A nurse is preparing to administer topotecan IV to a client. Which of the following medications should the nurse expect to administer to treat the adverse effects of topotecan?

Cloudy

Granisetron

Insulin lispro

Docusate sodium

Prednisone

Answer and Explanation

The Correct Answer is B

A. "Cloudy" is not a medication and does not address any adverse effects related to topotecan.

B. Granisetron is an antiemetic medication used to prevent nausea and vomiting, which are common adverse effects of topotecan.

C. Insulin lispro is a rapid-acting insulin used to control blood sugar levels and does not relate to the adverse effects of topotecan.

D. Docusate sodium is a stool softener used to prevent constipation, but it does not specifically address the nausea and vomiting associated with chemotherapy.

E. Prednisone is a corticosteroid that may be used for other indications but is not primarily indicated for treating the nausea and vomiting caused by topotecan.

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Correct Answer is B

Explanation

A. A heart rate of 105/min is slightly elevated, but it does not require immediate intervention unless the client is symptomatic or has other concerning signs.

B. Infiltration of the peripheral IV requires immediate intervention, as it can lead to tissue damage and prevent the medication from being effectively delivered. The nurse should stop the infusion, assess the site, and take appropriate action.

C. Increased blood pressure is a common effect of dopamine administration and does not necessarily require urgent intervention unless it becomes critically high or is associated with other adverse symptoms.

D. Occasional PVCs can occur during dopamine infusion and can be monitored unless they become frequent or symptomatic; they typically do not require immediate intervention.

A. Alanine aminotransferase B. Thyroid-stimulating hormone C. Potassium D. Magnesium

Correct Answer is C

Explanation

A. Monitoring alanine aminotransferase is important for liver function, but it is not the priority for a client on captopril.

B. Thyroid-stimulating hormone is not directly impacted by captopril and is not the priority lab value to monitor in this context.

C. Potassium is the priority laboratory value to monitor because captopril, an ACE inhibitor, can lead to hyperkalemia (elevated potassium levels), which can cause serious cardiac complications.

D. While magnesium levels are important to monitor, they are not specifically related to captopril therapy as potassium levels are.

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A nurse is preparing to administer topotecan IV to a client. Which of the following medications should the nurse expect to administer to treat the adverse effects of topotecan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client who is receiving a continuous IV infusion of dopamine. Which of the following findings requires immediate intervention by the nurse?

Correct Answer is B

Explanation

A nurse is reviewing the lab work of a client on a medical-surgical unit who has a new prescription for captopril. Which of the following laboratory values should the nurse identify as the priority to monitor?

Correct Answer is C

Explanation

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