Nursing Exam 3

A health care professional 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.

Which is produced by T​ cells?

Cytokines

Which describes the primary purpose of the use of pharmacotherapy to treat herpes​ viruses?

Decreases the frequency of herpes episodes. Diminishes the intensity of the acute disease.

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 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 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?

Diaphoresis Nausea Diarrhea

A patient recovering from a total knee arthroplasty has been prescribed acetaminophen (Tylenol) for mild discomfort that does not require an opioid. The health care professional should tell the patient to report which of the following early indications of acetaminophen overdose? (Select all that apply.)

Diaphoresis Nausea Diarrhea

Which should the nurse monitor a client for that is prescribed cefotaxime​ (Claforan)?

Diarrhea

Which describes the direct action of acetaminophen​ (Tylenol) for fever​ reduction?

Dilation of peripheral blood vessels Direct action at the level of the hypothalamus

Which findings indicate the prescription used to treat a​ client's tuberculosis is​ therapeutic?

Diminished cough Diminished fever Diminished pain Diminished sputum

A nurse is teaching a client who has a new prescription for prednisone. Which of the following instructions should the nurse include?

Discontinue the dug gradually Report illness or infection increase intake of calcium and vitamin D Monitor for signs of gastric bleeding

Which information should the nurse include in the education for a client prescribed metronidazole​ (Flagyl)?

Do not drink alcohol with this medication. Do not become pregnant while taking this medication. You may experience a metallic taste while on this medication.

Which information should the nurse include in the discharge teaching for a client prescribed​ tetracycline?

Do not take the prescription with iron supplements. Do not take the prescription with milk. Take the prescription with food.

Which information should the nurse include in the teaching about bacteria with a​ client?

E. coli are​ gram-negative bacteria. Gram staining is one way to identify bacteria. ​Spherical-shaped bacteria are called cocci.

A nurse is teaching a client who is taking allopurinol about minimizing adverse effects. Which of the following instructions should the nurse include?

Eat a small meal before taking the drug

Which symptom should the nurse instruct the client prescribed a salicylate to report immediately to the healthcare​ provider?

Edema Decreased urine output Darkening of urine

Which information should the nurse include in the education for a client prescribed mebendazole​ (Vermox)?

Effectively treats adult parasites High concentrations of the drug remain in the intestine Generally requires a few days of therapy The prescription should be taken with a​ high-fat meal

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 or furosemide (Lasix)

For a client receiving zidovudine​ (Retrovir), for which adverse reactions should the nurse increase​ surveillance?

Fatigue and generalized weakness New onset headache Liver palpable on physical examination

A nurse is caring for a client who is taking allopurinol to treat gout. The nurse should monitor the client for which of the following manifestations of hypersensitivity syndrome?

Fever

Which symptoms should the nurse instruct a client receiving amphotericin B​ (Fungizone) to​ report?

Fever Hearing loss Dizziness Heart palpitations

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?

Fever Tinnitus Diaphoresis Dizziness

Which are included in the class of​ immunosuppressants?

Glucocorticoids

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)

The nurse has provided education for a client​ post-transplant surgery that is prescribed immunosuppressant drugs. Which statements made by the client indicates an understanding of the​ information?

Hair loss may indicate significant immunosuppression and should be reported. Avoiding exposure to individuals who have infections is a necessary precaution when a client takes immunosuppressant drugs. Practicing reliable contraception is a necessary precaution when a client takes immunosuppressant drugs. The client should avoid raw fruits and vegetables that can harbor infection.

Which finding is a common adverse effect of an​ anti-inflammatory prescription?

Heartburn

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

Which laboratory tests should the nurse anticipate evaluating prior to a client receiving ibuprofen​ (Advil) for​ long-term therapy?

Hemoglobin and hematocrit C. Bleeding times D. Liver function tests

Which is a priority assessment when planning care for a client receiving immunostimulant​ therapy?

Hepatic enzymes

Which vaccine is initially administered in the scheduled series of​ vaccinations?

Hepatitis B

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

Prior to administering a prescribed dose of gentamicin​ (Garamycin), the nurse notes a​ client's serum level of gentamicin​ (Garamycin) is 12​ mcg/mL? Which action should the nurse​ take?

Hold the dose of gentamicin

The nurse notes a client that has received intravenous vancomycin​ (Vancocin) develops an upper body rash and has a decreased urine output. In addition to notifying the healthcare​ provider, which is the​ nurse's priority​ action?

