Immune Medications

The nurse is reinforcing instructions to the client about the use of ceftriaxone, an antibiotic, for treating cervical gonorrhea. The nurse should determine a need for further teaching if the client makes which statement?

"I will take the pills for 20 full days."

Amikacin is prescribed for a client with a diagnosed bacterial infection. The nurse instructs the client to contact the primary health care provider (PHCP) immediately if which occurs?

Hearing loss

The nurse is taking a health history on the client seen in the health care clinic for the first time. When the nurse asks the client about current prescribed medications, the client tells the nurse that amprenavir is prescribed twice daily. Based on this finding, the nurse should elicit data from the client regarding the presence of which condition?

Human immunodeficiency virus (HIV)

The nurse is assisting in preparing a plan of care for the client diagnosed with acquired immunodeficiency syndrome (AIDS) who will be receiving ganciclovir. The nurse determines that which intervention should be included in the plan of care?

Instruct the client to use an electric razor for shaving.

Itraconazole is prescribed for the client diagnosed with a fungal infection of the hands. Which statement by the client best indicates an understanding of the medication?

"If my urine becomes very dark, I should contact my primary health care provider."

The client who received a kidney transplant is taking azathioprine, and the nurse reinforces instructions about the medication. Which statement by the client indicates a need for further teaching?

"I need to discontinue the medication after 14 days of use."

The nurse reinforces medication instructions to the client who had a kidney transplant about therapy with cyclosporine. Which statement by the client should indicate a need for further teaching?

"I need to obtain a yearly influenza vaccine."

The nurse has reinforced discharge instructions to the mother of a child who is prescribed tetracycline to treat Rocky Mountain spotted fever (RMSF). Which statement by the mother indicates the best understanding regarding the administration of the medication?

"I need to use a straw when I give the medication."

The nurse is caring for the client diagnosed with tuberculosis (TB). Rifampin, 600 mg by mouth daily is prescribed for the client. The nurse reinforces instructions to the client regarding the administration of this medication. Which statement by the client indicates an understanding of the instructions?

"I will need to take the medication for months."

Saquinavir is prescribed for the client diagnosed as human immunodeficiency virus (HIV) seropositive. The nurse should reinforce medication instructions and determine that the client needs further teaching if the client makes which statement?

"I will take the medication on an empty stomach."

The nurse is reviewing instructions to a client diagnosed with otitis media who is prescribed amoxicillin 500 mg orally every 8 hours. The nurse should determine that which statement by the client most indicates an understanding of the adverse effects related to the medication?

"If I get diarrhea, I need to call the doctor."

The client with a diagnosis of human immunodeficiency virus (HIV) prescribed an oral solution of ritonavir complains about the taste of the solution. Which response should the nurse give the client?

"Mix the oral solution with chocolate milk."

Zidovudine is prescribed for an adult client diagnosed with human immunodeficiency virus (HIV). Which statement by the nurse should provide the best instruction to the client about the medication?

"Space the medication doses evenly around the clock."

The client is prescribed trimethoprim-sulfamethoxazole for a recurrent urinary tract infection (UTI). The nurse should reinforce which most appropriate instructions to the client regarding this medication?

"Take each dose with 8 oz of water, and drink extra water each day."

The nurse notes that zidovudine (AZT) has recently been prescribed for the client. The client states, "I've been getting a little nauseated, and I've had a couple of headaches since I was prescribed the AZT. Does this mean I can't take the medicine?" The nurse should make which response to the client?

"These symptoms may become more tolerable as you adjust to ongoing therapy."

Nalidixic acid is prescribed for the client diagnosed with a urinary tract infection. Reviewing the client's record, the nurse notes that the client is prescribed warfarin on a daily basis. Which prescription should the nurse anticipate because the client is taking this oral anticoagulant?

A reduction in the anticoagulation dosage

The client with diagnosed acquired immunodeficiency syndrome (AIDS) and Pneumocystis jiroveci infection has been receiving pentamidine. The client develops a temperature of 101° F (38.3° C). The nurse continues to monitor the client, knowing that this sign would most likely indicate which condition?

A result of another infection caused by the leukopenic effects of the medication.

The client has been prescribed nitrofurantoin sodium. The nurse should determine the therapy is effective if which result is noted?

Absence of dysuria

The child is diagnosed with tinea capitis of the scalp. Oral griseofulvin has been prescribed for the child, and the nurse provides instructions regarding the administration of the medication. Which instructions should the nurse include to the mother?

Administer the medication with milk.

