quiz 17 druugs affecting immune system

A patient has acquired a severe nosocomial infection following abdominal surgery. Which medication does the nurse anticipate will be ordered? H

Cepemine

A patient has been diagnosed with a Trichomonas vaginal infection. Which medication does the nurse anticipate that the health-care provider will order?

Antiprotozoal

A patient has been prescribed long-term antibiotic therapy to treat recurrent ear infections. Which interventions represent best practice to help prevent a superinfection from developing? (Select all that apply.)

Use of probiotics, maintaining hydration level, adding yogurt to diet

A patient has been prescribed methotrexate therapy to treat rheumatoid arthritis (RA). Which information should the nurse include in the plan of care?

Do not drink alcohol as long as you are taking this med

An LPN is assisting in the care of a patient with rheumatoid arthritis who takes celecoxib. The patient is on a pureed diet, and the previous nurse on duty reported that the patient had some difficulty with oral pills. Which of the following actions by the nurse is best?

Crush the meds and sprinkle it on apple sauce

An LPN is caring for a patient who has orders for ketorolac. The nurse notes that the patient has allergies to ibuprofen and diphenhydramine. Which of the following actions by the nurse is best?

Ask the RN to contact the physician for alternative orders for pain control

The LPN answers the phone call of a patient who has been taking prednisolone for treatment of an acute flare of systemic lupus erythematosus. The patient says, "The doctor said something about stopping this medication, but I can't remember what she said." Which response by the nurse is best?

It is importing to taper steroid medications slowly. What does the label say?

The LPN has received the results of a urine culture and sensitivity report. Findings indicate that the pathogen is sensitive to the prescribed medication. What is the next action the nurse should take?

Continue to administer the medication

The LPN is administering the flu vaccine to a patient. The patient wants to know why they have to take yearly booster shots for the flu each season and not just the same shot from year to year. What is the best nursing response?

As the flu variant changes each year booster shots help to stimulate a B cell memory response

The LPN is assisting in the care of a patient taking gentamicin. The nurse would be most concerned by which of the following lab values for this patient?

Creatinine= 1.8mg/dL

The LPN is assisting in the care of a patient who received chlorambucil 2 weeks ago for chronic myelogenous leukemia. Which of the following lab results would be most concerning to the nurse?

Platelets = 84,000/mm³

The LPN is assisting in the care of a patient who receives fluorouracil in the treatment of colorectal cancer. Which of the following assessments would be appropriate in the care of this patient? (Select all that apply.)

Determine if the patient is experiencing nausea or vomitting, monitor vital signs particularly temp frequently

The LPN is caring for an oncology patient who is to start chemotherapy. The patient asks the LPN if everyone get the same type of chemotherapy. What is the best nursing response?

Chemotherapy is individualized based on the type of cancer and patient

The LPN is monitoring a patient who has taken a new prescribed oral antibiotic medication for a skin infection. Which of the physical findings should alert the nurse to an increased likelihood of an anaphylactic reaction? (Select all that apply.)

Prescence of hives, swelling of extremities

The LPN is working with a patient being treated for leukemia. Which medication should the nurse anticipate that the health-care provider will order to increase blood cell production?

Interferon alpha 2A

The LPN is working with a patient who has had iodine-125 seeds implanted for the treatment of cervical cancer. The LPN is aware that this patient is bestplaced in which of the following rooming situations?

A private room at the end of the hall lined with lead lined walls

The LPN working at the health department provides multiple vaccinations each day. Which type of immunity is being transferred to the patients in this process?

Active artificial immunity

The nurse is reviewing immune responses of the elderly population, Which factors contribute to a decreased immune response in the elderly? (Select all that apply.)

Decreased production of B cells, decreased production of T cells, desensitized memory cells

The nurse is reviewing the medication profile for a patient who has AIDS. The patient wants to know why so many medications have to be taken to treat this disease. What is the best nursing response?

As the virus mutates several medications are given so as to allow for a better response

The nurse is caring for a patient receiving a nasal decongestant (tetrahydrozoline). Which observations indicate the potential for the development of rebound congestion? (Select all that apply.)

The patient is using the medication prophylactically, the patient is continuing to use the medication past 7 days