Nurs6521 Advance Pharmacology WK8 QUESTIONS AND ANSWERS

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Nurs6521 Advance Pharmacology WK8 QUESTIONS AND ANSWERS QUESTION 1 1. Which of the following would a nurse assess for in a patient who is taking polymyxin B systemically? A. Nephrotoxicity and h... epatotoxicity B. Endocarditis and hypertension C. Peripheral neuropathy D. Hyperkalemia and hyponatremia 1 points QUESTION 2 1. An immunocompromised cancer patient has developed cryptococcal meningitis and been admitted to the intensive care unit for treatment with amphotericin B. How should the nurse most safely administer this drug? A. Place the patient on a constant infusion of amphotericin B at a rate determined by the patient's body weight. B. Infuse the drug over 2 to 4 hours into a central line using an infusion pump C. Flush the patient's central line with normal saline and infuse the amphotericin B by intravenous push over 5 to 7 minutes. D. Hang the drug by piggyback with lactated Ringer's and infuse over several hours to minimize the risk of infusion reaction 1 points QUESTION 3 1. A 20-year-old female patient is receiving topical clindamycin for acne vulgaris. She develops a rash and urticaria along with severe itching where the medication is applied. The nurse will formulate which of the following nursing diagnoses for the patient? A. Risk of Injury related to blood dyscrasia B. Diarrhea C. Risk for Injury related to allergic reactions D. Imbalanced Nutrition: Less than Body Requirements 1 points QUESTION 4 1. A 15-year-old patient has meningitis caused by Haemophilus influenzae. She is being treated with chloramphenicol. The most important nursing action for this patient would be to monitor A. plasma concentrations regularly. B. urine output daily. C. blood sugar levels daily. D. liver enzymes monthly. 1 points QUESTION 5 1. A patient has been prescribed oral tetracycline. The nurse will instruct the patient to take the drug A. on an empty stomach 1 hour before or 2 hours after taking any meals or other drugs. B. with a meal. C. at bedtime only. D. with milk or fruit juice. 1 points QUESTION 6 1. A 7-year-old child has tonsillitis and is prescribed penicillin V, which is to be administered at home. The nurse will instruct the parents to administer the drug A. immediately before or with a meal. B. with a glass of water 1 hour before or 2 hours after a meal. C. intravenously with the assistance of a home health nurse. D. with a sip of water 1 hour before mealtime. 1 points QUESTION 7 1. A patient is receiving long-term clindamycin therapy for a life-threatening infection. The nurse will begin by monitoring this drug therapy by obtaining A. blood glucose levels daily for 1 week. B. liver enzymes weekly until the drug therapy is completed. C. a baseline complete blood count. D. establishing the patient's auditory abilities. 1 points QUESTION 8 1. A patient has endocarditis and is taking gentamicin. The nurse will be sure to monitor which of the following? A. Prothrombin time B. Serum albumin level C. Creatinine clearance D. Potassium level 1 points QUESTION 9 1. A 15-year-old boy is being carefully monitored for a skin infection and is being given ciprofloxacin. The nurse will observe for which of the following? A. Colitis B. Arthropathy C. Hepatitis D. Hypotension 1 points QUESTION 10 1. A patient has been admitted to the critical care unit with a diagnosis of peritonitis that has necessitated treatment with gentamicin. As a result, the care team should be cautious when concurrently administering other medications that may cause A. increased intracranial pressure or changes in cognition. B. neutropenia or autoimmune effects. C. ototoxicity or nephrotoxicity. D. anemia or impaired erythropoiesis. 1 points QUESTION 11 1. A 43-year-old man has been diagnosed with active TB. He is prescribed a multiple drug therapy, including INH and rifampin. A priority assessment by the nurse will be to monitor which combination of laboratory test results? A. Serum alanine transaminase, aspartate transaminase, and bilirubin B. Fasting blood sugar and 2-hour postprandial blood sugar C. Red blood count, white blood count, and differential D. Thyroid-stimulating hormone, thyroxine, and triiodothyronine levels 1 points QUESTION 12 1. A 30-year-old woman who is in the first trimester of pregnancy has presented to her primary care provider with a 4-day history of a reddened, itchy left eye that is crusted with purulent exudate. The clinician suspects a bacterial, rather than viral, etiology. How will the patient's pregnancy affect the potential use of ciprofloxacin to treat her conjunctivitis? A. It is safe for the patient to use topical ciprofloxacin but the oral route is potential teratogenic. B. The patient will require a lower dose and longer course of ciprofloxacin than a nonpregnant, adult patient. C. The use of ciprofloxacin is contraindicated in pregnancy. D. Ciprofloxacin is safe to use in pregnancy and the patient may use to same dose and route as a nonpregnant patient. 