The nurse is admitting the client to the nursing unit who is scheduled for several diagnostic tests. When obtaining a medication history, the nurse discovers that the client is prescribed tacrolimus daily. On further data collection, which should the nurse expect to note in the client history?

Allogenic liver transplant

Efavirenz, an antiviral medication, is prescribed for the client diagnosed with human immunodeficiency virus (HIV) infection. Which time should the nurse instruct the client to be best to take this medication?

At bedtime

Saquinavir is prescribed for the client who is diagnosed with human immunodeficiency virus (HIV) seropositive. The nurse should reinforce medication instructions about which health care measure to the client?

Avoid sun exposure.

The 15-year-old child is scheduled to receive a series of the hepatitis B vaccine. The child arrives at the clinic for the first dose. The nurse collects data on the child before administering the vaccine and should ask the child about a history of an allergy to which primary product?

Baker's yeast

The nurse is providing vaccine information to the second-day postpartum client who received a rubella vaccine. The nurse should instruct the client to avoid which action after receiving this vaccine?

Becoming pregnant for 2 to 3 months

The nurse is reviewing the laboratory results for the client receiving tacrolimus. Which laboratory result should indicate to the nurse that the client is experiencing an adverse effect of the medication?

Blood glucose of 200 mg/dL

Cyclosporine is prescribed for the client following an allogenic kidney transplant. The nurse should reinforce which instructions to the client regarding this medication?

Blood levels of the medication will need to be measured periodically.

The nurse is caring for a postrenal transplantation client with prescription for cyclosporine. If the nurse notes an increase in one of the client's vital signs and the client is complaining of a headache, which vital sign is most likely increased?

Blood pressure

The nurse is preparing to administer pentamidine isethionate to an assigned client by the intramuscular route. Which most appropriate parameter should the nurse monitor while administering this medication?

Blood pressure (BP)

The nurse is assigned to care for the client diagnosed with herpes simplex virus (HSV) prescribed acyclovir. The nurse is monitoring for adverse effects of the medication. Which laboratory result should the nurse primarily monitor to identify an adverse effect associated with the use of this medication?

Blood urea nitrogen (BUN)

Methenamine is prescribed for the client diagnosed with a gram-positive urinary tract infection. The nurse should question the prescription if which preexisting disorder is noted in the client's record?

Cirrhosis

Mycophenolate mofetil is prescribed for the client as prophylaxis for organ rejection following an allogeneic renal transplant. Which instruction should the nurse most reinforce regarding administration of this medication?

Contact the primary health care provider (PHCP) if a sore throat occurs.

The client diagnosed with acquired immunodeficiency syndrome (AIDS) has an opportunistic respiratory fungal infection and is prescribed intravenous amphotericin B. The nurse assisting in caring for the client should primarily monitor for which sign that indicates an adverse effect of the medication?

Decreased urine output

Which report best indicates to the nurse that the client is experiencing a toxicity-related reaction to kanamycin sulfate?

Difficulty hearing

The client has been given a prescription for trimethoprim. The nurse should determine the client understands how to use the medication properly if the client states an intention to perform which action?

Drink extra fluids while taking the medication.

The nurse notes that the client is receiving lamivudine. The nurse should determine that this medication has been prescribed to most likely treat which condition?

Human immunodeficiency virus (HIV) infection

The client who is diagnosed with human immunodeficiency virus (HIV) seropositive has been taking stavudine. The nurse should monitor which parameter closely while the client is taking this medication?

Gait

The nurse is reinforcing dietary instructions to the client prescribed cyclosporine. Which priority food item should the nurse instruct the client to avoid?

Grapefruit juice

The client has been prescribed amikacin. Which priority baseline function should the nurse determine needs to be monitored?

Hearing acuity

The client diagnosed with acquired immunodeficiency syndrome (AIDS) is prescribed intravenous (IV) pentamidine isethionate. The nurse assigned to care for the client should primarily monitor for signs of which toxic effect related to the administration of this medication?

Hypoglycemia

Indinavir is prescribed for the client with a diagnosis of human immunodeficiency virus (HIV). Which medication instruction should the nurse reinforce to the client?

Increase fluid intake to at least 1.5 L/day.

The nurse employed in a neighborhood health care clinic notes that the primary health care provider has prescribed oseltamivir. The nurse should reinforce teaching the client specific home care measures after determining this medication was prescribed for which condition?

Influenza virus

The client diagnosed with diabetes mellitus has a foot infection and is prescribed antibiotic therapy with an aminoglycoside. The nurse collects data from the client and notes that the client has a hearing loss. The nurse should take which action next?

Inform the registered nurse (RN) about the hearing loss.

