NCLEX Review- Immune Medications

The nurse is preparing for the administration of ribavirin to a child with respiratory syncytial virus. Which supplies will the nurse obtain for the administration of this medication?

A pair of goggles

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."

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

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

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."

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

"Space the medication doses evenly around the clock."

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

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

Following kidney transplantation, cyclosporine is prescribed for a client. Which laboratory result would indicate an adverse effect from the use of this medication?

Blood urea nitrogen level of 25 mg/dL (8.8 mmol/L)

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 would the nurse include to the mother?

Administer the medication with milk.

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

Avoid sun exposure

A 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 would ask the child about a history of an allergy to which primary product?

Baker's yeast

A 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 would 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 nurse is taking a health history on a 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 would elicit data from the client regarding the presence of which condition?

HIV

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

HIV

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

Hearing acuity

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

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

Hypoglycemia

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

Instruct the client to increase oral fluid intake

The nurse is caring for a client prescribed an oral hypoglycemic agent who has just been diagnosed with a urinary tract infection. The primary health care provider plans to treat the infection with sulfamethoxazole. The nurse would 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 a client diagnosed with human immunodeficiency virus (HIV). The nurse would reinforce instructions regarding the preparation of the medication and instruct the client to mix the powder with which substance?

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

Rash, hepatotoxicity

A 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 would the nurse provide to the client?

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

A client began taking amantadine approximately 2 weeks ago. Which would the nurse expect to decrease if the medication is having a therapeutic effect?

Rigidity and akinesia

Trimethoprim-sulfamethoxazole is prescribed for a client. The nurse would instruct the client to report which symptom if it developed during the course of this medication therapy?

Sore throat

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

Subcutaneously in the outer aspect of the upper arm

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

Take on an empty stomach

Diphenhydramine hydrochloride 25 mg orally every 6 hours is prescribed for a child with an allergic reaction. The child weighs 25 kg. The safe pediatric dosage is 5 mg/kg/day. What would the nurse determine about the medication dosage?

The dosage is within the safe range

The primary health care provider has prescribed butenafine for a client. The nurse recognizes that this has been prescribed to treat which disorder?

Tinea pedis

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

Tingling in the extremities

Ribavirin is prescribed for the hospitalized child with respiratory syncytial virus (RSV). The nurse prepares to administer this medication via which route?

Via fask mask

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

White blood cell count

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

Within 2 hours after a full meal.

Penicillin V potassium 250 mg orally every 8 hours is prescribed for a child with a respiratory infection. The medication label reads: Penicillin, 125 mg per 5 mL. The nurse has determined that the dosage prescribed is a safe dose for the child. How many milliliters (mL) will the nurse administer to the child per dose? Fill in the blank.

10 mL

The nurse is assisting in caring for a 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 would determine that which finding is most indicative of an adverse effect of this medication?

Vertigo

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

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