The nurse administers aldesleukin to a pt diagnosed with renal cell carcinoma. When
assessing the pt a few days later, what abnormal findings would the nurse attribute to
the medication? Select all that apply.
A. Increased lymphocyte count
B. Increased RBC count
C. Increased platelet count
D. Increased pulse rate
E. Increased blood pressure
Give this one a try later!
, A. Increased lymphocyte count
C. Increased platelet count
D. Increased pulse rate(17)
--- Aldesleukin activates human cellular immunity and inhibits tumour
growth through increases in lymphocytes, platelets, and cytokines.
Common adverse effects include hypotension, sinus tachycardia,
arrhythmias, as well as pruritus, nausea, vomiting, diarrhea, anorexia, GI
bleed, bone marrow suppression, resp difficulties, fever, chills, pain, mental
status changes, and dizziness. There is no impact on RBC count. It does not
raise BP.
A pt with renal impairment and HIV has had a medication change. What drug would
be considered the drug of choice for this pt?
A. Atazanavir (Reyataz)
B. Lopinavir (Kaletra)
C. Nelfinavir (Viracept)
D. Ritonavir (Norvir)
Give this one a try later!
C. Nelfinavir (Viracept) (10)
--- Nelfinavir is the best choice for a pt with renal impairment because very
little of the drug is excreted through the kidney, with most being excreted
in the feces. The other drugs are all excreted though both the urine and
feces, so pts with renal impairment might need dose adjustments to avoid
toxicity
A mother brings her 18 m/o son into the clinic for his diphtheria, tetanus, and pertussis
vaccine. The child has a runny nose, a fever of 102.4 F and is coughing. What should
the nurse do?
A. Administer the vaccine but monitor the child afterward for an extended time
period.
B. Give an antipyretic and administer vaccine when temp is within normal range
,C. Administer a reduced dose of vaccine today and a normal dose when the child is
healthy.
D. Hold the immunization until the child is free of allergic or cold-like symptoms
Give this one a try later!
D. Hold the immunization until the child is free of allergic or cold-like
symptoms (18)
A 17 y/o pt with athlete's foot is extremely upset that he cannot get rid of it. He calls
the clinic and asks the nurse whether the doctor can give him an antibiotic to "cure the
infection". What should the nurse include in the explanation of treatment for fungal
infections?
A. Fungi differ from bacteria in that the fungus has flexible cell walls that allow for free
transfer in and out of the cell.
B. Protective layers contain sterols, which change the membrane permeability
C. the composition of the protective layers of the fungal cell makes the organism
resistant to antibiotics
D. Fungi cell walls contain Candida, which makes the cells rigid.
Give this one a try later!
C. the composition of the protective layers of the fungal cell makes the
organism resistant to antibiotics(11)
What antifungal would be appropriate for the nurse to administer to treat a pt with
oropharyngeal candidiasis?
A. Itraconazole
B. Fluconazole
C. Posaconazole
D. Clotrimazole
Give this one a try later!
, D. Clotrimazole (11)
--- Clotrimazole is an effective treatment for oropharyngeal candidiasis (in
troche form) or to prevent oropharyngeal candidiasis in pts receiving
radiation or chemo. Itraconazole, fluconazole, and posaconazole would
not be appropriate for this pt because they do not treat oropharyngeal
candidiasis infections.
The nurse is caring for a pt in the immediate postoperative period following cardiac
transplantation who is receiving mycophenolate (CellCept) twice a day. What will the
nurse teach the pt regarding drug therapy? (Select all that apply)
A. The drug will be given PO as soon as possible
B. Take the medication three times a day
C. Avoid people with contagious diseases
D. Ask a pharmacist about drug-drug interactions before taking any OTC drug
E. Never miss a dose of medication
Give this one a try later!
A. The drug will be given PO as soon as possible
C. Avoid people with contagious diseases
D. Ask a pharmacist about drug-drug interactions before taking any OTC
drug
E. Never miss a dose of medication (17)
--- The nurse will explain that the IV med will be changed to PO when the
pt is able to tolerate PO meds. The pt will take the med BID, not TID. Care
should be taken to never miss a dose. The pt should avoid other meds that
are hepatotoxic or nephrotoxic due to risk of increased toxicity so the pt
should be taught to always consult a MD or pharmacist before beginning
an OTC drug. Pts who have immune suppression must be taught how to
reduce risk of infection, including avoiding people with contagious
diseases, such as colds or viruses.
