ATI RN
Immune System Drugs Questions
Question 1 of 5
The nurse is preparing a patient to receive immunosuppressant drugs on an outpatient basis. What is the priority for the nurse to arrange for this patient in the home environment?
Correct Answer: C
Rationale: Rationale for correct answer (C): Providing supportive care and comfort measures is the priority for the nurse preparing a patient for immunosuppressant drugs at home. This is crucial to monitor the patient's well-being, manage side effects, and ensure the patient's comfort during treatment. Supportive care includes monitoring vital signs, managing symptoms, and addressing any concerns the patient may have, which are essential for the patient's safety and well-being. Summary of incorrect choices: A: A caregiver skilled in CPR is important but not the priority. CPR may be needed in emergencies, but ensuring ongoing supportive care and comfort measures take precedence. B: Adequate nutrition is important for overall health but not the immediate priority when preparing a patient for immunosuppressant drugs. D: Having a home care nurse administer injections may be helpful, but it is not the priority. Providing supportive care and comfort measures can be managed by the patient themselves or the caregiver.
Question 2 of 5
The nurse is caring for a child requiring cyclosporine to prevent rejection. Cyclosporine is given to adults using a dosage of 15 mg/kg. The nurse calculates the child's dosage is 20 mg/kg. What is the nurse's priority action?
Correct Answer: A
Rationale: Rationale: 1. Calculate the correct dosage for the child. 2. Compare the calculated dosage to the ordered dosage. 3. If the calculated dosage is higher than the ordered dosage for adults, it is within the safe range for children due to their higher metabolic rate. 4. Administering the drug is the priority as the calculated dosage is appropriate for the child's weight and condition. 5. Holding the dose or reporting the error would be unnecessary as the dosage is safe for the child. Notifying the supervisor is not required as there is no error in this case.
Question 3 of 5
The nurse is caring for a young adult woman taking immune modulating medications who has been advised to use barrier contraceptives but she wants to start her family. What information can the nurse provide about these drugs to help this patient with her decision-making?
Correct Answer: A
Rationale: Rationale: A: Correct. The nurse should advise the patient to discuss her desire to start a family with her healthcare provider. By doing so, the provider can assess the risks, adjust the medication regimen if necessary, and provide guidance on how to proceed safely during pregnancy. B: Incorrect. Discontinuing immune modulating drugs abruptly can have negative consequences on the patient's health. It is important to have a healthcare provider manage any necessary adjustments to the medication. C: Incorrect. While some immune modulating drugs may have potential risks during pregnancy, not all are highly teratogenic. Each drug should be evaluated individually. D: Incorrect. While pregnancy may require adjustments to the medication regimen, it is not necessarily ruled out as an option. Adoption is a personal choice and should not be presented as the only alternative.
Question 4 of 5
During routine prenatal testing, a patient is diagnosed with human immunodeficiency virus infection. To help prevent perinatal transmission of human immunodeficiency virus to the fetus, what is the nurse's best action?
Correct Answer: D
Rationale: The correct answer is D because providing education about antiretroviral therapy during pregnancy is crucial in preventing perinatal transmission of HIV. Antiretroviral therapy significantly reduces the risk of transmission from mother to fetus. By educating the patient about the benefits and importance of adhering to antiretroviral therapy, the nurse empowers the patient to make informed decisions for the health of the fetus. Choice A is incorrect because while support groups are important for emotional support, they do not directly address preventing perinatal transmission. Choice B is incorrect as educating about risks alone without providing specific preventive measures is not sufficient. Choice C is incorrect as notifying the CDC is not within the nurse's scope and does not directly impact prevention for this patient.
Question 5 of 5
The nurse advises human immunodeficiency virus (HIV)-positive patients about blood draws to obtain a CD4+ count. What is the correct information to give them about when and how this laboratory blood work should be done?
Correct Answer: A
Rationale: The correct answer is A because obtaining CD4+ counts at the same laboratory and around the same time of day whenever possible ensures consistency in results. This consistency is important for tracking disease progression and treatment efficacy. Choice B, fasting, is irrelevant to CD4+ counts. Choice C, after taking antiretroviral medications, may affect the results due to potential drug interference. Choice D, any laboratory at any time, lacks consistency and may lead to inaccurate comparisons over time. Thus, choice A is the most appropriate for accurate monitoring of HIV-positive patients.