ATI: Pain & Inflammation, Infection, Immune System
A nurse is caring for a client who is taking acetaminophen at regular intervals for mild discomfort. The nurse should tell the client to report which of the following early indications of acetaminophen toxicity? SATA Diaphoresis Palpitations Shortness of Breath Nausea Diarrhea
Diaphoresis (sweating) Nausea Diarrhea
A nurse is caring for a client who is about to begin taking aspirin. The nurse should instruct the client to report which of the following manifestations of salicylism?SATA Fever Tinnitus Diaphoresis Thrombophlebitis Dizziness
Fever Tinnitus Diaphoresis Dizziness
A nurse is planning care for a client who has stared taking prednisone. Which of the following interventions should the nurse include? Monitor the clients blood glucose Administer an antacid 30 min prior to prednisone Administer aspirin rather than NSAIDs if the client has pain Monitor the client for hyperkalemia
Monitor the clients blood glucose Prednisone can cause hyperglycemia the nurse should monitor the clients blood glucose regularly
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 this drug?Rash Insomnia Rhinitis Alopecia
Rash
A nurse is preparing to administer enfuvirtide to a client. Which of the following actions should the nurse plan to perform. (Select all that apply). Administer the drug subcutaneously. Discard the unused portion. Roll the vial gently to reconstitute the solution. Inject the solution at room temperature. Expect a cloudy solution.
Administer the drug subcutaneously Roll the vial gently to reconstitute the solution Inject the solution at room temperature
A nurse should recognize that enfuvirtide can be prescribed to clients who have which of the following conditions? Advanced prostate cancer Primary brain tumors Advanced HIV Metastatic ovarian cancer
Advanced HIV
A nurse is reviewing the medical record of a client who reports taking acetaminophen at home. The nurse should identify that which of the following client conditions is a contraindication for acetaminophen? Asthma Diabetes mellitus Heart Failure Alcohol use disorder
Alcohol Use Disorder Acetaminophen can cause liver toxicity. Clients who have a history of alcohol use disorder should not take acetaminophen
A nurse is instructing a client how to self-administer enfuvirtide. Which of the following instructions should the nurse include? "Allow the vial to sit until the solution is completely clear and without particulates." "After reconstituting with sterile water, vigorously shake the vial to mix the solution." "Use the medication immediately upon removing from the refrigerator." "Use the same location for five injections before rotating to a new site."
Allow th vial to sit until the solution is completely clear and without particles
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 of the following types of immunity?Artificial active immunity Active Passive Artificial passive immunity
Artificial active immunity
A nurse is caring for a child who has a viral infection. The nurse should identify that which of the following drugs can increase the risk of Reye syndrome in children who have viral infections?Butorphanol Acetaminophen Tramadol Aspirin
Aspirin
A nurse is caring for a client who has a new rx for acyclovir to treat a herpes simplex infection. Which of the following lab values should the nurse monitor for this client?Prothrombin time Hct BUN Aspartate aminotransferase
BUN
A nurse is caring for a client who is taking warfarin and has a new rx for trimethoprim/sulfamethoxazole to treat a UTI. The nurse should clarify the prescriptions w/the provider b/c taking these two drugs concurrently can increase the client's risk for which of the following? Bleeding Thrombosis ECG changes Ototoxicity
Bleeding
A nurse is caring for a client who has a new prescription for prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse drug reactions?Pulmonary embolism Hepatitis Bone loss Breast cancer
Bone loss Prednisone, a glucocorticoid, can cause osteoporosis, especially with long term use. Clients who are taking the drug should increase weight-bearing activity and report back pain. The nurse should monitor the client's bone density
A nurse in a provider's office receives a call from a client who has been taking penicillin V 3x daily and reports abdominal cramping w/bloody diarrhea for several days. Which of the following instructions should the nurse give the client? Bring in a stool sample for testing." "Take the drug only twice daily." "Use an over-the-counter anti-diarrheal medication." "Return to the clinic for blood work."
Bring in a stoll sample for testing
A patient who is taking amoxicillin to treat a respiratory infection contacts the health care professional to report a rash and wheezing. Which of the following instructions should the nurse provide? Wait 1 hr and contact the provider if there is no improvement. Skip today's dose of amoxicillin and resume taking the drug tomorrow. Call emergency services immediately. Take an NSAID to reduce skin and airway inflammation.
