Page 1362 - Saunders Comprehensive Review For NCLEX-RN

2. Diabetes mellitus
3. Myocardial infarction
4. Chronic obstructive pulmonary disease
479. Tamoxifen citrate is prescribed for a client with metastatic breast carcinoma.
The client asks the nurse if her family member with bladder cancer can also
take this medication. The nurse most appropriately responds by making
which statement?
1. “This medication can be used only to treat breast cancer.”
2. “Yes, your family member can take this medication for bladder
cancer as well.”
3. “This medication can be taken to prevent and treat clients with
breast cancer.”
4. “This medication can be taken by anyone with cancer as long as
their health care provider approves it.”
480. A client with metastatic breast cancer is receiving tamoxifen. The nurse
specifically monitors which laboratory value while the client is taking this
medication?
1. Glucose level
2. Calcium level
3. Potassium level
4. Prothrombin time
481. Megestrol acetate, an antineoplastic medication, is prescribed for a client
with metastatic endometrial carcinoma. The nurse reviews the client’s
history and should contact the primary health care provider if which
diagnosis is documented in the client’s history?
1. Gout
2. Asthma
3. Myocardial infarction
4. Venous thromboembolism
482. The nurse is monitoring the intravenous (IV) infusion of an antineoplastic
medication. During the infusion, the client complains of pain at the insertion
site. On inspection of the site, the nurse notes redness and swelling and that
the infusion of the medication has slowed in rate. The nurse suspects
extravasation and should take which actions? Select all that apply.
1. Stop the infusion.
2. Prepare to apply ice or heat to the site.
3. Restart the IV at a distal part of the same vein.
4. Notify the primary health care provider (PHCP).
5. Prepare to administer a prescribed antidote into the site.
6. Increase the flow rate of the solution to flush the skin and
subcutaneous tissue.
483. The nurse is analyzing the laboratory results of a client with leukemia who
has received a regimen of chemotherapy. Which laboratory value would the
nurse specifically note as a result of the massive cell destruction that
occurred from the chemotherapy?
1. Anemia
2. Decreased platelets
3. Increased uric acid level

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