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52 Cards in this Set
- Front
- Back
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Artificial active immunity is...
*i.e. diphtheria, pertussis, and tetanus (DPT) vaccines |
Direct introduction of an antigen into the body in minute amounts. The body responds by making antibodies against the antigen. The immunity will last for many years
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There is a possibility that a serious reaction to a vaccine booster could occur if...
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The client received a blood product in the last 3 months
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Tachycardia and hypotension are side effects of...
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sargramostim (Leukine)
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Associate sargramostim (Leukine) with...
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Impaired circulation
*Risk for decreased cardiac output |
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Potential flu-like symptoms can occur with...
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aldesleukin (Proleukin)
*provide for adequate fluid and electrolyte balance to prevent deficient fluid volume |
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Associate a biologic response modifier drug (i.e. aldesleukin (Proleukin) with...
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Flu-like signs/symptoms.
* Risk of deficient fluid volume |
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Frequently assess a client receiving oprelvekin (Neumega) for signs and symptoms of...
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Dysrhythmias
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oprelvekin (Neumega) can cause...
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Cardiopulmonary insufficiency with irregular heart rate and fluid retention
*Assess the client frequently for signs and symptoms of congestive heart failure |
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This drug prevents organ rejection by inhibiting T and B lymphocyte proliferation
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mycophenolate (Cell Cept)
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A client taking mycophenolate (Cell Cept) should...
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Avoid individuals with signs/symptoms of infection.
*This drug significantly reduces ability to manage infection |
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Associate mycophenolate (Cell Cept), a biologic response modifier-immunosuppressant, with...
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Reduced immunity
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After a large wound to the skin, it is recommended that every client...
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Have a tetanus vaccine every 10 years to prevent a tetanus infection
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Associate tetanus vaccine with...
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Prevention related to a large wound occurring under unclean circumstances
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it is important for a client who has been administered the first dose of antirabies serum to report...
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Headache, muscle aches, and nausea
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Associate the antirabies vaccine with...
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Flu-like symptoms
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Associate MS with...
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Demyelination of nerve tissue
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This drug decreases the demyelination in brain and nervous system tissue.
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Beta 1b (Betaseron)
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This drug reduces the severity of acute exacerbations of multiple sclerosis.
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Beta 1b (Betaseron)
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This drug is a chemical irritant to urinary tissue such as the bladder and can cause hemorrhagic cystitis.
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cyclophosphamide (Cytoxan)
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A patient taking cyclophosphamide (Cytoxan) should...
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Drink at least 3,000 mL of fluid per day
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Regularly monitor these lab results for a patient taking azathioprine (Imuran).
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White blood cell (WBC) and platelet counts
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Leukopenia and thrombocytopenia are side effects of...
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azathioprine (Imuran)
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These drugs have bone marrow suppression (immunosuppression) in common.
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azathioprine (Imuran) and allopurinol (Zyloprim)
*Monitor WBC count |
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Prescribed for gout.
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allopurinol (Zyloprim)
*Monitor WBC count |
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This rapid onset (30-60 sec.) drug is used for diagnostic but not management purposes in myasthenia gravis.
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Edrophonium (Tensilon)
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Clients who receive an injection of this drug and exhibit a temporary relief of symptoms are diagnosed with myasthenia gravis
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edrophonium (Tensilon)
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Treatment of myasthenia gravis involves...
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Increasing Ach levels
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Associate anticholinesterase drugs with...
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Increased respiratory secretions
* Watch for signs and symptoms of pulmonary edema |
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Intramuscular immune serum globulin (ISG) should not be administered to clients with...
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A history of coagulation disorders
*Watch for a platelet count of <100,000/mm2 |
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This drug crosses the blood brain barrier and is used as an agent to correct anticholinergic poisoning (S&S: lethargy, hypotension, and weakened gait)
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physostigmine (Eserine)
*An anticholinesterase drug |
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To prevent toxic adverse reactions with IV administration, physostigmine (Eserine) should be administered at a rate of ...
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1 mg per minute or less
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Associate edrophonium (Tensilon), a cholinesterase inhibitor, with...
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Significant respiratory impairment
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While administering edrophonium (Tensilon) 10 mg IV to a client, the nurse should assess the client for...
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Respiratory status
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This drug inhibits phagocytosis and lysosomal enzyme activity resulting in decreased rheumatoid factor resulting in decreased inflammation
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aurothioglucose (Solganal)
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Associate aurothioglucose (Solganal) with...
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Decreased joint inflammation
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Proteinuria is a common side effect of...
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penicillamine (DePen)
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Associate penicillamine (DePen) with...
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impaired renal function
*i.e. proteinuria |
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When considering priority assessments for a variety of vaccinations...
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Consider the risk of allergic reaction
*i.e.Because MMR is comprised of components of egg yolk and neomycin = high risk of allergic reaction (WHEEZING) |
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The priorities associated with management of the client after a liver transplant are...
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Associated with the transplanted organ's primary function.
*i.e.Liver function includes the regulation of blood clotting - watch for ease of bruising and red spots around hair follicle |
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Immunizations should be withheld during...
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leukemia exacerbations
*the immune system is compromised and the client cannot manage an appropriate response to the immunization |
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Because the outcomes of leukemia result in significant reduction in bone marrow function...
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Protection of the client from exposure to risks is imperative (so no vaccinations during exacerbations)
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An inspiratory stridor is indicative of ...
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A hypersensitivity reaction to the DPT immunization
*Epinephrine should be administered immediately to counteract the symptoms of the allergic response |
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The major side effects of cyclophosphamide (Cytoxan) may blur the clinical picture commonly associated with...
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Bladder cancer
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Cyclophosphamide (Cytoxan) will result in...
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Reduced immunity to bladder infections
*Increased fluid may prevent urinary stasis that could predispose to cystitis and will also help to flush residual drug that is excreted by the kidneys |
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Because of the risks to the fetus, women of childbearing age should not become pregnant for 3 months after receiving...
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A rubella immunization
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Always view rubella as...
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a threat to the unborn child
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When corticosteroids such as prednisone (Deltasone) are given with anticholinesterase medications such aspyridostigmine bromide (Mestinon)...
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The anticholinesterase medication effect is decreased resulting in return of the symptoms such as respiratory difficulty
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This drug decreases prostaglandin activity that contributes to joint destruction.
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gold sodium thiomalate (Myochrysine)
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Gold salts...
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Suppress the activity produced by prostaglandins
*Prostaglandins produce an enzyme called collagenase which breakdown collagen |
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Because of hepatotoxic effects of ___________ and ___________, they should not be ingested at the same time
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azathioprine (Imuran) and acetaminophen,
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Withhold filgrastim (Neupogen) if...
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Neutrophil count is below 10,000
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Filgrastim (Neupogen) is prescribed to...
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Increase the neutrophil level
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