The client prescribed metronidazole calls the clinic nurse to report dark discoloration of the urine. The nurse should interpret that the client's report warrants which nursing action at this time?

Instruct the client to increase oral fluid intake.

The nurse should emphasize which statement when reinforcing instructions to a client about the use of indinavir?

Moisture can affect the potency of the medication.

The client diagnosed as human immunodeficiency virus (HIV) seropositive has been prescribed zalcitabine as a component of treatment. The nurse should instruct the client that which laboratory test will need to be monitored while taking this medication?

Liver function studies

The nurse is caring for a client prescribed an oral hypoglycemic agent that has just been diagnosed with a urinary tract infection. The primary health care provider plans to treat the infection with sulfamethoxazole. The nurse should expect that because of medication interactions, the primary health care provider will adjust which prescription?

Lower dose of the oral hypoglycemic

An oral powder form of nelfinavir is prescribed for the client diagnosed with human immunodeficiency virus (HIV). The nurse should reinforce instructions regarding the preparation of the medication and instruct the client to mix the powder with which substance?

Milk

The nurse reinforces instructions to the client prescribed to take cyclosporine oral solution. Which instruction should the nurse primarily include?

Mix the concentration with chocolate milk.

The nurse is preparing to administer ribavirin to the child with a diagnosis of respiratory syncytial virus (RSV). The pharmacy dispenses the medication as a powder. Which action should the nurse perform in preparation to administer the medication?

Mixing the medication as prescribed and administering by inhalation

Ketoconazole is prescribed for a client with a diagnosis of candidiasis. Which interventions should the nurse include when administering this medication? Select all that apply.

Monitor liver function studies. Instruct the client to avoid alcohol. Instruct the client to avoid exposure to the sun.

The nurse is assisting in caring for the client receiving amphotericin B intravenously (IV) to treat disseminated candidiasis. The nurse reviews the plan of care and should implement which priority action during the administration of the medication?

Monitors urinary output

The client prescribed infliximab via intravenous (IV) injection is complaining of difficulty swallowing. Which should be the initial nursing action?

Notify the registered nurse (RN).

The client is prescribed tacrolimus to prevent organ rejection. The nurse should expect to administer the dose with which medication that is also normally prescribed?

Prednisone

The client diagnosed as human immunodeficiency virus (HIV) seropositive is prescribed stavudine. Which measure should the nurse assess most closely while the client is taking this medication?

Presence of paresthesias

The client diagnosed with acquired immunodeficiency syndrome (AIDS) is taking nevirapine. The nurse should monitor for which side/adverse effects of the medication? Select all that apply.

Rash Hepatotoxicity

Tacrolimus is prescribed for the client. Which disorder in the client's record should the nurse note that indicates the medication needs to be administered with caution?

Renal insufficiency

Dapsone is prescribed for the client diagnosed with acquired immunodeficiency syndrome for the treatment of toxoplasmosis. The nurse should reinforce medication instructions and determine that the client understands the instructions if the client makes which statement?

Report a sore throat to the primary health care provider.

The client with a diagnosis of urinary tract infection is beginning medication therapy with nitrofurantoin. The nurse should realize the need for further teaching if the client states which item will need to be avoided?

Rhubarb

The nurse is assigned to care for the client diagnosed with cytomegalovirus retinitis and acquired immunodeficiency syndrome (AIDS) who is receiving foscarnet. The nurse should monitor the results of which laboratory study while the client is taking this medication?

Serum creatinine level

The clinic nurse prepares to administer an MMR (measles, mumps, rubella) vaccine to the child. The nurse should administer this vaccine by which method?

Subcutaneously in the outer aspect of the upper arm

The nurse is assigned to care for the client with a diagnosis of toxoplasmosis. The primary health care provider has prescribed sulfasalazine. The nurse preparing to administer the medication should determine that this medication is in which drug category?

Sulfonamide

The client is prescribed oral erythromycin. The nurse should reinforce which instruction regarding the administration of this medication?

Take on an empty stomach.

The client with a diagnosis of acquired immunodeficiency syndrome (AIDS) has a low T4 count. The nurse initiates prophylactic treatment as prescribed with aerosolized pentamidine isethionate and should monitor for which expected outcome?

The client has a respiratory rate and depth within normal limits for activity level.

The client taking fexofenadine is scheduled for allergy skin testing and tells the nurse in the primary health care provider's office that a dose was taken that morning. Which should the nurse anticipate happening as a result?

The client will need to reschedule the appointment.

Vancomycin has been prescribed for the client. The nurse should plan to monitor which item associated with effectiveness of this medication?

