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Pharmacology: Infection

Pharmacology: Infection
31問 • 2年前
  • Lorrianne Scotto
    • 通報

    問題一覧

  • 1

    A nurse is contributing to a plan of care for a client who has a wound infection. which of the following actions should the nurse recommend as the priority?

    obtain a wound specimen for culture

  • 2

    A nurse is caring for a client who has a urinary tract infection. the nurse should instruct which the client that which of the following tests is needed to determine which micro-organism is causing the infection.

    urine culture

  • 3

    A nurse is reviewing information with a peer about anti microbial therapy. the nurse should identify that effective penetration of antibiotics can be impeded by which of the following conditions?

    meningitis, an infected abscess, endocarditis

  • 4

    A nurse is assisting with the care of a group of clients who are receiving anti microbial therapy. the nurse should identify that which of the following clients at risk for toxicity?

    an older adult client who has prostatitis

  • 5

    A nurse is reviewing prophylactic anti microbial therapy with the charge nurse. Which of the following actions should the nurse take when considering this type of therapy?

    administer prophylactic anti microbial therapy to clients with sexually transmitted exposure, administer prophylactic anti microbial therapy to clients who are having orthopedic surgery, instruct clients with prosthetic heart valve about need for prophylaric antimocrobial therapy before dental work, consult the provider for prophylatic antimicrobial therapy for clients who have recurrent UTIS

  • 6

    A nurse is preparing to administer nafcillin IM to an adult client who has an infection. Which of the following actions should the nurse plan to take? (select all that apply)

    Administer the medication deeply into the ventrogluteal muscle., Ask the client about an allergy to penicillin before administering the medications., monitor the client for 30 mins after injection

  • 7

    A nurse is collecting data from a client who has a severe infection and has been receiving cefotaxime for the past week. Which of the following indicates a potentially serious adverse reaction to this medication that the nurse should report to the provider?

    diarrhea

  • 8

    A nurse is obtaining a medication history from a client who is to receive imipenem-cilastatin IV to treat an infection. Which of the following medications the client also receives increases the risk for a medication interaction?

    Valproic acid

  • 9

    A nurse is caring for a client who has a cerebrospinal fluid infection with gram negative bacteria. which of the following cephalosporin antibiotics should the nurse expect to administer IV to treat this infection?

    cefepime

  • 10

    A nurse is preparing to administer penicillin V to a client who has a streptococcal infection. The client reports difficulty swallowing tablets and doesn’t “do well” with liquid or chewables medications because of the taste, even when the nurse mixes the medication with the food. The nurse should request a prescription for which of the following medications?

    naficillin

  • 11

    A nurse is reinforcing teaching with a client about taking tetracycline to treat a GI infection due to helicobacter pylori. which of the following statements should the nurse identify as an indication that the client understands the instructions?

    I will let me doctor know if I start having diarrhea.

  • 12

    A nurse is monitoring the administration of gentamicin by IV infusion at 0900. The medication will take 1 hour to infuse. when should the nurse plan to obtain a blood sample for a peak blood level of gentamicin.

    1030

  • 13

    A nurse is assisting with the care of a client who is starting a course of gentamicin iv for a serious respiratory infection. For which of the following manifestations should the nurse monitor as an adverse effect of this medication? (select all that apply)

    pruritus, hematuria, vertigo

  • 14

    A nurse is assisting with providing care for a client who has subacute bacterial endocarditis and is receiving several antibiotics including streptomycin IM. for which of the following manifestations should the nurse monitor as an adverse effect of this medication?

    ataxia

  • 15

    A nurse is assisting with providing care for a client who is undergoing preparation for extensive colorectal surgery. Which of the following oral antibiotics should the nurse expect to administer specifically to suppress normal flora in the GI tract.

    neomycin

  • 16

    a nurse is reviewing a clients medication history notes an allergy to sulfonamides. this allergy is a contraindication for taking which of the following medications.

    hydrochlorothiazide, glipizide, furosemide

  • 17

    A nurse is reinforcing teaching with a client who has a new prescription for nitrofurantoin. Which of the following information should the nurse include?

    observe for brusing on the skin, take the medication with milk and meals, expect brown discoloration of urine

  • 18

    A nurse is reinforcing teaching with a client who has a severe UTi about Ciproflaxin. which of the following information about adverse reactions should the nurse include?

    observe for pain and swelling of the Achilles tendon., watch for vaginal yeast infection, inspect the mouth for cottage cheese like lesions

  • 19

    A nurse in contributing to discharge planning for a female client who has a new prescription for trimethoprim-sulfamethoaxol. Which of the following information should the nurse include?

    take it on an empty stomach

  • 20

    A nurse is collecting data from a client who has been taking ofloxacin for a UTI. which of the following statement should the nurse report to provider?