Hold the next dose of vancomycin​ (Vancocin)

Which information should the nurse include in the discussion with a client about humoral and​ cell-mediated immune​ responses?

Humoral immunity refers to immune responses that are mediated by antibodies.

Which information in the health history should the nurse be concerned about for a client prescribed ibuprofen for a mild ankle​ sprain?

Hypertension Alcohol abuse Allergy to aspirin Recent history of a peptic ulcer

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?

Hypokalemia

Patient taking furosemide (Lasix) is about to begin taking prednisone to treat inflammatory bowel disease. health care professional should monitor for the following results of concurrent use of the two drugs

Hypokalemia

For which should the nurse monitor the older adult receiving​ chemotherapy?

Hypotension C. Peripheral neuropathy E. Reduced deep tendon reflexes

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 reduce the cardioprotective effects of low-dose aspirin

A nurse is teaching a client who has a new prescription for tramadol. Which of the following instructions should the nurse include?

Increase fiber and fluid intake Take the drug with food Avoid driving after taking the drug Change positions gradually

A nurse is caring for a client who is taking naloxone to treat acute morphine toxicity. The nurse should monitor the client for which of the following adverse drug reactions?

Increased respiratory rate Increased pain Ventricular arrhythmias Hypertension

Which adverse effects should the nurse monitor for in a client receiving acyclovir​ (Zovirax)?

Increased serum creatinine

Which is the​ nurse's priority assessment for a client prescribed cyclosporine​ (Sandimmune)?

Infection

Which describes the mechanism of action for Ibuprofen​ (Advil)?

Inhibition of prostaglandin synthesis

Which action should the nurse take after discontinuing an intravenous infusion of vincristine​ (Oncovin) that has​ extravasated?

Inject hyaluronidase per protocol. Place warm compresses on the site.

Which priority nursing actions should the nurse take prior to administering penicillin G benzathine​ (Bicillin LA) to a​ client?

Inquire about a history of allergies to penicillin. Inform the client that they will need be observed for 30 minutes after the injection.

Which intervention should the nurse integrate into the plan of care for a client receiving cyclophosphamide​ (Cytoxan) experiencing oral​ irritation?

Instruct the client to avoid extreme temperatures of food selections.

Which mechanism of action do azole antifungals​ have?

Interfere with the synthesis of ergosterol

Which describes a major characteristic of​ viruses?

Intracellular parasites

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?

Isoniazid

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?

Jaundice, numbness of the hands, and dizziness

Which of the following should the nurse identify as a component of the specific immune​ response?

Lymphocytes

A client tells the nurse they have been treated with interferon​ alfa-2b for cancer. Which types of cancer should the nurse recognize the client may have been treated​ for?

Malignant melanoma ​Kaposi's sarcoma Bladder cancer

Which information should the nurse include in the education for influenza​ vaccinations?

Many adults have a choice between injectable and intranasal forms of immunization. A child will receive one dose at 6 months and then every year.

Which prescription should the nurse anticipate prescribed for a client with​ trichomoniasis?

Metronidazole

Which is a nursing priority action for the client receiving gentamicin​ (Garamycin) intravenously?

Monitor the client for hearing loss.

A nurse is planning care for a client who has stared taking prednisone. Which of the following interventions should the nurse include?

Monitor the client's blood glucose

A client tells the nurse they have been taking aspirin to treat muscle pain. Based on this​ statement, which findings in the​ client's history should the nurse be concerned​ about?

Myocardial infarction at age 61 Helicobacter pylori infection treatment last month

A nurse is caring for a client who has a new prescription for butorphanol. The nurse should monitor the client for which of the following adverse drug reactions?

Nausea Dizziness Headache

Which should the nurse assess the client for that is receiving intravenous gentamicin​ (Garamycin)?

Neuromuscular toxicity Nephrotoxicity Neurotoxicity

Which adverse effects should the nurse monitor the client receiving vincristine​ (Oncovin) for?

Neurotoxicity

Which should the nurse monitor a client for that is receiving a​ salicylate?

Ototoxicity Nephrotoxicity

Which prescription may be a causative factor in a​ client's fever of unknown​ origin?

Paroxetine​ (Paxil) Chlorpromazine​ (Thorazine)

Which should the nurse recognize is the safest classification of antibiotics that is commonly​ prescribed?

Penicillin

Which prescription should the nurse anticipate for a client requiring an extended spectrum​ penicillin?

Piperacillin

Which data should the nurse review prior to administering nystatin to a female​ client?

