NURS 601 Pharm-Immune Meds EXAM Q&A BEST
SOLUTIONS RATED A+ NEW UPDATE 2022
1. The client with acquired immunodeficiency syndrome and Pneumocystis jiroveci
infection has been receiving pentamidine. The client develops a temperature of
101°F (38.3°C). The nurse continues to assess the client, knowing that this sign
most likely indicates which condition?
1. That the dose of the medication is too low
2. That the client is experiencing toxic effects of the medication
3. That the client has developed inadequacy of thermoregulation
4. That the client has developed another infection caused by leukopenic
effects of the medication
Correct answer: 4
Rationale: Acquired immunodeficiency syndrome is a viral disease caused by the
human immunodeficiency virus (HIV), which destroys T cells, thereby increasing
susceptibility to infection and malignancy. Pneumocystis jiroveci pneumonia (PCP)
is a fungal infection and is a common opportunistic infection. Pentamidine is an
antimicrobial used to treat PCP. Frequent side and adverse effects of this
medication include leukopenia, thrombocytopenia, and anemia. The client should
be monitored routinely for signs and symptoms of infection. The remaining
options are inaccurate interpretations.
2. 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.
NURS 601 Pharm-Immune Meds EXAM Q&A BEST
SOLUTIONS RATED A+ NEW UPDATE 2022
,NURS 601 Pharm-Immune Meds EXAM Q&A BEST
SOLUTIONS RATED A+ NEW UPDATE 2022
1. Restrict fluid intake.
2. Monitor liver function studies.
3. Instruct the client to avoid alcohol.
4. Administer the medication with an antacid.
5. Instruct the client to avoid exposure to
the sun. 6.Administer the medication on an
empty stomach.
Correct answer: 2, 3, 5
Rationale: Ketoconazole is an antifungal medication. There is no reason for the
client to restrict fluid intake; in fact, this could be harmful to the client. The
medication is hepatotoxic, and the nurse monitors liver function. It is administered
with food (not on an empty stomach) and antacids are avoided for 2 hours after
taking the medication to ensure absorption. The client is also instructed to avoid
alcohol. In addition, the client is instructed to avoid exposure to the sun because
the medication increases photosensitivity.
4. The nurse is caring for a client who has been taking a sulfonamide and should monitor for
signs and symptoms of which adverse effects of the medication? Select all that apply.
1. Ototoxicity
2. Palpitations
NURS 601 Pharm-Immune Meds EXAM Q&A BEST
SOLUTIONS RATED A+ NEW UPDATE 2022
,NURS 601 Pharm-Immune Meds EXAM Q&A BEST
SOLUTIONS RATED A+ NEW UPDATE 2022
3. Nephrotoxicity
4. Bone marrow
suppression 5.
Gastrointestinal (GI)
effects
6. Increased white blood cell (WBC) count
Correct answer: 3, 4, 5
Rationale: Adverse effects of sulfonamides include nephrotoxicity, bone marrow
suppression, GI effects, hepatotoxicity, dermatological effects, and some
neurological symptoms, including headache, dizziness, vertigo, ataxia, depression,
and seizures. Options 1, 2, and 6 are unrelated to these medications.
NURS 601 Pharm-Immune Meds EXAM Q&A BEST
SOLUTIONS RATED A+ NEW UPDATE 2022
, NURS 601 Pharm-Immune Meds EXAM Q&A BEST
SOLUTIONS RATED A+ NEW UPDATE 2022
3. Tacrolimus is prescribed to a client for prevention of organ rejection after renal
transplantation. Which prescription should the nurse anticipate to be prescribed,
along with the tacrolimus, for this client?
1. Phenytoin
2. Prednisone
3. Fluconazole
4. Erythromyc
in Correct
answer: 2
Rationale: Tacrolimus is an immunosuppressant used as an alternative medication
to cyclosporine for prevention of organ rejection in clients after transplantation.
The medication is more effective than cyclosporine but is more toxic. Concurrent
use of glucocorticoidssuch as prednisone is recommended during administration of
this medication. The medications in the remaining options would not be prescribed
unless a secondary disorder existed.
5. The nurse is reviewing the results of serum laboratory studies drawn on a client
with acquired immunodeficiency syndrome who is receiving didanosine. The nurse
interprets that the client may have the medication discontinued by the health care
provider if which elevated result is noted?
1. Serum protein level
2. Blood glucose level Serum amylase level
3.
