A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client?

Finasteride

Leuprolide

Cyclophosphamide

Tamoxifen

Answer and Explanation

The Correct Answer is B

Testosterone acts of the prostatic tissue leading to abnormal/dysplastic tissue hyperplasia and hypertrophy in prostatic cancer. Leuprolide is a gonadotropin-releasing hormone (GnRH) agonists. It suppresses the release of testosterone which is necessary for enlargement of prostatic tissue.

A. Finasteride is a 5-alpha reductase used in the management of benign prostatic hyperplasia which is not cancerous

C. Cyclophosphamide is a chemotherapeutic agent used in other cancers but not prostate cancer

D. Tamoxifen is a selective estrogen receptor modulator used in the treatment of breast cancer.

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Correct Answer is B

Explanation

Spironolactone is a potassium-sparing diuretic used in the management of ascites associated with liver failure. Its mechanism of action includes blocking the actions of aldosterone, a hormone that promotes sodium retention and potassium excretion in the kidneys. This results in increased urinary sodium excretion and hyponatremia and hyperkalemia.
A. Decreased chloride level is not typically associated with spironolactone use.
C. Spironolactone is a potassium-sparing diuretic, so it leads to an increased potassium level (hyperkalemia)
D. Spironolactone is not associated with decreased phosphate levels.

A. “I’ll use a spacer device when I inhale this medication” B. “I’ll take this medication when I get an asthma attack” C. "I'll take this medication once a day in the evening." D. "I'll rinse my mouth after taking this medication

Correct Answer is C

Explanation

Montelukast is a leukotriene receptor antagonist used for the long-term control of asthma. Among the side effects, montelukast causes drowsiness and hence should be taken at night before bed to avoid interference with daily activities.
A. Montelukast is an oral preparation that does not require a spacer unlike inhalers such as salbutamol
B. Montelukast is used controller therapy rather than a reliever in acute asthmatic attack
D. Rinsing the mouth is relevant in the use of inhaled corticosteroids to prevent oral thrush but not montelukast.

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A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is evaluating teaching on a client Who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin via intermittent IV bolus. Which of the following findings should the nurse identify as a contraindication for the client to receive cefoxitin and report to the provider?

A nurse in an emergency department is preparing to administer theophylline by continuous intravenous (IV) infusion to a client who is experiencing an asthma attack. Which of the following actions should the nurse take?

A nurse is completing a medication history for a client Who reports using over-the-counter calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this medication?

A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil?

A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?

A nurse is caring for a client who has a central venous catheter and develops acute shortness of breath. Which of the following actions should the nurse take first?

A nurse is teaching a client who has iron deficiency anemia about ferrous sulfate. Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy-induced nausea. For Which of the following adverse effects should the nurse monitor?