Positive pregnancy

Which information should the nurse include in the teaching for a client prescribed an antiretroviral​ agent?

Practice good handwashing.

Which treatment plan should the nurse anticipate for the client with a sore​ throat, with white patches on the tonsils and swollen cervical lymph​ nodes?

Prescription for a throat culture.

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

Which findings are symptoms of​ inflammation?

Redness Warmth Pain Itching

Which describes the primary purpose of general pharmacotherapy for the treatment of​ HIV/AIDS?

Relieve symptoms for a longer period of time

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 rx and report to the provider?

Renal impairment.

Which outcome should the nurse anticipate for a client with herpes receiving acyclovir​ (Zovirax)?

Report of decreased pain using the approved pain scale.

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

Resistant HIV

Which information should the nurse include in the education for a client prescribed isoniazid​ (INH) for​ tuberculosis?

Return to the clinic in 1 month for laboratory work. Report any numbness in your hands or feet. Avoid the use of alcohol. Avoid aged cheeses and smoked meats.

A nurse is reviewing the medical record of a client who has a new prescription for tramadol. The nurse should identify that which of the following conditions is a contraindication for tramadol?

Seizure disorder

A health care professional 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.

Which physical areas does a superficial fungal infection​ affect?

Skin Nails Vagina

A nurse is teaching a client who has a new prescription for allopurinol. The nurse should instruct the client to report which of the following adverse drug reactions?

Sore throat Vertigo Bruising Vision changes

Which information should the nurse include when discussing the bodies defense against an invading​ organism?

Specific body defense usually only acts against a single organism.

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 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?

Sulfonamide allergy

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.

Which describes the mechanism of action of corticosteroids on the inflammatory​ response?

Suppress the release of histamine Inhibit certain functions of phagocytes Inhibit the biosynthesis of prostaglandins Inhibit certain functions of lymphocytes

Which therapeutic interventions should the nurse include when teaching a client about the primary treatments for​ cancer?

Surgery B. Chemotherapy Radiation therapy

Which signs of inflammation should the nurse anticipate for a client that has experienced a​ sports-related injury to their​ leg?

Swelling Pain Warmth

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, or gynecomastia.

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.Rationale: The nurse should recommend that the client take an antacid to relieve the dyspepsia at least 2 hr after taking ciprofloxacin, a fluoroquinolone. This is because antacids decrease the absorption of the drug.

Which instructions should the nurse include in the teaching for a client prescribed aspirin​ (ASA)?

Take the aspirin with a glass of milk.

A client has just been prescribed highly active antiretroviral therapy​ (HAART) for the treatment of AIDS. Which teaching point is a priority for this​ client?

Taking medications as scheduled is vital to successful treatment.

Which should the nurse identify as pharmacotherapy with natural products that have antineoplastic​ activity?

Taxanes C. Vinca alkaloids D. Topoisomerase inhibitors

Which information should the nurse provide when educating a client about the reduction of the development of antibiotic​ resistance?

The best way to prevent antibiotic resistance is to prevent infections from occurring. B. Antibiotic prescriptions are not used for the treatment of colds and influenza. C. Take the full amount of any prescribed medication. Use good infection control measures.

Which client should the nurse recognize has the highest risk for developing​ cancer?

The client who consumes excessive alcohol

Which outcome should the nurse include in the plan of care for the older client receiving nonsteroidal​ anti-inflammatory drug​ (NSAID) therapy?

The client will report any bleeding or bruising while taking the nonsteroidal​ anti-inflammatory drug​ (NSAID).

Which client is at the greatest risk for acquiring a fungal​ infection?

The client with malignant melanoma who is receiving chemotherapy

Which should the nurse recognize as the primary factor for nonadherence to the prescribed treatment for clients with​ AIDS?

The necessity of having to take multiple medications throughout the day

Which describes the growth fraction​ ratio?

The number of replicating cells to the number of resting cells.

Which describes the action of urinary​ antiseptics?

Therapeutic levels of the drug are reached in the kidney. They treat local infections in the urinary tract. The​ anti-infective action is are specific to the urinary system.

Which describes the main mechanism of action of alkylating​ agents?

They change the shape of the DNA double helix and prevent nucleic acid from completing normal cell division.

Which describes a characteristic of the class of​ carbapenems?

They have some of the broadest antimicrobial spectrums.

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?

Third gen cephalosporins.

Which information should the nurse include in the teaching for a client prescribed hepatis A immunoglobulin after being exposed to hepatitis​ A?

