1. A mother tells the nurse, I am so concerned about my child. He may not have adequate immunity to
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1. A mother tells the nurse, I am so concerned about my child. He may not have adequate immunity to chickenpox. What is the best response by the nurse?
a. You don’t have to worry as long as your child has received all of his vaccinations.
b. We can give your child another booster if you would like.
c. There really is no way to know if your child will develop chickenpox.
d. We can draw a titer to determine if there is adequate immunity.
2. The nurse manages care for clients who have had organ transplants. What is the best information for the nurse to include when teaching the clients about body defenses?
a. Nonspecific body defense is effective primarily against bacteria.
b. Specific body defense usually only acts against a single organism.
c. Specific body defense includes the complement system.
d. Nonspecific body defense is also known as the immune response.
3. The client had a liver transplant and asks the nurse if she really needs all of those medications. How should the nurse respond?
a. Yes, this is necessary for you to not reject the new liver, but in time you will be down to only one medication.
b. Yes you need these medications so you won’t reject your new liver, but with current cloning techniques in about 5 years you should be able to grow enough new liver cells to support your life.
c. You need these medications because it is important to dampen your immune response so you won’t reject your new liver.
d. New research indicates that immunosuppressant drugs are only needed for 6 months after transplant.
4. The physician orders cefepime (Maxipime) for a client. What is a priority question for the nurse to ask the client prior to administration of this drug?
a. Are you breastfeeding?
b. Are you pregnant?
c. Are you allergic to penicillin?
d. Are you allergic to tetracycline?
5. The nurse is caring for a client receiving gentamicin IV. The nurse would observe for adverse effects of
a. diarrhea.
b. bleeding
c. increased urinary output.
d. ototoxicity.
6. Which laboratory tests will be performed to determine whether a specific bacterium is resistant to a specific drug?
a. Culture and sensitivity test
b. Complete blood count
c. Blood urea nitrogen
d. Urinalysis
7. The drug that would most likely be used in the treatment of tuberculosis is
a. Erythromycin (E-mycin).
b. Vancomycin (Vancocin).
c. Isoniazid (INH).
d. Gentamicin (Garamycin).
8. The mechanism of action of azole systemic antifungal agents is to
a. interfere with the synthesis of ergosterol in the fungal cell membrane.
b. concentrate in the food source of the infecting agent.
c. bind to steroids in the fungal cell membrane.
d. kill fungal growth.
9. The client has just begun highly active antiretroviral therapy (HAART) for the treatment of acquired immune deficiency syndrome (AIDS). Which teaching point is a priority for this client?
a. Medications must be taken for 3 years after viral load is not measurable.
b. The goal of highly active antiretroviral therapy (HAART) is to reduce plasma human immunodeficiency virus (HIV) ribonucleic acid (RNA) to the lowest possible level.
c. Taking medications as scheduled is vital to successful treatment.
d. Know which medications target which phases of the human immunodeficiency virus (HIV) replication cycle.
10. A client is receiving amphotericin B. The nurse will reinforce teaching by telling the client that he should report which symptoms? Select all that apply (3)
a. Feeling hot
b. Hearing loss
c. Dizziness
d. Constipation
e. Heartburn
SCIENCE
HEALTH SCIENCE
NURSING
NURS 1950
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