Test 6 Drugs

28. A nurse is preparing to administer ferrous to a client. Which adverse reaction should the nurse point out to the client to report if noted? A. allergic reaction B. soreness C. headache D. backache

A

A nurse in the emergency department is assessing a client who has been bitten by a coral snake. Which drug does the nurse predict the client will be given as treatment? A. antivenin B. immune globulins C. toxoid D. vaccine

A

The nurse is assessing a client who is to receive multiple vaccinations. Which nursing diagnosis should the nurse prioritize for this client? A. Acute Pain B. Hyperthermia C. Risk for Infection D. Ineffective Coping

A

When educating a group of nursing students on immunologic agents, the nurse refers to a substance that is attenuated (or weakened) but still capable of stimulating the formation of antitoxins. The nurse determines that the teaching was successful when the students correctly point out this agent as which substance? A. toxoids B. antivenins C. vaccines D. immune globulins

A

A forest ranger arrives at a community clinic for prophylactic vaccination. The nurse predicts the health care provider will prescribe which vaccine for this client? A. rabies vaccine B. varicella vaccine C. rotavirus vaccine D. MMR vaccine

A,

A nurse is preparing to teach a client about the darbepoetin alfa which the health care provider has prescribed. Which facts about this drug should the nurse incorporate in the teaching? Select all that apply. A. Drug is a glycoprotein. B. Used to stimulate the production of erythrocytes. C. Promotes the maturation of megakaryocytes. D. Helps stimulate differentiation of leukocytes. E. Used to stimulate thrombopoiesis.

A, B,

26. A nurse is administering oprelvekin to a client. Which findings on the ongoing assessment should the nurse prioritize? Select all that apply. A. fever B. syncope C. fluid retention D. nausea E. bone pain

A, B, C,

A group of student nurses are preparing for a health fair and will be administering vaccines to the public. The instructor determines the group is well prepared after noting they are prepared to document which information after each administration? Select all that apply. A. Route and site of vaccine administration B. Vaccine lot number C. Vaccine expiration date D. Name, address, and title of client vaccinated E. Date of next vaccination

A, B, C,

A nurse is preparing to administer epoetin alfa to a client. The nurse expects to see which diagnosis for the basis of this treatment? Select all that apply. A. Anemia caused be zidovudine therapy B. Iron deficiency anemia C. Anemia caused by cancer chemotherapy D. Vitamin B12 deficiency anemia E. Anemia of chronic kidney disease

A, B, C,

A nurse is preparing a care plan for a client with megaloblastic anemia. When discussing nutritional recommendations, which foods should the nurse prioritize? Select all that apply. A. Collard greens B. Salmon C. Wheat bread D. Chicken E. Grapes

A, B, C, D,

A nurse is teaching the caregiver of a young client about the varicella vaccine which the primary health care provider has prescribed. The nurse should point out which facts to the child and caregivers? Select all that apply. A. Discuss common adverse reactions. B. Instruct the parents to ensure the medical record is up-to-date. C. Explain the risk of contracting vaccine-preventable diseases. D. Explain the benefits of immunization. E. Provide the date for return for the next vaccination.

A, B, C, D, E,

A client has arrived to the clinic and is requesting an update on immunizations. The nurse will point out the client may not be able to have any vaccines due to which current prescribed medication? Select all that apply. A. Prednisolone B. Methylprednisolone C. Vincristine D. Ciprofloxacin E. Paclitaxel

A, B, C, E

A nurse is administering darbepoetin alfa to a client. The nurse assesses an elevated hemoglobin level and prepares to take necessary steps to avoid which potential complications? Select all that apply. A. Thromboembolic events B. Tumor progression C. Cardiovascular events D. Severe hypotension E. Increased mortality

A, B, C, E

A nurse is preparing to administer influenza A and B vaccine to a client. The nurse should alert the client to which possible adverse reactions to this vaccine? Select all that apply. A. fever B. muscle aches C. chills D. hypotension E. lethargy

A, B, C, E

A client is prescribed cyanocobalamin for pernicious anemia. The nurse cautions the client about ingesting which substances as they can interfere with absorption of the cyanocobalamin? Select all that apply. A. neomycin B. colchicine C. phenytoin D. alcohol E. calcium