This injection may keep you from contracting hepatitis A.

Which information should the nurse provide the client prescribed oseltamivir​ (Tamiflu)?

This prescription should be taken immediately. This is an expensive prescription.

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 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 relieve mild pain

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

Which clinical finding indicates the nurse should hold the dose of methotrexate​ (MTX)?

Ulcerative stomatitis

Which is the​ nurse's priority when preparing to administer intravenous vesicant​ chemotherapy?

Understand the protocol for extravasation.

For which finding should the nurse notify the healthcare provider for a client prescribed​ prednisone?

Unexplained fever

Which unit of measurement should the nurse anticipate penicillin to be​ prescribed?

Units

A nurse is caring for a client who is receiving morphine to relieve severe pain. The nurse should monitor the client for which of the following adverse drug reactions?

Urinary retention Respiratory depression Sedation Orthostatic hypotension

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 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?

Use additional/non-hormonal form of contraception, as the drug can increase the metabolism of oral contraceptives.

For which adverse effect should the nurse monitor the client prescribed​ tamoxifen?

Vaginal discharge

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

Which laboratory test should the nurse use to evaluate the efficacy of the treatment with antiviral​ prescriptions?

Viral load

The nurse provides client education about viruses. Which statement made by the client indicates an understanding of the​ information?

Viruses are nonliving​ particles." ​"Viruses can infect plants as well as​ animals." ​"A virion is a mature​ virus." ​"Viruses are intracellular​ parasites."

A nurse is caring for a client who is opioid dependant and has a new prescription for butorphanol. The nurse should monitor the client for which of the following manifestations of ab syndrome?

Vomiting Abdominal cramps Hypertension

A nurse is reviewing the drug list for a client who has a new prescription for allopurinol. The nurse should identify that which of the following drug interacts with allopurinol?

Warfarin

Which of the​ client's current prescriptions should the nurse consult the healthcare provider about who has prescribed acetaminophen​ (Tylenol) four times a​ day?

Warfarin​ (Coumadin) 2 mg orally every day

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 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?

Weight gain

Which topics should the nurse include in the education of the client prescribed testosterone treatment for​ cancer?

Weight gain B. Sweating E. Nervousness

Which information should the nurse include in the explanation of inflammation for a​ client?

When cells are damaged nearby vessels get bigger. The vessels in the area allow fluids to escape. Inflammation produces pus. Inflammation causes pain.

The nurse is preparing to administer a second dose of​ diphtheria-pertussis-tetanus (DPT) when the parent expresses concern that their child developed a red rash after the previous​ diphtheria-pertussis-tetanus (DPT) immunization. Which action should the nurse​ take?

Withhold this immunization and contact the healthcare provider.

A client recovering from hepatitis B asks the nurse if he is immune to hepatitis B. Which information should the nurse provide the​ client?

You are now immune to getting hepatitis B​ again." ​"Chronic hepatitis B may take years to​ develop.

Which class of antifungals is the largest and most versatile​ group?

azole

Which should a client be monitored for when prescribed a​ glucocorticoid?

bruising

The nurse is caring for a client suspected of an overdose of amphotericin B​ (Fungizone). Which condition should the nurse observe the client​ for?

cardiorespiratory arrest.

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

Which describes the action of bactericidal​ drugs?

kill the bacteria.

For which adverse effect should the nurse assess a client prescribed efavirenz​ (Sustiva)?

rash

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?

tendon pain

A parent expressed concern to the nurse that their child does not have adequate immunity to chicken pox. Which response should the nurse​ provide?

​"A titer can be drawn to determine if there is adequate​ immunity."

Which question should the nurse ask the client that is prescribed cefepime​ (Maxipime)?

​"Are you allergic to​ penicillin?"

A client receiving interferon​ alfa-2b (Intron-A) tells the nurse that they get very sleepy and thirsty every time they take the prescription. Which assessment question should the nurse ask the​ client?

​"Are you including beverages with alcohol in your​ diet?"

Which priority question should the nurse ask the female client that has been prescribed penicillin​ G?

​"Are you taking birth control​ pills?"

A client with cancer asks the nurse how cancer occurs. Which response should the nurse provide the​ client?

​"Cancer cells are the​ body's cells that have lost the ability to control their​ growth."

Which information should the nurse include in the education for a parent of a child diagnosed with​ ascariasis?

​"Children get worms from playing in infected​ soil." ​"Treatment will consist of medication for 3​ days."

