Pharm Test 4

The nurse is providing health education to the parents of a child who has been prescribed mebendazole for the treatment of hookworms. What should the nurse teach the family about preventing future hookworm infections?

"Make sure your children wear footwear when they're playing around soil."

A nurse is caring for an adult female client who has been prescribed metronidazole. Which statement should the nurse include in the medication teaching? Select all that apply. "Food increases the absorption of the medication." "Metronidazole is safe when pregnant." "The medication may cause your urine to be dark in color." "You may experience a metallic taste with this medication." "Avoid alcoholic beverages while taking the medication."

"The medication may cause your urine to be dark in color." "Avoid alcoholic beverages while taking the medication." "You may experience a metallic taste with this medication."

What labs should be monitored with fluconazole? BUN Bilirubin, AST, ALT Creatinine all

ALL

What history should a nurse obtain before giving a cephalosporin? Allergy Drug Surgery ancestry

Allergy Drug Surgery

What kind of medication would you not give if the patient BUN is elevated?

Amphotericin B

The critical care nurse is providing care for a client who is being treated with amphotericin B. When assessing for potential adverse effects, what assessments should the nurse perform? Select all that apply.

Assess for jaundice and monitor liver enzyme levels. Monitor urine output and BUN and creatinine levels. Assess for nausea and vomiting. Assess skin integrity at the client's IV site.

What is the bacteria that causes a yeast infection?

Candidia

Tetracyclines are generally contraindicated in pregnant women because of what effects? (Select all that apply.)

Cause fatal hepatic necrosis in the mother. Interfere with bone and tooth development in the fetus.

What is cefoxitin?

Cephalosporin

If i had an allergic reaction to penicillin, what other class of antibiotics should also be a concern for allergy reaction?

Cephalosporins

If the patient has an allergy to PCN what other antibiotic could cause an allergy? Cephalosporins (cefoxitin) Aminoglycosides(gentamicin) Fluoroquinolones: (ciprofloxacin)

Cephalosporins (cefoxitin)

The health care provider has ordered mebendazole for a client with a parasitic infection. It is important for the nurse to know that the medication must be administered in what way?

Chewed and swallowed or crushed in food

The health care provider has ordered mebendazole for a client with a parasitic infection. It is important for the nurse to know that the medication must be administered in what way? IM in a large muscle Swallowed whole IV in a large vein Chewed and swallowed or crushed in food

Chewed and swallowed or crushed in food

A client is suspected of having a helminthic infection. When reviewing the client's history, what information may lead the nurse to suspect that the client has a tapeworm infection?

Consumption of sushi

What should be done before first dose of antibiotic is given? Nothing Culture and sensitivity Vitals stool sample

Culture and sensitivity

Antibiotic that causes diarrhea can lead to this

Dehydration

A client has been prescribed ciprofloxacin IV for the treatment of cellulitis. After initiating the infusion of the client's first scheduled dose, the client develops a pronounced rash on the chest and arms. How should the nurse respond initially to this event?

Discontinue the infusion and inform the health care provider promptly.

A client has been prescribed metronidazole for treatment of Giardia. What instruction is most important for the nurse to give to this client?

Do not drink alcohol while taking this medication.

True or false pregnant women should take tetracyclines

False

The pharmacology instructor is discussing the treatment of infections caused by Candida albicans. Which drug would the instructor say is used most commonly to treat localized candida infections?

Fluconazole

Levofloxacin and Ciprofloxacin are?

Fluoroquinolones

A client has been prescribed 2% permethrin topically for pediculosis. Which measures would the nurse provide for safe and effective therapy? Select all that apply.

Follow contact isolation precautions until lice and nits are gone. Use the drug to saturate the hair and scalp, the area behind the ears, and the base of the the neck. After application, assess the skin for stinging, numbness, rash, and pruritus.

Trichinosis results from the ingestion of the encysted larvae of the roundworm, Trichinella spiralis. Which are characteristics of trichinosis? Select all that apply.

Found in undercooked pork. Larvae are deposited in the intestinal mucosa, pass into the bloodstream, and are carried throughout the body. Fatal pneumonia, heart failure, and encephalitis may occur.

Where is the most common place worms are located?

GI tract

After teaching a group of students about aminoglycosides, the instructor determines that the teaching was successful when the group identifies which drug as the prototype for this class?

Gentamicin

What is a regiment of multiple antiretroviral drugs?

HAART

How can amphotericin B be given?

IV

Fungal treatment medications "azole" are contraindicated in patients with?

Impaired renal Increase liver enzymes

Oseltamivir and Peramivir is given for?

Influenza A and B

Which are correct statements regarding amphotericin B deoxycholate administration that a nurse should teach a client? Select all that apply. The medication can be administered orally.' "It works by disrupting fungal cell walls." "It can be used for progressive or fatal infections." "Hypokalemia and hyponatremia can occur with this medication."

