Test 3

Question 1

Rifampin : uses

Answer 1

Latent TB

Question 2

Rifampin: client education

Answer 2

No alcohol and monitor for liver dysfunction

Question 3

Rifampin: adverse effects

Answer 3

Reddish-orange body fluids , vertigo , nephrotoxicity , rash , Epigastric distress , Hematologic changes , renal insufficiency

Question 4

Ethambutol: adverse reactions

Answer 4

Dermatitis and pruritus (itching 
Joint pain 
Anorexia
Nausea/vomiting 
Optic neuritis & anaphylactoid reactions

Question 5

Isoniazid: adverse reactions

Answer 5

Higher doses of INH cause adverse reactions
Nausea/vomiting 
Epigastric distress 
Fever
Skin eruptions 
Hematologic changes
Jaundice
Hypersensitivity

Question 6

Isoniazid: contradictions

Answer 6

Contradicted in clients with a history of hypersensitivity to the drug. Used in caution during pregnancy ( category C) and in clients with hepatic renal impairment

Question 7

Drug interactions with antiretroviral medications

Answer 7

Antifungals
Clarithromycin
Sildenafil
Anticoagulants 
Opioid Analgesics
Anticonvulsant 
Antiparisetic agents
Interleukins
Fentanyl 
Oral contraceptives 
Rifampin

Question 8

Ritonavir: adverse effects

Answer 8

Headache , fever , chills , rash , numbness/tingling in circumoral area or peripherally or both. Hepatoxic and nephrotoxic suppresses bone marrow.

Question 9

Ritonavir: drug interactions

Answer 9

Antifungals , clarithromycin , sidenafil , anticoagulants , opioid analgesics , anticonvulesant , antiparasetic , interleukins , fentanyl , oral contraceptives , and rifampin.

Question 10

Acyclovir: uses

Answer 10

To treat HSV-1, causes oral , ocular or facial infection

HSV-2 , which causes genital infection

Question 11

Acyclovir: nursing considerations

Answer 11

Avoid sexual contact until lesions are gone , report difficulty urinating , rash

Question 12

Nyastatin: client education

Answer 12

Oral solution shake well , swish in mouth for as long as tolerated , gargle then spit out. Evaluate chart response and confirm client understands instructions.

Remove dentures and soak dentures in the medication

Question 13

Metronidazole : drug interactions

Answer 13

Cimetidine
Alcohol
Dexomethasone 
Mebendzole
Carbamazepine
Hydantoins

Question 14

Common adverse reaction of antifungals

Systemic administration

Answer 14

Headache , rash , anorexia , malaise , abdominal and joint or muscle pain , nausea/vomiting , diarrhea

Question 15

Common adverse reactions of antifungals

Topical administration:

Answer 15

Site irritation , burning , crusting and drainage

Question 16

Amphotericin B : adverse reactions

Answer 16

Weakness , vision changes , painful urination , fever , chills , nausea , nephrotoxicity

Decreased urine output

Question 17

Quinine : adverse reactions

Answer 17

Nausea/vomiting , cinchoism , skin rash , visual disturbances

Question 18

Cinchoism manifestations

Answer 18

Tinnitus , dizziness , headache , GI disturbances , visual disturbances , usually appear when dosage is reduced

Question 19

Risk factors of TB

Answer 19

Latent , active and extra pulmonary

Organs that can be affected include the liver , bones , spleen and adrenal glands

Question 20

MMR vaccine: nursing considerations

Answer 20

Shouldn’t be given to pregnant women or clients who have had an allergic reaction to gelatin , neomycin , or previous dose of one of the vaccines

Question 21

Vaccines : general contradictions

Answer 21

Fever , redness , pain , localized swelling at the injection site. Hypersensitivity to prior vaccines

Question 22

Gardasil uses

Answer 22

Prevention of diseases caused by HPV
Genital warts
Prevents most cases of cervical cancer

Question 23

Vaccines & pregnancy

Answer 23

Pregnancy for some vaccines TB and inactivated influence are ok. For others it’s recommended to receive vaccine before discharge

Question 24

Aciclovir : use cautiously in

Answer 24

use cautiously in clients with renal impairment , low blood cell count , history of epilepsy and history of respiratory disease