A client asks the nurse why there​ aren't better drugs for HIV infection when so much money is spent on research. Which response should the nurse​ provide?

​"Developing new drugs is difficult because the virus mutates so​ readily."

The nurse reviewing a​ client's records notes the client has been receiving nitazoxanide​ (Alinia). Which question should the nurse ask the​ client?

​"Do you have access to clean​ water?"

A pregnant client with AIDS asks the nurse if her baby will die of AIDS. Which response should the nurse​ provide?

​"Drug therapy can help prevent your child from contracting the​ virus."

The nurse notifies the supervisor after accidentally sticking herself with a needle while starting an intravenous​ (IV) line on a client with AIDS. Which response should the supervisor provide the nurse to decrease her​ anxiety?

​"Fortunately, the chances of you contracting HIV after the stick are very​ small."

A client suspected of having hepatitis C asks the nurse why cultures are being obtained when hepatitis is a virus. Which response should the nurse provide the​ client?

​"Hepatitis C viruses can be​ cultured."

The nurse has provided education about the action of histamines for a client. Which statement indicates an understanding of the​ information?

​"Histamine dilates the vessels in the​ nose, so it is congested and​ stuffy."

Which question should the nurse ask the client who has been receiving dolutegravir​ (DTG)?

​"How have you been​ sleeping?"

Which statement made by a client indicates an understanding of the maximum daily amount of ibuprofen​ (Motrin)?

​"I cannot take over 3200​ mg/day."

Which statement made by a client receiving interferon​ Alfa-2b (Intron-A) should the nurse recognize as adverse effects of the​ therapy?

​"I have been feeling​ dizzy." "I have lost my​ appetite." ​"I am so frequently​ tired."

Which question by a client receiving interferon​ alfa-2b (Intron-A) indicates further assessment is​ necessary?

​"I really feel​ sad; do I need to see a​ psychiatrist?"

The nurse has provided the education for a client prescribed cyclosporine​ (Neoral). Which statement made by the client indicates an understanding of the​ information?

​"I should not have​ grapefruit."

The nurse has provided education for a client prescribed an antifungal. Which statement made by the client indicates further teaching is​ required?

​"I will get up slowly to avoid feeling​ dizzy."

The nurse has provided education for a client prescribed a nonsteroidal​ anti-inflammatory. Which statement made by the client indicates an understanding of the​ information?

​"I will make sure I increase my fluid​ intake."

The nurse has provided education for a client being treated for pinworms with mebendazole​ (Vermox). Which statement made by the client indicates an understanding of the​ information?

​"I will make sure to chew the​ tablet."

Which statement made by a client prescribed​ trimethoprim-sulfamethoxazole (Septra) should the nurse be concerned​ about?

​"I will not take my warfarin at the same​ time.

The nurse has provided education for a client prescribed a topical antifungal. Which statement made by the client indicates further teaching is​ needed?

​"I will protect the area with an occlusive​ dressing."

The nurse has provided education for a client with AIDS prescribed antiviral treatment. Which statement made by the client indicates an understanding of the​ information?

​"I will still need to take precautions to avoid spreading the virus to​ others."

The nurse has provided education about cancer prevention to a community group. Which statements made by the participants indicate an understanding of the​ information?

​"I've been thinking about trying a vegetarian diet. Now may be a good​ time." ​"I am going to call my doctor and schedule a pap​ smear." ​"I am going to read the label on that new bottle of sunscreen I​ bought."

The nurse plans to teach the client with acquired immune deficiency syndrome​ (AIDS) about bacterial infections. Which information should the nurse include in this​ teaching?

​"If just a few bacteria make you​ sick, this is​ virulence." ​"Pathogenicity means the bacteria can cause an​ infection." ​"Actually, most bacteria will not harm​ us."

A client prescribed amoxicillin​ (Amoxil) for 10 days to treat strep throat tells the nurse that they are going to stop the prescription when they feel better. Which initial response should the nurse provide the​ client?

​"If you stop the prescription​ early, you may have not effectively killed the​ bacteria."

The educator has reviewed the use for immunosuppressants with a nurse. Which statements made by the nurse indicate an understanding of the​ information?

​"Immunosuppressants prevent tissue​ rejection." ​"Immunosuppressants treat severe inflammatory​ diseases." ​"Immunosuppressants dampen the immune​ response."

A client asks the nurse if they can use liquid acetaminophen​ (Tylenol) that is used for an older child for their​ 4-month-old baby with a fever. Which response should the nurse​ provide?

