Immune

Amikacin is prescribed for a client with a diagnosed bacterial infection. The nurse instructs the client to contact the primary health care provider (PHCP) immediately if which occurs?

Hearing loss

Cyclosporine is prescribed for the client following an allogenic kidney transplant. The nurse should reinforce which instructions to the client regarding this medication?

Blood levels of the medication will need to be measured periodically.

The nurse reinforces medication instructions to the client who had a kidney transplant about therapy with cyclosporine. Which statement by the client should indicate a need for further teaching?

"I need to obtain a yearly influenza vaccine."

The nurse has reinforced discharge instructions to the mother of a child who is prescribed tetracycline to treat Rocky Mountain spotted fever (RMSF). Which statement by the mother indicates the best understanding regarding the administration of the medication?

"I need to use a straw when I give the medication."

Moxifloxacin is prescribed for the client with a diagnosis of community-acquired pneumonia. The client needs to take the medication for 10 days, and the nurse reinforces instructions to the client about the medication. Which statement by the client best indicates an understanding of the medication instructions?

"I need to wear sunscreen and protective clothing when outdoors."

The nurse is caring for the client diagnosed with tuberculosis (TB). Rifampin, 600 mg by mouth daily is prescribed for the client. The nurse reinforces instructions to the client regarding the administration of this medication. Which statement by the client indicates an understanding of the instructions?

"I will need to take the medication for months."

The nurse is reinforcing instructions to the client about the use of ceftriaxone, an antibiotic, for treating cervical gonorrhea. The nurse should determine a need for further teaching if the client makes which statement?

"I will take the pills for 20 full days."

The nurse is reviewing instructions to a client diagnosed with otitis media who is prescribed amoxicillin 500 mg orally every 8 hours. The nurse should determine that which statement by the client most indicates an understanding of the adverse effects related to the medication?

"If I get diarrhea, I need to call the doctor."

The client is prescribed trimethoprim-sulfamethoxazole for a recurrent urinary tract infection (UTI). The nurse should reinforce which most appropriate instructions to the client regarding this medication?

"Take each dose with 8 oz of water, and drink extra water each day."

The child is diagnosed with tinea capitis of the scalp. Oral griseofulvin has been prescribed for the child, and the nurse provides instructions regarding the administration of the medication. Which instructions should the nurse include to the mother?

Administer the medication with milk.

The nurse is reviewing the laboratory results for the client receiving tacrolimus. Which laboratory result should indicate to the nurse that the client is experiencing an adverse effect of the medication?

Blood glucose of 200 mg/dL

The nurse is caring for a postrenal transplantation client with prescription for cyclosporine. If the nurse notes an increase in one of the client's vital signs and the client is complaining of a headache, which vital sign is most likely increased?

Blood pressure

The nurse is preparing to administer pentamidine isethionate to an assigned client by the intramuscular route. Which most appropriate parameter should the nurse monitor while administering this medication?

Blood pressure (BP)

The nurse is assigned to care for the client diagnosed with herpes simplex virus (HSV) prescribed acyclovir. The nurse is monitoring for adverse effects of the medication. Which laboratory result should the nurse primarilymonitor to identify an adverse effect associated with the use of this medication?

Blood urea nitrogen (BUN)

Which report best indicates to the nurse that the client is experiencing a toxicity-related reaction to kanamycin sulfate?

Difficulty hearing

The client has been given a prescription for trimethoprim. The nurse should determine the client understands how to use the medication properly if the client states an intention to perform which action?

Drink extra fluids while taking the medication.

The nurse is reinforcing dietary instructions to the client prescribed cyclosporine. Which priorityfood item should the nurse instruct the client to avoid?

Grapefruit juice

The client has been prescribed amikacin. Which priority baseline function should the nurse determine needs to be monitored?

Hearing acuity

The nurse employed in a neighborhood health care clinic notes that the primary health care provider has prescribed oseltamivir. The nurse should reinforce teaching the client specific home care measures after determining this medication was prescribed for which condition?

