exam 2 study guide Flashcards
What is important to report when taking antimalarial therapy?
report blurred vision or changes in vision to prevent permanent damage.
What should be reported immediately when on antimalarial therapy?
Blurred vision or vision changes to prevent permanent damage.
Some antimalarials, like hydroxychloroquine, can cause retinal toxicity.
What is the nursing role for long-term users of antimalarials?
Encourage routine eye exams.
Why is malaria prevention important for travelers?
It is key for travelers to endemic areas.
What should nurses educate travelers about regarding antiprotozoal agents?
Taking medication before, during, and after travel.
What should be monitored when administering Fluconazole (Diflucan)?
Jaundice and unusual bruising/bleeding.
Could indicate liver toxicity or blood disorders.
What is the nursing role when administering Acyclovir (Zovirax)?
Encourage hydration to prevent kidney damage.
When is Rimantadine (Flumadine) most effective?
When taken soon after flu exposure.
What should nurses educate patients about regarding antivirals?
Early symptom recognition.
Why do fungal infections resist antibiotics?
Due to protective cell layers.
What is the nursing role regarding antifungal prescriptions?
Ensure proper antifungal prescriptions.
Why should gloves be worn for topical acyclovir?
To prevent transmission and protect nurses from exposure.
What is the contraindication for aspirin?
Use with anticoagulants due to bleeding risk.
What should be monitored when administering Ibuprofen (Motrin)?
Unusual bleeding.
What is the nursing role when administering Acetaminophen (Tylenol)?
Monitor liver function and educate on daily limits (max 4g/day).
What are the signs of NSAID-induced inflammation?
Swelling, pain, warmth.
What is the nursing role regarding NSAID-induced inflammation?
Assess for worsening inflammation or allergic reactions.
How many doses are required for the Hepatitis B Vaccine?
3 doses.
What is the nursing role for the Hepatitis B Vaccine?
Educate on the importance of completing the series.
How often is the Influenza Vaccine given?
Annually.
What should nurses encourage regarding the Influenza Vaccine?
Vaccination, especially for high-risk patients.
How often should a Tetanus Booster be administered?
Every 10 years.
What is the nursing role regarding Tetanus Booster?
Assess last vaccination date and educate on wound care.
Who should not receive the Varicella Vaccine?
Pregnant clients.
What should be verified before administering the Varicella Vaccine?
Pregnancy status.
What should immunocompromised patients avoid?
Crowds and infection exposure.
What is the nursing role for immunocompromised patients?
Teach about hygiene and avoiding sick contacts.
What is crucial for HIV treatment?
Strict adherence.
What is the nursing role regarding HIV treatment?
Educate on the importance of scheduled dosing.
What precautions should be taken with chemotherapy drugs?
Use gloves and gowns.
What is the nursing role regarding chemotherapy precautions?
Follow PPE guidelines to prevent exposure.
What should be monitored due to the risk of bone marrow suppression?
WBCs and assess for fever.
How do you convert grams to milligrams?
1g = 1000mg.
What is the nursing role regarding medication conversions?
Double-check conversions to prevent dosing errors.
What should be done when calculating dosages?
Read labels carefully.
What is the nursing role regarding medication labels?
Avoid misinterpretation of medication labels.
What should be included in fluid intake calculations?
All liquids.
What is the nursing role regarding intake/output tracking?
Ensure accurate intake/output tracking.
What should be watched for when administering Salicylates (Aspirin)?
Tinnitus.
What does tinnitus indicate when taking Aspirin?
Can indicate toxicity.
What is the nursing role if tinnitus appears?
Discontinue if symptoms appear.
What should be monitored when administering antifungals?
Renal and hepatic function.
What is the nursing role regarding antifungals?
Assess for jaundice and kidney function labs.
What do immune stimulants do?
Boost pathogen defense.
What is the nursing role regarding immune stimulants?
Educate on side effects like fever and fatigue.
What should be avoided in pediatrics due to Reye’s Syndrome risk?
Aspirin.
What should be used instead of aspirin in pediatrics?
Acetaminophen.
What should be monitored in older adults taking NSAIDs?
Bruising and bleeding.
What is the nursing role regarding older adults and NSAIDs?
Assess renal function and GI symptoms.
What are the pregnancy warnings for Methotrexate?
Contraindicated (teratogenic).
What are the pregnancy warnings for Tamoxifen?
Causes menopausal effects.
What is the nursing role regarding pregnancy warnings?
Educate on risks.
What is required for protective isolation for immunosuppressed clients?
gloves and gown
What is the nursing role for protective isolation?
Minimize exposure and ensure PPE use.
What prevents infections?
Hand hygiene.
What is the nursing role regarding hand hygiene?
Reinforce handwashing protocols.
What should be cautioned about Methotrexate in pregnancy?
Caution in pregnancy.
What is the nursing role regarding Methotrexate?
Ensure birth control use.
What is the nursing role for Etanercept (Enbrel) in psoriatic arthritis?
Educate on injection technique.
What is the risk associated with NSAIDs?
GI bleeding.
What should be monitored for GI bleeding with NSAIDs?
Dark stools.
What should be avoided while taking Metronidazole (Flagyl)?
Alcohol.
What can alcohol cause when taking Metronidazole?
Severe nausea and vomiting.
What is the nursing role regarding Metronidazole and alcohol?
Emphasize avoiding alcohol while on treatment.
What should be avoided when taking Infliximab (Immunosuppressant)?
Crowds.
What is the nursing role regarding Infliximab?
Educate on avoiding sick individuals.
What should be referred to for vaccine information?
CDC guidelines.
Why is it important to refer to CDC guidelines?
Ensures up-to-date and evidence-based practice.
What is the nursing role regarding vaccine information?
Provide reliable resources.
