The Immune System Pharm ATI – Flashcards
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A health care professional should understand that raltegravir (Isentress) treats patients who have which of the following?
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Resistant HIV disease
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When considering drug therapy options for a patient who has metastatic breast cancer that is positive for human epidermal growth factor receptor 2 (HER2), the health care professional should choose which of the following drugs?
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Trastuzumab (Herceptin)
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A health care professional is caring for a patient who is about to begin receiving cisplatin to treat testicular cancer. The health care professional should tell the patient to report which of the following adverse effects?
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paresthesias sore throat flank pain tinnitus
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A health care professional is assessing a patient following a trastuzumab (Herceptin) infusion to treat metastatic breast cancer. Which of the following findings indicates an adverse reaction to the drug?
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Wheezing dysrhythmias hypotension fever
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When caring for a patient who is receiving vincristine to treat lung cancer, the health care professional should monitor for which of the following findings that indicates an adverse effect?
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weak hand grasps
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A health care professional is caring for a patient who is about to begin taking imatinib (gleevec) to treat chronic myeloid leukemia. Which of the following instructions should the health care professional include when talking to the patient about taking the drug?
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clean fruits and vegetables thoroughly weigh yourself daily perform hand hygiene frequently avoid herbal supplements
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A health care professional is about the administer enfuvirtide (Fuzeon) to a patient. The health care professional should perform which of the following actions?
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Administer the drug subcutaneously Roll the vial gently to reconstitute the solution inject the solution at room temperature
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A health care professional should understand that enfuvirtide (Fuzeon) is an appropriate choice for patients who have which of the following?
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advanced HIV disease
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A health care professional is caring for a patient who is about to begin maraviroc (selzentry) therapy. The health care professional should tell the patient to report which of the following adverse effects of the drug?
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paresthesias cough jaundice fever
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A health care professional should question the use of maraviroc (selzentry) for a patient who has which of the following?
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Non-chemokine receptor 5 (CCR5)-tropic HIV-1
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When talking to a patient who is about to begin vincristine therapy to treat lymphoma, the health care professional should include which of the following instructions?
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increase fiber intake
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A health care professional is caring for a patient who is about to begin delavirdine (rescriptor) therapy to treat HIV-1. The health care professional should tell the patient to report which of the following adverse reactions to the drug?
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rash
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A health care professional is caring for a patient who is receiving IV carmustine (BiCNU) to treat multiple myeloma. The health care professional should recognize that the patient is at the greatest risk for infection for which of the following lengths of time after the infusion?
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4-6 weeks
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When talking with a patient who is about to begin methotrexate (trexall) therapy to treat non-Hodgkin lymphoma, the health care professional should include which of the following instructions?
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use a soft-bristled toothbrush
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A health care professional is about to administer IV paclitaxel (taxol) to a patient who has ovarian cancer. Which of the following actions should the health care professional take?
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Give the patient an antihistamine administer the drug through non-PVC tubing use an in-line filter
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A health care professional is caring for a patient who is about to start ritonavir (norvir) and zidovudine (retrovir) therapy to treat HIV-1. The health care professional should explain that the patient will receive ritonavir along with at least one reverse transcriptase inhibitor to
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prevent drug resistance
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A health care professional is caring for a patient who is about to begin taking mercaptopurine (purinethol) to treat leukemia. Which of the following instructions should the health care professional include when talking with the patient about the drug?
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Use contraception if pregnancy is a risk perform oral hygiene frequently perform hand hygiene frequently avoid activities that can cause injury
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A health care professional should question the use of cyclophosphamide for a patient who has which of the following?
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dehydration
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Unless there are any specific contraindications, which of the following immunizations should adults receive once each year?
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Influenza
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A health care professional should question the use of anastrozole (Arimidex) for a patient who is
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premenopausal
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When caring for a patient who is taking flutamide to treat prostate cancer, the health care professional should monitor the patient for which of the following adverse effects of the drug?
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gynecomastia
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While assessing a patient who is receiving interferon alfa-2a (Roferon-A) to treat Kaposi's sarcoma, the health care professional should check for which of the following possible indications of an adverse reaction?
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fever
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A health care professional is caring for a patient who is about to begin topotecan (Hycamtin) therapy to treat resistant, small-cell lung cancer. The health care professional should caution the patient about taking which of the following types of over-the-counter drugs while receiving the therapy?
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Ibuprofen (advil)
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A health care professional is caring for a patient who is about to begin taking tamoxifen (soltamox) to treat breast cancer. The health care professional should recognize the need for cautious use of the drug if the patient also has which of the following?
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cataracts
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A health care professional is caring for a patient who is about to begin intrathecal cytarabine (DepoCyt) therapy to treat meningeal leukemia. The health care professional should explain that the patient should also receive which of the following drugs to reduce the risk of neurotoxicity?
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Dexamethasone
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Before you begin IV infusion of cisplatin to a patient who has ovarian cancer, you should take what actions?
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Infuse 1 to 2 L of IV fluid Administer an antiemetic Evaluate the patient's hearing Determine the patient's weight
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A patient is taking mercaptopurine (Purinethol) to treat acute lymphocytic leukemia. What is an indication of an adverse reaction to the drug?
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Bruising
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A patient is about to start therapy with topotecan (Hycamtin) to treat metastatic ovarian cancer. To minimize neutropenia, an adverse effect of topotecan, you should administer filgrastim (Neupogen) at what time?
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24 hr after the topotecan infusion
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What does Tamoxifen (Soltamox) treat?
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estrogen-receptor-positive breast cancer
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What does Enfuvirtide (Fuzeon) treat?
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advanced or resistant HIV disease
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What does Flutamide treat?
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prostate cancer
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What does Delavirdine (Rescriptor) treat?
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HIV-1 infection
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You're assessing a patient who is receiving imatinib (Gleevec) to treat chronic myeloid leukemia. Which of the following findings may indicate an adverse reaction to this drug?
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Crackles at lung bases
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While administering trastuzumab (Herceptin) IV to a patient who has breast cancer, you should ensure that you have which of the following drugs available to treat an adverse reaction to this drug?
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Epinephrine
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You're caring for a patient who is pregnant and is HIV-positive. Which of the following drugs helps prevent the transfer of HIV to the fetus?
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Zidovudine (Retrovir)
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A patient is about to start taking ritonavir (Norvir) to treat HIV-1 infection. Which of the following instructions should you include when talking with the patient about taking this drug?
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Expect periodic blood glucose testing. Watch for and report jaundice. Increase weight-bearing activity. Expect periodic cholesterol testing.
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What does Paclitaxel (Taxol) treat?
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Kaposi's sarcoma
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What does Cytarabine (Cytosar-U) treat?
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acute myelocytic leukemia (and non-Hodgkin's lymphoma)
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What does Cyclophosphamide treat?
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Multiple myeloma
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What does Carmustine (BiCNU, Gliadel) treat?
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Gastrointestinal adrenocarcinoma
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You should instruct a patient who is taking tamoxifen (Soltamox) to treat breast cancer to watch for and report which of the following serious adverse effects of the drug?
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Abnormal menstrual bleeding