Influenza virus

The client prescribed metronidazole calls the clinic nurse to report dark discoloration of the urine. The nurse should interpret that the client's report warrants which nursing action at this time?

Instruct the client to increase oral fluid intake.

The nurse reinforces instructions to the client prescribed to take cyclosporine oral solution. Which instruction should the nurse primarilyinclude?

Mix the concentration with chocolate milk.

The nurse is preparing to administer ribavirin to the child with a diagnosis of respiratory syncytial virus (RSV). The pharmacy dispenses the medication as a powder. Which action should the nurse perform in preparation to administer the medication?

Mixing the medication as prescribed and administering by inhalation

Ketoconazole is prescribed for a client with a diagnosis of candidiasis. Which interventions should the nurse include when administering this medication? Select all that apply.

Monitor liver function studies. Instruct the client to avoid alcohol. Instruct the client to avoid exposure to the sun.

The nurse is assisting in caring for the client receiving amphotericin B intravenously (IV) to treat disseminated candidiasis. The nurse reviews the plan of care and should implement which priority action during the administration of the medication?

Monitors urinary output

The client is prescribed tacrolimus to prevent organ rejection. The nurse should expect to administer the dose with which medication that is also normally prescribed?

Prednisone

Tacrolimus is prescribed for the client. Which disorder in the client's record should the nurse note that indicates the medication needs to be administered with caution?

Renal insufficiency

The client taking metronidazole for the treatment of Trichomonas vaginalis calls the nurse employed in the primary health care provider's office concerned because of a feeling of tingling and numbness in the extremities. Which instructions should the nurse provide to the client?

Report to the clinic to see the primary health care provider immediately.

The client diagnosed with an infected leg wound that is draining purulent material has a prescription for sodium hypochlorite to be used in the care of the wound. The nurse should perform which priority action while using this solution?

Rinse off the solution immediately following irrigation.

The client is prescribed oral erythromycin. The nurse should reinforce which instruction regarding the administration of this medication?

Take on an empty stomach.

The client taking fexofenadine is scheduled for allergy skin testing and tells the nurse in the primary health care provider's office that a dose was taken that morning. Which should the nurse anticipate happening as a result?

The client will need to reschedule the appointment.

The nurse has a routine prescription to instill erythromycin ointment into the eyes of the newborn. The nurse should explain to the parents that this medication is used for which primary purpose?

To protect the newborn from contracting an eye infection from the birth process

The nurse is emphasizing discharge instructions to the mother of the child who has been prescribed tetracycline hydrochloride. The nurse should most appropriately stress the importance of which instruction?

Use a straw when the child is taking the medication.

The nurse is assisting in caring for the client diagnosed with a respiratory tract infection who is prescribed intravenous tobramycin sulfate. The nurse is instructed to monitor for adverse effects of the medication. The nurse should determine that which finding is most indicative of an adverse effect of this medication?

Vertigo

The client diagnosed with tuberculosis (TB) is prescribed rifampin. The nurse should reinforce which instruction regarding this medication?

Wear glasses instead of soft contact lenses.

The client is prescribed sulfisoxazole. Which measure should the nurse monitor to determine if the therapy is effective?

White blood cell count

Ketoconazole is prescribed for an assigned client. The nurse should prepare to administer the medication in which manner?

With food

Itraconazole is prescribed for the client diagnosed with a fungal infection of the hands. Which statement by the client best indicates an understanding of the medication?

"If my urine becomes very dark, I should contact my primary health care provider."

Vancomycin has been prescribed for the client. The nurse should plan to monitor which item associated with effectiveness of this medication?

Therapeutic serum levels

Methenamine is prescribed for the client diagnosed with a gram-positive urinary tract infection. The nurse should question the prescription if which preexisting disorder is noted in the client's record?

Cirrhosis

The nurse is caring for the client diagnosed with a skin infection who is prescribed amoxicillin 500 mg every 8 hours. Which sign/symptom should indicate to the nurse that the client is experiencing a frequent side effect related to the medication?

Vaginal drainage