Saunders Pharm-Immune

The nurse is collecting data from a client with a history of renal transplantation. The nurse understands that which medication is the medication of choice for preventing organ rejection?

cyclosporine

a client admitted to the hospital is taking abacavir. The nurse should monitor the client for which adverse effect of the medication?

hypotension

Quinupristin-dalfopristin is prescribed as an intermittent intravenous (IV) infusion. The nurse should adjust the drip rate so that the dose is administered

1 hour

A client is scheduled to receive a first dose of pentamidine intravenously. What should the nurse plan to carefully monitor as the priority during administration of the first dose?

BP

The client with acquired immunodeficiency syndrome (AIDS) and Pneumocystis jiroveci infection has been receiving pentamidine. The nurse caring for the client should monitor the client most closely for signs of which adverse effect of the medication?

infection

Abacavir has been prescribed for a client, who asks the nurse about the side effects of the medication. What should the nurse tell the client is a frequent s/e of this med

nausea

A client has been given a prescription for sulfasalazine. Which allergy should the nurse assess for in the client prior to administration?

sulfonamide or salicylates

Muromonab-CD3 is prescribed for a client to manage allograft rejection after renal transplantation. The nurse plans care, knowing that the primary mechanism of action of this medication is what?

Binds to the CD3 site and blocks all T-cell functions

The nurse is caring for a client who has cytomegalovirus retinitis and is receiving foscarnet. Which assessment finding, if reported by the client, indicates a need for follow-up?

Impaired balance while ambulating

Azathioprine is prescribed for a client to suppress rejection of a renal transplant. In planning for administration of the medication, the nurse understands that which description is the mechanism of action of this medication?

It inhibits the proliferation of B and T lymphocytes

Ketoconazole is prescribed for a client. Which interventions should the nurse include when teaching the client about the medication? Select all that apply. a) Avoid alcohol. b) Restrict fluid intake. c) Avoid exposure to the sun. d) Prepare for periodic liver function studies. e) Administer the medication with an antacid. f) Administer the medication on an empty stomach.

a, c, d

A client is receiving amphotericin B by the intravenous (IV) route. The nurse determines that the client is having an adverse effect to the medication if which laboratory study result is noted?

elevated serum creatinine

the nurse is preparing to administer a prescribed dose of cyclosporine by intravenous (IV) administration. Which priority item would the nurse have available during administration of this medication?

epi

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

fasting BGL of 200

he nurse is providing dietary instructions to a client who has been prescribed cyclosporine. Which food item should the nurse instruct the client to exclude from the diet?

grapefruit juice

Zidovudine has been prescribed for a client, and the client asks the nurse about the side effects of the medication. The nurse responds that which is a common side effect of this medication?

headache

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

hearing loss

A client is receiving ganciclovir. Which nursing action is appropriate during the time the client is receiving this medication?

Providing the client with a soft toothbrush and an electric razor

A client with Crohn's disease is scheduled to receive an infusion of infliximab. What intervention by the nurse will determine the effectiveness of treatment?

Checking the frequency and consistency of bowel movements

The nurse provides instructions to a client who will be taking cyclosporine oral solution. Which action should the nurse tell the client to do?

mix the concentration with OJ

The nurse is collecting subjective and objective data from a client and notes that the client is taking abacavir. The nurse determines that this medication has been prescribed to treat which condition?

HIV

Intravenous (IV) antithymocyte globulin is prescribed to a client for treatment of transplant rejection. Which intervention is the priority in planning the administration of this medication?

Plan for a skin test dose to identify hypersensitivity.

The nurse is caring for a client who has been taking a sulfonamide and should monitor for signs and symptoms of which adverse effects of the medication? SATA a) Ototoxicity b) Palpitations c) Nephrotoxicity d) Bone marrow depression e) Gastrointestinal (GI) effects f) Increased white blood cell (WBC) count

c, d, e

The nurse is caring for a client with a urinary tract infection (UTI). The culture report reveals the presence of Pseudomonas aeruginosa. The nurse anticipates that which medication will be prescribed to treat the infection?

cipro

azithromycin has been prescribed for a client. The nurse should instruct the client to take the medication in which way

1 hour before meals

A pregnant client who has human immunodeficiency virus (HIV) infection is being seen in the antenatal clinic. The nurse expects the primary health care provider (PHCP) to initiate zidovudine at how many weeks of gestation?

14

The nurse is caring for a client admitted to the hospital for an infection who is receiving an aminoglycoside twice a day, intravenously. The nurse is planning to obtain blood for a peak aminoglycoside level. When should the blood be drawn?

30 min after completing the infusion

he school nurse is providing instructions to the parents of the children attending the school regarding the application of permethrin. Which action should the nurse tell the parents to take?

