A nurse is providing teaching to a client who has prostate cancer and a new prescription for leuprolide. The nurse should explain to the client that leuprolide treats prostate cancer by which of the following actions?

"Leuprolide decreases the production of testosterone."

"Leuprolide kills cells at all stages of cellular division."

"Leuprolide increases estrogen levels in your body to counteract the cancer cells."

"Leuprolide suppresses the pituitary gland's production of growth hormone to decrease cancer

Answer and Explanation

The Correct Answer is A

A. "Leuprolide decreases the production of testosterone.": Leuprolide is a gonadotropin-releasing hormone (GnRH) agonist that works by reducing testosterone production, which is essential for the growth of prostate cancer cells. This mechanism slows the progression of the cancer.

B. "Leuprolide kills cells at all stages of cellular division.": This describes how chemotherapy drugs work, but leuprolide does not function by directly killing cancer cells at different stages of their division.

C. "Leuprolide increases estrogen levels in your body to counteract the cancer cells.": Leuprolide does not increase estrogen levels. Instead, it reduces testosterone levels, which is more effective in managing prostate cancer.

D. "Leuprolide suppresses the pituitary gland's production of growth hormone to decrease cancer cellular growth.": Leuprolide suppresses the production of luteinizing hormone (LH) and follicle-stimulating hormone (FSH), not growth hormone, to decrease testosterone levels.

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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.

A. Gastrointestinal bleed B. Acute bronchospasm C. Morphine toxicity D. Acetaminophen toxicity

Correct Answer is D

Explanation

A. Acetylcysteine is not indicated for gastrointestinal bleeding; other treatments are used for that condition.

B. Acute bronchospasm is treated with bronchodilators rather than acetylcysteine.

C. Morphine toxicity requires other interventions, such as opioid antagonists (e.g., naloxone), and acetylcysteine is not effective in this case.

D. Acetylcysteine is specifically indicated for acetaminophen toxicity as it acts as an antidote, replenishing glutathione stores and preventing liver damage from toxic metabolites.

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A nurse is providing teaching to a client who has prostate cancer and a new prescription for leuprolide. The nurse should explain to the client that leuprolide treats prostate cancer by which of the following actions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

A nurse in an emergency department is caring for a client who has a new prescription for acetylcysteine. For which of the following conditions should the nurse expect to administer this medication?

Correct Answer is D

Explanation

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