Call emergency services immediately
A nurse is caring for a client who has a gynecologic infection and a history of alcohol use disorder. The nurse should identify that which of the following drugs can cause a reaction similar to disulfiram if the client drinks alcohol while taking it? SATA Nitrofurantoin Amoxicillin Aztreonam Cefotetan Metronidazole
Cefotetan Mentronidazole
A nurse should recognize that maraviroc is used in the treatment of which of the following conditions? Diabetes mellitus Meningeal infection Pancreatitis Chemokine receptor 5 (CCR5)-tropic HIV-1
Chemokine receptor 5 (CCR5)-tropic HIV-1
A nurse in a provider's office receives a call from a patient who is taking tetracycline orally to treat a chlamydia infection and reports severe blood-tinged diarrhea. The nurse should suspect the client is experiencing which of the following? Hemorrhoids Clostridium difficile-associated diarrhea Diverticular disease Small bowel obstruction
Clostridium difficile-associated diarrhea Severe diarrhea, often containing mucus and blood, can indicate Clostridium difficile-associated diarrhea. Treatment includes stopping drug therapy and replacing fluids and electrolytes. Clients should immediately report severe diarrhea and blood in the stools.
A nurse is caring for a patient who is about to begin taking nitrofurantoin (Macrodantin) to treat a urinary tract infection. The health care professional should tell the patient to report which of the following adverse effects of the drug?
Cough Nitrofurantoin, a urinary tract antiseptic, can cause cough, shortness of breath, chest pain, and fever. These adverse effects can indicate an acute allergic reaction and require immediate discontinuation of drug therapy.
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? Deep-vein thrombosis COPD Diabetes mellitus Alcohol use disorder
Deep Vein Thrombosis
A nurse is caring for a client who is about to begin receiving acyclovir IV to treat a viral infection. The nurse should recognize that cautious use of the drug is essential if the client also has which of the following conditions?Heart Failure Dehydration Asthma Tinnitus
Dehydration Acyclovir, an antiviral drug can cause renal toxicity, especially in clients who are dehydrated. Hydration during and after IV infusion of the drug can help prevent crystalluria
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 receive which of the following drugs to reduce the risk of neurotoxicity?Diphenhydramine Leucovorin Folic acid Dexamethasone
Dexamethasone
A nurse is teaching a client who has a new prescription for prednisone. Which of the following instructions should the nurse include?SATA Reduce the dose during periods of stress Discontinue the drug gradually Report illness or infection Increase intake of calcium and vitamin D Monitors for sings of gastric bleeding
Discontinue the drug gradually Report illness or infection Increase intake of calcium and vitamin D Monitor for signs of gastric bleeding
A nurse is reviewing a client's prescriptions prior to administering gentamicin to the client to treat a systemic infection. The nurse should clarify the use of gentamicin with the provider if the client is taking which of the following drugs? Ethacrynic acid Diphenhydramine Acetaminophen Levothyroxine
Ethacrynic acid
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? Haemophilus influenzae type B vaccine (Hib) Varicella vaccine Meningococcal conjugate vaccine (MCV4) Tetanus-diphtheria-acelluar pertussis vaccine (Tdap)
Haemophilus influenzae type B vaccine (Hib)
A nurse is caring for a client who is prescribed zidovudine. Which of the following laboratory values should the nurse report to the provider? Hemoglobin 7.1 g/dL RBC count 5.2/mm3 Neutrophil 57% Triglycerides 125 mg/dL
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 receive starting at 50 years of age? Herpes zoster vaccine Human papillomavirus vaccine (HPV) Pneumococcal vaccine Haemophilus influenzae type B vaccine (Hib)
Herpes zoster vaccine
A nurse is caring for a client who currently takes furosemide and has a new prescription for prednisone. The nurse should monitor the client for which of the following manifestations during concurrent use of the two drugs?Hypercalcemia Hypoglycemia Hypothermia Hypokalemia
Hypokalemia Prednisone, a glucocorticoid, can cause hypokalemia. The risk for this electrolyte imbalance increases when the client is taking potassium-depleting diuretics, such as furosemide. The nurse should clarify the prescription with the provider and monitor the client's potassium levels.
