W14: Immunologic

Question 1

Cyclosporine teaching included telling the patient that they should not take their medcation with what?

Answer 1

grapefruit juice

Question 2

A patient will be receiving chemotherapy that will cause significant myelosuppression. Which priority nursing actions should the nurse plan?

Answer 2

Assess for change in temp, evidence of petechiae, fatigue and shortness of breath

Question 3

A client is preparing to receive cyclophosphamide as part of his cancer treatment. Which nursing intervention is a priority for the nurse?

Answer 3

Assess for signs of hematuria or dysuria

Question 4

A patient will begin receiving rituximab, a monoclonal antibody. Which is the best explanation by the nurse about how this therapy works.

Answer 4

This therapy targets specific molecules on the cancer cells to inhibit further growth.

Question 5

A nurse is teaching a patient who is beginning antiretroviral therapy? Identify at least 2 teaching points related to these drugs.

Answer 5

Antiretroviral helps reduce viral load. Undetectable = untransmittable. Not a cure. Compliance is critical.

Question 6

What is the priority problem for a patient receiving medications to prevent organ rejection after an organ transplant?

Answer 6

Risk for infection

Question 7

A child is receiving Vincristine for the treatment of Wilms’ tumor. Which finding is evidence of the main adverse effect of this medication?

Answer 7

Numbness of hands or feet AKA stocking-glove syndrome

Question 8

A patient who is receiving treatment for cancer asks why she is taking three different chemotherapy drugs. Which is the nurse’s best response?

Answer 8

“Each drug attacks the cancer cells in a different way, increasing the effectiveness of your treatment.”