NURS 498 exam 1 graded A with correct
answer
A patient with acquired immune deficiency syndrome (AIDS) has been taking zidovudine (AZT) therapy
for almost 1 year. The physician has decided to change the medication to a new ART called didanosine
(Videx EC®). The patient is very concerned about this medication change. What is the nurse's best
explanation to the patient?
a. Taking the zidovudine with the didanosine might have led to serious toxicity.
b. The patient may have been experiencing bone marrow suppression due to the zidovudine therapy.
c. Didanosine has been shown to improve survival rates.
d. Didanosine has fewer toxic effects than zidovudine. -correct answerb. The patient may have been
experiencing bone marrow suppression due to the zidovudine therapy.
A patient with active HIV has been taking zidovudine (Retrovir®). Which potential adverse effect may
limit the length of time this medication can be taken?
A. Bone marrow suppression
B. lactic acidosis
C. hepatomegaly
D. fatigue -correct answerA. Bone marrow suppression
Before administering methotrexate to a patient, what is most important for the nurse to assess?
A. Latent tuberculosis
B. Allergy to eggs
C. Congestive heart failure
D. hypothyroidism -correct answerA. Latent tuberculosis
The nurse is teaching a client on immunosuppressant therapy after a kidney transplant about the post-
transplant drug regimen. Which of the following statements by the client should alert the nurse that
additional teaching is required?
a. "After a couple of years, it is likely that I will be able to stop taking the calcineurin inhibitor."
b. "The drugs are given in combination because they inhibit different aspects of transplant rejection."
c. "I need to be monitored closely because I have a greater chance of developing malignant tumours."
,NURS 498 exam 1 graded A with correct
answer
d. "If I develop an acute rejection episode, I will need to have other types of drugs given IV." -correct
answera. "After a couple of years, it is likely that I will be able to stop taking the calcineurin inhibitor."
Which potential problem is of most concern for a patient receiving immunosuppressant drugs?
A. Increased susceptibility to infections
B. Orthostatic hypotension
C. Neurotoxicity
D. Confusion -correct answerA. Increased susceptibility to infections
Which medication is indicated in the treatment of rheumatoid arthritis?
a. tretinoin (Vesanoid®)
b. bacillus Calmette-Guérin (BCG) vaccine (Immuncyst®)
c. thalidomide (Thalomid®)
d. etanercept (Enbrel®) -correct answerd. etanercept (Enbrel®)
When providing patient education related to immunosuppressive therapy, which items of information
will the nurse include?
a. If a dose is missed, double the next scheduled dose.
b. If the blister-pack pills have an odour, discard them.
c. It is important to have a 1-week supply of medication.
d. Take the medication with any type of juice or water. -correct answerc. It is important to have a 1-
week supply of medication.
A patient has used buffered acetylsalicylic acid (Aspirin) for several years as treatment for osteoarthritis.
However, the patient's symptoms are worsening, and now something stronger is needed. The physician
prescribes an NSAID and misoprostol. The patient asks the nurse why two pills now have to be taken for
the arthritis. Which is the nurse's best response to the patient?
a. Misoprostol reduces the mucous secretions in the stomach, which reduces gastric irritation.
b. Misoprostol potentiates the action of the NSAID so that it will work better.
, NURS 498 exam 1 graded A with correct
answer
c. Misoprostol may help to prevent gastric ulcers that may occur when taking NSAIDs.
d. Misoprostol will also reduce the symptoms of arthritis. -correct answerc. Misoprostol may help to
prevent gastric ulcers that may occur when taking NSAIDs.
A female patient has started azathioprine (Imuran®) therapy in preparation for her kidney transplant
surgery. Which expected adverse effect of azathioprine therapy should the nurse tell the patient about?
a. Leukopenia
b. Diarrhea
c. Fluid retention
d. Tremors -correct answera. Leukopenia
A 75-year-old female patient has been given naproxen sodium (Aleve®) for the treatment of rheumatoid
arthritis. Which type of medication will have a possible interaction with this NSAID?
a. Anticoagulants
b. Decongestants
c. Antibiotics
d. Antihistamines -correct answera. Anticoagulants
the nurse determines that dietary teaching for an older-adult client who has osteoporosis has been most
successful when the client selects which one of the following highest calcium meals?
a. A two-egg omelette with 57 g of cheese, one slice of whole wheat toast, and a half grapefruit
b. Ham and Swiss cheese sandwich on whole wheat bread, steamed broccoli, and an apple
c. A sardine (85 g) sandwich on whole wheat bread, 237 mL of fruit yogourt, and 237 mL of skim milk
d. Chicken stir-fry with 237 g each of onions and snap peas, and 237 g of steamed rice -correct answerc.
