Author: Anonymous

A client with hormone receptor-positive breast cancer will start tamoxifen after completing chemotherapy. The client asks how a pill can treat cancer. Which explanation best synthesizes the mechanism and clinical rationale?

A nurse is educating a client about the difference between traditional NSAIDs and celecoxib. Which statement accurately reflects the benefit of celecoxib’s selective mechanism?

A nurse is caring for a client with diabetes insipidus who is receiving intranasal desmopressin. The client calls the clinic reporting confusion, headache, nausea, and weight gain of 4 pounds over two days. Which interpretation of these findings most accurately reflects the pharmacodynamics of desmopressin?

Which of the following clients would benefit most from the administration of a mucolytic like Dornase alfa?

A client presents with a serum theophylline level of 24 mcg/mL. Which assessment finding should the nurse prioritize as a sign of drug toxicity?

A client with a new outbreak of Herpes Simplex Virus (HSV)-2 is prescribed an antiviral medication, acyclovir. To ensure maximum efficacy of episodic therapy, the nurse should instruct the client to begin the medication within what timeframe of symptom onset?

A nurse is teaching a client about a new prescription for risedronate. The client asks why they must wait 30 minutes after breakfast to take the delayed-release form. What is the correct rationale?

A client prescribed prednisone for a COPD exacerbation should be instructed to stop the medication immediately if they develop signs of a respiratory infection, because corticosteroids worsen infections.

To ensure adherence and prevent the development of multidrug-resistant tuberculosis, which strategy is most effective for a client who has historically struggled with medication compliance?

IV vancomycin 1500 mg ordered to infuse over 30 minutes causes the client’s face and neck to become red and flushed 5 minutes into the infusion. Which analysis is most accurate?