Pharmacology Test 4
What should the nurse anticipate as the rationale for administering filgrastim to a client?
Neutropenia secondary to chemotherapy
A client diagnosed with systemic fungal infection is prescribed amphotericin B. The nurse should include which info during client education?
Notify the clinic if you gain 2 pounds or more in a 24 hour period
A nurse is preparing to administer a broad spectrum antibiotic to a client with severe respiratory infection. which is an important nursing action to take prior to administering the medication?
Obtaining a specimen for culture and sensitivity testing
A client should be taking Vermox for a pinworm infection. what info should the nurse include regarding admin of this drug?
Only a single dose of the drug will be taken
A nurse is caring for a client who will be receiving chloroquine for malaria. Which nursing action is most appropriate to take prior to administration of this drug?
Conduct a baseline visual exam
A client with a diagnosis of cancer is receiving epoetin alfa as part of the treatment regimen. Which nursing action is the most appropriate for determining the effectiveness of this drug?
Monitoring the hematocrit and hemoglobin levels
a nurse should administer Hepatitis A immunoglobulin to which client?
A client traveling to a country where HAV is prevalent
A nurse is caring for a client who is prescribed oral metronidazole for a fungal infection. Which health history info should the nurse obtain?
Alcohol use
A nurse anticipates administering which drug to a client for influenza prophylaxis?
Amantadin
A nurse is caring for a client with diabetes who is being treated for infection with Candida. When administering flucanazole to this client, which nursing action is most appropriate?
Assess the client for signs of hypoglycemia
A client asks the nurse why the healthcare provider did not prescribe the usual antibiotic for the same infection. Which is the best response by the nurse?
Bacteria can become resistant to some antibiotics
The nurse should monitor the client receiving filgrastim for which common adverse effect?
Bone pain
A nurse caring for a client who has an HIV infection should monitor for effectiveness of antiretroviral therapy using which lab test?
CD4 lymphocyte count
The nursing care plan for a client receiving epoetin alfa should include careful monitoring for which symptoms?
Chest pain
A nurse caring for a client who will be receiving a PI-based HAART regimen. Which drug combo should the nurse expect to administer?
Darunavir and emtricitabine and tenorvir
The nurse teaches the client to immediately report to the healthcare provider which adverse reaction to oprelvekin?
Difficulty breathing
A nurse is caring for a client with chronic renal failure who is receiving epoetin alfa. Which health promotion strategy should the nurse include in the clients plan of care?
Encourage adequate dietary intake of iron and folic acid
A nurse is administering oral sulfanomethazole-trimethorpim to a client for treatment of UTI. Which nursing actions are appropriate? (select all that apply)
Ensure the client drinks a full glass of water with each dose Administer medication during the clients meal times Give the client a glass of milk to drink in case of GI upset
The nurse is caring for a client receiving an oral anti fungal medication. What should the nurse consider when administering the medication?
Give with plenty of fluids
A nurse is caring for a client who is receiving cyanocobalamin injections once a month. For what should the nurse monitor while the client is on this drug?
Hypokalemia
A nurse is caring for a client receiving vancomycin intravenous infusion for treatment of a wounded infection with MRSA. Which finding should the nurse report immediately to the HCP?
Hypotension and red rash on chest area
What should the nurse monitor while caring for a client receiving intravenous acyclovir for acute herpesvirus infection?
Kidney function tests
A nurse is caring for a client who is experiencing pseudomembranous colitis. which medication should the nurse anticipate administering?
Metronidazole
A nurse is caring for a client receiving iron preparation for treatment of iron deficiency anemia. What are nursing considerations for administering this drug?
Monitor for infiltration at intravenous site Avoid taking antacids at the same time as the iron preparation
A nurse is caring for a newborn whose mother has HIV infection. Which pharmacotherapy intervention should the nurse implement?
Oral administration of zidovudine immediately after delivery for the next 6 weeks
For which client conditions should the nurse anticipate administering antibiotic therapy for chemoprophylactic purposes?
Prosthetic heart valve Dental surgical procedures Kidney transplantation
a nurse is caring for a client receiving sargramostin. what should the nurse assess when administering this medication?
Respirations
A nurse is caring for a client diagnosed with HCV infection. Which pharmacotherapies should the nurse anticipate to administer?
Ribacvarin Pegylated interferon Telaprivir
A client receiving chemotherapy is prescribed oprelvekin as part of the treatment regimen. Which explanation by the nurse of the rationale for the drug is most accurate?
Stimulates platelet cell production
Which info should the nurse emphasize when providing education to a client receiving drug therapy for HIV-AIDS
Strict adherence to the drug regimen promotes effectiveness
A nurse is caring for a client who is prescribed nystatin suspension for oral candidiasis. which instruction is most appropriate for the nurse to provide with the administration of this drug?
Swish the medication in the mouth for 2 minutes
A client has been prescribed oral tetracycline for the treatment of severe acne. Which assessment finding is most important for the nurse to communicate with the healthcare provider?
The clients pregnancy status
When the client is started on antiretroviral drugs for management of HIV, which info is important for the nurse to provide to the client
The drug regimen can expend life expectancy
A client is being prescribed for penicillin for an upper respiratory infection. What info should the nurse emphasize in providing instructions to the clients?
The entire prescription must be completed as instructed
A nurse is caring for a client who is tested positive for HIV and will be starting HAART. What is the most accurate info the nurse can provide?
The goal of the therapy is to keep plasma HIV levels as low as possible
A client who has been on antibiotic therapy for peptic ulcer caused by Helicobacter pylori is diagnosed with a superinfection. What is the most appropriate response by the nurse when the client asks why the superinfection occurred?
The normal host flora has been destroyed by the antibiotic
A nurse is caring for a client receiving gentamicin for treatment of Pseudomonas infection. Which assessment finding should the nurse report to the healthcare provider immediately?
Tinnitus
A client is prescribe Hematin for an intestinal amebiasis infection. For which serious affects should the nurse monitor in the client. (select all that apply)
Toxicity Nephrotoxicity
A nurse is caring for a client who is receiving high doses of chloroquine for maria. Which sit eh most appropriate action for the nurse to take?
obtain baseline neurologic and cardiovascular status and assess regularly
A client has been prescribed ciprofloxacin 500 mg twice daily by mouth. Which info should the nurse include during client teaching about administration of this med?
the dose should not be taken with supplements containing iron