Allow permethrin to remain on the hair for 10 minutes and then rinse with water

The nurse is preparing to administer piperacillin/tazobactam. An abnormal elevation in which laboratory value should prompt the nurse to withhold the medication and notify the primary health care provider (PHCP) before administering the medication?

BUN and creatinine

Cyclosporine is prescribed for the client following allogenic kidney transplantation. The nurse should provide which instruction to the client regarding the medication?

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

A client is receiving zalcitabine. The nurse should monitor the results of which study to determine the effectiveness of this medication?

CD4+ cell count

Mycophenolate mofetil is prescribed for a client for prophylaxis of organ rejection following allogenic renal transplantation. Which instruction should the nurse provide to the client regarding administration of this medication?

Contact the primary health care provider (PHCP) if a sore throat occurs.

The nurse is collecting subjective and objective data from a client and notes that the client is taking zidovudine. The nurse determines that this medication has been prescribed to treat which condition?

Human immunodeficiency virus (HIV)

he nurse reinforces medication instructions on therapy with cyclosporine to a client who has received a kidney transplant. Which statement by the client would indicate a need for further instruction?

I need to obtain a yearly influenza vaccine.

A client is receiving tobramycin. The nurse evaluates that the medication therapy is effective if which laboratory test result is noted?

WBC count of 8000 mm3 (8 × 109/L) and a creatinine level of 0.9 mg/dL

A client is diagnosed with herpes simplex virus type 1 (HSV 1). The primary health care provider prescribes a topical medication for treatment. The nurse anticipates that which medication will be prescribed?

acyclovir

Itraconazole is prescribed for a client to treat a fungal infection. The nurse monitors the client closely for which manifestation that is indicative of an adverse effec

anorexia and abd pain

The nurse is monitoring a client receiving muromonab-CD3. Which finding is a priority assessment required in monitoring for adverse effects of this medication?

assessing lung sounds

The nurse is caring for a client with acquired immunodeficiency syndrome (AIDS) who is receiving didanosine. The nurse understands that side and adverse effects associated with this medication include which findings? SATA a) Fatigue b) Diarrhea c) Pancreatitis d) Lactic acidosis e) Peripheral neuropathy

b-e

Cyclosporine is prescribed to be administered by the intravenous (IV) route. Which is an inappropriate action in preparing and administering this medication?

mixing 1 mL of concentrate in 10 mL of 0.9% sodium chloride and administering by bolus injection

A client seen in the health care clinic is diagnosed with syphilis, and the primary health care provider prescribes an intramuscular injection of penicillin G benzathine. After administering the intramuscular injection of medication, the nurse should perform which action?

monitor the client for 30 min

Levofloxacin is prescribed for a client. While teaching the client about the medication, what should the nurse tell the client to take the medication with?

water

Azithromycin is prescribed for a client. The nurse provides instructions to the client about the medication and emphasizes that it is best to take the medication with which item?

water on an empty stomach

the nurse has a prescription to administer foscarnet intravenously to a client with acquired immunodeficiency syndrome (AIDS). What should the nurse plan to do before administering this medication?

Place the solution on a controlled infusion pump.

The nurse is preparing to administer pentamidine to an assigned client by the intravenous route. The nurse plans to monitor which item most closely after administering this medication?

blood pressure

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

blood pressure

A client who has been receiving pentamidine intravenously now has a fever with a temperature of 102º F (38.9º C). Keeping in mind that the client has a diagnosis of acquired immunodeficiency syndrome (AIDS) and Pneumocystis jiroveci pneumonia, the nurse should interpret that this fever is most associated with which condition?

Infection caused by leukopenic effects of the medication

A client is prescribed mupirocin intranasally twice daily. The nurse correlates this prescription with the client's medical record and expects to note which result specifically related to the indication for this medication

Positive methicillin-resistant Staphylococcus aureas (MRSA) by polymerase chain reaction (PCR)

A client with acquired immunodeficiency syndrome (AIDS) experiences nausea, vomiting, and abdominal pain radiating to the back after taking didanosine. The ambulatory care nurse should provide which response as telephone advice to this client?

Report to the health care clinic to be seen by the primary health care provider.

A client with human immunodeficiency virus infection is taking indinavir. The nurse plans to provide the client with which direction when providing instructions about the use of this medication?

Take the medication with water on an empty stomach.

