Pharm Exam 5 Saunders
The nurse would anticipate that the primary health care provider (PHCP) would add which medication to the regimen of the client receiving isoniazid?
Pyridoxine
The nurse receives a call from a client concerned about eliminating brown-colored urine after taking nitrofurantoin for a urinary tract infection. The nurse should make which appropriate response?
"Continue taking the medication; the brown urine occurs and is not harmful."
The nurse is caring for a client receiving gentamicin intravenously. What statement made by the client should most concern the nurse?
"I am experiencing ringing in my ears."
The nurse is providing teaching for a client prescribed ciprofloxacin for a urinary tract infection. Which statement made by the client indicates that there is a need for further teaching?
"If I develop any tendon pain while taking ciprofloxacin, exercise should help to decrease the pain."
Zidovudine has been prescribed for a client, and the nurse provides instructions to the client about expected effects with this medication. Which statement by the client indicates the need for further instruction?
"If I experience diarrhea, I need to contact my primary health care provider."
A client with a urinary tract infection (UTI) is given a prescription for levofloxacin. The nurse should provide the client with which information about this medication?
"Pain in the back of the leg should be reported."
A client with acquired immunodeficiency syndrome (AIDS) experiences nausea, vomiting, and abdominal pain radiating to the back after taking didanosine. The ambulatory care nurse should provide which response as telephone advice to this client?
"Report to the health care clinic to be seen by the primary health care provider."
A client is diagnosed with herpes simplex virus type 1 (HSV 1). The primary health care provider prescribes a topical medication for treatment. The nurse anticipates that which medication will be prescribed?
Acyclovir
The nurse is caring for a client admitted to the hospital for an infection who is receiving an aminoglycoside twice a day, intravenously. The nurse is planning to obtain blood for a peak aminoglycoside level. When should the blood be drawn?
30 minutes after completing the infusion
The client is receiving tobramycin intravenously every 8 hours. Which finding would indicate to the nurse that the client is experiencing an adverse medication effect?
A blood urea nitrogen (BUN) level of 30 mg/dL (10.8 mmol/L)
Which supplies should the nurse obtain for the administration of ribavirin to a hospitalized child with respiratory syncytial virus (RSV)?
A mask and pair of goggles
The nurse is monitoring a client with herpes simplex virus (HSV) who is receiving intravenous (IV) acyclovir. Which laboratory result would be of concern as a possible adverse effect of this medication?
Blood urea nitrogen (BUN) of 36 mg/dL (12.9 mmol/L)
The primary health care provider (PHCP) writes a prescription for zidovudine for a client who was admitted to the hospital. The nurse should contact the PHCP to verify the prescription if which finding is noted in the assessment data?
Bone marrow depression
The nurse is caring for a client with a urinary tract infection (UTI). The culture report reveals the presence of Pseudomonas aeruginosa. The nurse anticipates that which medication will be prescribed to treat the infection?
Ciprofloxacin
A client has been started on long-term therapy with rifampin. The nurse should provide which information to the client about the medication?
Causes orange discoloration of sweat, tears, urine, and feces
A client taking rifampin reports, "My urine has blood in it." When the nurse assesses the urine, it is brown. Which is the nurse's best action?
Chart the finding as a normal response to the rifampin.
Laboratory analysis of a urine sample for culture and sensitivity reveals a bacterial infection, and the client is diagnosed with cystitis. Nitrofurantoin is prescribed for the client. Which is the priority nursing assessment before administering this medication?
Checking lung sounds
Tobramycin sulfate is prescribed. The nurse is administering the medication by intermittent intravenous infusion every 8 hours. The nurse monitors the client for signs of an adverse effect related to this medication and determines that which, if noted on assessment, would indicate its presence?
Client complaint of ringing in the ears
A client with acquired immunodeficiency syndrome (AIDS) has been started on therapy with zidovudine. The nurse should monitor the results of which laboratory blood study for adverse effects of therapy?
Complete blood cell (CBC) count
A client who is receiving nitrofurantoin calls the clinic complaining of troublesome effects related to the medication. Which side or adverse effect(s) indicates the need to stop treatment with this medication?
