SAUNDERS PHARM IMMUNE
EXAM
A client with acquired immunodeficiency syndrome (AIDS) has been started on therapy
with zidovudine. The nurse should monitor the results of which laboratory blood study
for adverse effects of therapy? - CORRECT ANSWER-CBC count
A client is receiving zalcitabine. The nurse should monitor the results of which study to
determine the effectiveness of this medication? - CORRECT ANSWER-CD4+ cell count
A client who has been receiving pentamidine intravenously now has a fever with a
temperature of 102º F (38.9º C). Keeping in mind that the client has a diagnosis of
acquired immunodeficiency syndrome (AIDS) and Pneumocystis jiroveci pneumonia,
the nurse should interpret that this fever is most associated with which condition? -
CORRECT ANSWER-Infection caused by leukopenic effects of the medication
A client with Crohn's disease is scheduled to receive an infusion of infliximab. What
intervention by the nurse will determine the effectiveness of treatment? - CORRECT
ANSWER-Checking the frequency and consistency of bowel movements
The nurse caring for a client who is taking an aminoglycoside should monitor the client
for which adverse effects of the medication? Select all that apply
a) Seizures
b) Ototoxicity
c) Renal toxicity
d) Dysrhythmias
e) Hepatotoxicity - CORRECT ANSWER-b, c, d
Ketoconazole is prescribed for a client. Which interventions should the nurse include
when teaching the client about the medication? Select all that apply.
a) Avoid alcohol.
b) Restrict fluid intake.
c) Avoid exposure to the sun. d) Prepare for periodic liver function studies.
e) Administer the medication with an antacid.
f) Administer the medication on an empty stomach. - CORRECT ANSWER-a, c, d
The nurse is caring for a client who has been taking a sulfonamide and should monitor
for signs and symptoms of which adverse effects of the medication? SATA
a) Ototoxicity
b) Palpitations
c) Nephrotoxicity
d) Bone marrow depression
e) Gastrointestinal (GI) effects f) Increased white blood cell (WBC) count - CORRECT
ANSWER-c, d, e
, the nurse is caring for a postrenal transplantation client taking cyclosporine. The nurse
notes an increase in one of the client's vital signs, and the client is complaining of a
headache. What vital sign is most likely increased? - CORRECT ANSWER-blood
pressure
amikacin is prescribed for a client with a bacterial infection. The nurse instructs the
client to contact the primary health care provider (PHCP) immediately if which occurs? -
CORRECT ANSWER-hearing loss
the nurse is assigned to care for a client with cytomegalovirus retinitis and acquired
immunodeficiency syndrome (AIDS) who is receiving foscarnet. The nurse should
monitor the results of which laboratory study while the client is taking this medication? -
CORRECT ANSWER-serum creatinine level
A client who is human immunodeficiency virus (HIV) seropositive has been taking
stavudine. The nurse should monitor which most closely while the client is taking this
medication? - CORRECT ANSWER-gait
The nurse is caring for a client who has cytomegalovirus retinitis and is receiving
foscarnet. Which assessment finding, if reported by the client, indicates a need for
follow-up? - CORRECT ANSWER-Impaired balance while ambulating
The client with acquired immunodeficiency syndrome (AIDS) has been prescribed
raltegravir. The nurse determines that the client may be experiencing an adverse effect
related to this medication if which assessment finding is noted? - CORRECT ANSWER-
temp of 101.2 F
The nurse is caring for a client with acquired immunodeficiency syndrome (AIDS) who is
receiving didanosine. The nurse understands that side and adverse effects associated
with this medication include which findings? SATA
a) Fatigue
b) Diarrhea
c) Pancreatitis
d) Lactic acidosis
e) Peripheral neuropathy - CORRECT ANSWER-b-e
Itraconazole is prescribed for a client to treat a fungal infection. The nurse monitors the
client closely for which manifestation that is indicative of an adverse effec - CORRECT
ANSWER-anorexia and abd pain
Intravenous (IV) antithymocyte globulin is prescribed to a client for treatment of
transplant rejection. Which intervention is the priority in planning the administration of
this medication? - CORRECT ANSWER-Plan for a skin test dose to identify
hypersensitivity.
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