NCLEX Pharmacological and Parenteral Therapies

Extract:

Question 1 of 5

The nurse is teaching the parent of the 3-year-old being treated with vincristine sulfate for Wilms' tumor. The nurse should inform the parents to immediately notify the HCP of which most significant adverse effect?

A. The child develops diarrhea. B. The child's hair begins to fall out. C. The child develops dysphagia and paresthesia. D. The child has signs or symptoms of depression.

Correct Answer: C

Rationale: A: Both diarrhea and severe constipation are adverse effects of vincristine, and prophylactic treatment is implemented at the beginning of therapy to decrease the potential of these occurring. B: Hair loss is a common adverse reaction to the medication and is reversible. C: Dysphagia and paresthesia are CNS adverse effects from vincristine sulfate (Oncovin). The nurse should teach the parent to notify the HCP immediately if these occur. D: Three-year-olds may not show signs or symptoms of depression. If present, the signs and symptoms should be distinguished as being associated with the neoplastic disease itself or as side effects of the medication.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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NCLEX Pharmacological and Parenteral Therapies | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN