Amphotericin B (Fungizone) IV is given to a client with aspergillosis, a fungal infection. In order to prevent its side effects, the nurse anticipates administering which of the following prior, except?         A. Hydrocortisone.      B. Ketoconazole.      C. Diphenhydramine.      D. Meperidine.           Correct Answer: B. Ketoconazole Azole antifungals (eg, ketoconazole) decreases… Read More »

The human cells specifically affected by HIV are:         A. Gonocytes      B. CD4+ T lymphocytes      C. Islet cells      D. Red blood cells           Correct Answer: B. CD4+ T lymphocytes HIV directly infects CD4+ T lymphocytes. HIV is a retrovirus that attacks CD4 T lymphocytes eventually leading to the death… Read More »

Which of the following statements about morphine is correct?         A. Morphine is contraindicated in pain relief caused by head injury.      B. Morphine’s withdrawal symptoms cannot be relieved by methadone.      C. Morphine is most effective by parenteral administration.      D. Morphine quickly enters all body tissues.           Correct Answer: D.… Read More »

Gold sodium thiomalate is prescribed to a client with rheumatoid arthritis. Which of the following side effects indicates an overdose of the medication?         A. Flushing      B. Dizziness      C. Joint pain      D. Metallic taste           Correct Answer: D. Metallic taste. Gold sodium thiomalate toxicity signs are pruritus, diarrhea, dermatitis,… Read More »

The client with ovarian cancer is receiving Tamoxifen (Nolvadex). Which of the following indicates a side effect specific to this medication?         A. Weak and brittle nails      B. Facial twitching      C. Convulsions      D. Constipation           Correct Answer: D. Constipation Tamoxifen (Nolvadex) is an antineoplastic medication that may increase calcium… Read More »

Frequent eye examinations are recommended in clients receiving:         A. chloroquine      B. colchicine      C. penicillamine      D. gold compounds           Correct Answer: A. chloroquine Corneal deposits are an adverse reaction associated with chloroquine administration, necessitating frequent eye examination. Although chloroquine has relatively few side effects when taken as prescribed, higher… Read More »

A nurse is giving instructions to a client taking ciprofloxacin (Cipro) for the treatment of gonorrhea. The nurse tells the client to?         A. Report any history of tendon problems.      B. Resume daily exercise such as biking.      C. Take an antacid 30 minutes prior.      D. Take it with a yogurt as part… Read More »

When caring for a client with total parenteral nutrition (TPN), what is the most important action on the part of the nurse?         A. Record the number of stools per day.      B. Maintain strict intake and output records.      C. Sterile technique for dressing change at IV site.      D. Monitor for cardiac arrhythmias.     … Read More »

The nurse is administering augmentin to her patient with a sinus infection. Which is the best way for her to ensure that she is giving it to the right patient?         A. Call the patient by name.      B. Read the name of the patient on the patient’s door.      C. Check the patient’s wristband.… Read More »

Some central venous access devices (CVAD) have more than one lumen. These multi-lumen catheters:         A. Have an increased risk of infiltration.      B. Only work a short time because the small-bore clots off.      C. Are beneficial to patient care but are prohibitively expensive.      D. Allow different medications or solutions to be administered… Read More »