1 points QUESTION 13 1. Sulconazole has been prescribed for a patient with tinea pedis. The nurse will instruct the patient to use the topical agent A. twice a day. B. as needed. C. three times a day. D. once a day. 1 points QUESTION 14 1. A patient is taking rifampin (Rifadin) for active TB. When discussing this drug with the patient, the nurse should stress that A. the drug usually causes cardiac arrhythmias. B. body fluids such as urine, saliva, tears, and sputum may become discolored. C. facial flushing may appear but will go away once therapy is concluded. D. the drug frequently causes seizure activity. 1 points QUESTION 15 1. A patient with AIDS has developed a number of secondary infections in recent weeks, including Kaposi's sarcoma. As a result of this most recent diagnosis, his care team has opted to begin treatment with interferon alfa-2a. The nurse is aware that this drug will address the etiology of Kaposi sarcoma by A. inhibiting tumor growth by enhancing inflammation. B. causing mutations in the DNA of cancerous cells. C. increasing the production of B cells and T cells. D. potentiating the effects of phagocytes and macrophages. 1 points QUESTION 16 1. A patient is being treated for Mycoplasma pneumoniae pneumonia. She is allergic to penicillin and is being given azithromycin (Zithromax) in capsule form. The nurse will inform the patient that she will need to take the capsule A. immediately after she eats. B. on an empty stomach. C. with food. D. with or without food. 1 points QUESTION 17 1. Which of the following nursing actions is most important in achieving successful antimicrobial therapy with vancomycin? A. Promote adequate intake of fluids and nutrients B. Taper down the drug dosage gradually C. Provide maximum physical comfort to the patient D. Monitor serum drug level 1 points QUESTION 18 1. A patient has been prescribed daptomycin for a complicated skin infection. Which of the following will the nurse advise the patient to report immediately? A. Palpitations B. Abdominal pain C. Muscle pain or tingling D. Nausea and vomiting 1 points QUESTION 19 1. A nurse is caring for a patient who is on amphotericin B. On morning rounds the patient reports weakness, numbness, and a tingling sensation in his feet. What would be a priority action by the nurse? A. Reduce the drug dosage B. Use strict aseptic technique for drug administration. C. Keep the bed in a low position and the side rails up at all times. D. Encourage the patient to increase fluid intake. 1 points QUESTION 20 1. A 9-year-old boy was bought to his primary care provider by his mother with signs and symptoms of hookworm infection and will be sent home with a prescription for mebendazole. When provided patient and family education, the nurse should teach the mother with which of the following measures to avoid reinfection following treatment? A. The need to use prescription skin cleansers during treatment and for 6 weeks after B. The need to supplement the anthelminthic drug with prophylactic antibiotics C. The need for the boy to provide serial stool samples for 6 months following treatment D. The importance of vigilant hygiene for the boy and the other members of the family 1 points QUESTION 21 1. A nurse has questioned why a patient's physician has prescribed a narrow-spectrum antibiotic rather than a broad-spectrum drug in the treatment of a patient's infection. Which of the following facts provides the best rationale for the use of narrow-spectrum antibiotics whenever possible? A. The use of broad-spectrum antibiotics can create a risk for a superinfection. B. Broad-spectrum antibiotics confound the results of subsequent culture and sensitivity testing. C. The efficacy of most narrow-spectrum antibiotics has not been proven. D. Narrow-spectrum antibiotics normally require a shorter duration of treatment. 1 points QUESTION 22 1. Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the patient's physician has prescribed quinine along with an adjunctive drug. The nurse should question the physician's order if the patient has a history of A. diabetes mellitus. B. cardiac arrhythmias. C. osteoporosis or low bone density. D. chronic obstructive pulmonary disease (COPD). 1 points QUESTION 23 1. A 49-year-old farmer who normally enjoys good health has become seriously ill in recent days and the results of an extensive diagnostic work up have resulted in a diagnosis of histoplasmosis. The patient has been admitted to the hospital and has begun treatment with amphotericin B. The nurse who is providing care for the patient should prioritize which of the following diagnostic results during his course of treatment? A. C-reactive protein B. Electrolytes, blood urea nitrogen, and creatinine C. Hemoglobin, hematocrit, and red blood cells D. PT, PTT, and platelets 1 points QUESTION 24 1. A patient is prescribed ganciclovir to treat a CMV infection. An oral dosage is prescribed. To help increase bioavailability of the drug, the nurse will encourage the patient to take the medication A. with high-fat meals. B. with high-protein meals. C. on an empty stomach. D. with orange juice. 