A patient being treated for cancer is receiving medication for palliation. The nurse understands that palliative therapy is used to

Decrease viral load

Kill tumor cells

Increase body defenses

Relieve symptoms

Answer and Explanation

The Correct Answer is D

A. Decrease viral load:

This is a goal typically associated with antiviral medications, which aim to reduce the amount of virus in the body, commonly seen in the treatment of viral infections like HIV.

B. Kill tumor cells:

This is the goal of many cancer treatments, such as chemotherapy or radiation therapy. These treatments aim to destroy or inhibit the growth of cancer cells.

C. Increase body defenses:

This is a goal often associated with immunotherapy, which aims to enhance the body's immune system to better recognize and attack cancer cells or other pathogens.

D. Relieve symptoms:

This is the primary goal of palliative therapy, which focuses on managing and alleviating symptoms, improving the patient's comfort and quality of life, especially in the context of serious or life-limiting illnesses like cancer.

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Correct Answer is D

Explanation

A. Is a first-line drug currently to treat COPD

Methylxanthines are not considered first-line drugs for the treatment of COPD. They are often reserved for use when other bronchodilators (such as beta-agonists and anticholinergics) are not effective or well-tolerated.

B. Is considered toxic if theophylline levels are between 5-15 mcg/mL

The therapeutic range for theophylline levels is generally considered to be lower, typically 5-15 mcg/mL. However, toxicity can occur at levels above the therapeutic range, and symptoms can vary between individuals.

C. Has fewer major side effects than beta-agonists and glucocorticoids

Methylxanthines can have side effects, and their use is associated with a risk of toxicity. Beta-agonists and glucocorticoids are often preferred as first-line treatments due to their efficacy and a more favorable side effect profile.

D. Has the potential to cause central nervous system side effects, especially if levels are elevated

Methylxanthines, such as theophylline, are bronchodilators that can be used in the treatment of respiratory conditions like asthma and chronic obstructive pulmonary disease (COPD). However, they have a narrow therapeutic window, and elevated levels can lead to toxicity. Central nervous system side effects, such as restlessness, insomnia, and seizures, can occur with elevated theophylline levels.

A. Adrenocortical insufficiency B. Thyroid storm C. Acromegaly D. Hypertensive crisis

Correct Answer is A

Explanation

A. Adrenocortical insufficiency

Tapering glucocorticoid medications is done to prevent adrenocortical insufficiency, also known as adrenal insufficiency or adrenal suppression. Prolonged use of glucocorticoids can suppress the natural production of cortisol by the adrenal glands. Abrupt discontinuation of glucocorticoids can lead to adrenal insufficiency, characterized by symptoms such as fatigue, weakness, weight loss, and potentially life-threatening complications.

B. Thyroid storm

Thyroid storm is a severe and life-threatening condition related to overactivity of the thyroid gland. It is not a consequence of tapering glucocorticoids.

C. Acromegaly

Acromegaly is a disorder characterized by the excessive production of growth hormone, often caused by a pituitary tumor. It is not related to glucocorticoid tapering.

D. Hypertensive crisis

Hypertensive crisis refers to a severe and abrupt increase in blood pressure. It is not a known consequence of tapering glucocorticoid medications.

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A patient being treated for cancer is receiving medication for palliation. The nurse understands that palliative therapy is used to

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Naxlex Comprehensive Predictor Exams

Which statement is accurate regarding methylxanthine (Theophylline)?

Correct Answer is D

Explanation

A patient is receiving a glucocorticoid medication to treat an exacerbation of COPD and the provider has ordered a slow taper in order to discontinue this medication. The nurse explains to the patient that this is done to prevent which condition?

Correct Answer is A

Explanation

A client is scheduled to receive chemotherapy drugs that will cause myelosuppression. Which action by the nurse will be most important?

The nurse knows that montelukast (Singulair) is given for what purpose?

Before administering diphenhydramine (Benadryl) to a client, it is most important for the nurse to assess for which history?

A client is receiving Dextromethorphan (Robitussin). The nurse knows the drug is exerting its therapeutic effects with which client report?

A home care nurse is visiting a client with asthma who suddenly experiences an acute asthma attack. Which drug should the nurse prepare to administer?

Many patients who are undergoing chemotherapy treatment require both invasive and noninvasive tests to be conducted to rule out, or monitor, organ toxicities. Please select which routine tests are considered noninvasive: (Select all that apply)

Many patients who are undergoing chemotherapy treatment require both invasive and noninvasive tests to be conducted to rule out, or monitor, organ toxicities. Please select which routine tests are considered noninvasive: (Select all that apply)