ATI- The Immune System
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 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 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 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 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 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 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 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 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 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 should recognize that raltegravir is used to treat clients who have which of the following conditions?
Resistant HIV
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 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.
