immune system ( pharm practice questions )
A nurse is instructing a client how to self-administer enfuvirtide. Which of the following instructions should the nurse include? A- "Allow the vial to sit until the solution is completely clear and without particulates" B- "After reconstituting with sterile water, vigorously shake the vial to mix the solution" C- "Use the medication immediately upon removing from the refrigerator "D- Use the same location for five injections before rotating to a new site"
A- "Allow the vial to sit until the solution is completely clear and without particulates"
A nurse is teaching a client about maraviroc. Which of the following instructions should the nurse include? A- "It is important to report any noticeable rash immediately as it might indicate an issue with your liver" B- "Make sure you take this medication without any other medications first thing in the morning" C- "You might experience flu-like symptoms for which you can take an over-the-counter medication" D- "The side effects of this medication are minimal, so you can continue to work and drive as normal"
A- "It is important to report any noticeable rash immediately as it might indicate an issue with your liver"
A nurse is considering drug therapy options for a client who has metastatic breast cancer that is positive for human epidermal growth factor receptor 2 (HER2). Which of the following drugs should the nurse expect the provider to prescribe? A- Trastuzumab B- Imatinib C- Leuprolide D- Flutamide
A- Trastuzumab
A nurse is teaching a client who has a new prescription for mercaptopurine to treat leukemia. Which of the following instructions should the nurse include?A- Use contraception if pregnancy is a risk B- Preform oral hygiene frequently C- Avoid activities that require mental alertness D- Perform hand hygiene frequently E- Avoid activities that can cause injury
A- Use contraception if pregnancy is a risk B- Preform oral hygiene frequently D- Perform hand hygiene frequently E- Avoid activities that can cause injury
You should instruct a patient who is taking tamoxifen (Soltamox) to treat breast cancer to watch for and report which of the following serious adverse effects of the drug? A) Abnormal menstrual bleeding B) Muscle pain and weakness C) Yellowing of skin and eyes D) Peripheral edema
a. Abnormal menstrual bleeding
A patient is about to start taking mercaptopurine (Purinethol) to treat acute lymphocytic leukemia. You should instruct the patient to watch for and report which of the following indications of an adverse effect of this drug? a. Bruising b. Paresthesia's c. Blurred vision d. Tinnitus
a. Bruising
A patient is about to start taking ritonavir (Norvir) to treat HIV-1 infection. Which of the following instructions should you include when talking with the patient about taking this drug? (Select all that apply.) a. Expect periodic blood glucose testing. b. Take it on an empty stomach. c. Watch for and report jaundice. d. Increase weight-bearing activity. e. Expect periodic cholesterol testing.
a. Expect periodic blood glucose testing c. Watch for and report jaundice d. Increase weight-bearing activity. e. Expect periodic cholesterol testing.
You're about to administer cisplatin to a patient who has ovarian cancer. Before beginning the infusion, you should take which of the following actions? Select all that apply. a. Infuse 1 to 2 L of IV fluid. b. Check the patient's peripheral pulses. c. Administer an antiemetic. d. Evaluate the patient's hearing. e. Determine the patient's weight.
a. Infuse 1 to 2 L of IV fluids. c. Administer an antiemetic. d. Evaluate the patient's hearing. e. Determine the patient's weight.
While administering trastuzumab (Herceptin) IV to a patient who has breast cancer, you should ensure that you have which of the following drugs available to treat an adverse reaction to this drug? a. Protamine b. Epinephrine c. Glucagon (GlucaGen) d. Atropine
b. Epinephrine
You're caring for a patient who is pregnant and is HIV-positive. Which of the following drugs helps prevent the transfer of HIV to the fetus? a. Anastrozole b. Zidovudine (Retrovir) c. Tamoxifen (Soltamox) d. Trastuzumab (Herceptin)
b. Zidovudine (Retrovir)
A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a child. The nurse should recognize that the MMR vaccine provides which type of immunity? A- Artificial active immunity B- Active C- Passive D- Artificial passive immunity
A - Artificial active immunity
A nurse is teaching the guardian of a 4-month old infant about recommended immunizations for the infant. Which of the following immunizations should the nurse include? A- Hib B- Varicella vaccine C- Meningcoccal conjucate vaccine (MCV4) D- Tetanus-diphtheria-acellular pertussis vaccine
A - Hib
A nurse is caring for a client who has a new prescription for delavirdine therapy to treat HIV-1. The nurse should instruct the client to report which of the following adverse reactions to the drug? A- Rash B- Insomnia C- Rhinitis D- Alopecia
A - Rash
A nurse is teaching a client about immunizations. Which of the following should the nurse include in the teaching? A- "You should recieve a tetanus booster every 10 years" B- "You should not recieve the influenza immunization if you have a common cold" C- "You do not have to recieve a shingles vaccine if you have recieved two doses of the varicells virus vaccine" D- "As long as you don't have risk factors, you will start recieving the pneumococcal vaccine when you are 50 years old"
A- "You should recieve a tetanus booster every 10 years"
A nurse is teaching a guardian of a child about the recommended age range to receive the HPV vaccine. Which of the following age ranges should the nurse include? A- 11 to 12 years old B- 7 to 9 years old C- 13 to 15 years old D- 15 to 17 years old
A- 11 to 12 years old
