Test 2 Chapter 11 p, Chapter 18, Ch 17 P, Chapter 16 P, Chppter 15 P, Chapter 14 , 13, Chapter 12

A patient will be receiving penicillin G potassium, 12 million units daily in divided doses every 4 hours IVPB. Identify how many units will the patient receive for each dose each day. 2 million units

2 million units if given every 4 hours, patient gets 6 doses each 24 hour day. 12 million units divided by 6 doses = 2 million per dose.

A patient with a viral infection is to receive ganciclovir (Cytovene) 5 mg/kg/day IVPB every morning. The patient weighs 110 pounds. Identify how many milligrams will this patient receive for this dose. _______

250 mg

A patient will be receiving amoxicillin suspension 300 mg via a gastrostomy tube every 8 hours. The medication comes in a bottle that contains 400 mg/5 mL. Identify how many milliliters will the nurse administer with each dose. (record answer using one decimal place) _______

3.8 mL 400 mg per 5 mL : 80 mg per 1 mL 300 divided by 80 = 3.75 mL Round to nearest tenth (one decimal place) = 3.8 mL

Alyssa is a 15-month-old patient who has been on amoxicillin for 2 days for acute otitis media. She is still febrile and there is no change in her tympanic membrane examination. What would be the plan of care for her? . Change the antibiotic to amoxicillin/clavulanate.

A child that may warrant "watchful waiting" instead of prescribing an antibiotic for acute otitis media includes patients who: Are low risk with temperature of less than 39oC or 102.2 F . Have reliable parents with transportation . Are older than age 2 years

Dwayne has classic tinea capitis. Treatment for tinea on the scalp is: Oral griseofulvin for 6 to 8 weeks

A nurse is caring for a patient who is on amphotericin B. On morning rounds the patient reports weakness, numbness, and a tingling sensation in his feet. What would be a priority action by the nurse? Keep the bed in a low position and the side rails up at all times.

Jim presents with fungal infection of two of his toenails (onychomycosis). Treatment for fungal infections of the nail includes: Oral griseofulvin

A nurse is monitoring the fluid input and output of a 26-year-old woman who is on amphotericin B. Which of the following would the nurse report immediately to the physician? Serum creatinine level of 3.5 mg/dL

A patient will be having oral surgery and has received an antibiotic to take for 1 week before the surgery. The nurse knows that this is an example of which type of therapy? Prophylactic

A patient has a urinary tract infection. The nurse knows that which class of drugs is especially useful for such infections? Sulfonamides achieve very high concentrations in the kidneys, through which they are eliminated. Therefore, they are often used in the treatment of urinary tract infections.

A patient is receiving his third intravenous dose of a penicillin drug. He calls the nurse to report that he is feeling "anxious" and is having trouble breathing. What will the nurse do first? Stop the antibiotic infusion.

A patient is admitted with a fever of 102.8° F (39.3° C), origin unknown. Assessment reveals cloudy, foul-smelling urine that is dark amber in color. Orders have just been written to obtain stat urine and blood cultures and to administer an antibiotic intravenously. The nurse will complete these orders in which sequence? Blood and urine cultures, antibiotic dose

The nurse is administering intravenous acyclovir (Zovirax) to a patient with a viral infection. Which administration technique is correct? Infuse intravenous acyclovir slowly, over at least 1 hour.

A patient is receiving cidofovir (Vistide) as part of treatment for a viral infection, and the nurse is preparing to administer probenecid, which is also ordered. Which is the rationale for administering probenecid along with the cidofovir treatment? . Concurrent drug therapy with probenecid reduces the nephrotoxicity of the cidofovir.

During antibiotic therapy, the nurse will monitor closely for signs and symptoms of a hypersensitivity reaction. Which of these assessment findings may be an indication of a hypersensitivity reaction? Wheezing Shortness of breath Swelling of the tongue Itching

A patient with a long-term intravenous catheter is going home. The nurse knows that if he is allergic to seafood, which antiseptic agent is contraindicated? Povidone-iodine (Betadine) Iodine compounds are contraindicated in patients with allergies to seafood.

A patient is in the HIV clinic for a follow-up appointment. He has been on antiretroviral therapy for HIV for more than 3 years. The nurse will assess for which potential adverse effects of long-term antiretroviral therapy? (Select all that apply.) a. Lipodystrophy b. Liver damage c. Kaposi's sarcoma d. Osteoporosis e. Type 2 diabetes

ANS: A, B, D, E Anti-HIV drugs produce strain on the liver and may result in liver disease. A major adverse effect of protease inhibitors is lipid abnormalities, including lipodystrophy, or redistribution of fat stores under the skin. In addition, dyslipidemias such as hypertriglyceridemia can occur, and insulin resistance and type 2 diabetes symptoms can result. The increase in long-term antiretroviral drug therapy due to prolonged disease survival has led to the emergence of another long-term adverse effect associated with these medications—bone demineralization and possible osteoporosis. Kaposi's sarcoma is an opportunistic disease associated with HIV, not a result of long-term drug therapy.

