Pharmacology II: Immune drugs NCLEX

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."

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."

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 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."

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."

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 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 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 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 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)

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.

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

Difficulty hearing

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 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

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

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 taking metronidazole for the treatment of Trichomonas vaginalis calls the nurse employed in the PCP's office concerned bc of a feeling of tingling and numbness in the extremities. Which instructions should the nurse provide

Report to clinic immediately to see PCP

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

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

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 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 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