NURS 3110 ATI: Exam 1

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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 particles."

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."

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."

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."

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?

-Acetaminophen -Diphenhydramine

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. -Roll the vial gently to reconstitute the solution. -Inject the solution at room temperature.

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. -Perform hand hygiene frequently. -Avoid activities that can cause injury.

A nurse is assessing a client following trastuzumab infusion to treat metastatic breast cancer. Which of the following should the nurse recognize as an indication that the client is experiencing an adverse reaction to the drug. (Select all that apply).

-Wheezing -Dysrhythmias -Hypotension -Fever

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

A nurse should recognize that enfuvirtide can be prescribed to clients who have which of the following conditions?

Advanced HIV

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

A nurse is caring for a client who has streptococcal pharyngitis and an allergy to penicillin. The nurse should recognize that which of the following drugs can be safely administered to this client?

Azithromycin

A nurse is caring for a client who has a new prescription for acyclovir to treat a herpes simplex infection. Which of the following lab values should the nurse monitor for this client?

BUN

A nurse is caring for a client who is taking warfarin and has a new prescription for trimethoprim/sulfamethoxazole to treat a UTI. The nurse should clarify the prescriptions w/the provider because taking these two drugs concurrently can increase the client's risk for which of the following?

Bleeding

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?

Call emergency services immediately.

When administering oral erythromycin to a client who has acute diphtheria, a nurse should monitor for which of the following adverse effects?

Cardiac dysrhythmias

A nurse should recognize that maraviroc is used in the treatment of which of the following conditions?

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?

Clostridium difficile - associated diarrhea

A health care professional is caring for a patient who is about to begin taking nitrofurantoin 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

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

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

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 influenza 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 7.1g/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

A nurse is caring for a client who has a prescription for rifampin to treat tuberculosis. The nurse should expect the provider to prescribe which of the following drugs to the client to prevent possible resistance to rifampin?

Isoniazid

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

A nurse is caring for a client who has a new prescription for aztreonam to treat a respiratory tract infection. Which of the following findings in the client's medical record should the nurse recognize as requiring cautious use for this prescription and report to the provider?

Renal impairment

A nurse should recognize that raltegravir is used to treat clients who have which of the following conditions?

Resistant HIV

A health care professional is caring for a patient who is about to begin taking metronidazole 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

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?

Stop the cefotetan infusion.

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?

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 hours after taking the drug.

A nurse is caring for a patient who is taking ciprofloxacin to treat a urinary tract infection and has rheumatoid arthritis, for which he takes prednisolone (Prelone). Recognizing the adverse effects of ciprofloxacin, the nurse should instruct the client to report which of the following adverse effects?

Tendon pain

A nurse is caring for a patient who has a new diagnosis of bacterial meningitis. The nurse should expect the provider to prescribe a drug from which of the following classifications of antibiotics?

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 drug resistance.

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?

Trastuzumab

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?

Urine output

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?

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.

A nurse is caring for a client who is about to begin taking isoniazid to treat tuberculosis. The nurse should instruct the client to report which of the following adverse effects of the drug?

-Jaundice -Numbness of the hands -Dizziness

A nurse is caring for a client who is about to begin taking itraconazole to treat a fungal infection. The nurse should instruct the client to report which of the following adverse effects of the drug?

Swelling of hands or feet

A nurse is providing teaching for a client who takes an oral contraceptive and is about to begin rifampin therapy to treat tuberculosis. Which of the following instructions should the nurse include?

Use a non-hormonal form of contraception.

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?

-Cefotetan -Metronidazole

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? (Select all that apply).

-Clean fruits and vegetables thoroughly. -Weigh yourself daily. -Perform hand hygiene frequently. -Avoid grapefruit and grapefruit juice.

A nurse is preparing to administer paclitaxel IV to a client who has ovarian cancer. Which of the following actions should the nurse take. (Select all that apply).

-Give the patient an antihistamine. -Administer the drug through non-PVC tubing. -Use an in-line filter.

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 -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

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?

Dehydration

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?

Dexamethasone

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?

ibuprofen


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