The nurse is assessing a patient with metastatic prostate cancer who was admitted with sudden onset of back pain, lower extremity weakness, difficulty walking, and paresthesia in their toes.
What intervention will the nurse implement for this patient?

Administer isotonic intravenous fluid bolus and loop diuretic.

Administer STAT anticoagulants and supplemental oxygen via nasal cannula.

Perform frequent neurologic assessments and administer intravenous corticosteroids.

Administer interferon beta-1a injections and assist the patient with stretching.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Administering isotonic intravenous fluids and a loop diuretic is a treatment for conditions like hypercalcemia or fluid overload but is not appropriate for a patient with metastatic prostate cancer presenting with neurologic symptoms.

Choice B rationale

Administering anticoagulants and supplemental oxygen is a treatment for pulmonary embolism but does not address the neurologic symptoms and back pain related to metastatic prostate cancer.

Choice C rationale

Frequent neurologic assessments and administering intravenous corticosteroids are essential for managing spinal cord compression, a common complication in metastatic prostate cancer that can cause back pain, weakness, and paresthesia.

Choice D rationale

Interferon beta-1a is used in multiple sclerosis to reduce inflammation and immune response. Stretching exercises may help but are not the primary intervention for acute neurologic symptoms in metastatic prostate cancer. .

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Correct Answer is B

Explanation

Choice A rationale

Metformin is used to manage diabetes, primarily by improving insulin sensitivity and reducing glucose production in the liver. Levothyroxine, used to treat hypothyroidism, does not significantly impact the action of metformin. The two medications do not have a direct interaction that decreases metformin's efficacy.

Choice B rationale

Levothyroxine can decrease the action of warfarin by increasing the metabolism of clotting factors in the liver, which may reduce the anticoagulant effect of warfarin. This interaction necessitates closer monitoring of INR (International Normalized Ratio) levels and potential dose adjustments of warfarin to maintain its therapeutic effect.

Choice C rationale

Sertraline is an antidepressant that belongs to the selective serotonin reuptake inhibitor (SSRI) class. While it can interact with other medications, levothyroxine does not significantly decrease its action. Therefore, no major adjustments are needed when both drugs are prescribed together.

Choice D rationale

Methylprednisolone, a corticosteroid, is used for its anti-inflammatory and immunosuppressant properties. Levothyroxine does not decrease the action of methylprednisolone. These medications do not have a significant pharmacological interaction that would require adjusting methylprednisolone’s dosage.

A. "You will monitor me for flu-like symptoms during my immunotherapy infusions.” B. "I do not have to worry about losing my hair after this treatment.” C. "Immunotherapy uses my own immune system to help fight the cancer.” D. "This therapy will prevent me from getting hospital-acquired infections.”

Correct Answer is D

Explanation

The correct answer is Choice D.

Choice A rationale

Monitoring for flu-like symptoms during immunotherapy infusions is crucial because these medications can cause cytokine release syndrome. Symptoms like fever, chills, fatigue, and muscle aches are common side effects of immunotherapy and require close monitoring to manage and mitigate adverse reactions.

Choice B rationale

Immunotherapy generally does not cause hair loss, unlike traditional chemotherapy. Hair loss occurs because chemotherapy targets rapidly dividing cells, including hair follicle cells. Immunotherapy works by enhancing the body's immune response to cancer cells without targeting hair follicles.

Choice C rationale

Immunotherapy leverages the patient's immune system to recognize and attack cancer cells. It enhances the body's natural defenses by boosting immune system activity or by counteracting signals produced by cancer cells that suppress immune responses.

Choice D rationale

Immunotherapy does not prevent hospital-acquired infections. While it strengthens the immune system against cancer, it does not provide general protection against pathogens causing nosocomial infections. Patients undergoing immunotherapy should still follow standard precautions to avoid infections.

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The nurse is assessing a patient with metastatic prostate cancer who was admitted with sudden onset of back pain, lower extremity weakness, difficulty walking, and paresthesia in their toes.What intervention will the nurse implement for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient who has a new prescription for levothyroxine.The nurse will include in the teaching plan that levothyroxine decreases the action of which medication?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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The nurse is assessing a patient with metastatic prostate cancer who was admitted with sudden onset of back pain, lower extremity weakness, difficulty walking, and paresthesia in their toes.
What intervention will the nurse implement for this patient?