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HESI LPN · HESI LPN Pharmacology · LPN Immune System Drugs

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

While studying the T- and B-cell immune suppressors, the nursing students learn that the most commonly used immune suppressant is what?

A. Cyclosporine (Sandimmune)
B. Azathioprine (Imuran)
C. Pimecrolimus (Elidel)
D. Glatiramer (Copaxone)

Expert Explanatory Rationale

Correct Answer: Cyclosporine (Sandimmune)

Question 2 of 5

The nurse is preparing a patient to receive immunosuppressant drugs on an outpatient basis. What is the priority for the nurse to arrange for this patient in the home environment?

A. A caregiver who is skilled in cardiopulmonary resuscitation (CPR)
B. A caregiver who will provide adequate nutrition
C. Supportive care and comfort measures
D. Arrange for a home care nurse to administer injections

Expert Explanatory Rationale

Correct Answer: Supportive care and comfort measures

Question 3 of 5

The nurse is caring for a child requiring cyclosporine to prevent rejection. Cyclosporine is given to adults using a dosage of 15 mg/kg. The nurse calculates the child's dosage is 20 mg/kg. What is the nurse's priority action?

A. Administer the drug.
B. Hold the dose and question the ordering provider.
C. Complete an incident report if this dosage has already been given before.
D. Notify the nursing supervisor of the medication error.

Expert Explanatory Rationale

Correct Answer: Administer the drug.

Question 4 of 5

Your patient taking belatacept becomes pregnant. After discussion with her partner, you, and her health care provider, she decides the best thing to do is continue taking the drug while pregnant. In addition to making this informed decision, what else should she do?

A. Discontinue all other drugs
B. Continue all other drugs as prescribed
C. Stop taking belatacept immediately
D. Consult with a genetic counselor

Expert Explanatory Rationale

Correct Answer: Continue all other drugs as prescribed

Question 5 of 5

A 72-year-old male patient has arrived at the outpatient unit to receive an infusion of alemtuzumab (Compath). The patient tells the nurse this is the second time his chronic lymphocytic leukemia has relapsed and the second time he will receive this drug because he failed alemtuzumab therapy after being treated with an alkylating agent. What is the nurse's priority action?

A. Calling the physician and questioning the order
B. Washing your hands
C. Beginning an intravenous infusion
D. Canceling the infusion

Expert Explanatory Rationale

Correct Answer: Calling the physician and questioning the order