1 points QUESTION 25 1. A nurse is explaining the use of acyclovir therapy to a 72-year-old man. Nephrotoxicity is discussed as a major adverse effect in older patients. To minimize the risk of the patient developing this adverse effect, the nurse will advise him to A. decrease the drug dosage if initial symptoms of nephrotoxicity appear. B. eat light meals every day. C. take the tablets on an empty stomach. D. stay well hydrated by drinking at least eight 8-oz glasses of water daily. 1 points QUESTION 26 1. Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and hands in a workplace accident 2 weeks ago. Part of his current wound care regimen involves the daily application of silver sulfadiazine to his wounds. The nurses who are providing care for Mr. Laird in the burns and plastics unit of the hospital should perform what action when administering this medication? A. Cleanse the wound of debris prior to applying the silver sulfadiazine B. Perform thorough wound care immediately after the application of silver sulfadiazine C. Apply a thin layer of the drug to Mr. Laird's wound beds using clean technique. D. Apply a layer of silver sulfadiazine that is sufficiently thick to make the wound bed invisible. 1 points QUESTION 27 1. A patient is receiving cefazolin in combination with anticoagulants. To minimize the adverse effects during therapy, the nurse will A. continue therapy until 2 days after symptoms have resolved. B. monitor the patient for bleeding gums. C. monitor the site of injection. D. administer the medication with small amounts of food and fluids. 1 points QUESTION 28 1. A child is taking permethrin for head lice. The nurse will instruct her mother to A. increase her daily intake of milk. B. stop using creams, ointments, and oils on the child's skin and scalp. C. wash her hair daily with a good shampoo. D. maximize the child's fluid intake. 1 points QUESTION 29 1. The nurse notices a cold sore on a patient's upper lip and requests medication; docosanol (Abreva) is ordered. Before applying the medication, the nurse would first A. prepare the applicator for drug administration. B. put gloves on to protect herself. C. clean the area to be treated and then pat it dry. D. assess the area and make sure that there are no open lesions or abrasions. 1 points QUESTION 30 1. A 72-year-old patient is prescribed ophthalmic ciprofloxacin for a bacterial infection in her right eye. The nurse will teach her to observe for which of the following adverse effects of the drug? A. Cognitive changes B. Tendon ruptures C. Nephrotoxicity and neurotoxicity D. Lid margin crusting and pruritus 1 points QUESTION 31 1. A patient has been admitted to the critical care unit of the hospital with bacterial septicemia that has failed to respond to initial antibiotic treatment. The patient's most recent blood cultures reveal the presence of methicillin-resistant Staphylococcus aureus (MRSA) in the patient's blood. The nurse will anticipate that this patient will likely require intravenous administration of what antibiotic? A. Vancomycin B. Penicillin G C. Doripenem (Doribax) D. Cefazolin 0 points QUESTION 32 1. An immunocompromised patient with a diagnosis of candidiasis has failed to respond to conservative therapy and has consequently begun treatment with amphotericin B. The nurse is aware that this drug achieves a therapeutic effect by way of its influence on A. the permeability of fungal cell walls. B. protein synthesis of fungal cells. C. the production and maturation of CD4+ T-cells. D. the osmolarity of fungal intracellular fluid. 1 points QUESTION 33 1. A nurse is instructing a colleague on how an antimicrobial produces a therapeutic effect. Which of the following should be included in the nurse's teaching? A. Penicillin interferes with synthesis of the bacteria cell wall. B. Selective toxicity determines the appropriate drug dosage needed. C. Fluoroquinolones interfere with the growth and development of the bacteria cell wall. D. The first drugs used to treat infections date back to the 17th century. 1 points QUESTION 34 1. A nurse is providing education to a patient who is taking INH. The nurse will advise the patient to avoid which of the following foods? A. Cheese, dairy products, and bananas B. Chicken and fish C. Potatoes and root vegetables D. Citrus fruits 1 points QUESTION 35 1. A 34-year-old male has been diagnosed with TB and will be started on INH therapy. The medication history reveals that he currently takes antacids on a regular basis. The nurse will instruct the patient to take A. INH before meals and antacids 1 or 2 hours after meals. B. antacids not less than 1 hour before or 2 hours after taking INH. C. antacids before meals and INH 1 or 2 hours after meals. D. antacids during the day and INH only at night. [Show More]

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