pharm exam 4

60問 • 2年前

問題一覧

1) Which nursing intervention has the highest priority for the patient who is taking cefepime?

b. Monitor patient for s/s of superinfection

2) A patient enters the emergency department with a draining wound.Once the patient is admitted and assessed, the priority nursing intervention is to:

c. Culture the wound

3) Which statement will the nurse include when teaching a patient about cephalosporin therapy?

d. “inform your MD if you develop mouth ulcers”

4) A patient ask the nurse why she gets yeast infections after a course of antibiotics.The nurse explains,

d. “Yeast infections are common when the normal body flora are disrupted”

5. A patient is admitted to the health care facility with methicillin-resistant Staphylococcus aureus(MRSA). The nurse anticipates administration of which drug?

b. Vancomycin (Vancocin)

6. Which teaching by the nurse has the highest priority for the patient taking azithromycin (Zithromax)?

d. Instruct the patient to report any loose stools or diarrhea

7. Which statement by a patient who has received teaching on tetracycline (doxycycline) therapy indicates that more teaching is indicated?

c. “I will take this medication with an antacid”

8. A patient is ordered to receive vancomycin (Vancocin) for a severe infection. It is most important for the nurse to assess the patient for the development of:

c. Ototoxicity= ears

9. A patient is receiving gentamicin therapy: 100 mg IV at 0800, 1600, and 2400. At 0730, the nurse is informed that peak and trough levels need to be drawn. When is the best time to obtain the peak level?

b. 0900

10. When teaching a patient about trimethoprim-sulfamethoxazole (TMP-SMZ), the nurse gives highest priority to teaching the patient to:

a. Increase fluid intake

11. A patient has been prescribed trimethoprim-sulfamethoxazole (TMP-SMZ). The nurse realizes that this drug is most likely used to treat which condition?

d. Urinary tract infection

12. ) A patient is ordered to receive cotrimoxazol/TMP-SMZ (Bactrim). This medication is a combination of two medications that are:

c. Synergistic

13. Which statement about sulfonamide therapy is true?

d. Patients on sulfonamide therapy need to increase their fluid intake.

14) A patient is diagnosed with a Candida (thrush)infection in the mouth. The nurse anticipates that the patient will be treated with:

d. Nystatin (Mycostatin)

15) The nurse is aware that most patients receiving metronidazole (Flagyl) are being treated for infections of the:

b) Gastrointestinal system

16) Which drug is associated with disulfiram (alcohol) reaction?

c) Metronidazole (Flagyl)

19) A patient treated with acyclovir (Zovirax) for genital herpes should be instructed that: also for varicella/shingles

c) Oral hygiene should be performed several times a day. safe sex

21) A female patient has been diagnosed with a lower urinary tract infection caused by E. Coli. The patent has been prescribed Nitroturantoin (Macrodanan. which information will the nurse include when teaching the patient about Nitrofurantoin therapy?

c) Warn patient not to drive a motor vehicle

22) A day later, the patient is ordered Phenazopyridine HCL (Pyridium). The most likely rationale for administration of this agent iS:

c) Relief of urinary pain and burning

23) When caring for the patient taking Phenazopyridine HCL (Pyridium), the nurse will:

b) Use results of blood test to monitor glucose levels

26) Which statement by the patient indicates that more teaching on nitrofurantoin (Macrodantin) therapy is needed? report dyspnea turn urine brown rinse month prevent teeth staining

b) "I will not take this medication at bedtime because it causes insomnia."

27) A patient with a urinary tract infection is complaining of pain with urination. The nurse would anticipate the patient's receiving:

d. Phenazopyridine (Pyridium)

29) The nurse plans to draw blood samples for the determination of peak and trough levels of gentamicin sulfate in a client receiving IV doses of this medication. When should the nurse plan to obtain the peak level?

d. After the third dose is administered

31) The patient taking intravenous gentamicin has a decreased creatinine clearance level. What is the nurse's best course of action?

c) Hold the medication.

32) The patient has been ordered azithromycin and asks the nurse why the medication does not have to be taken as often as other antibiotics that have previously been ordered. What is the nurse's best response?

b) "This drug has a longer duration of action than some of the other antibiotics."

33) When planning care for a patient receiving a sulfonamide antibiotic, which is a primary intervention?

c) Force fluids to at least 2000 mL/day.

34) During the initial nursing assessment history, a client tells the nurse he is taking tetracycline (Doxycycline) for urethritis. What medication taken concurrently with tetracycline could interfere with its absorption? no milk gray teeth wear sunscreen no antacids

a) Antacids

35) The nurse is providing discharge instructions to a client who received a prescription for an antibiotic that is hepatotoxic. Which information should the nurse include in the instructions?

A. Avoid ingesting any alcohol or acetaminophen.

36) A client is receiving antinfective drug therapy for a postoperative infection. Which complaint should alert the nurse to the possibility that the client has contracted a suberintection?