Therapeutic serum levels

Stavudine is prescribed for the client diagnosed with advanced human immunodeficiency virus (HIV). The nurse reinforcing medication instructions to the client should instruct the client about the importance of reporting which sign/symptom to the primary health care provider?

Tingling in the extremities

The nurse has a routine prescription to instill erythromycin ointment into the eyes of the newborn. The nurse should explain to the parents that this medication is used for which primary purpose?

To protect the newborn from contracting an eye infection from the birth process

Lamivudine is prescribed for the client diagnosed with human immunodeficiency virus (HIV) who is prescribed zidovudine. Which should the nurse reinforce in the medication instructions to the client?

To report vomiting or abdominal pain to the primary health care provider

The nurse is emphasizing discharge instructions to the mother of the child who has been prescribed tetracycline hydrochloride. The nurse should most appropriately stress the importance of which instruction?

Use a straw when the child is taking the medication.

The nurse working in a pediatric clinic is preparing to administer childhood vaccinations to a 15-month-old child. Which vaccine should be added to the child's routine immunizations at this time because the child is older than 12 months of age?

Varicella

The nurse is assisting in caring for the client diagnosed with a respiratory tract infection who is prescribed intravenous tobramycin sulfate. The nurse is instructed to monitor for adverse effects of the medication. The nurse should determine that which finding is most indicative of an adverse effect of this medication?

Vertigo

The client newly diagnosed with gout has been prescribed allopurinol. The nurse should question the primary health care provider if the dose for which medication already prescribed has not changed?

Warfarin sodium

The client is prescribed sulfisoxazole. Which measure should the nurse monitor to determine if the therapy is effective?

White blood cell count

The licensed practical nurse employed in the ambulatory clinic is assisting the registered nurse prepare to administer a dose of intravenous immune globulin (IVIG). The licensed practical nurse should ensure that which medication is readily available before the medication is administered?

Epinephrine

Moxifloxacin is prescribed for the client with a diagnosis of community-acquired pneumonia. The client needs to take the medication for 10 days, and the nurse reinforces instructions to the client about the medication. Which statement by the client best indicates an understanding of the medication instructions?

"I need to wear sunscreen and protective clothing when outdoors."

The client diagnosed with acquired immunodeficiency syndrome and Pneumocystis jiroveci infection has been prescribed pentamidine isethionate. The nurse assisting in caring for the client should monitor the client most closely for which adverse effect?

Anemia

The client diagnosed with acquired immunodeficiency syndrome has been prescribed zidovudine. The nurse reviewing the primary health care provider's prescription, should expect to note that which laboratory test has been prescribed?

Complete blood count (CBC)

The client taking metronidazole for the treatment of Trichomonas vaginalis calls the nurse employed in the primary health care provider's office concerned because of a feeling of tingling and numbness in the extremities. Which instructions should the nurse provide to the client?

Report to the clinic to see the primary health care provider immediately.

The client diagnosed with an infected leg wound that is draining purulent material has a prescription for sodium hypochlorite to be used in the care of the wound. The nurse should perform which priority action while using this solution?

Rinse off the solution immediately following irrigation.

Ketoconazole is prescribed for an assigned client. The nurse should prepare to administer the medication in which manner?

With food

The nurse is caring for the client diagnosed with a skin infection who is prescribed amoxicillin 500 mg every 8 hours. Which sign/symptom should indicate to the nurse that the client is experiencing a frequent side effect related to the medication?

Vaginal drainage

The client diagnosed with tuberculosis (TB) is prescribed rifampin. The nurse should reinforce which instruction regarding this medication?

Wear glasses instead of soft contact lenses.

The nurse is reinforcing medication instructions to the client with a diagnosis of human immunodeficiency virus (HIV) who is prescribed saquinavir. Which instruction should the nurse most appropriately provide the client in regard to taking this medication?

Within 2 hours after a full meal

The client diagnosed with acquired immunodeficiency syndrome (AIDS) has begun therapy with zidovudine. The nurse should monitor which laboratory result during treatment with this medication?

Complete blood count

The nurse is reviewing the results of serum laboratory studies drawn on a client diagnosed with acquired immunodeficiency syndrome (AIDS) who is receiving didanosine. The nurse determines that the client may have the medication discontinued by the primary health care provider (PHCP) if which significantly elevated result is noted?

Serum amylase

The client with a diagnosis of human immunodeficiency virus (HIV) who has contracted tuberculosis (TB) asks the nurse how long the medication therapy lasts. Which duration of treatment should the nurse explain to the client?

9 total months and at least 6 months after cultures convert to negative