Chapter 27 Evolve Questions

The nurse is caring for a patient who has been diagnosed with genital herpes. Which medication is the drug of choice for this patient? a) Acyclovir b) Ribavirin c) Zidovudine d) Amantadine

a) Acyclovir

What is the primary assessment the nurse should make for a patient who is taking ganciclovir sodium? a) Complete blood count b) Bowel elimination c) Blood urea nitrogen d) Input and output

a) Complete blood count

Which statement indicates to the nurse that the patient understands the medication instructions regarding ketoconazole for treatment of candidiasis? a) "I can take this medication with antacids if it causes gastrointestinal discomfort. " b) "I need to take this drug with food to minimize gastrointestinal distress." c) "I can expect my skin to turn yellow from taking this drug." d) "I will take this medication with orange juice for better absorption."

b) "I need to take this drug with food to minimize gastrointestinal distress."

The patient is being treated with intravenous amphotericin B. What is the nurse's primary intervention? a) Encourage the patient to drink at least a liter of fluid per shift. b) Assess blood urea nitrogen and creatinine. c) Administer with dextrose. d) Assess the IV site for infiltration.

b) Assess blood urea nitrogen and creatinine.

The nurse is caring for a patient who is taking rifampin. The patient has a heart rate of 90 beats/min, blood pressure of 100/89 mm Hg, and red-orange urine. What is the nurse's bestaction? a) Collect a urine culture. b) Document the findings and teach the patient. c) Discard the first void and start a 24-hour urine collection. d) Call the health care provider.

b) Document the findings and teach the patient.

The health care provider has ordered amphotericin B for the patient. The nurse recognizes that which is the most effective way to administer this medication to the patient? a) Intravenously over 2 to 6 hours b) Orally at regular intervals c) Intravenously over 1 hour d) By subcutaneous injection

a) Intravenously over 2 to 6 hours

A patient enters the emergency department with suspected influenza. Prior to starting the patient on the prescribed oseltamivir phosphate, what priority information should the nurse determine? a) Length of time since onset of symptoms b) Immunization history c) Over-the-counter medications taken in the last 48 hours d) Allergies to antibiotics

a) Length of time since onset of symptoms

Prior to the administration of intravenous amphotericin B, what action should the nurse take? a) Premedicate the patient with an antipyretic, antihistamine, and antiemetic as prescribed. b) Set up an IV solution with potassium. c) Administer insulin as prescribed to prevent severe hyperglycemia. d) Administer intravenous dextrose as prescribed to prevent severe hypoglycemia.

a) Premedicate the patient with an antipyretic, antihistamine, and antiemetic as prescribed.

A patient taking amantadine complains of depression and dizziness. What intervention will the nurse perform first? a) Take the patient's blood pressure sitting and standing. b) Call the health care provider. c) Evaluate the patient for other central nervous system effects from the medication. d) Order a consult for counseling.

a) Take the patient's blood pressure sitting and standing.

A patient is diagnosed with an oral candidal infection. Which is the bestintervention for the nurse to perform? a) Teach the patient how to take nystatin. b) Administer valacyclovir hydrochloride and monitor lips and gums. c) Instruct the patient to brush her teeth and gargle hourly. d) Start an IV so the patient does not have to eat by mouth.

a) Teach the patient how to take nystatin.

What will the nurse monitor to evaluate the effectiveness of antiviral agents administered to treat human immunodeficiency virus infection? a) Viral load b) Megakaryocyte counts c) Lymphocyte counts d) Red blood cell counts

a) Viral load

The patient has been diagnosed with tinea pedis. The nurse recognizes that the patient is most likely to be ordered which drug? a) Terconazole b) Griseofulvin c) Miconazole nitrate d) Butoconazole nitrate

b) Griseofulvin

The health care provider has ordered ribavirin for the patient with respiratory syncytial virus (RSV). The nurse recognizes that which route is the most effective way to administer this medication to the patient? a) Intravenously over 1 hour b) Orally at regular intervals c) Aerosol inhalation d) By subcutaneous injection

c) Aerosol inhalation

What will the nurse teach a patient who is taking isoniazid (INH)? a) You will need to take vitamin C to potentiate the action of INH. b) Multidrug therapy is necessary to prevent the occurrence of resistant bacteria. c) You should not be on that drug. I will check with the health care provider. d) Pyridoxine (vitamin B6) will prevent numbness and tingling that can occur when taking isoniazid.

d) Pyridoxine (vitamin B6) will prevent numbness and tingling that can occur when taking isoniazid.

The patient has been diagnosed with candidiasis. The nurse recognizes that the patient is most likely to be ordered which drug? a) Sulconazole b) Tolnaftate c) Miconazole nitrate d) Haloprogin

c) Miconazole nitrate

A patient with Mycobacterium tuberculosis is prescribed ethambutol for long-term use. Which statement by the patient indicates understanding of the instructions? a) "Constipation will be a problem, so I will increase the fiber and fluids in my diet." b) "This medication may cause my bodily secretions to turn red-orange." c) "Dizziness, drowsiness, and decreased urinary output are common with this drug, but they will subside over time." d) "I will need to have my eyes checked regularly while I am taking this drug."

d) "I will need to have my eyes checked regularly while I am taking this drug."

The patient states that she has been prescribed prophylactic medication for tuberculosis for a period of 4 weeks. What is the nurse's bestresponse? a) "Let me teach you about the medications." b) "We do not use medications prophylactically for tuberculosis." c) "You should be on the medications for only 2 weeks." d) "You should be on the drugs for a longer period of time."

d) "You should be on the drugs for a longer period of time."