Pharmacology the immune system

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 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 particulates."

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 in 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 should 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 caring for 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.)

-Parasthesia -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 a trastuzumab infusion to treat metastatic breast cancer. Which of the following findings 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?

11-12 years old

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

Advanced HIV

A nurse 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 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 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 NSAIDs, anticoagulants, and antiplatelet drugs increase the client's risk for bleeding while receiving topotecan, a topoisomerase inhibitor. The nurse should advise the client against taking aspirin, ibuprofen, and other NSAIDs during therapy.

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 the drug?

Rash Delavirdine, a non-nucleoside reverse transcriptase inhibitor, can cause a rash. The nurse should instruct the client to report a rash, which can occur 1 to 3 weeks after therapy, because it can develop into Stevens-Johnson syndrome, a potentially life-threatening complication.

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 Trastuzumab, a monoclonal antibody and a pregnancy risk category D drug, treats and helps control the cell growth of metastatic breast cancer with tumors that overexpress HER2. This form of breast cancer accounts for up to 30% of metastatic breast tumors.

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 effect of the drug.

Weak hand grasps

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 teaching a client who has a new disagnosis 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