A. "My mouth feels sore."

37) Before administering an antinfective agent to a client with a urinary tract infection, which nursing intervention is most important!

D. Obtain a clean catch urine specimen.

38) Ondansetron has been ordered for the patient undergoing cancer chemotherapy to control the severe nausea and vomiting. What side effects should the nurse observe for?

a) Headache, dizziness, and fatigue

39) Bisacodyl has been ordered for a patient who is constipated. The nurse realizes that Dulcolax

a) increases peristalsis to produce a bowel movement

40) A patient is ordered a phenothiazine antiemetic for treatment of nausea and vomiting associated with chemotherapy. The drug will be most effective if administered

c) the night before treatment. the day of treatment and for 24 hours after treatment.

41) A toddler ingests a small amount of household cleaning fluid. What is the safest advice for the nurse to provide the caregiver?

b) Call the poison control center and follow directions.

42) A patient is ordered bisacody. Before administering the drug, it is most important for the nurse to assess the patent for what?

d) Appendicitis

43) Lactulose is ordered for a patient with liver disease. What would indicate the medication is exerting a positive therapeutic effect on the patient?

b) Decreased ammonia level

44) The nurse has taught a patient about sucralfate. Which statement indicates that the patient requires further teaching?

c) "I need to take Carafate 30 minutes after meals." take on empty stomach

45) A patient with peptic ulcer disease is noted to have a positive breath test for H. pylori. The nurse would anticipate treating the patient with

c. proton pump inhibitors and antibiotics.

46) An older adult patient reports taking aluminum hydroxide on a daily basis to relieve symptoms of GERD. The nurse needs to evaluate for which condition?

a. Constipation

47) When administering the histamine, blocker ranitidine, the nurse will:

b) separate ranitidine (Zantac) and other medications by at least half hour.

48) A patient is suspected to have peptic ulcer disease from H. pylori. The patient asks the nurse what kind of testing will be done to determine the cause of the peptic ulcer. The nurse will inform the patient that

c) a breath test will be performed.

49) A patient with a gastric ulcer is ordered sucraltate. This medication works to:

d. Coat the gastric lining

50) Which nursing intervention is designed to treat the most common side effects of filgrastim?

d) Provide analgesia to relieve bone pain

51) When working with a patient receiving epoetin alpha, it is most important for the nurse to assess the patient for the development of:

b) Hypertension and edema

52) Before administering epoetin alpha, it is most important for the nurse to assess the patient for a history of which condition?

d) Hypertension

53). A patient is receiving filgrastim. Which assessment finding indicates that the medication has been effective?

b) Absence of infecton

54) A patient receiving filgrastim therapy complains of bone pain. What will the nurse do first?

c. Administer the ordered nonopioid analgesic.

55) Which patient statement indicates to the nurse that the patient understands the discharge instructions regarding alendronate?

c. " will take the medication on an empty stomach and not lie down for 30 minutes."

56) When taking a medication history on a patient receiving sildenafil, the nurse recognizes an interaction between sildenafil and which other drug?

A. Nitroglycerin

57) The patient is receiving epoetin alfa during their chemotherapy. The nurse is evaluating the effectiveness of this drug. Which is a therapeutic effect of the drug?

C. Increased red blood cells check increase Hgb not for pt with heart condition

58) The nurse is caring for a patient taking testosterone replacement. Which problem associated with this drug is important to include in the teaching?

B. This drug can injure your liver

59) The nurse is administering tamsulosin (BPH) to the patient. The patient asks why this medication causes dizziness when it is supposed to work on his prostate. The nurse's best response is

D. The drug dilates your blood vessels which can lower your blood pressure

60) The nurse is administering alendronate to the patient. The patient asks why she takes this medication. The nurse's best response is

A. This drug strengthens your bones to prevent fractures

62) The nurse teaches a patient that sildenafil is contraindicated for patients taking which category of medications?

c) Nitrates

63) Which drug used in the treatment of BPH is most likely to cause postural hypotension?

a) Tamsulosin

66) A 30 year old women presents with a recurrence of Trichomonas vaginalis infection, and metronidazole is ordered. The patient's history reveals which of the following contraindication?

c) She drinks an occasional glass of wine.

68) A patient with nausea is taking ondansetron. She asks the nurse how this drug works. The nurse is aware that this medication has which action?

b) Blocks serotonin receptors in the chemoreceptor trigger zone (CTZ)

69) A patient who has constipation is prescribed a bisacodyl suppository. Which explanation will the nurse use to explain the action of bisacodyl?

a) Acts on smooth intestinal muscle to gently increase peristalsis

70) When metoclopramide (Reglan) is given for nausea, the nurse plans to caution the patient to avoid which substances?

c) Alcohol

72) The patient is taking esomeprazole magnesium for erosive gastroesophageal reflux disease. Which should the nurse include in patient teaching:

c) This medication decreases stomach acid secretion.

NUR 170 exam 4

V Farris · 50問 · 2年前

NUR 170 exam 4