It can be used for progressive or fatal infections." "Hypokalemia and hyponatremia can occur with this medication."

A client has been prescribed fluconazole therapy for a fungal infection. What information should the nurse provide the client when presenting medication education?

It has fewer adverse effects than most other antifungal medications.

Laboratory monitoring for clients on all systemic antifungal drugs should include what test?

LFTs (liver function tests)

Vancomycin is a good antibiotic for? Yeast infection common cold MRSA C-Diff

MRSA C-Diff

What is both bactericidal and bacteristatic? aminoglycosides Macrolides Chloroquine phosphate phenazopyridine

Macrolides

Chloroquine phosphate is used for? Pneumonia Lice Scabies Malaria

Malaria

This antibiotic can cause a metallic taste, should avoid alcohol

Metronidozole

The nurse should monitor the client for which common side effects of erythromycin therapy?

Nausea, vomiting, and diarrhea

While administering aminoglycosides to clients, the nurse must be aware of what toxicities that can result from their use? (Select all that apply.)

Nephrotoxicity Ototoxicity Neurotoxicity

what are some anti-viral medications for influenza? Oseltamivir phosphate Peramivir Ciprofaxcin Vancomycin

Oseltamivir phosphate Peramivir

Aminoglycosides can have what adverse reaction?

Ototoxicity and Nephrotoxicity

What are Cephalosporins chemically related to?

Penicillin

The client needs treatment for both pediculosis and scabies. The nurse expects the health care provider to order which drug?

Permethrin

The client needs treatment for both pediculosis and scabies. The nurse expects the health care provider to order which drug? Permethrin Metronidazole Malathion Spinosad

Permethrin Metronidazole Malathion Spinosad

Running Vancomycin to fast can cause what syndrome? Red man Michael Meyers Steven Johnson Tweety Bird

Red man

The nurse is caring for a client who is receiving IV vancomycin. The nurse infuses the medication at the prescribed rate to prevent what from occurring?

Red man syndrome

What medication for RSV has a priority assessment of the pulmonary system?

Rivavirin

What needs measured in gentimicin (aminoglycosides)?

Serum levels

Why should you stop infusion of antibiotic?

Shortness of breath/wheezing

Cefazolin, a cephalosporin, is used for which of these conditions? (Choose all that apply.)

Streptococcus pneumoniae infection Otitis media Perioperative prophylaxis Septicemia

A client is traumatized because the cestode that has been the cause of her helminthic infection has begun exiting her mouth. The client's nurse should be aware that the client likely has what diagnosis?

Tapeworm

A client is traumatized because the cestode that has been the cause of her helminthic infection has begun exiting her mouth. The client's nurse should be aware that the client likely has what diagnosis? Tapeworm Whipworm Schistosomiasis Trichinosis

Tapeworm

What are considered helminths? (Select all that apply.)

Tapeworms Hookworms Roundworms Pinworms

Adverse effects of fluroquinolones

Tendon pain/rupture

ciprofloxacin(Fluoroquinolones)can cause what adverse effect? Restlessness hopelessness Tendon pain/rupture Bone pain

Tendon pain/rupture

What class of antibiotic should not be given to a pregnant person?

Tetracycline

What kind of antibiotic is Doxycycline?

Tetracycline

trichinosis infection can be caused by Insect bites Undercooked pork fresh vegetables

Undercooked pork

phenazopyridine is used for?

Urgency and burning on urination

what is a good antibiotic to treat MRSA?

Vancomycin

What is not usually elevated in virus infection?

WBC

What type of infection can be caused by penicilin?

Yeast

Fluconazole is prescribed for?

Yeast infection, herpies, thrush

What do antivirals do?

alter viral reproduction

Ototocity & Nephrotoxicity are adverse effects of? Penicillins aminoglycosides corticosteroids acyclovir

aminoglycosides

Symptoms of viral infection include

flu like symptoms

A 3-year-old child is diagnosed with pinworms. The nurse plans to educate the child's parent about the use of what drug?

mebendazole

what should you teach about metronidazole? Select all metallic taste Assess if the client may be pregnant Stay away from alcohol Tendon rupture

metallic taste Assess if the client may be pregnant Stay away from alcohol

A critical care nurse is caring for a client taking aminoglycosides. The dosage may need to be adjusted if the nurse finds monitored changes in what system?

renal function

Infections associated with which system are likely to be treated with ciprofloxacin therapy? Select all that apply.

respiratory gastrointestinal genitourinary integumentary

Where is an outbreak of pinworms most likely to happen?

schools (children)

Why is multiple drugs used for HIV treatment?

so its most effective. to decrease s/s

Possible pinworm test?

stool sample

Taking sulfonamides what precaution should the client take when in the sun?

sunscreen

What should you do if stomach upset wit taking penicillin?

take with food.

What is prevention of a virus infection?

vaccination and handwashing