A sardine (85 g) sandwich on whole wheat bread, 237 mL of fruit yogourt, and 237 mL of skim milk
The nurse is caring for a client with osteomyelitis. Which of the following medications should the nurse
anticipate that the client is prescribed?
a. Thiamine
answer
A patient with acquired immune deficiency syndrome (AIDS) has been taking zidovudine (AZT) therapy
for almost 1 year. The physician has decided to change the medication to a new ART called didanosine
(Videx EC®). The patient is very concerned about this medication change. What is the nurse's best
explanation to the patient?
a. Taking the zidovudine with the didanosine might have led to serious toxicity.
b. The patient may have been experiencing bone marrow suppression due to the zidovudine therapy.
c. Didanosine has been shown to improve survival rates.
d. Didanosine has fewer toxic effects than zidovudine. -correct answerb. The patient may have been
experiencing bone marrow suppression due to the zidovudine therapy.
A patient with active HIV has been taking zidovudine (Retrovir®). Which potential adverse effect may
limit the length of time this medication can be taken?
A. Bone marrow suppression
B. lactic acidosis
C. hepatomegaly
D. fatigue -correct answerA. Bone marrow suppression
Before administering methotrexate to a patient, what is most important for the nurse to assess?
A. Latent tuberculosis
B. Allergy to eggs
C. Congestive heart failure
D. hypothyroidism -correct answerA. Latent tuberculosis
The nurse is teaching a client on immunosuppressant therapy after a kidney transplant about the post-
transplant drug regimen. Which of the following statements by the client should alert the nurse that
additional teaching is required?
a. "After a couple of years, it is likely that I will be able to stop taking the calcineurin inhibitor."
b. "The drugs are given in combination because they inhibit different aspects of transplant rejection."
c. "I need to be monitored closely because I have a greater chance of developing malignant tumours."
,NURS 498 exam 1 graded A with correct
answer
d. "If I develop an acute rejection episode, I will need to have other types of drugs given IV." -correct
answera. "After a couple of years, it is likely that I will be able to stop taking the calcineurin inhibitor."
Which potential problem is of most concern for a patient receiving immunosuppressant drugs?
A. Increased susceptibility to infections
B. Orthostatic hypotension
C. Neurotoxicity
D. Confusion -correct answerA. Increased susceptibility to infections
Which medication is indicated in the treatment of rheumatoid arthritis?
a. tretinoin (Vesanoid®)
b. bacillus Calmette-Guérin (BCG) vaccine (Immuncyst®)
c. thalidomide (Thalomid®)
d. etanercept (Enbrel®) -correct answerd. etanercept (Enbrel®)
When providing patient education related to immunosuppressive therapy, which items of information
will the nurse include?
a. If a dose is missed, double the next scheduled dose.
b. If the blister-pack pills have an odour, discard them.
c. It is important to have a 1-week supply of medication.
d. Take the medication with any type of juice or water. -correct answerc. It is important to have a 1-
week supply of medication.
A patient has used buffered acetylsalicylic acid (Aspirin) for several years as treatment for osteoarthritis.
However, the patient's symptoms are worsening, and now something stronger is needed. The physician
prescribes an NSAID and misoprostol. The patient asks the nurse why two pills now have to be taken for
the arthritis. Which is the nurse's best response to the patient?
a. Misoprostol reduces the mucous secretions in the stomach, which reduces gastric irritation.
b. Misoprostol potentiates the action of the NSAID so that it will work better.
, NURS 498 exam 1 graded A with correct
answer
c. Misoprostol may help to prevent gastric ulcers that may occur when taking NSAIDs.
d. Misoprostol will also reduce the symptoms of arthritis. -correct answerc. Misoprostol may help to
prevent gastric ulcers that may occur when taking NSAIDs.
A female patient has started azathioprine (Imuran®) therapy in preparation for her kidney transplant
surgery. Which expected adverse effect of azathioprine therapy should the nurse tell the patient about?
a. Leukopenia
b. Diarrhea
c. Fluid retention
d. Tremors -correct answera. Leukopenia
A 75-year-old female patient has been given naproxen sodium (Aleve®) for the treatment of rheumatoid
arthritis. Which type of medication will have a possible interaction with this NSAID?
a. Anticoagulants
b. Decongestants
c. Antibiotics
d. Antihistamines -correct answera. Anticoagulants
the nurse determines that dietary teaching for an older-adult client who has osteoporosis has been most
successful when the client selects which one of the following highest calcium meals?
a. A two-egg omelette with 57 g of cheese, one slice of whole wheat toast, and a half grapefruit
b. Ham and Swiss cheese sandwich on whole wheat bread, steamed broccoli, and an apple
c. A sardine (85 g) sandwich on whole wheat bread, 237 mL of fruit yogourt, and 237 mL of skim milk
d. Chicken stir-fry with 237 g each of onions and snap peas, and 237 g of steamed rice -correct answerc.
A sardine (85 g) sandwich on whole wheat bread, 237 mL of fruit yogourt, and 237 mL of skim milk
The nurse is caring for a client with osteomyelitis. Which of the following medications should the nurse
anticipate that the client is prescribed?
a. Thiamine
