Pharmacology > EXAM > NURSING PHARMACOLOGY CHEMOTHERAPY PRACTICE EXAM LATEST 2024/2025 GUARANTEED PASS | RATED A+ (All)
1. The client with non-Hodgkin’s lymphoma is receiving Idarubicin (Idamycin). Which of the following would indicate to the nurse that the client is experiencing an adverse effect related to the me... dication? A. Dysrhythmia B. Weight loss C. Nausea and vomiting D. Peripheral neuropathy Correct Answer: A. Dysrhythmia Idarubicin (Idamycin) and Daunorubicin (Daunoxome) may cause cardiotoxicity (such as dysrhythmia, fatigue, shortness of breath), cardiomyopathy, and ECG changes. Option B: Weight gain, not weight loss is a side effect. Option C: This is a usual side effect that can last for 2-3 days. Option D: This is not a side effect related to this medication. 2. The nurse is monitoring a patient receiving an Iv infusion of an antineoplastic medication. During the infusion, the patient complains of pain and redness at the insertion site. The nurse should take which actions? Select all that apply. A. Reinsert the IV at a distal part of the same vein. B. Increase the flow rate of the medication. C. Notify the physician. D. Apply a heat or ice compress to the site. E. Administer an antidote as prescribed. Correct Answer: C, D, & E Extravasation may occur during the infusion of chemotherapy. Signs of which are pain, redness, and swelling on the insertion site. The infusion must stop and the physician is notified. The physician may order the administration of an antidote and heat or cold compress is done. Options A & B: Reinsertion on the same vein and increasing the flow rate may cause further damage to the site. 3. The nurse is caring for a client receiving chemotherapy when an anaphylactic reaction occurs from the medication. The nurse should take which actions? Select all that apply. A. Stop the medication. B. Remove the IV line. C. Administer Oxygen. D. Administer epinephrine. E. Positioned the client in a reverse Trendelenburg position. Correct Answer: A, C, & D During an anaphylactic reaction, the medication is immediately stopped. The nurse assesses the respiratory status and monitors the client’s vital signs. The physician is contacted immediately. and an emergency medication is given such as epinephrine. Option B: The IV line is not removed because IV access is required to administer emergency IV medications. [Show More]
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