A pt with AIDS is taking an antiviral agent. What comment by the pt would indicate
that the teaching plan was effective?
assessing the pt a few days later, what abnormal findings would the nurse attribute to
the medication? Select all that apply.
A. Increased lymphocyte count
B. Increased RBC count
C. Increased platelet count
D. Increased pulse rate
E. Increased blood pressure
Give this one a try later!
, A. Increased lymphocyte count
C. Increased platelet count
D. Increased pulse rate(17)
--- Aldesleukin activates human cellular immunity and inhibits tumour
growth through increases in lymphocytes, platelets, and cytokines.
Common adverse effects include hypotension, sinus tachycardia,
arrhythmias, as well as pruritus, nausea, vomiting, diarrhea, anorexia, GI
bleed, bone marrow suppression, resp difficulties, fever, chills, pain, mental
status changes, and dizziness. There is no impact on RBC count. It does not
raise BP.
A pt with renal impairment and HIV has had a medication change. What drug would
be considered the drug of choice for this pt?
A. Atazanavir (Reyataz)
B. Lopinavir (Kaletra)
C. Nelfinavir (Viracept)
D. Ritonavir (Norvir)
Give this one a try later!
C. Nelfinavir (Viracept) (10)
--- Nelfinavir is the best choice for a pt with renal impairment because very
little of the drug is excreted through the kidney, with most being excreted
in the feces. The other drugs are all excreted though both the urine and
feces, so pts with renal impairment might need dose adjustments to avoid
toxicity
A mother brings her 18 m/o son into the clinic for his diphtheria, tetanus, and pertussis
vaccine. The child has a runny nose, a fever of 102.4 F and is coughing. What should
the nurse do?
A. Administer the vaccine but monitor the child afterward for an extended time
period.
B. Give an antipyretic and administer vaccine when temp is within normal range
,C. Administer a reduced dose of vaccine today and a normal dose when the child is
healthy.
D. Hold the immunization until the child is free of allergic or cold-like symptoms
Give this one a try later!
D. Hold the immunization until the child is free of allergic or cold-like
symptoms (18)
A 17 y/o pt with athlete's foot is extremely upset that he cannot get rid of it. He calls
the clinic and asks the nurse whether the doctor can give him an antibiotic to "cure the
infection". What should the nurse include in the explanation of treatment for fungal
infections?
A. Fungi differ from bacteria in that the fungus has flexible cell walls that allow for free
transfer in and out of the cell.
B. Protective layers contain sterols, which change the membrane permeability
C. the composition of the protective layers of the fungal cell makes the organism
resistant to antibiotics
D. Fungi cell walls contain Candida, which makes the cells rigid.
Give this one a try later!
C. the composition of the protective layers of the fungal cell makes the
organism resistant to antibiotics(11)
What antifungal would be appropriate for the nurse to administer to treat a pt with
oropharyngeal candidiasis?
A. Itraconazole
B. Fluconazole
C. Posaconazole
D. Clotrimazole
Give this one a try later!
, D. Clotrimazole (11)
--- Clotrimazole is an effective treatment for oropharyngeal candidiasis (in
troche form) or to prevent oropharyngeal candidiasis in pts receiving
radiation or chemo. Itraconazole, fluconazole, and posaconazole would
not be appropriate for this pt because they do not treat oropharyngeal
candidiasis infections.
The nurse is caring for a pt in the immediate postoperative period following cardiac
transplantation who is receiving mycophenolate (CellCept) twice a day. What will the
nurse teach the pt regarding drug therapy? (Select all that apply)
A. The drug will be given PO as soon as possible
B. Take the medication three times a day
C. Avoid people with contagious diseases
D. Ask a pharmacist about drug-drug interactions before taking any OTC drug
E. Never miss a dose of medication
Give this one a try later!
A. The drug will be given PO as soon as possible
C. Avoid people with contagious diseases
D. Ask a pharmacist about drug-drug interactions before taking any OTC
drug
E. Never miss a dose of medication (17)
--- The nurse will explain that the IV med will be changed to PO when the
pt is able to tolerate PO meds. The pt will take the med BID, not TID. Care
should be taken to never miss a dose. The pt should avoid other meds that
are hepatotoxic or nephrotoxic due to risk of increased toxicity so the pt
should be taught to always consult a MD or pharmacist before beginning
an OTC drug. Pts who have immune suppression must be taught how to
reduce risk of infection, including avoiding people with contagious
diseases, such as colds or viruses.
A pt with AIDS is taking an antiviral agent. What comment by the pt would indicate
that the teaching plan was effective?
