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HESI LPN · HESI LPN Pharmacology · LPN Immune System Medication

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 14-year-old girl requests a vaccination for human papillomavirus. After the nurse administers the first dose, which of the following is important to include in the patient's teaching?

A. Human papillomavirus prevents all sexually transmitted diseases.

B. Pap smears are no longer needed after the human papillomavirus vaccination.

C. The patient needs to notify the health care provider about pain at the injection site.

D. The date the patient needs to return to the clinic for the next human papillomavirus dose.

Expert Explanatory Rationale

Correct Answer: The date the patient needs to return to the clinic for the next human papillomavirus dose.

Question 2 of 5

A patient has been diagnosed with hairy cell leukemia. The patient is to begin taking interferon alfa 2b. What will the nurse include in her instructions to the patient concerning this drug?

A. Avoid drinking alcohol while taking the drug.

B. Continue to maintain maximal physical activity.

C. Increase fluid intake while taking the drug.

D. Treat constipation with over-the-counter laxatives.

Expert Explanatory Rationale

Correct Answer: Increase fluid intake while taking the drug.

Question 3 of 5

A nurse is discussing interferon alfa 2b with a patient. What will the nurse encourage the patient to do while taking this drug?

A. To avoid crowds

B. To increase salt intake

C. To decrease milk intake

D. To eat three meals a day

Expert Explanatory Rationale

Correct Answer: To avoid crowds

Question 4 of 5

The nurse teaches the female patient receiving immune modulating drugs about the need to use barrier contraceptives. The patient says, I hate using barrier contraceptives. Why can't I just take oral contraceptives? What is the nurse's best response?

A. Effects of oral contraceptives may be altered by liver changes or changes in immune response.

B. Oral contraceptives increase the action of immune modulating drugs so dosage needs to be reduced.

C. Immune modulators make oral contraceptives ineffective because of hormonal impact of drugs.

D. Oral contraceptives are acceptable if barrier contraceptives are distasteful, but only high-estrogen pills can be used.

Expert Explanatory Rationale

Correct Answer: Effects of oral contraceptives may be altered by liver changes or changes in immune response.

Question 5 of 5

Your patient is receiving basiliximab and develops cytokine release syndrome. You would expect to see:

A. Coughing

B. Chills

C. Tremors

D. Weakness

Expert Explanatory Rationale

Correct Answer: Chills

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