ATI Immune system

You are instructing a patient how to self-administer enfuvirtide. Which of the following instructions should you 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 the vial to sit until the solution is completely clear and without particulates"

You should recognize that maraviroc is used in the treatment of which of the following conditions? [] diabetes mellitus [] meningeal infection [] pancreatitis [] chemokine receptor 5 tropic HIV-1

[] chemokine receptor 5 tropic HIV-1

You are caring for a patient who has a new prescription for delavirdine therapy to treat HIV-1. You should instruct the patient to report which of the following adverse reactions to the drug? [] rash [] insomnia [] rhinitis [] alopecia

[] rash

You are teaching a patient about maraviroc. Which of the following instructions should you 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 OTC 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"

You are teaching a patient about immunizations. Which of the following information should you include in 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 dont 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"

You are 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? [] 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

You are teaching a patient who has a new diagnosis of breast cancer about the drug tamoxifen. You should tell the patient that which of the following conditions is a contraindication for taking tamoxifen? [] DVT [] COPD [] diabetes mellitus [] alcohol use disorder

[] DVT

You are caring for a patient who is prescribed zidovudine. Which of the following laboratory values should the nurse report to the provider? [] Hgb 7.1 [] RBC count 5.2 [] Neutrophil 57% [] Triglycerides 125

[] Hgb 7.1

You are preparing to administer enfuvirtide to a patient. Which of the following actions should you plan to perform? (select all that apply) [] administer the drug subq [] discard the unused portion [] roll the vial gently to reconstitute the solution [] inject the solution at room temp [] expect a cloudy solution

[] administer the drug subq [] roll the vial gently to reconstitute the solution [] inject the solution at room temp

You 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

You are preparing to administer the measles , mumps, and rubella (MMR) vaccine to a child. You 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

You are teaching a patient who has a new prescription for imatinib to treat chronic myeloid leukemia. Which of the following instructions should you include? (select all that apply) [] clean fruits and veggies thoroughly [] increase calcium intake [] weigh yourself daily [] perform hand hygiene frequently [] avoid grapefruit and grapefruit juice

[] clean fruits and veggies thoroughly [] weigh yourself daily [] perform hand hygiene frequently [] avoid grapefruit and grapefruit juice

You are 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

You are preparing to administer paclitaxel IV to a client who has ovarian cancer. Which of the following actions should you take? (select all that apply) [] give the patient an antihistamine [] infuse the drug over 1 hr [] administer the drug through non-PVC tubing [] use an in-line filter [] add heparin to the paclitaxel solution

[] give the patient an antihistamine [] administer the drug through non-PVC tubing [] use an in-line filter

You are 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 flu type B vaccine (Hib) [] varicella vaccine [] meningococcal conjugate vaccine (MCV4) [] Tdap

[] haemophilus flu type B vaccine (Hib)

You are teaching a patient about recommended immunizations. Which of the following immunizations should you recommend the patient receive starting at 50 years of age? [] herpes zoster vaccine [] HPV [] Pneumococcal vaccine [] Hib

[] herpes zoster vaccine

You are caring for a patient who has a new prescription for topotecan therapy to treat resistant, small-cell lung cancer. You should advise the patient against taking which of the following types of OTC drugs while receiving the therapy? [] folic acid [] st. john's wort [] ibuprofen [] aluminum hydroxide

[] ibuprofen

You are caring for a patient who has a new prescription for maraviroc therapy. You should instruct the patient to report which of the following adverse effects? (select all that apply) [] parasthesia [] cough [] tinnitus [] jaundice [] fever

[] parasthesia [] cough [] jaundice [] fever

You are teaching a patient 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) [] parasthesia [] sore throat [] flank pain [] tinnitus [] conjunctivitis

[] parasthesia [] sore throat [] flank pain [] tinnitus

You should recognize that raltegravir is used to treat clients who have which of the followign conditions? [] hairy cell leukemia [] thyroid cancer [] kaposi's sarcoma [] resistant HIV

[] resistant HIV

You are caring for a patient who has a new prescription for ritonavir and zidovudine therapy to treat HIV-1. You should inform the patient 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 form the toxic effects of ritonavir [] to prevent drug resistance

[] to prevent drug resistance

You are considering drug therapy options for a patient who has metastatic breast cancer that is positive for Human epidermal growth factor receptor 2 (HER2). Which of the following drugs should you expect the provider to prescribe? [] trastuzumab [] imatinib [] leuprolide [] flutamide

[] trastuzumab

You are teaching a patient who has a new prescription for mercaptopurine to treat leukemia. Which of the following instructions should you include? (select all that apply) [] use of 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 of contraception if pregnancy is a risk [] perform oral hygiene frequently [] perform hand hygiene frequently [] avoid activities that can cause injury

You are caring for a patient who is receiving vincristine to treat lung cancer. You should monitor the patient and recognize which of the following manifestations as an indication that the patient is experiencing an adverse effect of the drug. [] weak hand grasps [] constricted pupils [] bradycardia [] crackles

[] weak hand grasps

You are assessing a patient following a trastuzumab infusion to treat metastatic breast cancer. Which of the following findings should you recognize as an indication that the client is experiencing an adverse reaction to the drug? (select all that apply) [] wheezing [] dysrhythmias [] hypotension [] fever [] ascites

[] wheezing [] dysrhythmias [] hypotension [] fever