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 types of over-the-counter drugs while receiving the therapy? Folic acid St. John's wort Ibuprofen Aluminum hydroxide
Ibuprofen
A nurse is caring for a client who has a prescription for rifampin to treat TB. The nurse should expect the provider to prescribe which of the following drugs to the client to prevent possible resistance to rifampin? Gentamicin Vancomycin Isoniazid Metronidazole
Isonazid
A nurse is teaching a client about maraviroc. Which of the following instructions should the nurse include? "It is important to report any noticeable rash immediately as it might indicate an issue with your liver." "Make sure you take this medication without any other medications first thing in the morning." "You might experience flu-like symptoms for which you can take any over-the-counter medication." "The side effects of this medication are minimal, so you can continue to work and drive as normal."
It is important to report any noticeable rash immediately as it might indicate an issue with your liver
A nurse is caring for a client who is about to begin taking isoniazid to treat TB. The nurse should instruct the client to report which of the following adverse effects of the drug?SATA Jaundice Numbness of the hands Dizziness Hearing loss Oral ulcers
Jaundice Numbness of the hands Dizziness
A nurse is preparing 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). Paresthesia Cough Tinnitus Jaundice Fever
Parasthesia Cough Jaundice Fever
A nurse is caring for a client who has a new prescription for cisplatin to treat testicular cancer. The nurse should instruct the client to report which of the following adverse effects? (Select all that apply). Paresthesia Sore throat Flank pain Tinnitus Conjunctivitis
Parasthesia Sore Throat Flank Pain Tinnitus
A nurse is caring for a patient who is about to begin taking metronidazole (Flagyl) to treat an anaerobic intra-abdominal bacterial infection. The health care professional should recognize that cautious use of the drug is indicated if the patient also has which of the following? Seizure disorder Hearing loss Asthma Anemia
Seizure Disorder
A nurse is administering cefotetan IV to a client to treat an intra-abdominal infection. The nurse notes that the IV insertion site is warm, edematous, and painful to the touch. Which of the following actions should the nurse take?Decrease the rate of cefotetan infusion Administer diphenhydramine to the client Request a prescription for another antibiotic Stop the cefotetan infusion
Stop the cefotetan infusion
A nurse is reviewing the medical record of a client who has a new prescription for celecoxib. The nurse should identify that which of the following conditions is a contraindication to celecoxib?Rheumatoid arthritis Ankylosing spondylitis Sulfonamide allergy Adrenocortical insufficiency
Sulfonamide Allergy Clients who are allergic to sulfonamides can have severe allergic reactions to celecoxib, a COX-2 inhibitor. Clients who are allergic to salicylates can also react adversely to celecoxib
A nurse in a provider's office receives a call from a client who was recently hospitalized and treated with imipenem IV for a bacterial infection and reports an inability to eat due to mouth pain. The nurse should identify that the client might be experiencing which of the following as an adverse effect of this drug?Malabsoprtion Superinfection Anorexia Dental caries
Superinfection
A nurse in a provider's office receives a call from a client who is taking ciprofloxacin to treat a respiratory tract infection and reports dyspepsia. Which of the following instructions should the nurse give the client? Take an antacid at least 2 hr after taking the drug. Take the drug with a cup of coffee. Take an iron supplement with the drug. Take the drug with 240 mL (8 oz) of milk
Take an antacid atleats 2 hrs after taking the drug
A nurse is caring for a patient who is taking ciprofloxacin (Cipro) to treat a urinary tract infection and has rheumatoid arthritis, for which he takes prednisolone (Prelone). Recognizing the adverse effects of ciprofloxacin, the health care professional should tell the patient to report which of the following?Tachycardia Hair loss Insomnia Tendon pain
Tendon Pain
A nurse is caring for a patient who has a new dx of bacterial meningitis. The nurse should expect the provider to prescribe a drug from which of the following classifications of antibiotics? First generation cephalosporins Third generation cephalosporins Monobactams Macrolides
Third generation cephalosporins
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? To prevent an infusion reaction To increase platelet production To protect healthy cells from the toxic effects of ritonavir To prevent drug resistance
To prevent drug resistance
A nurse is caring for a client who asks about taking acetaminophen. The nurse should identify that acetaminophen is indicated for which of the following conditions?To reduce fever To decrease inflammation To relieve mild pain To promote sedation To alleviate anxiety
To reduce fever To relieve mild pain
A nurse is caring for a client who is about to begin gentamicin therapy to treat an infection. The nurse should monitor the client for an alteration in which of the following? Bowel function Peripheral pulses Urine output Level of consciousness
Urine output Gentamicin, an aminoglycoside can cause nephrotoxicity
A nurse is providing teaching for a client who takes an oral contraceptive and is about to begin rifampin therapy to treat TB. Which of the following instructions should the nurse include? Increase the rifampin dose Increase the oral contraceptive dose Allow 2hrs between taking the two drugs Use a non-hormonal form of contraception
Use a non-hormonal form of contraception
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? (Select all that apply). Use contraception if pregnancy is a risk. Perform oral hygiene frequently. Avoid activities that require mental alertness. Perform hand hygiene frequently. Avoid activities that can cause injury.