The primary health care provider (PHCP) writes a prescription for zidovudine for a client who was admitted to the hospital. The nurse should contact the PHCP to verify the prescription if which finding is noted in the assessment data?

bone marrow depression

A client has been receiving foscarnet as part of therapy for the treatment of cytomegalovirus (CMV) retinitis and acquired immunodeficiency syndrome (AIDS). The home care nurse should periodically review results of which laboratory blood test to assess for adverse effects to this medication?

creatinine concentration

The nurse is presenting information on treatment of influenza and the use of oseltamivir. The nurse should provide which information on the use of oseltamivir? SATA a) The incidence of flu complications is reduced. b) Oseltamivir is effective for all types of influenza. c) Dosing must begin within 2 days after symptom onset. d) No interactions with other medications have been reported. e) It is best to begin dosing within the first 12 hours after symptom onset. f) Oseltamivir is highly toxic to the liver, and liver function studies must be performed.

a-e

The nurse caring for a client who is taking an aminoglycoside should monitor the client for which adverse effects of the medication? Select all that apply a) Seizures b) Ototoxicity c) Renal toxicity d) Dysrhythmias e) Hepatotoxicity

b, c, d

the nurse is providing discharge instructions to the mother of a child who has been prescribed tetracycline hydrochloride. The nurse stresses to the mother the importance of which measure in giving this medication to the child?

Use a straw when giving the medication

The nurse is assigned to care for a client with cytomegalovirus retinitis and acquired immunodeficiency syndrome (AIDS) who is receiving foscarnet. The nurse reviews the primary health care provider's (PHCP's) prescriptions, expecting to note a prescription for which laboratory test while this client is taking the medication?

creatinine level

he nurse is providing discharge instructions to a client who will be taking tacrolimus daily following allogenic liver transplantation. The nurse instructs the client that which is a frequent side effect related to this medication?

diarrhea

A client who has undergone renal transplantation is receiving ongoing therapy with cyclosporine. The nurse would be sure to immediately report which abnormal finding?

elevated BUN

A client admitted to the hospital is taking zidovudine. The nurse monitors the client for which adverse effect of the medication?

neurotoxicity

A client with acquired immunodeficiency syndrome (AIDS) has been started on therapy with zidovudine. The nurse should monitor the results of which laboratory blood study for adverse effects of therapy?

CBC count

The client with acquired immunodeficiency syndrome (AIDS) has been prescribed raltegravir. The nurse determines that the client may be experiencing an adverse effect related to this medication if which assessment finding is noted?

temp of 101.2 F

Zidovudine has been prescribed for a client. The nurse should tell the client that which blood test will be done periodically while the client is taking this medication?

CBC

A client is receiving tacrolimus to prevent organ rejection. Which is a nursing consideration associated with this medication

Assess platelet count for thrombocytopenia

The nurse is monitoring a client with herpes simplex virus (HSV) who is receiving intravenous (IV) acyclovir. Which laboratory result would be of concern as a possible adverse effect of this medication?

BUN of 36

A client who has received a kidney transplant is taking azathioprine, and the nurse provides instructions about the medication. Which statement by the client would indicate a need for further instruction?

I need to discontinue the medication after 14 days of use.

The nurse is caring for a client receiving gentamicin intravenously. What statement made by the client should most concern the nurse?

I'm experiencing ringing in my ears

Zidovudine has been prescribed for a client, and the nurse provides instructions to the client about expected effects with this medication. Which statement by the client indicates the need for further instruction?

If I experience diarrhea, I need to contact my primary health care provider

Itraconazole is prescribed for a client with a fungal infection of the hands. The nurse provides instructions to the client about the medication. Which statement by the client indicates an understanding of the instructions?

If my urine becomes very dark in color, I should contact my primary health care provider (PHCP)."

Abacavir has been prescribed for a client, and the client asks the nurse about the action of the medication. How should the nurse respond?

Inhibits activity of HIV-1 reverse transcriptase

Abacavir has been prescribed for a client. The nurse tells the client that which blood test will be done periodically while the client is taking this medication?

LFTs

A client receiving a dose of intravenous vancomycin begins to experience chills, tachycardia, syncope, and flushing of the face and trunk. What is the nurse's best interpretation of these findings?

the med is infusing too rapidly

A client is receiving acyclovir by the intravenous (IV) route for treatment of cytomegalovirus (CMV) infection. After reconstituting the powder dispensed by the pharmacy, the nurse should administer this medication via which method?

Slow IV infusion over 1 hour

A client with acquired immunodeficiency syndrome who is taking zidovudine 200 mg orally 3 times daily has severe neutropenia noted on follow-up laboratory studies. The nurse interprets that which change is likely to occur at this point?

the medication probably will be discontinued until laboratory results indicate bone marrow recovery.

A client has a prescription for ketoconazole. Which instruction should the nurse include in the client's teaching plan?

avoid exposure to light

A client with a urinary tract infection (UTI) has been prescribed ciprofloxacin. The nurse notes that the client also has a prescription for theophylline written by a pulmonologist. Based on this information, the nurse should take which action?

clarify the med rx

Tobramycin sulfate is prescribed. The nurse is administering the medication by intermittent intravenous infusion every 8 hours. The nurse monitors the client for signs of an adverse effect related to this medication and determines that which, if noted on assessment, would indicate its presence?

client c/o ringing in ears

Dapsone is prescribed to treat toxoplasmosis in a client with acquired immunodeficiency syndrome. The nurse reinforces medication instructions and tells the client to perform which action?

contact the primary health care provider (PHCP) if fever or a sore throat occurs.

