Quiz Questions

A an immunosuppressed client has been prescribed oral fluconazole (Diflucan) as prophylaxis against fungal infections (mycoses). When considering therapy, the nurse knows that: (Select all that apply.) A. fluconazole often causes nausea and vomiting. B. fluconazole may cause renal insufficiency. C. fluconazole can be given orally or intravenously. D. fluconazole will provide coverage for all classes of mycoses. E. fluconazole can interfere with metabolism of many drugs.

A, B, C, E

What is a hallmark pathophysiological feature of sepsis?

Arterial vasodilation

Which 2 drug classes can be used as alternatives to those with a penicillin allergy?

Aztreonam and macrolides

The nurse caring for a client with an allergy to penicillin would be cautious in implementing an order for an anti-infective agent from which class?

Cephalopsporins

Which feature is highly characteristic of a septic shock state?

Hyperdynamic circulation

A nurse is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect? Increased glomerular filtration rate (GFR) Hypomagnesaemia Hyperkalemia Decreased creatinine level

Hyperkalemia

A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. Which of the following actions should the nurse take? Disconnect the chest tube from the drainage system during transport. Keep the drainage system below the level of the client's chest at all times. Clamp the chest tube prior to transferring the client to a wheelchair. Empty the collection chamber prior to transport.

Keep the drainage system below the level of the client's chest at all times.

This drug is an anti-protozoal technically but is commonly used to treat C-diff?

Metrondiazole

Which class of drug causes tooth discoloration in infants and children?

Tetracyclines

This class of drugs is derived from animals and its main side effect is anaphylaxis?

monoclonal antibodies

Which of the following alterations is a characteristic feature of sepsis/septic shock? A. Activation of platelets and the clotting system B. Hepatosplenomegaly C. Pulmonary hypertension D. Profound hypothermia

Activation of platelets and the clotting system

A nurse in an emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first?

Albuterol (ProAir)

This drug class is bacteriocidal against mainly gram- organisms and major side effects are ototoxicity and nephrotoxicity?

Aminoglycosides

A nurse in a provider's office is reviewing the laboratory results of a client who takes furosemide for hypertension. The nurse notes that the client's potassium level is 3.3 mEq/L. The nurse should monitor the client for which of the following complications? Seizures Cardiac dysrhythmias Hypoglycemia Neurogenic shock

Cardiac dysrhythmias

Metronidazole (Flagyl) is used to treat:

Clostridium difficile

A nurse is assessing a client who had a surgery 5 days ago that involved a partial resection of the left lung to remove a cancerous lung tumor. The client has a chest tube in place. Which of the following new discoveries requires immediate intervention?

Continuous bubbling in the water seal chamber

Which of the following are clinical manifestations that might suggest that a patient with bacteremia was developing sepsis? (Choose 3 responses) Decreased urine output Fever Tachycardia Cool skin Dilated pupils

Decreased uo, fever, tachycardia

A client with acute respiratory distress syndrome (ARDS) is receiving intravenous methylprednisolone (Solu-Medrol). The nurse knows that the patient is at increased risk for which of the following? (Select all that apply.) Hyperkalemia Gastrointestinal bleeding Hypoglycemia Infection

Gastrointestinal bleeding and infection

Which of the following conditions are risk factors for developing sepsis? (Choose 3 responses) A. Neonate (<28 days old) B. Immunosuppression C. Age > 65 years D. Having a peripheral intravenous (IV) catheter E. Anemia

Neonate (<28 days old), immunosuppression, Age >65

A nurse is assessing a client who had a craniotomy and has developed syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following manifestations should the nurse anticipate: Hypernatremia Increased thirst Weight loss Oliguria

Oliguria

A child with congenital biliary atresia has recently received a liver transplant. Cyclosporine (Neoral) is prescribed. Which is NOT a likely complication of cyclosporine therapy? Hypertension Infections renal insufficiency otoxicity

Ototoxicity

Which drugs is administered as a monthly injection to infants at high-risk for respiratory syncytial virus (RSV)?

Palavizumab (Synasis)

The nurse knows that telithromycin (Ketek) and linezolid (Zyvox) are used to treat:

community-acquired pneumonia (CAP).

A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.) Increased respiratory rate Increased heart rate Increased blood pressure Increased hematocrit

increased BP increased resp. Increased heart rate