402-immune Flashcards
TheraCys (BCG vaccine) is prescribed to a patient for bladder cancer. How is it administered
Intravesical. Directly into the bladder.
Aldesleukin (Proleukin) is administered how and for what
Intravenously for…
What do interferons (IFNs) do to help fight infection?
They alert healthy cells to a virus ands then attach to nearby unaffected cells, inducing the production of protective antiviral proteins.
A patient is beginning immunotherapy. Which adverse effects should the nurse instruct the patient to report to their provider?
Lethargy, mood or behavior changes, confusion, and disorientation.
When is RhoGAM needed
If the mother is Rh- and the fetus is Rh+
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.
MMR. Cause it’s live
What is cyclosporine (Neoral) used for
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
A patient has a yeast allergy. What vaccine should be questioned prior to administration?
A) influenza
B) tetanus toxoid
C)hep B
D) RhoGAM
Hep B. It is produced through recombinant DNA using yeast cells.
What drug is capillary leak syndrome an adverse effect of
Aldesleukin (Proleukin)
Older patients receiving immunostimulants need what precautions
Fall risk precautions
Why would someone be prescribed the HBIG vaccine
(Hepatitis B immune globulin)
If they were exposed to hepatitis B infected blood.
Common adverse effects of interferon Alfa-2b (Intron-A)
Nausea, vomiting, diarrhea
Why is penicillin G preferred for the treatment of streptococcal bacterial endocarditis
It has a narrow spectrum of anti microbial activity and is widely distributed throughout the body. It is most effective against gram-positive organisms.
Tetracyclines are broad spectrum or narrow spectrum and what kind of organisms does it treat
Broad spectrum. Both gram positive and negative.
Aminoglycosides are only effective in the treatment of what kind of organisms
Gram negative
Macrolides treat gram positive or gram negative?
Gram positive
What is the most common site of HAI (healthcare associated infection)
Urinary tract
Which class of antibiotics exert the broadest spectrum of bactericidal activity of any of the antibiotics
Carbapenems
A patient being treated for a urinary tract infection develops severe diarrhea and fever. What health problem should the nurse suspect
Superinfection
Trimethoprim-sulfamethoxazole contraindications
Patients with folate deficiency anemia
Sulfa allergies
Severe renal or hepatic impairment
Which medication would be anticipated for a patient with severe C.diff
Vancomycin
Probenecid (probalan) has what interaction with acyclovir
It decreases elimination of acyclovir and can lead to toxic levels.
A virus does not have the capacity for self survival.
T/f
T
Efavirenz (sustiva) should be taken with food.
T/f
False it should be taken in an empty stomach.
Maraviroc (selzentry) mechanism of action
Block the CCR5 coreceptor which reduces the viral load and increases t-cell production.
Which antiviral drugs block the synthesis of viral DNa
Reverse transcriptase inhibitors.
A patient treated for HIV with Zidovudine (AZT, Retrovir) would be screened for what prior to starting this med?
Anemia as this drug suppresses bone marrow function
