the pleasure Flashcards
A woman is traveling to a country where she will be at high risk for malarial infection.
What will the nurse teach her regarding prophylactic therapy with hydroxychloroquine (Plaquenil)?
The drug is usually started 1 to 2 weeks before traveling to endemic areas and is
continued for 4 weeks after leaving the area.
A patient who has started drug therapy for tuberculosis wants to know how long he will be on the
medications. Which response by the nurse is correct?
“You should expect to take these drugs for as long as 24 months.”
.A patient has been taking antitubercular therapy for 3 months. The nurse will assess for what
findings that indicate a therapeutic response to the drug therapy?
There is a decrease in symptoms of tuberculosis along with improved chest x-rays
and sputum cultures.
During an intravenous (IV) infusion of amphotericin B, a patient develops tingling and
numbness in his toes and fingers. What will the nurse do first?
Discontinue the infusion immediately.
The nurse is preparing an infusion of amphotericin B for a patient who has a severe
fungal infection. Which intervention is appropriate regarding the potential adverse effects of
amphotericin B?
Before beginning the infusion, administering an antipyretic and an antiemetic drug
During drug therapy for pneumonia, a female patient develops a vaginal superinfection. The
nurse explains that this infection is caused by:
large doses of antibiotics that kill normal flora.
A patient with end-stage renal failure has been admitted to the hospital for severe anemia. She
is refusing blood transfusions. The nurse anticipates drug therapy with which drug to
stimulate the production of red blood cells?
Epoetin alfa (Epogen)
The nurse notes in a patient’s medication history that the patient is taking allopurinol
(Zyloprim). Based on this finding, the nurse interprets that the patient has which disorder?
Gout
Just before the second course of chemotherapy, the laboratory calls to report that the
patient’s neutrophil count is 450 cells/mm3
. The nurse expects that the oncologist will follow which
course of treatment?
Chemotherapy will be withheld until the neutrophil count returns toward normal
levels.
When monitoring a patient who is on immunosuppressant therapy with azathioprine
(Imuran), the nurse will monitor which laboratory results?
White blood cell (leukocyte) count
A patient who has been hospitalized for 2 weeks has developed a pressure ulcer that
contains multidrug-resistant Staphylococcus aureus (MRSA). Which drug would the nurse expect
to be chosen for therapy?
Vancomycin (Vancocin)
What is the nurse’s priority action if extravasation of an antineoplastic drug occurs during intravenous (IV) administration?
Stop the infusion immediately, but leave the IV catheter in place.
A patient is severely constipated and needs immediate relief. The nurse knows that which class of laxative will provide the most rapid results?
Magnesium hydroxide (MOM)
A patient is about to undergo a kidney transplant. She will be given an immunosuppressant
drug before, during, and after surgery to minimize organ rejection. During the preoperative
teaching session, which information will the nurse include about the medication therapy?
Several days before the surgery, the medication will be administered orally.
A patient asks about his cancer treatment with monoclonal antibodies. The nurse tells
him that which is the major advantage of treating certain cancers with monoclonal antibodies?
Monoclonal antibodies target certain tumor cells and bypass normal cells.
