ATI Pharm Questions- Immune System

A nurse is 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? > 11-12 years old > 7-9 years old > 13-15 years old > 15-17 years old

11-12 years old

a nurse should recognize that maraviroc is used in the treatment of which of the following conditions? > DM > meningeal infection > pancreatitis > chemokine receptor 5 (CCR5)-tropic HIV-1

Chemokine receptor 5 (CCR5)-tropic-HIV-1

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? > DVT > COPD > DM > ETOH

DVT Tamoxifen can cause a thromboembolism

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 risk of neurotoxicity? > Diphenhydramine > Leucovorin > folic acid > dexamethasone

Dexamethasone Clients receiving the intrathecal form of cytarabine should receive dexamethasone, a glucocorticoid, to help decrease the inflammation of the arachnoid that the drug can cause, IV dexamethasone reduces the clients risk for neurotoxicity.

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 client an antihistamine > infuse drug over 1 hr > administer the drug through non-PVC tubing > use an in-line filter > add heparin to the paclitaxel solution

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

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 influenzae type B vaccine (Hib) > varicella vaccine > meningococcal conjugate vaccine (MCV4) > Tdap

Haemophilus Influenzae Type B (Hib) vaccine

A nurse is caring for a client who is prescribed zidovudine. Which of the following lab values should the nurse report to the provider? >Hemoglobin 7.1 > RBC count 5.2/ mm^3 >Neutrophil 57% > Triglycerides 125

Hemoglobin If hemoglobin is lower than 7.5, the provider might consider dose reduction, d/c therapy or blood transfusions

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 > Human papillomavirus vaccine (HPV) > pneumococcal vaccine > haemophilus influenzae type B vaccine (Hib)

Herpes Zoster vaccine The herpes zoster, or shingles vaccine, is recommended for adults older than 50 years of age

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 type of OTC drugs while receiving the therapy? > Folic Acid > St. Johns Wort > Ibuprofen > Aluminum hydroxide

Ibuprofen NSAIDS, anticaogs, and antiplatelet drugs increase clients risk for bleeding while receiving topotecan.

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" > "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 meds" > "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.

A nurse is preparing to administer the MMR vaccine to a child. The nurse should recognize that the MMR vaccine provides which of the following types of immunity? > artificial active immunity > active > passive > artificial passive immunity

The MMR vaccine provides artificial active immunity to a child. The vaccine contains a form of the disease that is live, attenuated, or killed, allowing the body to build up an active immunity against the disease.

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 > imatinib > leuprolide > flutamide

Trastuzumab

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 > avoid activities that require mental alertness > perform hand hygiene frequently > avoid all activities that can cause injury

Use contraception if pregnancy is a risk Perform oral hygiene frequently Perform hand hygiene frequently Avoid activities that can cause injury

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 SQ > discard the unused portion > roll the vial gently to reconstitute the solution > inject the solution at room temperature > expect a cloudy solution

administer 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 > increase calcium intake > weigh yourself daily > perform hand hygiene frequently > avoid grapefruit and grapefruit juice

clean fruits and vegetables thoroughly weigh yourself daily perform hand hygiene frequently avoid grapefruit and grapefruit juice

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. > paresthesia > cough > tinnitus > jaundice > fever

paresthesia cough jaundice fever

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 an infusion reaction > to increase platelet production > to protect healthy cells from the toxic effects of ritonavir > to prevent drug resistance

to prevent drug resistance (and increase drug effectiveness)

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 > constricted pupils > bradycardia > crackles

weak hand grasps Vincristine can cause peripheral neuropathy.

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 > ascites

wheezing dysrhythmias hypotension fever

A nurse should recognize that enfuvirtide can be prescribed to client who have which of the following conditions? > Advanced prostate cancer > primary brain tumors > advanced HIV > metastatic ovarian cancer

Advanced HIV Enfuvirtide, a fusion inhibitor, treats HIV that is advanced or resistant to other types of treatment, always administer the drug with other antiretrovirals.

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" > "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.

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 > conjunctivitis

Paresthesia Sore Throat Flank Pain Tinnitus

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 > insomnia > rhinitis > alopecia

Rash a rash can develop into stevens-Johnson syndrome

The nurse should recognize that raltegravir is used to treat clients who have which of the following conditions? > hairy cell leukemia > thyroid cancer > kaposi's sarcoma > resistant HIV

Resistant HIV raltegravir, an integrase inhibitor, along with other antiretrovirals, treat HIV that is resistant to other drugs.

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" > "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 don't 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.