A nurse is preparing to administer enfuvirtide to a client. Which of the following actions should the nurse plan to perform? A- Administer the drug subcutaneously B- Discard the unused portion C- Roll the vial gently to reconstitute the solution D- Inject the solution at room temperature E- Expect a cloudy solution
A- Administer the drug subcutaneously C- Roll the vial gently to reconstitute the solution D- Inject the solution at room temperature
A nurse is teaching a client who has a new prescription for imatinib to treat chronic myeloid leukemia. Which of the following instructions should the nurse include? A- Clean fruits and vegtables thoroughly B- Increase calcium intake C- Weight yourself daily D- Perform hand hygiene frequently E- Avoid grapefruit and grapefruit juice
A- Clean fruits and vegtables thoroughly C- Weight yourself daily D- Perform hand hygiene frequently E- Avoid grapefruit and grapefruit juice
A nurse is teaching a client who has a new diagnosis of breast cancer about the drug tamoxifen. The nurse should tell the client that which of the following conditions is a contraindication for taking tamoxifen? A- Deep-vein thrombosis B- COPD' C- Diabetes mellitus D- Alcohol use disorder
A- Deep-vein thrombosis
A nurse is preparing to administer paclitaxel IV to a client who has ovarian cancer. Which of the following actions should the nurse take? A- Give the client an antihistamine B- Infuse the drug over 1 hour C- Administer the drug through non-PVC tubing D- Use an in-line filter E- Add heparin to the paclitaxel solution
A- Give the client an antihistamine C- Administer the drug through non-PVC tubing D- Use an in-line filter
A nurse is caring for a client who is prescribed zidovudine. Which of the following laboratory values should the nurse report to the provider? A- Hemoglobin 7.1 g/dL B- RBC count 5.2/mm^3 C- Neutrophil 57% D- Triglycerides 125 mg/dL
A- Hemoglobin 7.1 g/dL
A nurse is teaching a client about recommended immunizations. Which of the following immunizations should the nurse recommend the client recieve starting at 50 years of age? A- Herpes zoster vaccine B- HPV C- Pneumococcal vaccine D- Hib
A- Herpes zoster vaccine
A nurse is caring for a client who has a new prescription for maraviroc therapy. The nurse should instruct the client to report which of the following adverse effects?\ *Select all that apply* A- Parasthesia B- Cough C- Tinnitus D- Jaundice E- Fever
A- Parasthesia B- Cough D- Jaundice E- Fever
A nurse is caring for a client who has a new prescription for cisplastin to treat testicular cancer. The nurse should instruct the client to report which of the following adverse effects? A- Paresthesia B- Sore throat C- Flank pain D- Tinnitus E- Conjunctivitis
A- Paresthesia B- Sore throat C- Flank pai D- Tinnitus
A nurse is caring for a client who is recieving vincristine to treat lung cancer. The nurse should monitor the client and recognize which of the following manifestations as an indication that the client is experiencing an adverse effect of the drug? A- Weak hand grips B- Constricted pupils C- Bradycardia D- Crackles
A- Weak hand grips
A nurse is assessing a client following a trastuzumab infusion to treat metastatic breast cancer. Which of the following findings should the nurse recognize as an indication that the client is experiencing an adverse reaction to the drug? A- Wheezing B- Dysrhythmias C- Hypotension D- Fever E- Ascites
A- Wheezing B- Dysrhythmias C- Hypotension D- Fever
A nurse is caring for a client who has a new prescription for topotecan therapy to treat resistant, small-cell lung cancer. The nurse should advise the client against taking which of the following over-the-counter drugs while recieving the therapy? A- Folic acid B- St. John's wort C- Ibuprofen D- Aluminum hydroxide
C - Ibuprofen
A nurse should recognize that enfurvirtide can be prescribed to clients who have which of the following conditions? A- Advanced prostate cancer B- Primary brain tumors C- Advanced HIV D- Metastatic ovarian cancer
C- Advanced HIV
A nurse should recognize that ratlegravir is used to treat clients who have which of the following conditions? A- Hairy cell leukemia B- Thyroid cancer C- Kaposi's sarcoma D- Resistant HIV
D - resistant HIV
A nurse should recognize that maraviroc is used in the treatment of which of the following conditions? A- Diabetes mellitus B- Meningeal infection C- Pancreatitus D- Chemokine receptor 5 (CCR5)-tropic HIV-1
D- Chemokine receptor 5 (CCR5)-tropic HIV-1
A nurse is caring for a client who has a new prescription for intrathecal cytarabine therapy to treat meningeal leukemia. The nurse should inform the client that they will also recieve which of the following drugs to reduce the risk of neurotoxicity? A- Diphrenhydramine B- Leucovorin C- Folic acid D- Dexamethasone
D- Dexamethasone
A nurse is caring for a client who has a new prescription for ritonavir and zidovudine therapy to treat HIV-1. The nurse should inform the client that zidovudine is prescribed with ritonavir for which of the following reasons? A- To prevent an infusion reaction B- To increase platelet production C- To protect healthy cells from toxic effects of ritonavir D- To prevent drug resistance
D- To prevent drug resistance
A patient is about to start therapy with topotecan (Hycamtin) to treat metastatic ovarian cancer. To minimize neutropenia, an adverse effect of topotecan, you should administer filgrastim (Neupogen) at which of the following times? a. 24 hr. before the topotecan infusion b. At the same time as the topotecan infusion c. 24 hr after the topotecan infusion d. 1 hr before the topetecan infusion
c. 24 hr after the topotecan infusion
You're assessing a patient who is receiving imatinib (Gleevec) to treat chronic myeloid leukemia. Which of the following findings may indicate an adverse reaction to this drug? a. Bradycardia b. Dry mouth c. Constricted pupils d. Crackles at lung bases
d. Crackles at the lung bases
