NCLEX Pharmacology Cheat Sheet | Nurselytic

Questions 34

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NCLEX Pharmacology Cheat Sheet Questions

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Question 1 of 5

A client is receiving external beam radiation to the mediastinum for treatment of bronchial cancer. Addressing which of the following should take priority in planning care?

Correct Answer: B

Rationale: Leukopenia. Clients develop leukopenia due to the depressant effect of radiation therapy on bone marrow function. Infection is the most frequent cause of morbidity and death in clients with cancer.

Question 2 of 5

A client who has Hodgkin's disease receives a weekly IV dose of nitrogen mustard. Which nursing order is most appropriate for this client?

Correct Answer: D

Rationale: Nitrogen mustard causes bone marrow suppression and nausea; high fluid intake helps flush the drug and prevent dehydration.

Question 3 of 5

The charge nurse is observing the new graduate administering a fentanyl (Duragesic) patch to a client diagnosed with cancer. Which action by the new graduate requires intervention by the charge nurse?

Correct Answer: B

Rationale: Fentanyl patches last 72 hours; removing at 24 hours is incorrect and requires intervention. Dating, rotating sites, and ID checks are correct.

Question 4 of 5

A client is ordered atropine to be administered preoperatively. Which physiological effect should the nurse monitor for?

Correct Answer: B

Rationale: Drying up of secretions. Atropine dries secretions which may get in the way during the operative procedure.

Question 5 of 5

A client is receiving external beam radiation to the mediastinum for treatment of bronchial cancer. Addressing which of the following should take priority in planning care?

Correct Answer: B

Rationale: Leukopenia. Clients develop leukopenia due to the depressant effect of radiation therapy on bone marrow function. Infection is the most frequent cause of morbidity and death in clients with cancer.

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