1. A client is to receive a vaccine for measles.

The vaccine includes antigens that, when added to the body, create an antibody response. This is an example of: (Points : 1) acquired active immunity acquired passive immunity natural active immunity natural passive immunity Pg 758 2. The patient on aminoglycosides should be monitored for: (Points : 1) Nephrotoxicity

Hepatic failure

Superinfection

Hypertension and rash Pg 816

3. The most appropriate choice for long-term anticoagulation for a client with a prosthetic heart valve is: (Points : 1) Heparin

Enoxaparin (Lovenox)

Dalteparin (Fragmin). Warfarin (Coumadin) Pg 650 4. With continuous use of antibiotics, antibiotic resistance may result. A reason for this is: (Points : 1) bacteria produce fewer mutations. the patients immune system has enhanced mutant bacteria survive antibiotic use. fewer new antibiotics have been produced. Pg 779, 780 5. When a patient is receiving a NSAID, the nurse must assess the patient for: (Points : 1) Gi upset and bleeding Urinary retention Blurred vision Anorexia, headache 6. A patient arrives at the Emergency Department in anaphylactic shock. As part of the treatment plan, the physician orders intravenous solumedrol. The nurse is aware that the desired action of the solumedrol is to: (Points : 1) Inhibit the inflammatory process Stimulate the sympathetic nervous system Raise circulating glucose levels Raise serum oncotic pressure 7. A client with atrial fibrillation has been started on a Calcium Channel Blocker to help control the ventricular rate. The nurse knows that Calcium Channel Blockers slow the heart rate and prolong the refractory period. Calcium Channel Blockers are considered what class of Antiarrhythmics? (Points : 1) Class I Class II Class III

Class IV

8. A client is ordered to receive metronidazole (Flagyl). This medication is primarily used for treating: (Points : 1) systemic fungal infections. pathogens in the gastrointestinal tract. skin fungal infections Pneumocystis Pg 832 9. A patient has been diagnosed with tuberculosis. While his medicine is being administered, he asks questions regarding his treatment. All of the following would be included in teaching the patient about his medication EXCEPT: (Points : 1) "It is critical to continue therapy for a least 6-12 months" "These drugs may be used to prevent tuberculosis also" "After l month of treatment, the medication will be discontinued" "Two or more drugs may be used to prevent resistance" 10. Which assessment finding in the client receiving a thrombolytic drug indicates a serious problem that should be reported to the physician immediately? (Points : 1) Hypertension

Prolonged prothrombin time

Excessive bleeding Bradycardia