A, B, D

The nurse is preparing to administer a drug which will treat the client's anemia. Which signs or symptoms should the nurse prioritize in the preadministration assessment for this client? Select all that apply. A. shortness of breath B. headache C. dry mucous membranes D. pallor E. insomnia

A, B, D

7. When teaching a client who is receiving cytomegalovirus immune globulin, the nurse would alert the client to the possibility of which reaction? Select all that apply. A. urticaria B. headache C. constipation D. chills E. angioedema

A, B, D,

A client is preparing to travel to a foreign country and presents to the clinic to ensure their immunizations are current. A nurse should recommend vaccination against which diseases before travel to endemic areas? Select all that apply. A. diphtheria ✓ B. cholera ✓ C. varicella D. Lyme disease ✓ E. tetanus

A, B, D,

A nurse is preparing to teach a client about the sargramostim which has been prescribed. Which adverse reactions should the nurse caution the client about related to this drug? Select all that apply. A. rash B. nausea C. anemia D. bone pain E. infection

A, B, D,

A nurse is providing care to a client receiving therapy for chronic kidney disease. The nurse predicts the client will be diagnosed with hematologic failure based on which assessment findings? Select all that apply. A. infection B. leeding C. hypoglycemia D. anemia E. hyeprtension

A, B, D,

The nurse has administered methoxy polyethylene epoetin beta to a client with chronic kidney disease. Which findings on the ongoing assessment should the nurse prioritize? Select all that apply. A. arthralgia B. hypertension C. fluid retention D. fatigue E. bone pain

A, B, D,

The nursing instructor is illustrating the various immunity's the body utilizes to combat disease. The instructor determines the session is successful when the students correctly choose which examples to differentiate artificially acquired active immunity from other types? Select all that apply. A. Administration of the influenza vaccine to an individual who has no immunity to the disease B. Administration of the rubella vaccine to an individual who has no immunity to the disease C. An individual who is exposed to pertussis for the first time and has no immunity to the disease D. Administration of the varicella vaccine to an individual who has no immunity to the disease E. An individual who is exposed to chickenpox for the first time and has no immunity to the disease

A, B, D,

A nursing instructor is teaching the concept of immunity. The instructor determines that the session was successful when the students correctly choose that cell-mediated immunity protects the body against what type of infections? Select all that apply. A. fungal B. bacterial C. helminth D. protozoal E. viral

A, B, E

19. A group of student nurses are preparing a community presentation illustrating the various vaccines. The instructor determines the student have successfully presented the information with which vaccines being listed as viral vaccines? Select all that apply. A. Rabies B. Haemophilus influenza type B conjugate C. Mumps D. Avian influenza E. Typhoid

A, C, D

22. The nurse notes the client is developing a hypersensitivity to pegfilgrastim. Which additional medication does the nurse predict the client will be prescribed in response to this reaction? Select all that apply. A. diphenhydramine B. hydrocodone C. prednisone D. naproxen E. albuterol

A, C, E,

A group of nursing students are preparing a chart to illustrate the various functions of immunomodulating drugs. The instructor determines the student's chart should be successful after noting which functions are correlated with filgrastim? Select all that apply. A. Promotes proliferation of leukocytes B. Stimulates differentiation of erythrocytes C. Is a glycoprotein D. Stimulates maturation of megakaryocytes E. Is used to treat chemotherapy-induced neutropenia

A, C, E,

The nurse is preparing to administer epoetin alfa to a client. The nurse prepares to administer this medication with caution if which disorder is noted in the client's medical record? Select all that apply. A. congestive heart failure B. diabetes C. renal failure D. hypotension E. history of seizures

A, E,

A nurse determines a nursing diagnosis of Constipation is appropriate for a client receiving iron supplements. Which suggestion would be appropriate for the nurse to recommend to the client to promote resolution of this problem? A. Take antacids after consuming meals. B. Consume a diet high in fiber. C. Increase the intake of milk and dairy products. D. Perform vigorous exercises.

