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Practice Question

The nurse is caring for a patient with recurrent prostate cancer who is scheduled to begin treatment with immunotherapy medication. During patient teaching, which statement by the patient will indicate a need for further teaching by the nurse?

Answer Choices:

Correct Answer:

"This therapy will prevent me from getting hospital-acquired infections.”

Rationale:

🔵 Immunotherapy mechanism: Uses monoclonal antibodies, cytokines, or checkpoint inhibitors to enhance the immune system’s ability to recognize and attack cancer cells.

🔵 Limitation: It does not directly prevent unrelated bacterial or viral infections, including hospital-acquired types.

🔵 Side effects: May cause immune-related adverse events, such as colitis, hepatitis, or pneumonitis, requiring early detection.

🔵 Patient education: Focus on realistic treatment outcomes and the importance of infection precautions.

🔵 Care planning: Regular monitoring of CBC, liver function, and inflammatory markers is essential

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This question is from Med surg Exam-Montgomery College which contains 38 questions.

More Questions from This Exam
The nurse is assessing a patient who has received the first dose of chemotherapy for leukemia. Which patient's clinical findings indicate to the nurse that the patient has developed tumor lysis syndrome (TLS)?

Answer Choices:

A. Facial swelling and jugular vein distension (JVD).
B. Muscle weakness, confusion, polyuria, and polydipsia.
C. Flank pain, elevated uric acid, and cardiac monitor reveals an abnormal rhythm.
D. Elevated liver function tests, jaundice, and blistering skin rash.
The nurse is evaluating a patient with hyperthyroidism who is taking propylthiouracil (PTU) 100 mg/day for maintenance therapy. Which statement from the patient indicates the medication therapy is effective?

Answer Choices:

A. "I have lost weight since taking this medication.”
B. "I perspire a lot throughout the entire day.”
C. "I have excess energy throughout the day.”
D. "I am able to sleep and rest at night.”
The nurse is caring for a patient who was treated for Addisonian crisis. What clinical change indicates to the nurse that the prescribed therapy was effective?

Answer Choices:

A. Increase of 25 mmHg in the patient's systolic blood pressure.
B. An increase in the serum potassium level from 3.5 to 5.6 mEq/dL.
C. Patient complains of headache and is showing signs of restlessness.
D. The patient has normal temperature with pallor to the skin.
From Exam
Med surg Exam-Montgomery College

38 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: General Exams
  • Domain: Medical-surgical📚
  • Answer Choices: 4
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