    I have had foul smelling diarrhea

  • 21

    A nurse is caring for a client who has diabetes mellitus, pulmonary tuberculosis, and a new prescription for isoniazid. Which of the following supplements should the nurse expect to administer to prevent an adverse effect of INH?

    pyridoxine

  • 22

    A nurse is asssitingnwith the care of a client who is receiving IV amphotericin B for treatment of a systemic fungal infection. Which of the following adverse effects should the nurse monitor for?

    fever

  • 23

    A nurse is assisting with the care of a client who is receiving iv amphotericin B for systemic fungal infection. The nurse should monitor for which of the following lab values.

    blood potassium, blood creatinine, hematocrit

  • 24

    A nurse is reinforcing teaching with a client who is beginning a course of metronidazole to treat an infection. for which of the following finding of an adverse reaction should the nurse instruct the client to stop taking metronidazole and notify provider.

    ataxia

  • 25

    A nurse is reinforcing the teaching with a client who has active tuberculosis about the treatment and regimen. the client asks why four different medications are necessary. which of the following responses should the nurse make?

    four medications reduce the chance the bacteria will become resistant.

  • 26

    A nurse is reinforcing teaching with a client who has a new prescription for combination NRTIS (abacavir,lamivudine, & dolutegravir) for treatments of HIV, which of the following statements should the nurse include?

    these medications work by inhibiting enzymes to prevent HIV replication

  • 27

    A nurse is caring for a client who takes several antiretroviral medications, to including the NRTI zidovudine, to treat HIV infection. The nurse should monitor for which of the following adverse effects of zidovudine? (select all that apply)

    Fatigue, Hyperventilation, vomitting

  • 28

    A nurse is caring for a client who is taking ritonavir, a protease inhibitor to treat HIV infection. The nurse should monitor for which of the following adverse effects?

    hyperlipidemia

  • 29

    A nurse is caring for a client who has a new prescription for enfuvirtide to treat HIV infection. The nurse should monitor the client for which of the following adverse reactions? (select all that apply)

    pneumonia, localized erythema, hypotension

  • 30

    A nurse is monitoring a client who is receiving IV acyclovir for treatment of varicella. which of the following actions should the nurse take?

    infuse acyclovir over 1 hour

  • 31

    A nurse is reinforcing teaching with a client who is beginning highly active antiretroviral therapy (HAART) for HiV infection about ways to prevent medication resistance. which of the following information should the nurse teach the client about resistance?

    Taking medications at the same time daily without missing doses minimizes resistance

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    問題一覧

  • 1

    A nurse is contributing to a plan of care for a client who has a wound infection. which of the following actions should the nurse recommend as the priority?

    obtain a wound specimen for culture

  • 2

    A nurse is caring for a client who has a urinary tract infection. the nurse should instruct which the client that which of the following tests is needed to determine which micro-organism is causing the infection.

    urine culture

  • 3

    A nurse is reviewing information with a peer about anti microbial therapy. the nurse should identify that effective penetration of antibiotics can be impeded by which of the following conditions?

    meningitis, an infected abscess, endocarditis

  • 4

    A nurse is assisting with the care of a group of clients who are receiving anti microbial therapy. the nurse should identify that which of the following clients at risk for toxicity?

    an older adult client who has prostatitis

  • 5

    A nurse is reviewing prophylactic anti microbial therapy with the charge nurse. Which of the following actions should the nurse take when considering this type of therapy?

    administer prophylactic anti microbial therapy to clients with sexually transmitted exposure, administer prophylactic anti microbial therapy to clients who are having orthopedic surgery, instruct clients with prosthetic heart valve about need for prophylaric antimocrobial therapy before dental work, consult the provider for prophylatic antimicrobial therapy for clients who have recurrent UTIS

  • 6

    A nurse is preparing to administer nafcillin IM to an adult client who has an infection. Which of the following actions should the nurse plan to take? (select all that apply)

    Administer the medication deeply into the ventrogluteal muscle., Ask the client about an allergy to penicillin before administering the medications., monitor the client for 30 mins after injection

  • 7

    A nurse is collecting data from a client who has a severe infection and has been receiving cefotaxime for the past week. Which of the following indicates a potentially serious adverse reaction to this medication that the nurse should report to the provider?

    diarrhea

  • 8

    A nurse is obtaining a medication history from a client who is to receive imipenem-cilastatin IV to treat an infection. Which of the following medications the client also receives increases the risk for a medication interaction?

    Valproic acid

  • 9

    A nurse is caring for a client who has a cerebrospinal fluid infection with gram negative bacteria. which of the following cephalosporin antibiotics should the nurse expect to administer IV to treat this infection?

    cefepime

  • 10

    A nurse is preparing to administer penicillin V to a client who has a streptococcal infection. The client reports difficulty swallowing tablets and doesn’t “do well” with liquid or chewables medications because of the taste, even when the nurse mixes the medication with the food. The nurse should request a prescription for which of the following medications?

    naficillin

  • 11

    A nurse is reinforcing teaching with a client about taking tetracycline to treat a GI infection due to helicobacter pylori. which of the following statements should the nurse identify as an indication that the client understands the instructions?