​"Infant drops should be used because they are different from liquid​ medicine."

A client that is experiencing inflammation from an injury asks the nurse how long it will take to respond to treatment. Which is the best response by the​ nurse?

​"It will take about a week and a half for the symptoms to​ resolve."

A client asks the nurse why lung cancers are less sensitive to antineoplastic agents. Which response should the nurse provide the​ client?

​"Lung cancer cells have a low growth​ fraction, which means there​ isn't much difference between the number of replicating and resting​ cells."

Which education should the nurse provide a client that has been prescribed a second​ 10-day course of a​ corticosteroid?

​"Make certain you do​ weight-bearing exercises at least three times each​ week." ​"Weigh yourself every​ day." ​"Let us know if you develop a​ fever."

A client with tuberculosis asks why they are prescribed multiple drugs. Which information should the nurse include in the​ education?

​"Multiple drugs are necessary because the bacteria are likely to develop resistance to just one​ drug."

The nursing educator reviews the subject of fungal infections with a nurse. Which statements made by the nurse indicate an understanding of the​ information?

​"Newer medications can be used for superficial as well as systemic​ infections." "Superficial infections are considered more benign than systemic​ infections." ​"Systemic infections require oral medications that have serious adverse​ effects."

Which information should the nurse include when providing education for an adult female client that is beginning the series of hepatitis B​ immunizations?

​"Practice reliable birth control for 3 months after the administration of the​ vaccinations."

Which statement should the nurse include when discussing antibiotic resistance with a​ client?

​"Resistance to antibiotics can occur by the common use for nosocomial​ infections."

A pregnant client with HIV receiving zidovudine asks the nurse why they will not test the newborn for HIV immediately after birth. Which response should the nurse​ provide?

​"Since you are taking​ zidovudine, a test at birth will not be​ accurate."

A client tells the nurse they do not understand why their prescribed antibiotic did not kill the bacteria that caused their infection. Which response should then nurse provide the​ client?

​"Some antibiotics work with your​ body's ability to help kill the​ infection."

A client with cancer that has not responded to treatment asks the nurse why he is being offered palliative chemotherapy. Which information should the nurse include in the​ discussion?

​"Sometimes the chemotherapy can reduce the size of the​ tumor." D. ​"Chemotherapy can sometimes reduce the​ pain." E. ​"Chemotherapy may well improve your quality of​ life."

A client asks why tamoxifen is so effective for the treatment of breast cancer. Which response should the nurse provide the​ client?

​"Tamoxifen works by blocking estrogen receptors on breast​ tissue."

A parent expressed the concern that some vaccines contain live microbes. Which statements should the nurse include in the discussion with the​ parent?

​"The microbes are live but are​ weakened." ​"The measles,​ mumps, and rubella vaccine are an​ example."

Which client statement made by the client indicates the treatment with an​ anti-inflammatory has been​ successful?

​"The pain in my shoulder is​ gone." ​"My fever went away​ yesterday."

A client with a fungal infection of the toenails prescribed oral terbinafine​ (Lamisil) asks the nurse how a pill will heal the nail infection. What should be the​ nurse's response?

​"The prescription accumulates in the nail beds and remains there for many​ months."

A client with hepatitis C asks the nurse what his chance is of developing chronic hepatitis C. Which information should the nurse​ provide?

​"The risk of you developing chronic hepatitis C is about​ 70%."

A client with​ Hodgkin's disease asks the nurse why he is receiving corticosteroids for chemotherapy. Which response should the nurse include in the​ discussion?

​"They suppress cell division in​ lymphocytes."

Which information should the nurse include in the teaching for the client prescribed ganciclovir​ (Cytovene)?

​"This drug will need to be applied multiple times a​ day."

A client tells the nurse they would prefer to indefinitely take prednisone to treat their inflammatory disease. Which is the best response by the​ nurse?

​"This is not recommended due to the serious side​ effects."

A client with AIDS asks the nurse why he must take so many prescriptions. Which response should the nurse provide the​ client?

​"To decrease the possibility of the virus developing resistance to the​ medications."

A client asks the nurse why he is receiving several chemotherapeutic agents as treatment for cancer. Which response should the nurse provide the​ client?

​"Using multiple drugs will help kill more of the​ cancer."

A parent tells the nurse they do not want their child vaccinated because there are too many risks associated with the vaccines. Which response should the nurse provide the​ parent?

​"Vaccinations have some​ risks, but the benefits outweigh the​ risks."