NURS 601 Pharm-Immune Meds EXAM Q&A BEST
SOLUTIONS RATED A+ NEW UPDATE 2022
SOLUTIONS RATED A+ NEW UPDATE 2022
1. The client with acquired immunodeficiency syndrome and Pneumocystis jiroveci
infection has been receiving pentamidine. The client develops a temperature of
101°F (38.3°C). The nurse continues to assess the client, knowing that this sign
most likely indicates which condition?
1. That the dose of the medication is too low
2. That the client is experiencing toxic effects of the medication
3. That the client has developed inadequacy of thermoregulation
4. That the client has developed another infection caused by leukopenic
effects of the medication
Correct answer: 4
Rationale: Acquired immunodeficiency syndrome is a viral disease caused by the
human immunodeficiency virus (HIV), which destroys T cells, thereby increasing
susceptibility to infection and malignancy. Pneumocystis jiroveci pneumonia (PCP)
is a fungal infection and is a common opportunistic infection. Pentamidine is an
antimicrobial used to treat PCP. Frequent side and adverse effects of this
medication include leukopenia, thrombocytopenia, and anemia. The client should
be monitored routinely for signs and symptoms of infection. The remaining
options are inaccurate interpretations.
2. 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.
NURS 601 Pharm-Immune Meds EXAM Q&A BEST
SOLUTIONS RATED A+ NEW UPDATE 2022
,NURS 601 Pharm-Immune Meds EXAM Q&A BEST
SOLUTIONS RATED A+ NEW UPDATE 2022
1. Restrict fluid intake.
2. Monitor liver function studies.
3. Instruct the client to avoid alcohol.
4. Administer the medication with an antacid.
5. Instruct the client to avoid exposure to
the sun. 6.Administer the medication on an
empty stomach.
Correct answer: 2, 3, 5
Rationale: Ketoconazole is an antifungal medication. There is no reason for the
client to restrict fluid intake; in fact, this could be harmful to the client. The
medication is hepatotoxic, and the nurse monitors liver function. It is administered
with food (not on an empty stomach) and antacids are avoided for 2 hours after
taking the medication to ensure absorption. The client is also instructed to avoid
alcohol. In addition, the client is instructed to avoid exposure to the sun because
the medication increases photosensitivity.
4. The nurse is caring for a client who has been taking a sulfonamide and should monitor for
signs and symptoms of which adverse effects of the medication? Select all that apply.
1. Ototoxicity
2. Palpitations
NURS 601 Pharm-Immune Meds EXAM Q&A BEST
SOLUTIONS RATED A+ NEW UPDATE 2022
,NURS 601 Pharm-Immune Meds EXAM Q&A BEST
SOLUTIONS RATED A+ NEW UPDATE 2022
3. Nephrotoxicity
4. Bone marrow
suppression 5.
Gastrointestinal (GI)
effects
6. Increased white blood cell (WBC) count
Correct answer: 3, 4, 5
Rationale: Adverse effects of sulfonamides include nephrotoxicity, bone marrow
suppression, GI effects, hepatotoxicity, dermatological effects, and some
neurological symptoms, including headache, dizziness, vertigo, ataxia, depression,
and seizures. Options 1, 2, and 6 are unrelated to these medications.
NURS 601 Pharm-Immune Meds EXAM Q&A BEST
SOLUTIONS RATED A+ NEW UPDATE 2022
, NURS 601 Pharm-Immune Meds EXAM Q&A BEST
SOLUTIONS RATED A+ NEW UPDATE 2022
3. Tacrolimus is prescribed to a client for prevention of organ rejection after renal
transplantation. Which prescription should the nurse anticipate to be prescribed,
along with the tacrolimus, for this client?
1. Phenytoin
2. Prednisone
3. Fluconazole
4. Erythromyc
in Correct
answer: 2
Rationale: Tacrolimus is an immunosuppressant used as an alternative medication
to cyclosporine for prevention of organ rejection in clients after transplantation.
The medication is more effective than cyclosporine but is more toxic. Concurrent
use of glucocorticoidssuch as prednisone is recommended during administration of
this medication. The medications in the remaining options would not be prescribed
unless a secondary disorder existed.
5. The nurse is reviewing the results of serum laboratory studies drawn on a client
with acquired immunodeficiency syndrome who is receiving didanosine. The nurse
interprets that the client may have the medication discontinued by the health care
provider if which elevated result is noted?
1. Serum protein level
2. Blood glucose level Serum amylase level
3.
NURS 601 Pharm-Immune Meds EXAM Q&A BEST
SOLUTIONS RATED A+ NEW UPDATE 2022
