402-immune

Question 1

TheraCys (BCG vaccine) is prescribed to a patient for bladder cancer. How is it administered

Answer 1

Intravesical. Directly into the bladder.

Question 2

Aldesleukin (Proleukin) is administered how and for what

Answer 2

Intravenously for…

Question 3

What do interferons (IFNs) do to help fight infection?

Answer 3

They alert healthy cells to a virus ands then attach to nearby unaffected cells, inducing the production of protective antiviral proteins.

Question 4

A patient is beginning immunotherapy. Which adverse effects should the nurse instruct the patient to report to their provider?

Answer 4

Lethargy, mood or behavior changes, confusion, and disorientation.

Question 5

When is RhoGAM needed

Answer 5

If the mother is Rh- and the fetus is Rh+

Question 6

A patient recently received a kidney transplant. Which vaccination should the nurse question before giving to this patient?
A) MMR
B) Tetanus toxoid
C) influenza
D) Hep B.

Answer 6

MMR. Cause it’s live

Question 7

What is cyclosporine (Neoral) used for

Answer 7

Immunosuppressant

It is a calcination inhibitor used as prophylactic treatment in various organ transplants. And can be used for severe cases of crohns or ulcerative colitis

Question 8

A patient has a yeast allergy. What vaccine should be questioned prior to administration?
A) influenza
B) tetanus toxoid
C)hep B
D) RhoGAM

Answer 8

Hep B. It is produced through recombinant DNA using yeast cells.

Question 9

What drug is capillary leak syndrome an adverse effect of

Answer 9

Aldesleukin (Proleukin)

Question 10

Older patients receiving immunostimulants need what precautions

Answer 10

Fall risk precautions

Question 11

Why would someone be prescribed the HBIG vaccine
(Hepatitis B immune globulin)

Answer 11

If they were exposed to hepatitis B infected blood.

Question 12

Common adverse effects of interferon Alfa-2b (Intron-A)

Answer 12

Nausea, vomiting, diarrhea

Question 13

Why is penicillin G preferred for the treatment of streptococcal bacterial endocarditis

Answer 13

It has a narrow spectrum of anti microbial activity and is widely distributed throughout the body. It is most effective against gram-positive organisms.

Question 14

Tetracyclines are broad spectrum or narrow spectrum and what kind of organisms does it treat

Answer 14

Broad spectrum. Both gram positive and negative.

Question 15

Aminoglycosides are only effective in the treatment of what kind of organisms

Answer 15

Gram negative

Question 16

Macrolides treat gram positive or gram negative?

Answer 16

Gram positive

Question 17

What is the most common site of HAI (healthcare associated infection)

Answer 17

Urinary tract

Question 18

Which class of antibiotics exert the broadest spectrum of bactericidal activity of any of the antibiotics

Answer 18

Carbapenems

Question 19

A patient being treated for a urinary tract infection develops severe diarrhea and fever. What health problem should the nurse suspect

Answer 19

Superinfection

Question 20

Trimethoprim-sulfamethoxazole contraindications

Answer 20

Patients with folate deficiency anemia
Sulfa allergies
Severe renal or hepatic impairment

Question 21

Which medication would be anticipated for a patient with severe C.diff

Answer 21

Vancomycin

Question 22

Probenecid (probalan) has what interaction with acyclovir

Answer 22

It decreases elimination of acyclovir and can lead to toxic levels.

Question 23

A virus does not have the capacity for self survival.
T/f

Answer 23

T

Question 24

Efavirenz (sustiva) should be taken with food.
T/f

Answer 24

False it should be taken in an empty stomach.

Question 25

Maraviroc (selzentry) mechanism of action

Answer 25

Block the CCR5 coreceptor which reduces the viral load and increases t-cell production.

Question 26

Which antiviral drugs block the synthesis of viral DNa

Answer 26

Reverse transcriptase inhibitors.

Question 27

A patient treated for HIV with Zidovudine (AZT, Retrovir) would be screened for what prior to starting this med?

Answer 27

Anemia as this drug suppresses bone marrow function