B

A nurse is prepared to administer a varicella vaccine to a female client planning to start a family. How long after the vaccination should the nurse instruct the client to wait before getting pregnant? A. 4 weeks B. 12 weeks C. 2 weeks D. 8 weeks

B,

After teaching a class to a group of nursing students about immunity, the instructor determines that the teaching was successful when the students correctly choose which situation as an example of passive immunity? Select all that apply. A. An individual who is exposed to chickenpox for the first time and develops the disease B. Administration of Crotalidae polyvalent immune Fab for the treatment of a rattlesnake bite C. Administration of botulism immune globulin to an infant D. Administration of the first dose of rubella vaccine to an infant E. An individual develops pertussis after exposure from a sibling

B, C,

The nursing instructor is teaching a class comparing the various forms of immunity. The instructor determines the session is successful when the students correctly choose which factors as indicators of humoral immunity? Select all that apply. A. The immunity protects the body against bacterial, viral, and fungal infections. B. T lymphocytes are activated. C. B lymphocytes are involved. D. An antigen-antibody response occurs. E. An immunity that is independent of cell-mediated immunity occurs.

B, C,

A nurse determines a nursing diagnosis of Acute Pain is appropriate for a client receiving a vaccine. Which instructions would the nurse prioritize in the client's plan of care to address this problem? Select all that apply. A. Ensure that the environment is stimulating B. Administer acetaminophen every 4 hours C. Provide for adequate rest periods D. Apply compresses to the injection site E. Limit the client's access to fluids

B, C, D,

24. A nursing instructor is teaching a class on the different types of blood cells. The instructor will point out which actions as functions of the various blood cells? Select all that apply A. Erythrocytes control bleeding from tears in tissues. B. Erythrocytes supply cells with oxygen from the lungs. C. Leukocytes supply cells with oxygen from the lungs. D. Leukocytes protect the body from organisms. E. Megakaryocytes control bleeding from tears in tissues.

B, C, D, E,

A nurse is teaching a client about the use of immune globulins. The nurse determines the session is successful when the client can successfully point out which facts about immune globulins? Select all that apply. A. Are given to provide active immunity against disease. B. Are proteins present in serum or plasma that contain antibodies. C. Onset of protection is rapid with a duration of 6 to 12 months. D. Receive antibodies only to the diseases to which donor blood is immune. E. Can be obtained from human and animal blood.

B, C, E,

15. A nurse is preparing to administer oprelvekin to a client. The nurse would administer the drug cautiously to the client if which disorder is noted on the preadministration assessment? Select all that apply. A. peptic ulcer disease B. atrial fibrillation C. diabetes D. renal failure E. heart failure

B, D, E,

A nurse is conducting a preadministration assessment of a client prescribed the MMR and varicella vaccine. The nurse will question this order if which allergic reaction is noted in the client's past history? Select all that apply. A. amoxicillin B. eggs C. pollen D. neomycin E. gelatin

B, D, E,

A nurse is assessing a client's medical record and determines that the client has naturally acquired active immunity. Which example would most likely apply? Select all that apply. A. Administration of the varicella vaccine protects against varicella B. Experiencing chickenpox results in immunity to the disease C. Faithfully reporting to the clinic for the influenza vaccine every year. D. Administering the rubella vaccine at routine well-baby visits E. After recovering from pertussis, the client demonstrates immunity against repeat exposures.

B, E,

A child is brought to the health care center for MMR vaccination. On assessment, the nurse discovers that the child had received an antivenin injection for a snake bite 2 days before. When should the nurse instruct the caregivers to return for this vaccine for this child? A. after 1 to 2 weeks B. after 3 to 4 weeks C. after 6 to 8 weeks D. after 4 to 5 weeks

C

A client with megaloblastic anemia is prescribed leucovorin. The nurse would question administration of this drug if which additional disorder is noted in the client's medical record? A. Hypersensitivity to human albumin B. Hemochromatosis C. Pernicious anemia D. Uncontrolled hypertension

C

A nurse administers iron dextran 0.5 mL IM. The nurse would wait at least how long before administering the remainder of the dose? A. 30 minutes B. 15 minutes C. 60 minutes D. 45 minutes

C

A nurse is caring for a client with hypertension and anemia. Which action would the nurse include in the plan of care when administering epoetin alfa to the client? A. Shake the drug well before it is administered to the client. B. Administer the drug once every 3 weeks through IV route. C. Note the hematocrit value before each dose during therapy. D. Report 10 mm Hg rise in systolic blood pressure to primary health care provider.

