A nurse on an oncology unit is preparing to administer daunorubicin to a client who has leukemia. Which action should the nurse take before administering this medication?

Educate the client to go to the hospital if she experiences alopecia after receiving this medication.

Administer loperamide to prevent chemotherapy-induced nausea.

Assess the client's skin for desquamation caused by this medication.

Review the results of the client's most recent echocardiogram.

Answer and Explanation

The Correct Answer is D

A. Alopecia is a common side effect of chemotherapy but does not necessitate immediate hospital visit.
B. Loperamide is used to treat diarrhea, not nausea. Antiemetics are used for chemotherapy-induced nausea.
C. Desquamation is not a typical side effect of daunorubicin; skin assessment is not the primary concern.
D. Daunorubicin can cause cardiotoxicity; therefore, reviewing the client's most recent echocardiogram is essential to assess cardiac function before administration.

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Correct Answer is A

Explanation

A. Intrascapular pain and indigestion can be atypical presentations of myocardial infarction, particularly in women.
B. Pain and swelling in one lower limb suggest deep vein thrombosis (DVT), not myocardial infarction.
C. Elevated serum creatinine indicates kidney dysfunction but is not a direct manifestation of myocardial infarction.
D. Crackles in the lungs and elevated temperature suggest possible infection or heart failure exacerbation, but not specifically myocardial infarction.

A. Administer furosemide 40 mg via IV push once. B. Begin an IV infusion of normal saline (NS) at 150 mL/hr. C. Administer digoxin 0.25 mg via IV push NOW. D. Monitor daily weights. E. Call a code STEMI. F. Monitor strict intake and output. G. Prepare the client for an echocardiogram. H. Prepare the client for a radiofrequency catheter ablation.

Correct Answer is ["A","D","F","G"]

Explanation

A. Administering furosemide 40 mg via IV push once is appropriate for treating fluid overload, as evidenced by pitting edema and crackles in the lungs, common in heart failure.

B. An IV infusion of normal saline (NS) at 150 mL/hr is not appropriate for this client as it can exacerbate fluid overload and worsen heart failure symptoms.

C. Administering digoxin 0.25 mg via IV push NOW may be indicated, but considering the client's low pulse rate (55/min), caution is necessary due to the risk of digoxin toxicity and bradycardia.

D. Monitoring daily weights is crucial for assessing fluid balance in heart failure patients and detecting any changes in fluid status.

E. Calling a code STEMI is not appropriate as the client does not exhibit signs of a STEMI; troponin levels are not elevated, and there is no indication of an acute myocardial infarction.

F. Monitoring strict intake and output helps in managing fluid balance and ensuring accurate assessment of the client's fluid status.

G. Preparing the client for an echocardiogram is appropriate to assess cardiac function and evaluate the severity of heart failure.

H. Radiofrequency catheter ablation is not indicated for this client as it is typically used to treat arrhythmias, not heart failure or fluid overload.

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A nurse on an oncology unit is preparing to administer daunorubicin to a client who has leukemia. Which action should the nurse take before administering this medication?

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Naxlex Comprehensive Predictor Exams

A nurse on a telemetry unit is caring for four clients. Which of the following clients is experiencing potential manifestations of a myocardial infarction?

Correct Answer is A

Explanation

Correct Answer is ["A","D","F","G"]

Explanation

A client in an urgent care clinic states "My heart feels like it is skipping beats every now and then." A 12-lead electrocardiogram (ECG) shows a extra P-wave. The nurse should understand that this ECG finding represents which of the following conditions?

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A nurse is caring for a client who has been diagnosed with thrombotic thrombocytopenic purpura (TTP) and will begin plasmapheresis ment should the nurse plan to include when educating the client about this treatment?

A nurse is providing education before administering apixaban (Eliquis) to a client who has persistent atrial fibrillation. Which of the following statements made by the client indicates an understanding of the teaching?

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