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Janeway's Immunobiology (10th ed) Newest Update
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Janeway's Immunobiology (10th ed) Newest Update adaptive immunity - CORRECT ANSWERS -a specific response against infection by potential pathogens, such as the production of antibodies against a particular pathogen. Develops during the lifetime of an individual as an adaptation to infection with ...

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  • 26 oktober 2024
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Voorbeeld van de inhoud

HESI Pharmacology Exit Exam/Latest
Update 2025
SE of vancomycin - CORRECT ANSWERS -thrombophlebitis, red man syndrome if
infused too rapidly: flushing or rash of upper body, dyspnea, itching, hypotension- can
be lethal

how long should IV vancomycin infuse? - CORRECT ANSWERS -greater than 60
minutes

what is trimethoprim/sulfamethoxazole? - CORRECT ANSWERS -it is a sulfonamide for
treatment of UTI. combination increases efficacy and inhibits metabolism of folic acid at
two different points

what is trimethoprim/sulfamethoxazole known for? - CORRECT ANSWERS -sulfa
allergy

nursing implications for trimethoprim/sulfamethoxazole - CORRECT ANSWERS -
assess for rash due to potential for sevens Johnson syndrome

penicillin have a ____ to ____ - CORRECT ANSWERS -cross-sensitivity;
cephalosporins. they are structurally similar.

nursing considerations for penicillin - CORRECT ANSWERS -observe respiratory status
for first 30 minutes when administering for the first time. watch for anaphylaxis if allergic
to one or the other may have cross sensitivity

what can a nurse treat penicillin anaphylaxis with? - CORRECT ANSWERS -
epinephrine

nursing considerations for antibiotics - CORRECT ANSWERS -do not take for viral
illnesses. take entire prescription as ordered. don't take if not needed as it can produce
resistance.

what is ribavirin(copious) indicated for? - CORRECT ANSWERS -antiviral for treatment
of hepatitis C that has failed other treatment

ribavirin(copious) SE - CORRECT ANSWERS -hemolytic anemia

what is ticarcillin/clavulanic acid (vimentin)? - CORRECT ANSWERS -broad
spectrum/extended spectrum penicillin

nursing considerations for ticarcillin/clavulanic acid (vimentin) - CORRECT ANSWERS -
do not administer in same infusion with aminoglycosides

,what is the indicated use for rifampin? - CORRECT ANSWERS -antitubercular for
treatment of TB

rifampin SE - CORRECT ANSWERS -turns: body fluids; tears, saliva, urine, soft
contacts red/orange/brown. (ADVISE PT THIS IS NORMAL). Teratogenic- may
decrease effectiveness of oral contraceptives; advise to use nonhormonal form of
conception throughout therapy. Hepatotoxicity

what labs need to be monitored with rifampin? - CORRECT ANSWERS -LFTs

what is the indicated use for isoniazid (INH) - CORRECT ANSWERS -TB

What is the indication for metoclopramide/Reglan? - CORRECT ANSWERS -Prevention
of chemotherapy-induced emesis and diabetic gastroparesis

Side effects of metoclopramide/Reglan - CORRECT ANSWERS -Drowsiness, EPS
such as tremors

Notify MD if what occurs when using metoclopramide/Reglan - CORRECT ANSWERS -
Tremors

What is the indication xenical (orlistat, Alli) - CORRECT ANSWERS -For PTs with BMI
of 30+; LT weight control

SE of xenical (orlistat or alli) - CORRECT ANSWERS -Oily stool and flatulence

Nursing implications for a pt on xenical (orlistat or alli) - CORRECT ANSWERS -Ask pt
to describe dietary intake since SE are increased if greater than 30% of fat is in diet.

What can decrease side effects of xenical (orlistat or alli) - CORRECT ANSWERS -
Fiber laxatives like Metamucil help decrease SE by binding to the fat.

Which type of fluids need plenty of water? - CORRECT ANSWERS -Bulk forming
laxatives

Why do you need plenty of fluids when taking bulk forming laxatives - CORRECT
ANSWERS -Because they can produce esophageal and or intestinal obstruction

Laxative use assessment - CORRECT ANSWERS -Last BM and characteristics,
abdominal pain, fever and obstruction. Assess dietary and fluid intake.

With laxative use the nurse should - CORRECT ANSWERS -Encourage fluids, fiber and
exercise as tolerated/indicated

, Laxative use and result in - CORRECT ANSWERS -Lack of bowel tone which can lead
to dependency

what is ondansetron (zofran) - CORRECT ANSWERS -antiemetic

What is ondansetron (zofran)used for? - CORRECT ANSWERS -Prevention of N/V
associated with chemotherapy and radiation therapy.

Who should you use caution with when giving ondansetron/zofran? - CORRECT
ANSWERS -PTs with liver failure

Drugs for ulcerative colitis and crohns - CORRECT ANSWERS -5 aminosalicylates;
mesalamie, sulfasalazine.

How do 5 aminosalicylates; (mesalamie, sulfasalazine) work? - CORRECT ANSWERS -
They decrease GI inflammation

Side effects of 5 aminosalicylates; (mesalamie, sulfasalazine) - CORRECT ANSWERS -
Nausea, rash, arthralgia, hematological disorders

Which drug can cause colitis/c.diff - CORRECT ANSWERS -Linezolid/zyvox

What kind of infection is c.diff - CORRECT ANSWERS -Suprainfection

What is azithromycin/zithromax? - CORRECT ANSWERS -An antibiotic

What does azithromycin/zithromax treat? - CORRECT ANSWERS -STDs such as:
gonorrhea and chlamydia

How much azithromycin/zithromax is usually required? - CORRECT ANSWERS -One
dose of 1g or 2g.

If a female pt has trichomonas (any STI) and is asymptomatic does the male need to be
tested? - CORRECT ANSWERS -Yes!

azithromycin/zithromax can cause what? - CORRECT ANSWERS -Hepatotoxicity-
elevated liver enzymes

What is nitrofurantoin/cipro used for? - CORRECT ANSWERS -An antibiotic for UTI

nitrofurantoin/cipro side effect - CORRECT ANSWERS -Hepatotoxicity, skin reactions,
neuropathy

nitrofurantoin/cipro nursing considerations - CORRECT ANSWERS -Give with milk or
meals check LFTs. Watch for numbness or tingling of extremities this can be an
irreversible peripheral neuropathy

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