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?

Correct Answer: A

Rationale: The correct answer is A: Effects of oral contraceptives may be altered by liver changes or changes in immune response. Rationale: 1. Immune modulating drugs can affect liver function, potentially altering the metabolism of oral contraceptives. 2. Liver changes can impact the effectiveness of oral contraceptives by either increasing or decreasing their levels in the body. 3. Changes in immune response can also interfere with the hormonal balance maintained by oral contraceptives, leading to decreased efficacy. 4. Barrier contraceptives are recommended to prevent unintended pregnancies due to the potential interactions between immune modulating drugs and oral contraceptives. Summary of other choices: B: Incorrect. Oral contraceptives do not increase the action of immune modulating drugs; they may interact with them due to changes in metabolism. C: Incorrect. Immune modulators can affect oral contraceptives through liver metabolism rather than hormonal impact. D: Incorrect. High-estrogen pills are not the only option if barrier contrace

Correct Answer: D

Rationale: The correct answer is D. The nurse should educate the patient about the continued need for medications and ongoing monitoring because an undetectable viral load does not mean the medication stopped working. The virus is suppressed but still present, so adherence to medications is crucial. Choice A is incorrect as an undetectable viral load is a positive outcome. Choice B is incorrect as rescheduling the visit is unnecessary. Choice C is incorrect as simply congratulating the patient does not address the importance of medication adherence and monitoring.

Correct Answer: D

Rationale: The correct answer is D: Infection. When transplant drugs are combined with other immunosuppressant drugs, the immune system is further weakened, increasing the risk of infections. This is because immunosuppressants reduce the body's ability to fight off pathogens. Nausea and vomiting (A), edema (B), and anemia (C) are not directly linked to the interaction between transplant drugs and other immunosuppressants. Infections are the primary concern due to the compromised immune response.

Correct Answer: B

Rationale: The correct answer is B: Chills. Basiliximab is a monoclonal antibody used to prevent organ rejection by suppressing the immune system. Cytokine release syndrome is a common side effect characterized by the rapid release of cytokines, leading to symptoms such as fever, chills, and flu-like symptoms. Chills specifically indicate an acute systemic inflammatory response, which is a hallmark of cytokine release syndrome. The other choices (A: Coughing, C: Tremors, D: Weakness) are not typically associated with cytokine release syndrome.

Correct Answer: C

Rationale: The correct answer is C: The signs and symptoms the infant is experiencing. This is the most important information because it helps determine the severity and type of reaction the infant is having. By knowing the specific signs and symptoms, the nurse can assess whether it is a mild or severe reaction and provide appropriate guidance or intervention. Choice A (The time the immunization was received) may be important for tracking purposes but does not provide immediate information on the infant's condition. Choice B (Whether the father has given the infant any acetaminophen) is relevant but not as crucial as knowing the actual symptoms. Choice D (The sites used to administer the immunizations) is less important compared to knowing the symptoms, as the reaction can occur regardless of the administration sites.