Cough and chest pain
The home health nurse is visiting a client who has been started on therapy with clotrimazole. The nurse should monitor which item to monitor the effectiveness of this medication with each visit?
Rash
A client is receiving amphotericin B by the intravenous (IV) route. During ongoing therapy with this medication, the nurse should most closely assess the client for which finding that indicates a complication?
Decreased urine output
An aminoglycoside, given by intermittent intravenous infusion, is prescribed for a client with an infection. Which finding would indicate to the nurse that the client is experiencing an adverse effect of the medication?
Difficulty hearing
The nurse has given a client taking ethambutol information about the medication. The nurse determines that the client understands the instructions if the client states that they will immediately report which finding?
Difficulty in discriminating the color red from green
A clinic nurse is assessing a client who has been on isoniazid for 6 months. Which client complaint should most concern the nurse?
Difficulty tying shoes
The nurse is providing discharge instructions to a client receiving trimethoprim-sulfamethoxazole. Which instruction should be included in the list?
Drink 8 to 10 glasses of water per day.
A client is receiving amphotericin B by the intravenous (IV) route. The nurse determines that the client is having an adverse effect to the medication if which laboratory study result is noted?
Elevated serum creatinine
A client who is human immunodeficiency virus (HIV) seropositive has been taking stavudine. The nurse should monitor which most closely while the client is taking this medication?
Gait
The nurse is collecting subjective and objective data from a client and notes that the client is taking zidovudine. The nurse determines that this medication has been prescribed to treat which condition?
Human immunodeficiency virus (HIV) infection
Amikacin is prescribed for a client with a bacterial infection. The nurse instructs the client to contact the primary health care provider (PHCP) immediately if which occurs?
Hearing loss
The nurse notes that a client is receiving lamivudine. The nurse determines that this medication has been prescribed to treat which condition?
Human immunodeficiency virus (HIV)
The nurse is collecting subjective and objective data from a client and notes that the client is taking abacavir. The nurse determines that this medication has been prescribed to treat which condition?
Human immunodeficiency virus (HIV) infection
A pediatric nurse has obtained ribavirin in powder form from the pharmacy to administer to a child with respiratory syncytial virus (RSV) infection. After preparing the medication, the nurse should administer it by which route?
Inhalation
The primary health care provider (PHCP) prescribed tetracycline for a 5-year-old pediatric client. The nurse questions this prescription for what reason?
It is contraindicated in children younger than 8 years of age.
A client with tuberculosis is starting antituberculosis therapy with isoniazid. Before giving the client the first dose, the nurse should ensure that which baseline study has been completed?
Liver enzyme levels
The nurse is monitoring a client who is receiving intravenous (IV) acyclovir. The nurse would monitor the client closely for which primary toxic effect of the medication?
Nephrotoxicity
Ribavirin is prescribed for a hospitalized child with severe respiratory syncytial virus (RSV). The nurse prepares to administer this medication via which route?
Oxygen tent
A client has been taking isoniazid for 2 months. The client complains to the nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing which problem?
Peripheral neuritis
Tetracycline is prescribed for a client with severe acne. The nurse instructs the client regarding the importance of reporting which finding if it occurs?
Persistent diarrhea
A client with acute pyelonephritis who was started on antibiotic therapy 24 hours earlier is still complaining of burning with urination. The nurse should anticipate that the primary health care provider will prescribe which medication?
Phenazopyridine
A client who is seropositive for human immunodeficiency virus (HIV) has been taking stavudine. The nurse assesses which most closely while the client is taking this medication?
Presence of paresthesia
A client is receiving levofloxacin for treatment of urinary tract infection. Which finding warrants an immediate call to the primary health care provider (PHCP)?
Prolonged QT interval on electrocardiogram
A client is receiving ganciclovir. Which nursing action is appropriate during the time the client is receiving this medication?
Providing the client with a soft toothbrush and an electric razor
Nitrofurantoin is prescribed for the client. The nurse checks the client's record, knowing that this medication is contraindicated in which disorder?
Renal disease
A client is to begin a 6-month course of therapy with isoniazid. The nurse should plan to teach the client to take which action?