A client is receiving amphotericin B by the intravenous (IV) route. During ongoing therapy with this medication, the nurse should most closely assess the client for which finding that indicates a complication?

decrease urine output

An aminoglycoside, given by intermittent intravenous infusion, is prescribed for a client with an infection. Which finding would indicate to the nurse that the client is experiencing an adverse effect of the medication?

difficulty hearing

The clinic nurse is providing medication instructions to a client who will be receiving hydroxychloroquine sulfate. The nurse instructs the client about the importance of returning to the clinic in 6 months for which follow-up test?

eye exam

A client who is human immunodeficiency virus (HIV) seropositive has been taking stavudine. The nurse should monitor which most closely while the client is taking this medication?

gait

The client with human immunodeficiency virus (HIV) infection has been started on therapy with zidovudine. The nurse reviews the laboratory results and determines that the client is experiencing an adverse effect of the medication if which is noted?

hgb of 10

A pediatric nurse has obtained ribavirin in powder form from the pharmacy to administer to a child with respiratory syncytial virus (RSV) infection. After preparing the medication, the nurse should administer it by which route?

inhalation

he primary health care provider (PHCP) prescribed tetracycline for a 5-year-old pediatric client. The nurse questions this prescription for what reason?

it's contraindicated in children younger than 8 years of age

The nurse is monitoring a client who is receiving intravenous (IV) acyclovir. The nurse would monitor the client closely for which primary toxic effect of the medication?

nephrotoxicity

A client must begin medication therapy with mycophenolate mofetil to prevent organ rejection following renal transplantation. The nurse should provide which important teaching point to the client?

notify the HCP if a fever develops

he nurse is caring for a client with a diagnosis of Chlamydia. Because the client has a history of noncompliance with medication administration, the primary health care provider prescribes azithromycin. When educating the client about azithromycin, the nurse should make which statement?

one dose of this med will be needed

Cyclosporine is prescribed for a client who received a kidney transplant. The nurse would be most concerned if a review of the medical record revealed that the client currently is taking which prescribed medication?

phenytoin

Tacrolimus is prescribed to a client for prevention of organ rejection after renal transplantation. Which prescription should the nurse anticipate to be prescribed, along with the tacrolimus, for this client?

prednisone

A client who is seropositive for human immunodeficiency virus (HIV) has been taking stavudine. The nurse assesses which most closely while the client is taking this medication?

presence of paresthesia

The home health nurse is visiting a client who has been started on therapy with clotrimazole. The nurse should monitor which item to monitor the effectiveness of this medication with each visit?

rash

the nurse is assigned to care for a client with cytomegalovirus retinitis and acquired immunodeficiency syndrome (AIDS) who is receiving foscarnet. The nurse should monitor the results of which laboratory study while the client is taking this medication?

serum creatinine level

Zidovudine has been prescribed for a client who asks the nurse about the action of the medication. The nurse responds that this medication performs which function?

slows the replication of HIV

A client who has been diagnosed with pneumonia has been given a prescription for erythromycin. Client teaching about this medication should include which best instruction?

take the med on an empty stomach

Abacavir has been prescribed for a client, and the nurse provides instructions about the medication. Which statement by the client indicates the need for further instruction?

this medication will reduce the risk of transmitting the infection to others.

Pyrimethamine has been added to the medication regimen for a client with acquired immunodeficiency syndrome. On review of the client's record, the nurse notes this new prescription and plans care knowing that it has been prescribed to treat which condition?

toxoplasmosis

The nurse is monitoring a client receiving cyclosporine. Which sign or symptom should indicate to the nurse that the client is experiencing an adverse effect of this medication?

tremors

The client who is seropositive for human immunodeficiency virus (HIV) has been taking ritonavir. The nurse tells the client that which follow-up laboratory study will be necessary while taking this medication?

triglyercide level

A client is receiving amoxicillin orally every 8 hours. Which finding would indicate to the nurse that the client is experiencing a frequent minor side effect related to the medication?

vaginal d/c

A client with a respiratory tract infection is receiving intravenous tobramycin sulfate. The nurse should assess for which adverse effect of this medication?

vertigo

The nurse is creating a plan of care for a client who is receiving amphotericin B intravenously. A main component of the plan of care is monitoring for adverse effects related to the administration of this medication. Which should the nurse include in a list of manifestations to watch for?

visual difficulties

ketoconazole is prescribed for an assigned client. The nurse prepares to administer the medication by which method?

with food

The nurse is about to administer the next intravenous dose of tobramycin when the client complains of vertigo and a ringing in the ears. What is the most appropriate nursing action?

withhold the dose and call the HCP