Antibiotic
Report allergy to provider and instruct patient not to take.
What lab should be monitored for Cisplatin?
Monitor BUN and creatinine.
Cisplatin causes nephrotoxicity.
A patient is getting Fluconazole IV. The nurse will need to monitor which electrolyte level?
Potassium
What is the difference between Dtap and Tdap?
Dtap is administered to children.
Tdap is the booster received once every 10 years.
What is an immunosuppressant?
A drug used to suppress the immune system to prevent/treat organ rejection
Patient is receiving Vancomycin 1500 mg IV every 8 hours. The patient reports feeling itchy all over and his face appears red. The nurse identifies these symptoms as?
Red Man syndrome
A nurse is teaching a client who has breast cancer about tamoxifen. What adverse effects of tamoxifen should the nurse discuss with the client?
Endometrial cancer, hypercalcemia, nausea and vomiting, thromboembolic events, hot flashes, vaginal discharge or bleeding
A nurse is caring for a client who is taking ritonavir, a protease inhibitor, to treat HIV infection. The nurse should monitor for which of the following adverse effects of this medication?
Hyperlipidemia
Age 50 years and older
Immunocompromised
Asthma and COPD patients
What labs will the nurse need to monitor for a patient on Azathioprine?
Liver function tests, CBC and platelets
A nurse is assessing a client who has a severe infection and has been receiving cefotaxime for the past week. Which of the following findings indicates a potentially serious adverse reaction to this medication that the nurse should report to the provider?
Diarrhea. This could indicate the development of C. diff
Protect the skin from sunlight and take birth control during and for 6 months after completing treatment
A nurse is caring for a client who is receiving acyclovir. Which of the following actions should the nurse take?
Obtain BUN and creatinine prior to administration
What vaccine is indicated for shingles?
Zoster recommended for age 50 years and older
Patient is on Mycophenolate and misses a dose what should the nurse recommend?
To take the dose ASAP if you are too close to the next scheduled time then take the next dose. DO NOT double up on doses.
A nurse us obtaining a medication history from a client who is to receive imipenem-cilastatin IV to treat an infection. Which of the following medications the client also receives increases the risk for a medication interaction?
Valproic acid.
Imipenem-cilastatin will decrease the blood levels of Valproic acid.
A patient is taking Paclitaxel. The patient reports that they were told to avoid crowds and sick people. The patient asks the nurse why they were told this?
Paclitaxel can cause bone marrow suppression (which is a low WBC).
What lab values will the nurse monitor for bone marrow suppression?
CBC, ANC, platelets, Hgb and Hct
A nurse is reviewing the medical record of an 11-year-old school-age child. Which of the following allergies would be a contraindication to receiving the HPV vaccination?
Yeast
What drug causes Cytokine Release Syndrome?
Basiliximab
What patient education will be provided for all antibiotic therapy, no matter the drug?
To complete the full course of the antibiotic. Do not stop when you start to feel better.
A patient is taking aldesluekin and it reporting that they have not been able to urinate. What does the nurse determine is happening?
Fluid retention is a sign of capillary leak syndrome.
A patient is started on Acyclovir for Herpes. The patient asks if it is safe to be sexual active. What is the nurses best response?
The nurse should state the patient should use a condom for protection to prevent their partner from getting Herpes.
Also, make sure to educate patient on completing full course of medication.
A nurse is teaching a group of guardians about immunizations. The nurse should instruct the guardians that the series for which of the following vaccines is completed prior to the first birthday?
Rotavirus
What are the signs and symptoms of Cytokine Release Syndrome?
fever, dyspnea, tachycardia, sweating, chills, headache, nausea, vomiting, diarrhea, muscle and joint pain and general malaise