NURS 6521N WEEK 8 QUIZ 4.Q&A

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NURS 6521N WEEK 8 QUIZ 4.Q&A QUESTION 1 1. An immunocompromised patient with a diagnosis of candidiasis has failed to respond to conservative therapy and has consequently begun treatment with amphot... ericin B. The nurse is aware that this drug achieves a therapeutic effect by way of its influence on A. protein synthesis of fungal cells. B. the production and maturation of CD4+ T-cells. C. the osmolarity of fungal intracellular fluid. D. the permeability of fungal cell walls. 1 points QUESTION 2 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. Keep the bed in a low position and the side rails up at all times. C. Use strict aseptic technique for drug administration. D. Encourage the patient to increase fluid intake. 1 points QUESTION 3 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. Muscle pain or tingling B. Palpitations C. Abdominal pain D. Nausea and vomiting 1 points QUESTION 4 1. A 30-year-old African-American woman tested positive for TB and is prescribed isoniazid. The nurse will plan the patient's care to include close monitoring of the drug therapy because A. the patient is at greater risk for high serum levels of the drug. B. the process of drug metabolism may be faster in this patient. C. the therapeutic effect of the drug may be too slow to be effective. D. the process of drug elimination will be faster in this patient. 1 points QUESTION 5 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 sip of water 1 hour before mealtime. C. with a glass of water 1 hour before or 2 hours after a meal. D. intravenously with the assistance of a home health nurse. 1 points QUESTION 6 1. A patient has endocarditis and is taking gentamicin. The nurse will be sure to monitor which of the following? A. Creatinine clearance B. Prothrombin time C. Potassium level D. Serum albumin level 1 points QUESTION 7 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. Electrolytes, blood urea nitrogen, and creatinine B. Hemoglobin, hematocrit, and red blood cells C. PT, PTT, and platelets D. C-reactive protein 1 points QUESTION 8 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 orange juice. B. with high-fat meals. C. on an empty stomach. D. with high-protein meals. 1 points QUESTION 9 1. Which of the following nursing actions is most important in achieving successful antimicrobial therapy with vancomycin? A. Provide maximum physical comfort to the patient B. Monitor serum drug level C. Taper down the drug dosage gradually D. Promote adequate intake of fluids and nutrients 1 points QUESTION 10 1. A child is taking permethrin for head lice. The nurse will instruct her mother to A. stop using creams, ointments, and oils on the child's skin and scalp. B. increase her daily intake of milk. C. maximize the child's fluid intake. D. wash her hair daily with a good shampoo. 1 points QUESTION 11 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 frequently causes seizure activity. B. facial flushing may appear but will go away once therapy is concluded. C. the drug usually causes cardiac arrhythmias. D. body fluids such as urine, saliva, tears, and sputum may become discolored. 1 points QUESTION 12 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. Potatoes and root vegetables B. Cheese, dairy products, and bananas C. Chicken and fish D. Citrus fruits 1 points QUESTION 13 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. blood sugar levels daily. B. liver enzymes monthly. C. urine output daily. D. plasma concentrations regularly. 1 points QUESTION 14 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. Doripenem (Doribax) B. Cefazolin C. Vancomycin D. Penicillin G 1 points QUESTION 15 1. A patient is receiving cefazolin in combination with anticoagulants. To minimize the adverse effects during therapy, the nurse will A. monitor the site of injection. B. administer the medication with small amounts of food and fluids. C. monitor the patient for bleeding gums. D. continue therapy until 2 days after symptoms have resolved. .............CONTINUED [Show More]

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