RASMUSSEN UNIVERSITY Pharmacology NUR 2407 EXAM STUDY GUIDE

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RASMUSSEN UNIVERSITY Pharmacology NUR 2407 EXAM STUDY GUIDE 1. A client with renal impairment who has been taking nitrofurantoin (Macrodantin) for a urinary tract infection telephones a n... urse and describes the recent onset of "numbness and tingling" in the fingers and toes. What should the nurse instruct the client to do? A) Discontinue the drug and come in for further evaluation. B) Continue the drug and keep the hands and feet elevated when possible. C) Check the color of the extremities every 4 hours. D) Collect a urine sample and bring it to the clinic. 2. A client is taking trimethoprim/sulfamethoxazole (TMP-SMZ). To help the client avoid the side effects associated with this drug, the nurse should encourage the client to A) Shower twice a day B) Drink ample amounts of water C) Avoid the use of Tylenol. D) Limit citrus. 3. A client being followed for latent tuberculosis has been on isoniazid therapy for 2 months. The nurse notes that the liver function test results have become grossly abnormal during that interval. What should the nurse do? A) Continue the drug unless jaundice, nausea, or itching develops. B) Continue the drug and have liver function tests repeated weekly. C) Hold the medication, and seek an alternative medication from the prescriber. D) Stop the drug and restart it when liver function returns to normal. . 4. The nurse assesses a PPD on the forearm of a client being screened for employment in an outpatient clinic. The induration is 4 mm. How should this finding be interpreted? A) Negative, insignificant B) Moderately significant, requiring chest radiograph C) Moderately significant, requiring sputum culture D) Significant, requiring treatment 5. The nurse is caring for a client who received an order for PO levofloxacin (Levaquin). The client is anxious to get out of the hospital, because he is a runner and wants to compete in an upcoming marathon. Which client education would be essential for this client? A) Report ringing in the ears. B) Report nausea. C) Report tendon pain. D) Report visual disturbances. 6. The nurse is caring for a client who has been experiencing fever of unknown origin. The prescriber has ordered a broad-spectrum antibiotic. Which intervention is the priority? A) Administer the antibiotic immediately. B) Administer antipyretics as soon as possible. C) Obtain all cultures before the antibiotic is administered. D) Delay administration of the antibiotic until the culture results are available. 7. A pregnant adolescent asks the nurse whether it would be all right to continue to take her prescription for tetracycline to clear up her acne. What response by the nurse provides the best information? A) "Tetracycline is effective in clearing up acne, but you should also use topical agents too." B) "Tetracycline may cause Chrohn's disease in pregnant women C) "Tetracyclines help the baby develop immunity to Lyme disease." D) "Tetracyclines could be harmful to the unborn baby's teeth. You shouldn't take them." 8. A client has just received a prescription for a 10-day course of penicillin for the treatment of strep throat. What client education is essential for the nurse to provide? A) Family members and close contacts should also receive treatment. B) The agent should be discontinued when symptoms resolve to prevent emerging allergies. C) The entire course of the drug must be taken to prevent the re-emergence of a resistant strain. D) The medication should be discontinued if diarrhea occurs [Show More]

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