A client who has had malaria for many years asks the nurse why the prescriptions might not cure his or her illness when there are several drugs available. Which is the best response by the​ nurse?

​"When cysts occur late in the​ disease, the parasite is too resistant for the prescriptions to be​ effective."

A newly delivered obstetrical client with an​ A- blood type asks when she will get her Rh0​(D) immune globulin​ (RhoGAM) injection. Which statement should the nurse​ provide?

​"When we verify your​ infant's Rh​ factor."

A parent tells the​ nurse, "I am​ breastfeeding, so my baby is receiving my​ immunity, I do not see why any other vaccinations are​ necessary." Which responses should the nurse include in the​ discussion?

​"You are correct that your baby will receive some passive immunity from​ you." ​"There are some diseases for which immunity is not passed from mother to​ child." ​"Your baby will need the extra protection provided by standard​ immunizations."

A client receiving an oral nystatin suspension for a candida infection tells the nurse that he cannot continue to​ "swish and​ swallow" because his nausea is too great. What should be the​ nurse's response?

​"You can swish the prescription around and then spit it​ out."

A client asks the nurse when she should start having Pap tests to help detect cervical​ cancer?

​"You should start the testing by age​ 21."

Which information should the nurse include in the education for a client prescribed rifampin​ (Rifadin)?

​"Your urine may turn reddish​ orange."

The nurse has completed the teaching for a client with HIV prescribed zidovudine​ (Retrovir). Which statement made by the client indicates further teaching is​ required?

​"Zidovudine (Retrovir) prevents spread of the virus through sexual​ contact."

Which should the nurse anticipate prescribed for a client with a complicated MRSA​ infection?

​Quinupristin/dalfopristin (Synercid)

A client with a benign tumor on his arm asks the nurse why he is not being treated with anything. Which response should the nurse​ provide?

"Benign tumors do not​ metastasize." D. ​"Your tumor is slow​ growing." E. ​"Benign tumors rarely require​ treatment."

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."

Which statement should the nurse include in the parental teaching for the administration of acetaminophen​ (Tylenol) to a​ child?

"Read the labels of all​ over-the-counter medications for the amount of acetaminophen​ (Tylenol)."

Which should the nurse include as the causes of cancer when providing client​ education?

"Some cancers have a strong genetic​ component." C. ​"Cancers have a very strong environmental​ component." E. ​"Cancer can result from damaged tumor suppressor​ genes."

Which statement should the nurse include in the education for a client prescribed a nonsteroidal​ anti-inflammatory drug​ (NSAID)?

"Take your medication with​ food."

The nurse has provided parental education on infant immunization. Which statements made by the parent indicates an understanding of the​ information?

"The baby might have a mild fever and be fussy for a few​ days." ​"I can give acetaminophen​ (Tylenol) if the baby has a mild​ fever."

Which information should the nurse include in the client teaching for​ amebiasis?

"The primary symptom is​ diarrhea." ​"Amebiasis may damage the​ liver." ​"Amebiasis is contracted through contact with contaminated​ water."

A parent of a child diagnosed with pinworms tells the nurse they are concerned about administering the prescription because it may be toxic. Which information should the nurse include in the​ teaching?

"Very little of the drug is absorbed into the​ system." ​"Severe infestations can result in​ malabsorption." ​"The child may be at an increased risk for​ immunosuppression."

Which statements should the supervisor use to respond to a newly employed nurse who​ states, "I am not certain I want to get a hepatitis​ shot"?

"Working in a hospital puts you at a higher risk for being exposed to hepatitis​ B." ​"This immunization is administered to children before they are 2 years​ old." ​"The vaccine is​ 90% effective in preventing hepatitis​ B."

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 client with severe inflammation of the knee prescribed a corticosteroid asks why they need to return to the clinic for a​ 10-day follow-up. Which information should the nurse provide the​ client?

"Your prescribed treatment will be​ evaluated." ​"The knee should be​ re-examined." ​"Corticosteroids should only be taken for 1 to 3​ weeks." ​"Your prescription may be changed to an​ NSAID."

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 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 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 parent asks the nurse when their infant will receive the hepatitis A vaccine. Which information should the nurse​ provide?

A booster immunization is given 6-12 months after the initial immunization.

A nurse is caring for a group of postoperative clients. The nurse should identify that morphine is contraindicated for which of the following clients?

A client who had a cholecystectomy

Which finding should the nurse instruct the client receiving tamoxifen to immediately report to the healthcare​ provider?

