A neighbor tells nurse Maureen he has to have surgery and is reluctant to have any blood product transfusions because of a fear of contracting an infection. He asks the nurse what are his options. The nurse teaches the person that the safest blood product is:         A. An allogeneic product.      B. A directed… Read More »

As a well-rounded health care provider, you know that corticosteroid therapy is indicated in all of the following conditions except:         A. Osteoarthritis      B. Rheumatoid arthritis      C. Systemic lupus erythematosus      D. Acute spinal cord injury           Correct Answer: A. Osteoarthritis Osteoarthritis is not an indication for corticosteroid therapy. It has… Read More »

An HIV-positive client who has been started on highly active antiretroviral therapy (HAART) came back for a follow-up checkup. Which of the following will be the most helpful in determining the response to the therapy?         A. Rapid HIV antigen test      B. Western Blot analysis      C. Viral load test      D. White blood cell count… Read More »

When a client with chronic obstructive pulmonary disease is taking theophylline also receives ciprofloxacin (Cipro), which of the following interactions would occur?         A. Cipro Toxicity      B. Ineffectiveness of ciprofloxacin      C. Theophylline toxicity      D. Ineffective theophylline           Correct Answer: C. Theophylline toxicity Theophylline toxicity may occur because the action… Read More »

General anesthetics potentiate the effects of which of the following drugs?         A. Depolarizing agents      B. Skeletal muscle relaxants      C. Volatile liquids      D. Inhalation anesthetics           Correct Answer: B. Skeletal muscle relaxants The effects of skeletal muscle relaxants are potentiated with the use of general anesthetics. Skeletal muscle relaxants… Read More »

Superficial bladder cancer can be treated by direct instillation of the antineoplastic antibiotic agent mitomycin (Mutamycin). This process is termed:         A. Intraventricular administration.      B. Intravesical administration.      C. Intravascular administration.      D. Intrathecal administration.           Correct Answer: B. Intravesical administration. Medications administered intravesically are instilled into the bladder. Intravascular administration… Read More »

A severely immunocompromised female patient requires a blood transfusion. To prevent GVHD, the physician will order:         A. diphenhydramine hydrochloride (Benadryl).      B. The transfusion to be administered slowly over several hours.      C. Irradiation of the donor blood.      D. acetaminophen (Tylenol).           Correct Answer: C. Irradiation of the donor blood.… Read More »

Oral steroids are prescribed on a taper in order to:         A. Achieve optimal serum levels.      B. Ensure drug reliability.      C. Ensure compliance.      D. Prevent steroid withdrawal syndrome.           Correct Answer: D. Prevent steroid withdrawal syndrome. Steroids are tapered off in order to prevent a withdrawal syndrome. Tapering the… Read More »

A client with acquired immunodeficiency syndrome is prescribed with zidovudine (Azidothymidine). Which of the following laboratory results should the nurse monitor while on this medication?         A. Throat swab gram stain.      B. Complete blood count      C. Random blood sugar      D. Blood uric acid           Correct Answer: B. Complete blood… Read More »

The client at highest risk for nephrotoxicity with aminoglycoside use is a:         A. Male with a creatinine of 1.7 and BUN of 52 on a 10-day regimen.      B. Female with BUN of 12 and creatinine of 0.8.      C. Female with past history of cystitis on 5 days of therapy.      D. Male with history… Read More »