    I will let me doctor know if I start having diarrhea.

  • 12

    A nurse is monitoring the administration of gentamicin by IV infusion at 0900. The medication will take 1 hour to infuse. when should the nurse plan to obtain a blood sample for a peak blood level of gentamicin.

    1030

  • 13

    A nurse is assisting with the care of a client who is starting a course of gentamicin iv for a serious respiratory infection. For which of the following manifestations should the nurse monitor as an adverse effect of this medication? (select all that apply)

    pruritus, hematuria, vertigo

  • 14

    A nurse is assisting with providing care for a client who has subacute bacterial endocarditis and is receiving several antibiotics including streptomycin IM. for which of the following manifestations should the nurse monitor as an adverse effect of this medication?

    ataxia

  • 15

    A nurse is assisting with providing care for a client who is undergoing preparation for extensive colorectal surgery. Which of the following oral antibiotics should the nurse expect to administer specifically to suppress normal flora in the GI tract.

    neomycin

  • 16

    a nurse is reviewing a clients medication history notes an allergy to sulfonamides. this allergy is a contraindication for taking which of the following medications.

    hydrochlorothiazide, glipizide, furosemide

  • 17

    A nurse is reinforcing teaching with a client who has a new prescription for nitrofurantoin. Which of the following information should the nurse include?

    observe for brusing on the skin, take the medication with milk and meals, expect brown discoloration of urine

  • 18

    A nurse is reinforcing teaching with a client who has a severe UTi about Ciproflaxin. which of the following information about adverse reactions should the nurse include?

    observe for pain and swelling of the Achilles tendon., watch for vaginal yeast infection, inspect the mouth for cottage cheese like lesions

  • 19

    A nurse in contributing to discharge planning for a female client who has a new prescription for trimethoprim-sulfamethoaxol. Which of the following information should the nurse include?

    take it on an empty stomach

  • 20

    A nurse is collecting data from a client who has been taking ofloxacin for a UTI. which of the following statement should the nurse report to provider?

    I have had foul smelling diarrhea

  • 21

    A nurse is caring for a client who has diabetes mellitus, pulmonary tuberculosis, and a new prescription for isoniazid. Which of the following supplements should the nurse expect to administer to prevent an adverse effect of INH?

    pyridoxine

  • 22

    A nurse is asssitingnwith the care of a client who is receiving IV amphotericin B for treatment of a systemic fungal infection. Which of the following adverse effects should the nurse monitor for?

    fever

  • 23

    A nurse is assisting with the care of a client who is receiving iv amphotericin B for systemic fungal infection. The nurse should monitor for which of the following lab values.

    blood potassium, blood creatinine, hematocrit

  • 24

    A nurse is reinforcing teaching with a client who is beginning a course of metronidazole to treat an infection. for which of the following finding of an adverse reaction should the nurse instruct the client to stop taking metronidazole and notify provider.

    ataxia

  • 25

    A nurse is reinforcing the teaching with a client who has active tuberculosis about the treatment and regimen. the client asks why four different medications are necessary. which of the following responses should the nurse make?

    four medications reduce the chance the bacteria will become resistant.

  • 26

    A nurse is reinforcing teaching with a client who has a new prescription for combination NRTIS (abacavir,lamivudine, & dolutegravir) for treatments of HIV, which of the following statements should the nurse include?

    these medications work by inhibiting enzymes to prevent HIV replication

  • 27

    A nurse is caring for a client who takes several antiretroviral medications, to including the NRTI zidovudine, to treat HIV infection. The nurse should monitor for which of the following adverse effects of zidovudine? (select all that apply)

    Fatigue, Hyperventilation, vomitting

  • 28

    A nurse is caring for a client who is taking ritonavir, a protease inhibitor to treat HIV infection. The nurse should monitor for which of the following adverse effects?

    hyperlipidemia

  • 29

    A nurse is caring for a client who has a new prescription for enfuvirtide to treat HIV infection. The nurse should monitor the client for which of the following adverse reactions? (select all that apply)

    pneumonia, localized erythema, hypotension

  • 30

    A nurse is monitoring a client who is receiving IV acyclovir for treatment of varicella. which of the following actions should the nurse take?

    infuse acyclovir over 1 hour

  • 31

    A nurse is reinforcing teaching with a client who is beginning highly active antiretroviral therapy (HAART) for HiV infection about ways to prevent medication resistance. which of the following information should the nurse teach the client about resistance?

    Taking medications at the same time daily without missing doses minimizes resistance