Quiz questions for Pharm exam 3
A client is prescribed isoniazid and rifampin for the treatment of active tuberculosis. The client's medication education should stress the initial symptom improvement is likely to take how long?
2-3 weeks
What is the expected length of treatment for a client being treated with amphotericin B for a severe fungal infection?
4-12 weeks
The nurse is preparing to administer gentamicin when the client mentions having experienced diminished hearing. What action should the nurse take based on this statement?
Hold the dosage and notify the health care provier of the alteration in hearing.
A client has started aminoglycoside therapy. It is time for a client's next dose of an aminoglycoside. What action should the nurse take when learning the client's creatinine level is 3.9 mg/dL?
Hold the medication and asses the urine output
A client is diagnosed with a gram-negative infection and is prescribed an aminoglycoside. What is the action of an aminoglycoside?
It blocks protein synthesis of the cell wall
A client is prescribed penicillin V orally for strep throat. What is the mechanism of action of this medication?
It inhibits cell wall synthesis
A 69-year old responded well to inclient treatment with a third-generation cephalosporin. After being largely symptom free for 48 hours, the woman has developed a fever of 38.6 degrees celsius and an elevated white cell count. What phenomenon may account for this client's current clinical presentation?
The client may be infected with microorganism that were resistant to the cephalosporin
An older adult client with a creatinine level of 4.0 mg/dL and a diagnosis of herpes simplex is prescribed cyclovir. When preparing to administer this medication parenterally, what would the nurse expect in regard to medication dosage?
The dose is smaller based on the client's kidney function
A client is prescribed ciprofloxacin. Which nursing intervention will best prevent the possible development of crystalluria?
The nurse should administer 2000 mL of oral fluids per day
A client is prescribed rifampin. What information should the nurse include in the client's medication education?
The urine, tears, sweat, and other body fluids will be a discolored red-orange
A client diagnosed with a tumor of the spinal cord is prescribed a corticosteroid. What statement by the client demonstrates an accurate understanding of this treatment?
This drug won't cure my cancer, but it may help me feel much better.
A client has been prescribed phenazopyridine for urinary tract symptoms related to the infection. The client asks why she is takin the medication. What is the most appropriate response by the nurse?
This medicine will decrease the pain of you rinfection
Which is the antidote for acetaminophen (Tylenol) poisoning?
acetylcysteine
A child has symptoms of influenza, including a fever. Which medication should not be administered to the child because of the risk of developing Reye's syndrome?
acetylsalicylic acid
A client, seen in the clinic for symptoms of persistent cough, fever, and night sweats, has recently entered the US from India. What is the most plausible explanation for the client's condition?
active tuberculosis
A client diagnosed with infective endocarditis would be most effectively treated with which medication?
ampicillin
A client has been taking antibiotics at home for the treatment of a respiratory infection for the past 6 days, and there is no evident improvement in the infection. Which nursing assessment is most appropriate?
asses the client's adherence to the medication regimen
A client is being treated for a urinary tract infection with trimethoprim-sulfamethoxazole. What assessment should the nurse make prior to the administration of the medication?
assessing for renal insufficiency
A client has been prescribed doxycycline. Which teaching instruction is a priority with this medication?
avoid sun exposure
An elderly client has taken ibuprofen 800 mg two times per day for the past three years. Which laboratory test is the priority assessment?
blood urea nitrogen and serum creatinine
Which miscellaneous antibacterial drug is administered topically in the treatment of acne?
clindamycin
A client is to be started on an antibiotic. Which factor is most important to take into consideration before beginning the antibioic regimen?
culture and sensitivity
A client is prescribed acyclovir for the treatment of genital herpes. What is the expected outcome of this medication?
decreased viral shedding
A client is allergic to penicillin and has been diagnosed with a genitourinary infection caused by Chlamydia trachomatis. Which medication will most likely be prescribed?
erythromycin
Which medication is the DOC for Legionnaires disease?
erythromycin
A client has been prescribed chloramphenicol for vancomycin-resistant enterococci. How is this medication eliminated from the body?
excreted in the urine
A client is admitted to the emergency department with a suspected overdose of acetominophen. What adverse effect is the most common in acute or chronic overdose of acetominophen?
hepatotoxicity
A client diagnosed with Trichomonas vaginalis is being treated with metronidazole orally. What instruction is most important for the nurse to provide the client to minimize the spread of this infection?
instruct to have her partner treated
What type of insulin is Humulin N (NPH)?
intermediate acting
A client is to be discharged with a prescription for prednisone to be administered every other day at 9:00 a.m. When implementing discharge teaching, what should the nurse explain as the rationale for giving the medication every other day?
it reduces adverse effects
What is the rationale for not administering tetracycline to children under the age of 8?
it will interfere with enamel development
A client is prescribed isoniazid (INH) for a diagnosis of tuberculosis. Which adverse effect will result in discontinuation of the medication?
jaundice
A client is to receive imipenem-cilastatin IM to treat P. aeruginosa. What should imipenem-cilastatin be mixed with prior to administering intramuscularly?
lidocaine
A client, prescribed isoniazid (INH) for a diagnosis of tuberculosis has a yellow color in the sclera of the eye. What other finding would lead the nurse to suspect that hepatotoxicity has develped?
light-colored stool
What type of insulin is determir (Levemir)?
long acting
Which medication will be administered to treat the diarrhea and abdominal distention associated with giardiasis?
metronidazole
A client is hospitalized due to nonadherence to an antitubercular drug treatment for a diagnosis of tuberculosis. Which intervention is most important for the nurse to implement?
observing the client taking the medication
A client with burns has developed a wound infection. This client is experiencing what type of wound infection?
opportunistic infection
What organ system is responsible for the excretion of cefotaxime sodium from the body?
renal
A client, being treated in the intensive-care unit, has been diagnosed with ventilator-associated pneumonia. Culture and sensitivity testing of the client's sputum indicates that erythromycin is a treatment option. Which nursing assess is most appropriate to rule out contraindictations for this medication therapy?
review lab results to confirm normal liver function
A young adult client's acne has responded well to treatment with tetracycline. However, the client has now returned to the clinic 6 weeks later with signs and symptoms of oral candidasis. The nurse should recognize that this client's current health problem is likely attributable to which occurrence?
superinfection following the eradication of normal oral flora
A client, diagnosed with a genitourinary infection, is being treated with a fluoroquinolone. What is the advantage of a fluoroquinolone over an aminoglycoside?
the fluoroquinolone can be given orally
An adult client has been prescribed oral prednisone for the treatment of an acute dermatological condition. When teaching the client about this course of treatment, what teaching point should the nurse emphasize?
the importance of gradually reducing rather than abruptly stopping the drug
A client, who sustained a burn from a gas grill, has been prescribed a sulfonamide to prevent a burn infection. What route is preferred in the prevention of a burn infection?
topical
A client is prescribed metronidazole to treat Clostridium difficile is also prescribed which medication orally to assist in restructuring the flora of the intestinal tract?
vancomycin
A hospital nurse is aware that nosocomial infections pose a significant threat to many clients' health status. In order to reduce the spread of nosocomial infections, the nurse should prioritize which action?
vigilant and thorough hand washing