A temperature of 101.1

The nurse is preparing education for a client prescribed metronidazole​ (Flagyl). Which laboratory tests should the nurse anticipate to be affected by the​ prescription?

ALT/AST.

Which describes​ pathogenicity?

Ability of organisms to cause infection.

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.

Which nursing interventions are required for the client prescribed amphotericin B​ (Fungizone)?

Administer the medication by IV push. B. Administer acetaminophen before giving the amphotericin B ​(Fungizone). C. Review the BUN level.

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

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?

Alcohol use disorder

Which individual should receive a hepatitis B​ vaccine?

All newborn infants Clients with HIV People who are incarcerated

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."

Which should the nurse recognize is a​ broad-spectrum penicillin?

Ampicillin is a​ broad-spectrum or aminopenicillin. Amoxicillin is a​ broad-spectrum or aminopenicillin.

Which prophylactic treatment should the nurse anticipate to be prescribed for a client prior traveling to​ Africa?

Antimalarial drugs

Which information should the nurse include in the client teaching about pharmacotherapy for​ influenza?

Antiviral prescriptions can be used to treat active influenza infections.

Which action should the nurse take after discontinuing an intravenous infusion of doxorubicin​ (Adriamycin) that has​ extravasated?

Apply ice packs to the area immediately.

Which information should the nurse include in the education for a client prescribed an oral suspension of nystatin​ (Nystop) for oral fungal​ infection?

Apply with a swab to the affected area.

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 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?`

Aspirin

Which is a priority nursing assessment for the client receiving multiple​ antibiotics?

Assessing changes in​ stool, white patches in the​ mouth, and urogenital itching or rash

A nurse is teaching a client who has a new prescription for allopurinol. Which of the following instructions should the nurse include?

Avoid driving or activities that require mental alertness.

Which is a nursing priority to include in the teaching for the client prescribed an​ immunosuppressant?

Avoid large crowds.

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/Erythromycin.

Which describes the major difference between B cell lymphocytes and T cell​ lymphocytes?

B cells produce antibodies.

Which laboratory values should the nurse plan on monitoring for the client receiving amphotericin B​ (Fungizone)?

BUN Serum creatinine

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?

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

Which describes the action of aromatase​ inhibitors?

Block an enzyme that catalyzes the final step in the synthesis of estrogen

Which laboratory test should the nurse anticipate prescribed to help identify the correct antibiotic to be used for the treatment of a client with a fever of 104

Blood for culture and sensitivity

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?

Bone loss

A client with leukemia asks the nurse where the cancer in her body is located. Which response should the nurse provide the​ client?

Bone marrow

Which should the nurse understand can be used to minimize bone marrow​ toxicity?

Bone marrow transplantation D. Platelet administration E. Growth factor therapy

A client asks the nurse why they need a booster vaccine. Which response should the nurse​ provide?

Boosters provide sustained protection.

A parent tells the nurse their child receiving leukemia chemotherapy has been exposed to varicella​ (chickenpox). Which instruction should the nurse provide the​ parent?

Bring the child into the clinic as soon as possible to receive an injection of varicella immune globulin.

Which is an early laboratory marker of​ inflammation?

C-Reactive protein

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?

C. diff-associated diarrhea.

Which is the most important nursing consideration for clients receiving alkylating​ agents?

CBC with differential

Which laboratory test is used to evaluate the degree of damage to the immune system caused by​ HIV?

CD4​ T-cell count

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.

Which is the most common type of opportunistic fungal​ infection?

Candida albicans

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

Cardiac dysrhythmias, as the drug can cause ECG changes, such as a prolonged QT interval. Report palpitations, fainting, and dizziness.

Which adverse effect should the nurse monitor the client receiving doxorubicin​ (Adriamycin) for?

Cardiotoxicity

A nurse is caring for a client who has a gynecologic infection and a hx of alcohol use disorder. The nurse should identify that which of the following drugs can cause a rxn similar to disulfiram if the client drinks alcohol while taking it? SATA.

Cefotetan + Metronidazole

A client who had a kidney transplant 5 days prior says to the​ nurse, "I am glad I did not reject my​ kidney." Which information should the nurse provide the​ client?

Cell-mediated rejection takes place about 2 weeks after transplant. Chronic rejection may occur months after transplant. Chronic rejection may occur years after transplant.

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 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?

Chest pain

The nurse notes a client has a​ gram-negative urinary tract infection. Which prescription should the nurse​ anticipate?

Ciprofloxacin​ (Cipro)