A nurse assesses a client with multiple sclerosis after administering prescribed fingolimod (Gilenya). For which adverse effect should the nurse monitor?

a. Peripheral edema
b. Black tarry stools
c. Bradycardia
d. Nausea and vomiting


ANS: C
Fingolimod (Gilenya) is an antineoplastic agent that can cause bradycardia, especially within the first 6 hours after administration. Peripheral edema, black and tarry stools, and nausea and vomiting are not adverse effects of fingolimod.

Nursing

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The nurse working on a pediatric unit bends to pick up an 8-month-old infant. The infant begins to cry, and rolls away from the nurse. The nurse interprets the infant's behavior as:

1. An indication of possible abuse requiring further assessment. 2. A common response of babies requiring frequent hospitalization. 3. Normal behavior for an infant of this age. 4. Failure of the infant to develop a sense of trust.

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A nurse is assessing a newly admitted patient and observes that he has an irritated, high-pitched cough. The nurse suspects that the patient has:

A) Stridor B) Laryngotracheitis C) Bronchitis D) Pneumonia

Nursing

When the nurse brings in the next dose of a drug that a patient first received 6 hours ago, the patient reports a "pounding" heart rate ever since taking the last dose. What is the nurse's best first action?

a. Document the report as the only action. b. Check the patient's vital signs for changes. c. Hold the dose and notify the prescriber immediately. d. Reassure the patient that this is an expected response to the drug.

Nursing

A public health nurse working with a family living in poverty recognizes that they are more likely to be exposed to environmental hazards because they have (select all that apply):

a. Limited funds to pay for health care b. Poor nutrition c. Homes located closer to hazardous waste sites d. Less education

Nursing