I demand specificity.
Nothing bad could ever happen? Right?
That can't possibly be a side effect
Pharmacokinetics
Final Review... Cause we are so close!
100

Documents that describe the risk and benefit of specific vaccines

What is Vaccine Information Statements (VIS)?

100

Because cases of anaphylaxis associated with MMR can be severe, the RN should ensure immediate access within the office to this drug. 

What is the magical drug Epinephrine (Adrenaline)?

100

Because of the adverse effects of ______ on blood glucose the nurse should assess the patients for symptoms of ______? 

What is prednisone & hyperglycemia? 

100

This drug is rapidly metabolized by the liver to oselatmivir carboxylate, the active drug. >99% is extreted unchanged in the urine. 

What is tamiflu? 
100

The nurse knows that this is the best way to prevent influenza.

What is vaccination!?

200

Giving a patient preformed antibodies

What is Passive Immunity? 

200

It would be the greatest priority for the parent to contact the prescriber if a child rexpeirenced which symptom after administration of a DTaP immunization. 

A) drowsiness

B) Refusal to eat

C) Swelling around Lips

D) Temp of 100.3F 

What is swelling around the lips (can progress to anaphylaxis). 

200

Body image is developmentally important to many pages. It is important for nurses to discuss body image when cyclosporine has been prescribed to a young women because of this side effect. 

What is facial hair? 

200

This drug has both emtricitabine 200mg and tenofovir 300mg. Great choice before a night out! 

What is Truvada? 

200

This is the drug of choice for MRSA infections. 

What is Vancomycin? 

300

Substance that stimulates the immune system to produce antibodies

What is an Antigen? 

300

The triage pediatric office RN receives a call from the father of a 16-year-old who had a varicella vaccine 10 days ago. he had a fever after injection and the dad treated it with aspirin. Yesterday he stayed home from school with stomach flu, the dad is having difficulty awakening him. The nurse instructs the dad to. 

What is seek immediate emergency care! REYES Syndrome. 

300
Due to the risk of nephrotoxicity with administration of cyclosporine (Sandimmune), a priority nursing assessment should be completed. 

What is intake and output? 

Renal damage occurs in up to 75% of patients taking cyclosporine. Injury manifests as reduced renal blood flow and reduced GFR. 

300

Serum drug levels must be monitored in this immunosuppressant. 

What is cyclosporine (Sandimmune)? 

WHY!? 

300

Patient adherence with antidepressant drug therapy will improve if the nurse explains what? 

What is the expected timing of a therapeutic response? 

400

Refers to production of both active immunity and passive immunity. 

What is immunization? 

400

The RN is preparing to administer Gardasil to an 18-year-old college student The RN tells the student " you cannot get pregnant for 2 months if I give you this shot" This is a poor statement by the RN. Why. 

The student might interpret the statement as meaning that injection prevents pregnancy! 

400

Due to this adverse effect on bone density, it would be  a priority to protect the patient from falls when taking this drug. 

What is prednisone? 

400

The mechanism for this drug is activation of the humoral immune system, it targets the following HPV subtypes: 6, 11, 16, 18, 31, 33, 45, 52, and 58. 

What is Gardasil 9? 

400

The generic names of histamine 2 receptor antagonists (H2RAs) share this common suffix. 

What is -dine?

(Famotidine (Pepcid))

500

Protein produced by the body's immune system in response to a specific antigen  

What is an antibody?

500

These measures decrease discomfort associated with immunizations. (name 3) 

What is topical anesthetic, aspirate before injecting, use 25-26 gauge needles. 

500

Ribavirin is known to have several serious adverse effects. Name 3. 

What is Hemolytic anemia, Birth defects,  Flu-like symptoms, Severe depression? 

500

In reviewing lab results of a patient taking cyclosporine (Sandimmune), which of the following would be a reason to contact a provider? Select all that apply 

1) ALT 28 B) BUN 17 C) Creatine 3.2 D) Potassium 5.4 E) WBC 2800/mm

What is C & D & E? 

500
This common over the counter supplement can decrease the effectiveness of oral contraceptives. 

What is St. Johns Wart?

Remember the popular herbal remedy St John's wort is an inducer of cytochrome P450 (CYP) 3A enzymes and may reduce the efficacy of oral contraceptives. 

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