contraindicated during pregnancy, especially during the first trimester?

Answer 36

- measles, mumps, and rubella (MMR) and varicella vaccines

Question 37

What information HAS to be documented after administration of a vaccine?

Answer 37

- day of vaccination -the route -the type of vaccination -the site - the manufacturer -the lot number - the expiration date -name and address

Question 38

What is the action to hydrocortisone?

Answer 38

- topical corticoid steroid

Question 39

What is the action to benzocaine?

Answer 39

- local anasthetic

Question 40

What is the action to acetic acid?

Answer 40

- antimicrobial

Question 41

What is the action to antipyrine?

Answer 41

- analgesic

Question 42

What is the action to carbamide peroxide?

Answer 42

- aids or breaks down and removing the wax

Question 43

When this medication is used for oral aesthesia the nurse would instruct the client not eat food for 1 hour after use to reduce the risk of aspiration. Who am I?

Answer 43

- lidocaine

Question 44

The nurse should monitor for deafness as an adverse reaction to which medication?

Answer 44

- chlorhexidine

Question 45

This medication is applied to the nasal mucosa to reduce the risk of institutional outbreaks of MRSA.

Answer 45

- mupirocin

Question 46

What class of medication does triamcinolone belong?

Answer 46

- topical coticosteriods

Question 47

Localized reactions caused by the topical administration of this medication include: -burning -pruritus -skin irritation - and temporary discoloration of the fingernails & hair

Answer 47

- anthralin

Question 48

After administering this drug __________ for chronic open-angle glaucoma, the nurse should monitor the client for a potential adverse reaction of foreign body sensation.

Answer 48

- brimonidine tartrate

Question 49

Which behavior(s) would the nurse note when assessing an infant for a possible ear infection?

Answer 49

- pulling of the ear -fever -change in behavior -fussy - irratibility

Question 50

What should the nurse question a client reporting ear pain about?

Answer 50

- ringing in the ear - changes in hearing - dizziness - feeling of fullness in the ear

Question 51

Two ophthalmic drugs are ordered at the same time. The nurse knows to separate the drug administered by _________ minutes.

Answer 51

- 5 minutes

Question 52

A client receiving ophthalmic drugs reports blurred vision. What nursing diagnosis would be a priority for this client?

Answer 52

- risk for injury

Question 53

What category of otic preparations does this teaching plan belong to? The client's treatment plan includes: Do NOT insert ANYTHING into the ear canal (cottonswab) Do NOT use the drug is there is ear drainage Use the drug no more than 4 days Call the primary health care provider if dizziness occurs And to remove any wax remaining after the treatment by gently flushing the ear with warm water using a soft rubber bulb syringe

Answer 53

- miscellanous preparationrations,otic agent to promote cerumen removal

Question 54

If this class of medication is applied liberally, some systemic absorption may our: - hypothalamic-pituitary- adrenal axis suppression - Cushing syndrome - hyperglycemia - and glycosuria

Answer 54

- topical corticosteriods

Question 55

If left untreated, glaucoma, results in an increase in the intraocular pressure (IOP) which can lead to ___________, ____________, and, if untreated, _____________

Answer 55

- nerve damage - vision loss - and if not treated blindness

Question 56

The nurse determines the teaching session on how to instill otic drops in a child is successful when the caregiver correctly administers the drops in which manner(s)?

Answer 56

- pulling the ear down and back -having their head turned to their side -put a cotton ball in their ear -don't let the dropper touch the ear - warm the bottle before inserting in the ear

Question 57

How should the nurse educate a client to apply a topical corticosteroid?

Answer 57

- apply sparingly

Question 58

What equipment would the nurse point out as an appropriate tool to remove the drug from the container when education a client on application of a topical medication?

Answer 58

- tongue depressor - cotton swab - gauze -finger cot