img-download-app
img-download-app

A toddler diagnosed with leukemia is being treated with mercaptopurine. The nurse expects which of the following as an adverse reaction?

Explanation

•Mercaptopurine causes myelosuppression, which causes anemia, leukopenia, and thrombocytopenia.

•Mercaptopurine is an anti-metabolite that disrupts DNA and RNA synthesis.

•The other options are not adverse reactions associated with mercaptopurine.

Visit our website for other NCLEX topics now!
Related questions
A patient with a urinary tract infection is prescribed ciprofloxacin. The nurse should reinforce teaching about which common side effect?
A patient experiencing an acute gout attack is prescribed antigout medication to reduce inflammation and pain. The physician prescribes colchicine, 1.2 mg P.O. as a loading dose, followed by 0.6 mg every hour (up to 16 doses) until relief is obtained or until adverse reactions develop. When can the patient expect relief from pain and inflammation?
A patient is prescribed micronized estradiol for the treatment of perimenopausal symptoms. The nurse should inform this patient that this medication increases the risk of:
A patient with emphysema is prescribed Beclomethasone, an inhaled corticosteroid. Which of the following side effects should the nurse include on the discharge instructions?
A patient recently diagnosed with epilepsy is prescribed valproic acid. The nurse should instruct the patient on which common side effects associated with this medication?
A patient with congestive heart failure is prescribed lisinopril, 10 mg P.O. daily. The nurse should inform the patient about which common side effect?
A nurse is questioning a patient about her medical history and she states that she takes acarbose. The nurse should question the patient about which disease?
A patient with coronary artery disease and hyperlipidemia is admitted to the hospital. The patient takes simvastatin to manage her cholesterol. The nurse asks the patient about the presence of which side effect?
A patient is taking colchicine for the treatment of gout. Due to colchicine's effects on the intestinal mucosa, the patient should be instructed to increase his intake of which vitamin?
A patient is prescribed allopurinol for the long-term treatment of gout. The nurse should include which of the following in the teaching plan?
A nurse is gathering health history information from a newly admitted patient. The patient denies any known diseases but states she has been taking cholestyramine for three years. The nurse should question the patient about the presence of what disease?
A hypotensive patient with heart failure is admitted to the hospital. The physician prescribes digoxin anticipating which effects on the patient's hemodynamics?
The physician orders a dose of procainamide to be administered to a patient. Which of the following is most important for the nurse to assess before administering this medication?
A patient with hypertension is being treated with clonidine, 0.1 mg PO twice a day. The nurse understands that this medication is lipid-soluble so it can cause vasodilation by acting on:
A patient has been prescribed a new drug, exenatide ER, for the treatment of type 2 diabetes. The nurse instructs the patient to take this medication:
A nurse administers diazepam for a patient requiring mechanical ventilation. The nurse should be alert for which possible side effect?
A nurse is caring for a patient taking moxifloxacin for the treatment of endocarditis. The nurse should monitor the patient's heart rhythm for:
A patient receiving triamterene is admitted to the hospital due to severe metabolic imbalances. Which of the following abnormal findings would the nurse most expect due to a side effect of the medication?
A nurse is gathering health history information on a patient admitted to the hospital. The patient takes tamoxifen, but she does not know the purpose of this medication. The nurse should question the patient about the presence of which disease?
A patient with coronary artery disease and hyperlipidemia is admitted to the hospital. The patient takes simvastatin to manage her cholesterol. The nurse asks the patient about the presence of which common side effects?
The nurse is caring for a patient with a fractured hip. The pain associated with bone fractures is:
A patient prescribed ampicillin is receiving instructions on administration. The nurse should warn the patient about which common, but non life-threatening, side effect?
A patient in severe respiratory distress is prescribed continuous albuterol nebulizers. Which of the following side effects should the nurse expect?
A patient with severe rheumatoid arthritis is prescribed methylprednisolone to control inflammation. The nurse is creating a teaching plan to include common side effects of long-term corticosteroid use. Which of the following should be included?
A nurse is gathering health history information from a newly admitted patient. The patient denies any known diseases but gives the nurse a bottle of gemfibrozil that she has been taking for one year. The nurse should question the patient about the presence of what disease?
The nurse is administering a Kayexalate enema to a patient with an elevated potassium level. The patient asks how long he will have to retain the enema. Which of the following responses is correct?
A patient is prescribed a nitroglycerin IV infusion to control blood pressure and chest pain. The nurse should administer this medication:
A patient is receiving IV nitroglycerin after an acute myocardial infarction. Which of the following is an indication that the nitroglycerin is working?
A patient is prescribed tamoxifen, 20 mg P.O. twice a day for newly diagnosed metastatic breast cancer. While reinforcing education to the patient, the nurse should emphasize which possible side effect?
A patient taking propylthiouracil should be instructed to reduce dietary sources of:
A patient with emphysema is prescribed Beclomethasone, an inhaled corticosteroid. Which of the following side effects should the nurse include on the discharge instructions?
A patient is taking spironolactone for the treatment of hypertension. The nurse notices EKG changes on the patient's heart monitor. What blood abnormality should the nurse suspect as the cause of such changes?
A patient taking tretinoin gel tells the nurse his skin is peeling. The nurse should:
The physician orders 10 units of regular insulin I.V. and 50 ml of dextrose 50%, STAT. Which of the following is the physician most likely attemping to correct?
The physician has ordered atropine for the treatment of symptomatic bradycardia. The nurse should question this order in which of the following patient conditions?
A patient taking prednisone for immunosuppression after a kidney transplant wants to know what lifestyle changes he needs to make. The nurse instructs him to eat a diet low in what nutrient while taking prednisone?
A nurse has initiated an intravenous infusion of vancomycin. During the first 10 minutes, the nurse should monitor for which of the following indications of a severe drug reaction?
A nurse is inserting a dobhoff tube into a sedated patient. Which of the following medications will help guide the dobhoff tube into the duodenum?
An immunocompromised patient with herpes zoster is administered a high dose of intravenous acyclovir. Which of the following, if reported or observed, would be an adverse effect of the drug?