Use contraception if pregnancy is a risk Perform oral hygiene frequently perform hand hygiene frequently Avoid activities that can cause injury
A nurse is caring for a client whose sputum culture results indicate methicillin-resistant MRSA. The nurse should recognize that which of the following medications will likely be administered to this client?Trimethoprim/sulfamethoxazole Tetracycline Cephalexin Vancomycin
Vancomycin
A nurse is caring for a client who is receiving 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 reaction to the drug. Weak hand grasps Constricted pupils Bradycardia Crackles
Weak hand grasps
A nurse is caring for a client who has a prescription for aspirin to treat an ankle sprain. The nurse should instruct the client to report which of the following adverse drug reactions? Polyuria Bone Pain Weight Gain Infection
Weight Gain Aspirin use can cause renal impairment, which can result in the retention of salt and water. Clients should report reduced urine output, weight gain, edema, or bloating. The nurse should monitor BUN and creatinine levels and stop aspirin therapy for clients who develop signs of renal dysfunction
A nurse is teaching a client about immunizations. Which of the following information should the nurse include about the teaching? "You should receive a tetanus booster every 10 years." "You should not receive the influenza immunization if you have a common cold." "You do not have to receive the shingles vaccine if you have received two doses of the varicella virus vaccine." "As long as you don't have risk factors, you will start receiving the pneumococcal vaccine when you are 50 years old."
You should receive a tetanus booster every 10 years
A nurse is caring for a client who takes low-dose aspirin to prevent cardiovascular events. The client asks the nurse about taking ibuprofen to treat rheumatoid arthritis. Which of the following responses should the nurse make?"Ibuprofen will increase your risk for developing salicylism." "Ibuprofen will reduce the cardioprotective effects of low-dose aspirin." "Low-dose aspirin will reduce the anti-inflammatory effects of ibuprofen." "Low-dose aspirin will reduce the analgesic effects of ibuprofen."
"Ibuprofen will reduce the cardioprotective effects of low-dose aspirin." Clients taking low-dose aspirin for its ability to decrease platelet aggregation should not take ibuprofen
A nurse is teaching a guardian of a child about the recommended age range to receive the human papillomavirus (HPV) vaccine. Which of the following age ranges should the nurse include? 11 to 12 years old 7 to 9 years old 13 to 15 years old 15 to 17 years old
11 to 12 years old
A nurse is preparing to administer amphotericin B IV to a patient who has a systemic fungal infection. Which of the following drugs should the health care professional administer prior to the infusion to prevent or minimize adverse reactions during amphotericin B administration? (Select all that apply.) Aspirin Hydrocortisone Acetaminophen Diphenhydramine Ibuprofen
Acetaminophen Diphenhydramine
When administering oral erythromycin to a client who has acute diphtheria, a nurse should monitor for which of the following adverse effects? Hypothermia Blurred vision Constipation Cardiac dysrhythmias
Cardiac Dysrhythmias
A nurse is caring for a client who has a new prescription for celecoxib. The nurse should tell the client to report which of the following adverse drug reactions?Tinnitus Chest pain Constipation Diaphoresis
Chest Pain Celecoxib, a COX-2 inhibitor, can cause cardiovascular or cerebrovascular events. Clients should report chest pain, shortness of breath, headache, numbness, weakness, or confusion. Providers should prescribe the lowest effective dosage of the drug for the shortest time period possible.
