ATI RN
Immune System Medication Questions
Question 1 of 5
All transplant drugs have the same advisory, to use caution when administering them with another immunosuppressant drug because of the increased risk for:
Correct Answer: D
Rationale: The correct answer is D: Infection. When transplant drugs are administered with another immunosuppressant, the immune system is further suppressed, increasing the risk of infections. This is because the body's ability to fight off harmful pathogens is compromised. Nausea and vomiting (A), edema (B), and anemia (C) are not directly related to the interaction of transplant drugs with other immunosuppressants. Infection is the most critical concern due to the weakened immune response.
Question 2 of 5
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?
Correct Answer: C
Rationale: The correct answer is C: The signs and symptoms the infant is experiencing. This is important because it helps determine the severity of the reaction and guide appropriate interventions. Understanding the specific symptoms can aid in differentiating between a mild versus severe reaction. Options A, B, and D are not as critical because knowing the exact time of immunization, administering acetaminophen, or the sites of administration do not provide immediate information on the infant's current condition and necessary actions.
Question 3 of 5
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?
Correct Answer: A
Rationale: The correct answer is A because providing the patient with a vaccine information statement in their primary language is crucial for informed consent and ensuring the patient understands the vaccine they received. This helps in addressing any concerns or questions the patient may have. B is incorrect because determining the exact date of the patient's last tetanus booster is important but not as immediate as providing vaccine information to the patient. C is incorrect because documenting side effects is important but not the most immediate action required after administering the vaccine. D is incorrect because providing the patient with a record of the immunization is also important but not as critical as ensuring the patient receives information about the vaccine they just received.
Question 4 of 5
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?
Correct Answer: D
Rationale: The correct answer is D because it is crucial for the patient to understand the importance of completing the full HPV vaccination series for optimal protection. By informing the patient about the date for the next dose, it ensures adherence to the recommended schedule and maximizes the effectiveness of the vaccine. This helps in building long-term immunity against HPV-related diseases. Choice A is incorrect because HPV vaccination does not prevent all sexually transmitted diseases, it specifically targets HPV strains. Choice B is incorrect because even after HPV vaccination, regular Pap smears are still necessary for cervical cancer screening. Choice C is incorrect as mild pain at the injection site is a common side effect of the vaccine and does not typically require notification to the healthcare provider unless it persists or worsens.
Question 5 of 5
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?
Correct Answer: C
Rationale: Rationale for Correct Answer (C): The nurse should instruct the patient to increase fluid intake while taking interferon alfa 2b because this medication can lead to dehydration as a side effect. Increasing fluid intake can help prevent dehydration and support overall well-being during treatment. Dehydration can worsen side effects and impact treatment efficacy. Summary of Incorrect Choices: A: Avoid drinking alcohol while taking the drug - While it is generally advisable to limit alcohol consumption during medical treatment, there is no specific interaction between interferon alfa 2b and alcohol mentioned in the question. B: Continue to maintain maximal physical activity - This choice is not directly related to the medication instructions provided in the question. Excessive physical activity may not always be appropriate for patients undergoing leukemia treatment. D: Treat constipation with over-the-counter laxatives - Constipation is not a common side effect associated with interferon alfa 2b, so using laxatives may not be necessary unless specifically recommended by a healthcare provider.