exam 2 study guide

Question 1

What is important to report when taking antimalarial therapy?

Answer 1

report blurred vision or changes in vision to prevent permanent damage.

Question 2

What should be reported immediately when on antimalarial therapy?

Answer 2

Blurred vision or vision changes to prevent permanent damage.

Some antimalarials, like hydroxychloroquine, can cause retinal toxicity.

Question 3

What is the nursing role for long-term users of antimalarials?

Answer 3

Encourage routine eye exams.

Question 4

Why is malaria prevention important for travelers?

Answer 4

It is key for travelers to endemic areas.

Question 5

What should nurses educate travelers about regarding antiprotozoal agents?

Answer 5

Taking medication before, during, and after travel.

Question 6

What should be monitored when administering Fluconazole (Diflucan)?

Answer 6

Jaundice and unusual bruising/bleeding.

Could indicate liver toxicity or blood disorders.

Question 7

What is the nursing role when administering Acyclovir (Zovirax)?

Answer 7

Encourage hydration to prevent kidney damage.

Question 8

When is Rimantadine (Flumadine) most effective?

Answer 8

When taken soon after flu exposure.

Question 9

What should nurses educate patients about regarding antivirals?

Answer 9

Early symptom recognition.

Question 10

Why do fungal infections resist antibiotics?

Answer 10

Due to protective cell layers.

Question 11

What is the nursing role regarding antifungal prescriptions?

Answer 11

Ensure proper antifungal prescriptions.

Question 12

Why should gloves be worn for topical acyclovir?

Answer 12

To prevent transmission and protect nurses from exposure.

Question 13

What is the contraindication for aspirin?

Answer 13

Use with anticoagulants due to bleeding risk.

Question 14

What should be monitored when administering Ibuprofen (Motrin)?

Answer 14

Unusual bleeding.

Question 15

What is the nursing role when administering Acetaminophen (Tylenol)?

Answer 15

Monitor liver function and educate on daily limits (max 4g/day).

Question 16

What are the signs of NSAID-induced inflammation?

Answer 16

Swelling, pain, warmth.

Question 17

What is the nursing role regarding NSAID-induced inflammation?

Answer 17

Assess for worsening inflammation or allergic reactions.

Question 18

How many doses are required for the Hepatitis B Vaccine?

Answer 18

3 doses.

Question 19

What is the nursing role for the Hepatitis B Vaccine?

Answer 19

Educate on the importance of completing the series.

Question 20

How often is the Influenza Vaccine given?

Answer 20

Annually.

Question 21

What should nurses encourage regarding the Influenza Vaccine?

Answer 21

Vaccination, especially for high-risk patients.

Question 22

How often should a Tetanus Booster be administered?

Answer 22

Every 10 years.

Question 23

What is the nursing role regarding Tetanus Booster?

Answer 23

Assess last vaccination date and educate on wound care.

Question 24

Who should not receive the Varicella Vaccine?

Answer 24

Pregnant clients.

Question 25

What should be verified before administering the Varicella Vaccine?

Answer 25

Pregnancy status.

Question 26

What should immunocompromised patients avoid?

Answer 26

Crowds and infection exposure.

Question 27

What is the nursing role for immunocompromised patients?

Answer 27

Teach about hygiene and avoiding sick contacts.

Question 28

What is crucial for HIV treatment?

Answer 28

Strict adherence.

Question 29

What is the nursing role regarding HIV treatment?

Answer 29

Educate on the importance of scheduled dosing.

Question 30

What precautions should be taken with chemotherapy drugs?

Answer 30

Use gloves and gowns.

Question 31

What is the nursing role regarding chemotherapy precautions?

Answer 31

Follow PPE guidelines to prevent exposure.

Question 32

What should be monitored due to the risk of bone marrow suppression?

Answer 32

WBCs and assess for fever.

Question 33

How do you convert grams to milligrams?

Answer 33

1g = 1000mg.

Question 34

What is the nursing role regarding medication conversions?

Answer 34

Double-check conversions to prevent dosing errors.

Question 35

What should be done when calculating dosages?

Answer 35

Read labels carefully.

Question 36

What is the nursing role regarding medication labels?

Answer 36

Avoid misinterpretation of medication labels.

Question 37

What should be included in fluid intake calculations?

Answer 37

All liquids.

Question 38

What is the nursing role regarding intake/output tracking?

Answer 38

Ensure accurate intake/output tracking.

Question 39

What should be watched for when administering Salicylates (Aspirin)?

Answer 39

Tinnitus.

Question 40

What does tinnitus indicate when taking Aspirin?

Answer 40

Can indicate toxicity.

Question 41

What is the nursing role if tinnitus appears?

Answer 41

Discontinue if symptoms appear.

Question 42

What should be monitored when administering antifungals?

Answer 42

Renal and hepatic function.

Question 43

What is the nursing role regarding antifungals?

Answer 43

Assess for jaundice and kidney function labs.

Question 44

What do immune stimulants do?

Answer 44

Boost pathogen defense.

Question 45

What is the nursing role regarding immune stimulants?

Answer 45

Educate on side effects like fever and fatigue.

Question 46

What should be avoided in pediatrics due to Reye’s Syndrome risk?

Answer 46

Aspirin.

Question 47

What should be used instead of aspirin in pediatrics?

Answer 47

Acetaminophen.

Question 48

What should be monitored in older adults taking NSAIDs?

Answer 48

Bruising and bleeding.

Question 49

What is the nursing role regarding older adults and NSAIDs?

Answer 49

Assess renal function and GI symptoms.

Question 50

What are the pregnancy warnings for Methotrexate?

Answer 50

Contraindicated (teratogenic).

Question 51

What are the pregnancy warnings for Tamoxifen?

Answer 51

Causes menopausal effects.

Question 52

What is the nursing role regarding pregnancy warnings?

Answer 52

Educate on risks.

Question 53

What is required for protective isolation for immunosuppressed clients?

Answer 53

gloves and gown

Question 54

What is the nursing role for protective isolation?

Answer 54

Minimize exposure and ensure PPE use.

Question 55

What prevents infections?

Answer 55

Hand hygiene.

Question 56

What is the nursing role regarding hand hygiene?

Answer 56

Reinforce handwashing protocols.

Question 57

What should be cautioned about Methotrexate in pregnancy?

Answer 57

Caution in pregnancy.

Question 58

What is the nursing role regarding Methotrexate?

Answer 58

Ensure birth control use.

Question 59

What is the nursing role for Etanercept (Enbrel) in psoriatic arthritis?

Answer 59

Educate on injection technique.

Question 60

What is the risk associated with NSAIDs?

Answer 60

GI bleeding.

Question 61

What should be monitored for GI bleeding with NSAIDs?

Answer 61

Dark stools.

Question 62

What should be avoided while taking Metronidazole (Flagyl)?

Answer 62

Alcohol.

Question 63

What can alcohol cause when taking Metronidazole?

Answer 63

Severe nausea and vomiting.

Question 64

What is the nursing role regarding Metronidazole and alcohol?

Answer 64

Emphasize avoiding alcohol while on treatment.

Question 65

What should be avoided when taking Infliximab (Immunosuppressant)?

Answer 65

Crowds.

Question 66

What is the nursing role regarding Infliximab?

Answer 66

Educate on avoiding sick individuals.

Question 67

What should be referred to for vaccine information?

Answer 67

CDC guidelines.

Question 68

Why is it important to refer to CDC guidelines?

Answer 68

Ensures up-to-date and evidence-based practice.

Question 69

What is the nursing role regarding vaccine information?

Answer 69

Provide reliable resources.