Pharm Exam 1 (summer)
The 17-year-old client is prescribed metronidazole and erythromycin for a persistent Chlamydia infection. Which statements by the client indicate the need for further teaching? Select all that apply.
A, D A. "I can have a beer or two while taking these medications." B. "My boyfriend will have to take the medications too" C. "I can develop more problems if I don't treat this disease." D. "My birth control pills will still be effective while taking these medications." E. Chlamydia is a sexually transmitted infection I got from my boyfriend."
Which statement about allergic reactions to penicillin does the nurse identify as true?
A. A. Anaphylactic reactions occur more frequently with penicillins than with any other drug. B. Allergy to penicillin always increases over time. C. Benadryl is the drug of choice for anaphylaxis due to penicillin allergy. D. Patients allergic to penicillin are also allergic to vancomycin.
The patient is being discharged with continued ciprofloxacin therapy. When providing discharge teaching, the nurse should advise the patient to call the healthcare provider immediately if what develops?
A. A. Pain in the heel of the foot B. Nausea C. Diarrhea D. Headache
The nurse is reviewing laboratory values from a patient who has been prescribed gentamicin. To prevent ototoxicity, it is most important for the nurse to monitor which value (s)?
B. A. Serum creatinine and blood urea nitrogen levels B. Trough drug levels of gentamicin C. Peak drugs levels of gentamicin D. Serum alanine aminotransferase and aspartate aminotransferase levels
Which statement about superinfections does the nurse identify as true?
B. A. Superinfections are more common in patients treated with narrow-spectrum drugs. B. Superinfection is defined as a new infection that appears. during the course of treatment for a primary infection. C. Superinfections are caused by viruses. D. Superinfections are easy to treat.
A patient is prescribed an antibiotic to treat a urinary tract infection. What statement by the patient indicates a need for further teaching?
A. A. "I can stop the medication as soon as the symptoms have disappeared." B. "I will drink more fluids to help clear up the infection." C. "I will stop the medication and contact the doctor if I develop a rash." D. "I should immediately report vaginal itching or discharge."
The client who had an elective cholecystectomy is receiving a prophylactic antibiotic. Which information indicates the medication is not effective?
A. A. The clients WBC count is 18,000 B. The client refuses to turn, cough, and deep breath C. The client's sodium level is 139 mEq/L D. The clients nasogastric tube has green drainage
What data indicates the antibiotic therapy has not been effective for a client diagnosed with bacterial pneumonia?
B. A. The client's Hematocrit (Hct) is 45% B.The client is expectorating thick, green sputum C.The clients lung sounds are clear to auscultation D.The client has no reports of pleuritic chest pain
A patient with a history of a severe anaphylactic reaction to penicillin has an order to receive cephalosporin. What should the nurse doe?
B. A. Administer the cephalosporin as ordered. B. Contact the health care provider for a different antibiotic. C. Administer a test dose of cephalosporin to determine reactivity. D. Have an epinephrine dose available when administering the cephalosporin.
A patient is prescribed cefixime. The nurse should teach the patient to immediately report any signs of what?
B. A. Milk intolerance B. Skin rash, hives, or itching C. Constipation, nausea, or vomiting D. Headache
A patient has been prescribed oral ciprofloxacin for a skin infection. When administering the medication, it is most important for the nurse to do what?
B. A. Monitor for a decrease in the prothrombin time (PT) if the patient is also taking warfarin B. Withhold antacids and milk products for 2-4 hours before or 2 hours afterward C. Inform the healthcare provider if the patient has a history of asthma D. Assess the skin for Stevens-Johnson syndrome
A patient is prescribed doxycycline. If the patient complains of gastric irritation, what should the nurse do?
C. A. Instruct the patient to take the medication with milk B. Tell the patient to take an antacid with the medication C. Give the patient food, such as crackers or toast, with the medication D. Have the patient stop the medication immediately and contact the health care provider
Levofloxacin should be discontinued immediately if what happens?
C. A. Nausea, vomiting, or diarrhea is experienced. B. Dizziness, headache, or confusion occurs. C. Tendon pain or inflammation develops. D. Theophylline is prescribed for asthma.
The nurse is caring for a patient receiving intravenous gentamicin for a severe bacterial infection. Which assessment finding by the nurse indicates the patient is experiencing an adverse effect of gentamicin therapy?
D. A. Blurred vision B. Hand tremors C. Urinary frequency D. Tinnitus
A patient who was taking sulfonamides develops Stevens-Johnson syndrome. Upon assessment, the nurse expects to find what?
D. A. Hypotension B. Bronchospasm C. Temperature of 35.5º C D. Widespread skin lesions
A patient is prescribed orally for antibiotic-associated pseudomembranous colitis. The nurse will monitor the patient for what?
D. A. Leukopenia B. "Red man" syndrome C. Liver impairment D. Ototoxicity
A patient is prescribed cefazolin. It is most important for the nurse to teach the patient to avoid which substance while taking cefazolin?
D. A. Warfarin B. Milk products C. Digitalis D. Alcohol
