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 of age
A client is about to start therapy with topotecan to treat metastatic ovarian cancer. To minimize neutropenia you should administer filgrastim at which of the following times?
24 hours after the topotecan infusion
What should the pt report when taking tamoxifen?
Abnormal menstrual bleeding
A nurse is preparing to administer enfuvirtide to a client. Which of the following actions should the nurse plan to perform?
Administer the drug subQ Roll the vial gently to reconstitute Inject the solution at room temp
A nurse should recognize that enfuvirtide can be prescribed to clients who have which of the following conditions
Advanced HIV
Zidovudine should be used with caution in patients with?
Alcohol use disorder
A nurse is instruction a client on 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
The nurse is preparing to administer the MMR vaccine to a child. The nurse should recognize that the MMR vaccine provides which of the following type of immunity.
Artificial active immunity
A client is about to start mercaptopurine to treat acute lymphocytic leukemia. You should instruct the client to watch for and report which of the following indications of an adverse effect?
Bruising
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
What medication is used to treat gastrointestinal adenocarcinoma
Carmustine
Which medication treats metastatic brain tumors?
Carmustine
A nurse should recognize that maraviroc is used in the treatment of which of the following conditions?
Chemokine Receptor 5-tropic HIV-1
Which medication is used to treat HIV-1 Infection?
Delavirdine
A nurse is teaching a client who has a new prescription of imatinib to treat myeloid leukemia. Which of the following instructions should the nurse include?
Clean fruits and veggies thoroughly Weight yourself daily Perform hand hygiene frequently Avoid grapefruit and grapefruit juice
Which is an adverse effect to a patient taking imatinib to treat chronic myeloid leukemia?
Crackles at lung bases
What medication is used to treat multiple myelomas?
Cyclophosphamide
Which medication is used to treat acute myelocytic leukemia?
Cytarabine
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
Interferon Alpha-2a should be used with caution in patients with?
Diabetes
When talking with the client about chemotherapy with doxorubicin, you explain the need for periodic diagnostic tests. The result of which of the following dx test or procedures requires monitoring?
EKG
Which medication is used to treat advanced or resistant HIV disease?
Enfuvirtide
Which medication should the nurse have on hand while administering trastuzumab?
Epinephrine
A client is taking ritonavir for HIV-1 infection. What instructions should be provided?
Expect periodic blood glucose tests Watch for and report jaundice Increase weight-bearing activity Expect periodic cholesterol testing
You should monitor this client for which of the following indications of an adverse rations to cyclophosphamide?
Fever
Which medication is used to treat metastatic prostate cancer?
Flutamide
Which medication is used to treat prostate cancer?
Flutamide
A nurse is preparing to administer paclitaxel IV to a client who has ovarian cancer. Which of the following actions should the nurse take?
Give the client an antihistamine Administer the drug through non-PVC tubing Use an in-line filter
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
You are administering cyclophosphamide and mesna to a client. Mesna, a chemoprotective agent, helps prevent which adverse reactions to cyclophosphamide?
Hemorrhagic Cystitis
A nurse is teaching a client about recommended immunizations. Which of the following immunizations should the nurse recommend the client receive starting at 50?
Herpes Zoster Vaccine
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?
Hib
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
You are about to administer cisplatin to a client who has ovarian cancer. Before beginning the infusion, you should take which of the following actions?
Infuse 1-2L of IV fluid Administer an antimetic Evaluate the clients hearing Determine the clients weight
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
What medication is used to treat Kaposi's sarcoma
Paclitaxel
During IV administration of doxorubicin, the infusion site becomes swollen, red, and painful. Which of the following actions should you take?
Stop the IV infusion
Which medication is used to treat breast cancer?
Tamoxifen
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 has a new prescription for cisplatin to treat testicular cancer. The nurse should instruct the client to report which of the following adverse effects?
Paresthesia Sore Throat Flank Pain Tinnitus
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?
Paresthesia, Cough, Jaundice, Fever
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
You should give the client which of the following instructions about chemotherapy with doxorubicin
Report vaginal itching Expect red-tinged tears Use effective contraception Expect regrowth after hair loss
A nurse should recognize that raltegravir is used to treat clients who have which of the following conditions?
Resistant HIV
What medication treats metastatic ovarian cancer?
Topotecan
A nurse is considering drug therapy options for a client who has metastic breast cancer that is positive for human peridermal growth factor receptor 2 (HER2). Which of the following drugs should the nurse expect the provider to prescribe?
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?
Use contraceptive if pregnancy is a risk Perform oral hygiene frequently Perform hand hygiene Avoid activities that can cause injury
Which medication can cause peripheral neuropathy?
Vincristine
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 manifesations as an indication that the client is experiencing an adverse effect of the drug?
Weak hand grasp
A nurse is assessing a client following 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?
Wheezing Dysrhythmias Hypotension Fever
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
Which medication prevents the transfer of HIV from mother to fetus?
Zidovudine (Retrovir)
