Which of the following medications usually is given to a client with leukemia as prophylaxis against P. carinii pneumonia?
A. Bactrim
B. Oral nystatin suspension
C. Prednisone
D. Vincristine (Oncovin)
Answer: A
Explanation: The most frequent cause of death from leukemia is overwhelming infection. P. carinii infection is lethal to a child with leukemia. As prophylaxis against P. carinii pneumonia, continuous low doses of co-trimoxazole (Bactrim) are frequently prescribed. Oral nystatin suspension would be indicated for the treatment of thrush. Prednisone isn't an antibiotic and increases susceptibility to infection. Vincristine is an antineoplastic agent.
You might also like to view...
A nurse cares for a client with a hypofunctioning anterior pituitary gland. Which hormones should the nurse expect to be affected by this condition? (Select all that apply.)
a. Thyroid-stimulating hormone b. Vasopressin c. Follicle-stimulating hormone d. Calcitonin e. Growth hormone
A patient is in the CCU with dilated cardiomyopathy and asymptomatic right-sided chronic heart failure. What finding will the nurse most likely discover in her assessment of this patient?
A) Mitral regurgitation murmur B) Cheyne-Stokes respiratory pattern C) Unilateral crackles D) Rales
A 65-year-old patient has been diagnosed with essential hypertension. Which of the following blood pressure readings demonstrate essential hypertension?
A) 140/92 B) 145/88 C) 90/62 D) 120/68
An adolescent asks the nurse, "Why should I tell you anything? You'll just tell my parents whatever you find out." Select the nurse's best reply
a. "That isn't true. What you tell us is private and held in strictest confidence. Your parents have no right to know." b. "Anything you say about feelings is private, but some things like suicidal thinking must be reported to the treatment team." c. "Yes, your parents may find out what you say, but it is important that they know about your problems." d. "It sounds as though you are not really ready to work on your problems and make changes."