Chapter 47: Biologic Response?Modifying and Antirheumatic Drugs - Nurselytic

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Pharmacology and the Nursing Process 10th Edition Test Bank

Chapter 47 : Biologic Response?Modifying and Antirheumatic Drugs Questions

Question 1 of 5

The nurse is administering an interferon and will implement which intervention?

Correct Answer: D

Rationale: Interferon is given parenterally (not orally), and injection sites need to be rotated. Fluids need to be increased during interferon therapy. The other options are incorrect.

Question 2 of 5

Abatacept is prescribed for a patient with severe rheumatoid arthritis. The nurse checks the patient's medical history, knowing that this medication would need to be used cautiously if which condition is present?

Correct Answer: B

Rationale: Abatacept must be used cautiously in patients with recurrent infections or chronic obstructive pulmonary disease. The other options are incorrect.

Question 3 of 5

Aldesleukin (IL-2) is prescribed for a patient. The nurse reviews the patient's medication list and would note a potential drug interaction if which drug class is also ordered?

Correct Answer: D

Rationale: Aldesleukin (IL-2), when given with antihypertensives, can produce additive hypotensive effects. The other responses are incorrect.

Question 4 of 5

During therapy with hematopoietic drugs, the nurse will monitor the patient for which adverse effects? (Select all that apply.)

Correct Answer: B,C,E,F

Rationale: Potential adverse effects of hematopoietic drugs include edema, anorexia, nausea, vomiting, diarrhea, dyspnea, fever, and headache. Hypotension and black, tarry stools are not adverse effects of these drugs.

Question 5 of 5

A patient is to receive filgrastim 5 mcg/kg/day. The patient weighs 176 pounds. Identify how many micrograms of medication this patient will receive each day.

Correct Answer: 400 mcg

Rationale: Convert pounds to kilograms: 176 ?· 2.2 = 80 kg. Calculate mcg/day for this patient: 5 mcg/kg/day ?? 80 kg = 400 mcg/day.

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