C

The caregivers of a child who is recovering from chickenpox tell the nurse the child was given aspirin for a fever. The nurse would prioritize the assessment for indications of which adverse reaction? A. lymphoma B. angioneurotic edema C. Reye syndrome D. acute renal failure

C

The nurse is preparing to administer vitamin B to a client. The nurse would administer the drug cautiously if the client had which condition noted in the medical record? A. Hypertension B. Seizures C. Pulmonary disease D. Heart disease

C

A client with chronic kidney disease is prescribed epoetin alfa. Which actions should the nurse prioritize when administering this drug? Select all that apply. A. Avoid using the drug if the client is receiving dialysis. B. Use the vial for multiple doses. C. Discard any unused portion after administration. D. Shake the vial vigorously prior to administration. E. Administer the drug either intravenously or subcutaneously.

C, E,

The nurse is preparing to administer ferrous to a client. The nurse will question this order if which disorder is noted in the client's medical history? Select all that apply. A. Hypertension B. Vitamin B12 deficiency anemia C. Anemia of chronic kidney disease D. Hemolytic anemia E. Hemochromatosis

D, E,

The nurse is preparing to administer an antivenin to a client. The nurse will explain to the client that the antivenin will provide passive, transient protection against bites from which organisms? Select all that apply. A. black widow spider B. canine C. copperhead snake D. human E. rattlesnake

A, B, C,

A client comes to the clinic and tells the nurse that close family members are suspected of having pulmonary tuberculosis. Which vaccine would the nurse predict the health care provider will prescribe as a preventative measure? A. IPV vaccine B. BCG vaccine C. MMR vaccine D. DPT vaccine

B

A client is prescribed cyanocobalamin following gastric bypass surgery. The nurse will prioritize which finding on the ongoing assessment? A. urticaria B. pulmonary edema C. dyspnea D. joint pain

B

A client is receiving a colony-stimulating factor and experiences dilutional anemia. The nurse would most likely determine which nursing diagnosis is most appropriate for this client? A. Imbalanced Nutrition: Less Than Body Requirements B. Fatigue C. Constipation D. Anxiety

B

A nurse administers filgrastim to a client who is also prescribed chemotherapy. The nurse monitors the client's absolute neutrophil count (ANC) and anticipates stopping the drug when the ANC reaches which level? A. 2500/mm3 B. 10,000/mm3 C. 7500/mm3 D. 5000/mm3

B

A nursing instructor is teaching a session illustrating the various forms of immunity utilized by the human body. The instructor determines the session is successful when the students correctly choose which type of immunity as developing after the use of ready- made antibodies from animals? A. cell-mediated immunity B. passive immunity C. humoral immunity D. active immunity

B

13. A nurse is caring for a client with iron deficiency anemia who is receiving iron supplements. What information should the nurse point out in the teaching plan for this client? A. Itching of throat might occur. B. Frequency of urination will increase. C. Soreness of throat might occur. D. Color of stools will become darker.

D

A client who is right-handed is to receive a booster injection for a previous vaccination. The nurse prepares to administer the injection at which site? A. left leg B. right leg C. left arm D. right arm

D

A nurse is conducting the preadministration assessment on a client who is prescribed ferrous and notes the client is also currently prescribed ascorbic acid. Which potential reaction of these two drugs should the nurse prioritize for monitoring? A. Signs of folate deficiency B. An increase in seizure activity C. Signs of vitamin B12 deficiency D. Increased absorption of iron

D

A nurse is preparing to administer iron dextran to a client. The nurse will obtain which information on the preadministration assessment to calculate the drug dosage? A. Platelet count B. Client's age C. Client's height D. Hemoglobin level

D

A nursing instructor is teaching a class illustrating the various reactions to antivenins. The instructor determines the class is successful when the students correctly point out clients may react within which time period if they are sensitive to an antivenin? A. 90 minutes B. 120 minutes C. 60 minutes D. 30 minutes

D

The nurse is preparing discharge teaching for a client with anemia who is prescribed epoetin alfa for the next week. Which instructor should the nurse prioritize to the client? A. Take the drug on an empty stomach or with water. B. Follow the recommended diet provided by the primary health care provider. C. Avoid use of multivitamin preparations. D. Report signs of joint pain to the primary health care provider.

D

21. A nurse is preparing to administer an immunologic drug that produces active immunity. Which drug might the nurse be administering? Select all that apply. A. antigens B. antibodies C. immune globulin D. vaccines E. toxoids

D, E