A 14-year-old girl requests a vaccination for human papillomavirus. After the nurse administers the first dose, which of the following is important to include in the patient's teaching?
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Question 2 of 22
A patient has been diagnosed with hairy cell leukemia. The patient is to begin taking interferon alfa 2b. What will the nurse include in her instructions to the patient concerning this drug?
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Question 3 of 22
A nurse is discussing interferon alfa 2b with a patient. What will the nurse encourage the patient to do while taking this drug?
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Question 4 of 22
The nurse teaches the female patient receiving immune modulating drugs about the need to use barrier contraceptives. The patient says, I hate using barrier contraceptives. Why can't I just take oral contraceptives? What is the nurse's best response?
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Question 5 of 22
Your patient is receiving basiliximab and develops cytokine release syndrome. You would expect to see:
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Question 6 of 22
What interleukin receptor antagonist would the nurse anticipate is most likely to be ordered for a patient, 25 years old, who has not responded to traditional antirheumatic drugs?
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Question 7 of 22
All transplant drugs have the same advisory, to use caution when administering them with another immunosuppressant drug because of the increased risk for:
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Question 8 of 22
While studying for a pharmacology test, a student asks his peers about interferons. What statement about interferons is accurate?
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Question 9 of 22
The nurse is caring for a patient who has a diagnosis of chronic hepatitis B infection and has been prescribed an immune stimulant. After teaching the patient about the treatment plan, how might the nurse evaluate the effectiveness of teaching?
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Question 10 of 22
The nursing class is studying monoclonal antibodies. What monoclonal antibody reacts to human T cells, disabling them and acting as an immune suppressor?
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Question 11 of 22
The nurse is caring for a patient diagnosed with rheumatoid arthritis (RA) who recently underwent a liver transplant. What immunosuppressant could this patient be prescribed that would treat both diagnoses?
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Question 12 of 22
A patient has just been told that her cancer has metastasized to her right kidney. An interferon (Aldesleukin) has been prescribed to treat this metastasis. The patient asks why this interferon is ordered. What is the nurse's best response?
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Question 13 of 22
The patient has arrived in the short stay unit for an infusion of tositumomab with 131 tositumomab (Bexxar). Before beginning the infusion, the nurse assesses the patient's vital signs and finds the patient has a temperature of 101.5°F, What is the nurse's priority action?
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Question 14 of 22
The father of a 4-month-old infant calls in to the clinic reporting that his child is having a reaction to immunizations. What is the most important piece of information the nurse should elicit?
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Question 15 of 22
A 38-year-old migrant farm worker is seen in the clinic with a cut to his arm from an old metal drum. The patient has sutures placed, and a tetanus, diphtheria, and acellular pertussis vaccine is given. What is the nurse's most important action after the vaccine has been administered?
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Question 16 of 22
The nurse, working with a nursing student, is caring for a patient who is to receive interleukins. The student nurse asks you what happens physiologically when a patient receives interleukins. What is the nurse's best response?
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Question 17 of 22
The nurse is writing a plan of care for a patient receiving immune suppressants for leukemia. What would be an appropriate nursing diagnosis for this patient?
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Question 18 of 22
The physician has decided to prescribe T- and B-cell suppressors for a patient diagnosed with psoriasis. What drug will be ordered for this patient?
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Question 19 of 22
The nurse is caring for a patient with an allograft transplant. The physician orders a monoclonal antibody to prevent rejection of the transplant. What monoclonal antibody would the nurse expect to be ordered?
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Question 20 of 22
A recent laboratory results indicated an “undetectable†human immunodeficiency virus viral load. What is the nurse's best response?
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Question 21 of 22
The nurse is caring for a female patient, aged 62, who has been admitted for treatment of metastatic melanoma. What agent would the nurse anticipate the physician is likely to order?
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Question 22 of 22
A 30-year-old woman has been diagnosed with leukemia and will be using an immune modulator for treatment. What will be important to discuss with the patient when the nurse provides patient teaching about her treatment?
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