A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?

“I will avoid crowds to keep from infecting others”

“I will call my doctor if I notice any unusual menstrual bleeding”

"I will run my toothbrush in the dish washer every month."

"1 will take the antiemetic as soon as the chemotherapy infusion is complete."

Answer and Explanation

The Correct Answer is B

Chemotherapeutic agents suppress the hematopoietic process reducing the number of mature platelets circulating in the blood which increases the risk of bleeding.

A. The client cannot infect others as breast cancer is not infectious. They should, however, avoid crowds to prevent contracting infections as their immunity is suppressed by the chemotherapeutic agents

C. Running the toothbrush in the dish washer increases risk of oral infections which is fatal

D. Prophylactic antiemetics are given before chemotherapy sessions

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Correct Answer is A

Explanation

Trough levels should be taken immediately to ensure that the drug levels are at the lowest. Peak levels are taken 30-45mins after the infusion as the drug levels rises rapidly reaching a peak level

B, D- The timings of measurement are closely related to the administration of the drug

C- Peak levels are taken after administration and trough levels after an d not vice versa

A. A severe allergy to amoxicillin B. A recent history of diarrhea for 3 days C. A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq of potassium chloride D. Serum creatinine 0.8 mg/Dl

Correct Answer is A

Explanation

Cefoxitin is a cephalosporin with potential cross reactivity with penicillins (amoxicillin)and hence must be avoided in known history of penicillin allergy
B. A recent history of diarrhea for 3 days is not a contraindication for the administration of cefoxitin.
C. A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq of potassium chloride is not directly related to the administration of cefoxitin.
D. A serum creatinine level of 0.8 mg/dL is within the normal range

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A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level?

Correct Answer is A

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?

Correct Answer is A

Explanation

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