Take Quiz: Drugs for immune modulator Quiz

Question 1

A 55-year-old female client is receiving cyclosporine (Neoral, Sandimmune) after a heart transplant. The client exhibits a white blood cell count of 12,000 cells/mm3 , a sore throat, fatigue, and a low-grade fever. The nurse suspects which of the following conditions?*

A. Transplant rejection

B. Heart failure

C. Dehydration

D. Infection

Question 2

Which of the following statements by a client who is taking cyclosporine (Neoral, Sandimmune) would indicate the need for more teaching by the nurse?*

A. “I will report any reduction in urine output to my health care provider.”

B. “I will wash my hands frequently.”

C. “I will take my blood pressure at home every day.”

D. “I will take my cyclosporine at breakfast with a glass of grapefruit juice.”

Question 3

The nurse is evaluating drug effects in a client who has been given interferon alfa-2b (Intron-A) for hepatitis B and C. Which of the following is a common adverse effect?*

A. Depression and thoughts of suicide

B. Flulike symptoms of fever, chills, or fatigue

C. Edema, hypotension, and tachycardia

D. Hypertension, renal or hepatic insufficiency

Question 4

The nurse would question an order for peginterferon alfa-2a (Pegasys) if the client had which of the following conditions? (Select all that apply.)*

A. Pregnancy

B. Renal disease

C. Hepatitis

D. Liver disease

E. Malignant melanoma

Question 5

A nurse is preparing to administer a hepatitis B vaccination to a client. Which of the following would cause the nurse to withhold the vaccination and check with the health care provider?*

A. The client smokes cigarettes, one pack per day.

B. The client is frightened by needles and injections.

C. The client is allergic to yeast and yeast products.

D. The client has hypertension.

Question 6

A 5-year-old child is due for prekindergarten immunizations. After interviewing her mother, which of the following responses may indicate a possible contraindication for giving this preschooler a live vaccine (e.g., MMR) at this visit and would require further exploration by the nurse?*

A. Her cousin has the flu.

B. The mother has just finished her series of hepatitis B vaccines.

C. Her arm became very sore after her last tetanus shot.

D. They are caring for her grandmother who has just finished her second chemotherapy treatment for breast cancer.

Question 7

The following are example of vaccine as Drugs except:*

A. Adacel and Boostrix (combinations of tetanus toxoid and DTaP), (Adacil) Comvax (combination of haemophilus and hepatitis B vaccines), diphtheria, tetanus, and pertussis (Daptacel, DTaP, Infanrix, Tripedia), haemophilus influenza type B conjugate (ActHIB, Hiberix, PedvaxHIB), hepatitis A (Havrix, VAQTA)

B. nfluenza vaccine (Afluria, Fluarix, FluLaval, FluMist, Fluvirin, Fluzone): includes H1N1 influenza protections,meningococcal conjugate vaccine (Menactra, Menomune, Menveo)

C. varicella (Varivax, Zostavax), tetanus toxoid, pneumococcal, polyvalent (Pneumovax 23), or 7-valent (Prevnar)

D. Streptomycin, aminoglycoside, cefotaxime, chromosol, chloramphenicol

Question 8

Passive immunity occurs when preformed antibodies are transferred or “donated” from one person to another?*

A. True

B. False

Question 9

It is The type of response induced by the real pathogen, or its vaccine?*

A. Active immunity

B. Passive immunity

C. vaccine

Question 10

Vaccination, or immunization, is the process of introducing foreign proteins or inactive cells (vaccines) into the body to trigger immune activation before the patient is exposed to the real pathogen?*

A. True

B. False