Report yellow eyes or skin immediately.
A client has been given a prescription for a course of azithromycin. The nurse should tell the client that this medication will relieve which problem?
Signs and symptoms of infection
A client is receiving acyclovir by the intravenous (IV) route for treatment of cytomegalovirus (CMV) infection. After reconstituting the powder dispensed by the pharmacy, the nurse should administer this medication via which method?
Slow IV infusion over 1 hour
Trimethoprim-sulfamethoxazole is prescribed for a client. The nurse should instruct the client to report which symptom if it develops during the course of this medication therapy?
Sore throat
A client has been taking pyrazinamide for 6 months. The nurse determines that the medication is effective if which cultures yield a negative result?
Sputum
A client has been taking pyrazinamide for 1 month. The client asks the nurse whether the therapy is due to be terminated soon. The nurse determines that the medication probably will be continued based on a positive finding in which report?
Sputum culture
A client has been given a prescription for sulfasalazine. Which allergy should the nurse assess for in the client prior to administration?
Sulfonamides or salicylates
A client is prescribed trimethoprim-sulfamethoxazole for a recurrent urinary tract infection (UTI). The nurse should give the client which instruction regarding this medication?
Take each dose with 8 oz of water, and drink extra water each day.
A client with human immunodeficiency virus infection is taking indinavir. The nurse plans to provide the client with which direction when providing instructions about the use of this medication?
Take the medication with water on an empty stomach.
A client receiving a dose of intravenous vancomycin begins to experience chills, tachycardia, syncope, and flushing of the face and trunk. What is the nurse's best interpretation of these findings?
The medication is infusing too rapidly.
A client with acquired immunodeficiency syndrome who is taking zidovudine 200 mg orally 3 times daily has severe neutropenia noted on follow-up laboratory studies. The nurse interprets that which change is likely to occur at this point?
The medication probably will be discontinued until laboratory results indicate bone marrow recovery.
The client who is seropositive for human immunodeficiency virus (HIV) has been taking ritonavir. The nurse tells the client that which follow-up laboratory study will be necessary while taking this medication?
Triglyceride level
A 2-year-old with Pneumocystis jiroveci pneumonia is to begin treatment with highly active antiretroviral therapy (HAART). The nurse anticipates that the primary health care provider will prescribe which combination?
Two nucleoside analogues and one protease inhibitor
Phenazopyridine is prescribed for a client with a urinary tract infection. The nurse evaluates that the medication is effective based on which observation?
Urination is not painful.
The nurse is providing discharge instructions to the mother of a child who has been prescribed tetracycline hydrochloride. The nurse stresses to the mother the importance of which measure in giving this medication to the child?
Use a straw when giving the medication.
A client is receiving amoxicillin orally every 8 hours. Which finding would indicate to the nurse that the client is experiencing a frequent minor side effect related to the medication?
Vaginal drainage
A client with a respiratory tract infection is receiving intravenous tobramycin sulfate. The nurse should assess for which adverse effect of this medication?
Vertigo
The nurse is creating a plan of care for a client who is receiving amphotericin B intravenously. A main component of the plan of care is monitoring for adverse effects related to the administration of this medication. Which should the nurse include in a list of manifestations to watch for?
Visual difficulties
A client is taking a prescribed course of therapy with ethambutol. The home health nurse assesses the client at each home visit for which adverse effect of this medication?
Visual disturbances
A client has begun a course of therapy with rifampin. The home care nurse instructs the client on which measure due to an anticipated side effect?
Wear dark clothing to avoid staining.
A client with tuberculosis (TB) has a prescription for rifampin. What instruction should the nurse include in the client's teaching plan?
Wearing glasses instead of soft contact lenses will be necessary.
The nurse is about to administer the next intravenous dose of tobramycin when the client complains of vertigo and a ringing in the ears. What is the most appropriate nursing action?
Withhold the dose and call the primary health care provider (PHCP).
The ambulatory care nurse is providing instructions to a client with a urinary tract infection (UTI) being started on nitrofurantoin. The nurse should provide the client with which information?
f taken with meals, it will help decrease the risk for gastrointestinal (GI) upset.
