Pharmacology Immune Medications Questions & Answers Graded A

1. The client diagnosed with acquired immunodeficiency syndrome (AIDS) is taking nevirapine. The nurse should monitor for which side/adverse effects of the medication? Select all that apply. - Rash Hepatotoxicity 2. The client diagnosed with acquired immunodeficiency syndrome (AIDS) has begun therapy with zidovudine. The nurse should monitor which laboratory result during treatment with this medication? - Complete blood count 3. The nurse is reviewing the results of serum laboratory studies drawn on a client diagnosed with acquired immunodeficiency syndrome (AIDS) who is receiving didanosine. The nurse determines that the client may have the medication discontinued by the primary health care provider (PHCP) if which significantly elevated result is noted? - Serum amylase 4. The nurse is caring for a postrenal transplantation client with prescription for cyclosporine. If the nurse notes an increase in one of the client's vital signs and the client is complaining of a headache, which vital sign is most likely increased? - Blood pressure 5. 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 6. The nurse is assigned to care for the client diagnosed with cytomegalovirus retinitis and acquired immunodeficiency syndrome (AIDS) who is receiving foscarnet. The nurse should monitor the results of which laboratory study while the client is taking this medication? - Serum creatinine level 7. 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. 8. Saquinavir is prescribed for the client who is diagnosed with human immunodeficiency virus (HIV) seropositive. The nurse should reinforce medication instructions about which health care measure to the client? - Avoid sun exposure. 9. 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. 10. The client who is diagnosed with human immunodeficiency virus (HIV) seropositive has been taking stavudine. The nurse should monitor which parameter closely while the client is taking this medication? - Gait 11. The client taking fexofenadine is scheduled for allergy skin testing and tells the nurse in the primary health care provider's office that a dose was taken that morning. Which should the nurse anticipate happening as a result? - The client will need to reschedule the appointment. 12. 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 13. 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. 14. The nurse is reviewing the laboratory results for the client receiving tacrolimus. Which laboratory result should indicate to the nurse that the client is experiencing an adverse effect of the medication? - Blood glucose of 200 mg/dL 15. The nurse notes that the client is receiving lamivudine. The nurse should determine that this medication has been prescribed to most likely treat which condition? - Human immunodeficiency virus (HIV) infection 16. 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." 17. 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." 18. 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 19. The client has been prescribed amikacin. Which priority baseline function should the nurse determine needs to be monitored? - Hearing acuity 20. The client diagnosed with diabetes mellitus has a foot infection and is prescribed antibiotic therapy with an aminoglycoside. The nurse collects data from the client and notes that the client has a hearing loss. The nurse should take which action next? - Inform the registered nurse (RN) about the hearing loss. 21. The nurse is caring for the client diagnosed with a skin infection who is prescribed amoxicillin 500 mg every 8 hours. Which sign/symptom should indicate to the nurse that the client is experiencing a frequent side effect related to the medication? - Vaginal drainage 22. The 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 should ask the child about a history of an allergy to which primary product? - Baker's yeast 23. 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 24. 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 25. Zidovudine is prescribed for an adult client diagnosed with human immunodeficiency virus (HIV). Which statement by the nurse should provide the best instruction to the client about the medication? - "Space the medication doses evenly around the clock." 26. 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 27. 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." 28. The licensed practical nurse employed in the ambulatory clinic is assisting the registered nurse prepare to administer a dose of intravenous immune globulin (IVIG). The licensed practical nurse should ensure that which medication is readily available before the medication is administered? - Epinephrine 29. The nurse is taking a health history on the 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 should elicit data from the client regarding the presence of which condition? - Human immunodeficiency virus (HIV)