Vanessa has been diagnosed with scabies. Her education would include:

All members of the household and close personal contacts should be treated.

A child that may warrant "watchful waiting" instead of prescribing an antibiotic for acute otitis media includes patients who: Are low risk with temperature of less than 39oC or 102.2oF Have reliable parents with transportation Are older than age 2 years

Alyssa is a 15-month-old patient who has been on amoxicillin for 2 days for acute otitis media. She is still febrile and there is no change in her tympanic membrane examination. What would be the plan of care for her? . Change the antibiotic to amoxicillin/clavulanate.

The nurse is preparing to use an antiseptic. Which statement is correct regarding how antiseptics differ from disinfectants? Disinfectants are used only on nonliving objects to destroy organisms.

Antiseptics primarily inhibit microorganisms but do not necessarily kill them. They are applied exclusively to living tissue. Disinfectants are able to kill organisms and are used only on nonliving objects.

Patient education when prescribing the vitamin D3 derivative calcipotriene for psoriasis includes: max of 100 grams per week monitor for hypercalcemia

Appropriate initial treatment for psoriasis would be: Intermittent therapy with intermediate potency topical corticosteroids

When a patient has contact dermatitis, wet dressings with Domeboro solution are used for:Relief of inflammation

Appropriate initial treatment for psoriasis would be:Intermittent therapy with intermediate potency topical corticosteroids

Catherine has head lice and her mother is asking about what products are available that are not neurotoxic. The only non-neurotoxin head lice treatment is:

Benzoyl alcohol (Ulesfia)

A patient who is HIV- positive has been receiving medication therapy that includes zidovudine (Retrovir). However, the prescriber has decided to stop the zidovudine because of its dose-limiting adverse effect. Which of these conditions is the dose-limiting adverse effect of zidovudine therapy? . Bone marrow suppression

Bone marrow suppression is often the reason that a patient with HIV infection has to be switched to another anti-HIV drug such as didanosine. The two drugs can be taken together, cutting back on the dosages of both and thus decreasing the likelihood of toxicity. The other options are incorrect.

David presents to the clinic with symptoms of allergic conjunctivitis. He is prescribed cromolyn sodium (Opticrom) eye drops. The education regarding using cromolyn eye drops includes: He should not wear his soft contacts while using the cromolyn eye drops. .

Ciprofloxacin otic drops are contraindicated in: . Patients with a perforated tympanic membrane

The Centers for Disease Control recommends all newborn infants receive prophylactic administration of __________ within 1 hour of birth. Erythromycin ophthalmic ointment

Conjunctivitis in a child that is accompanied by acute otitis media is treated with: High-dose oral amoxicillin

Which of the following drugs would be contraindicated for a client who is receiving amphotericin B? Gentamicin

Diflucan single dose for yeast infection

Twenty-year-old Annie comes to the clinic complaining of copious yellow-green eye discharge. Gram stain indicates she most likely has gonococcal conjunctivitis. While awaiting the culture results, the plan of care should be: IM ceftriaxone

Education of women who are being treated with ophthalmic antibiotics for conjunctivitis includes:Throwing away eye makeup and purchasing new

The nurse is reviewing the sputum culture results of a patient with pneumonia and notes that the patient has a gram-positive infection. Which generation of cephalosporin is most appropriate for this type of infection? First generation

First-generation cephalosporins provide excellent coverage against gram-positive bacteria but limited coverage against gram-negative bacteria.

Whether prescribing an antibiotic for a child with acute otitis media or not, the parents should be educated about: . Providing adequate pain relief for at least the first 24 hours

First-line therapy for a patient with acute otitis externa (swimmer's ear) and an intact tympanic membrane includes: Swim-Ear drops

topical corticosteroids for eczema to face avoid getting in the eye

Gentamycin is ototoxicity

During drug therapy for pneumonia, a female patient develops a vaginal superinfection. The nurse explains that this infection is caused by: large doses of antibiotics that kill normal flora. resulting in superinfections.

Iodine is contraindicated in patients with seafood alergy

Patients who should be cautious about using decongestants for an upper respiratory infection (URI) include: Patients with cardiac disease

Jaheem is a 10-year-old low-risk patient with sinusitis. Treatment for a child with sinusitis is:. Amoxicillin

The length of treatment for sinusitis in a low-risk patient should be: . 5-7 days

Jaheem is a 10-year-old low-risk patient with sinusitis. Treatment for a child with sinusitis is:Amoxicillin

Patients who should be cautious about using decongestants for an upper respiratory infection (URI) include: . Patients with cardiac disease

Janie presents to the clinic with hard ear wax in both ear canals. Instructions regarding home removal of hard cerumen include: Instill carbamide peroxide (Debrox) twice daily until canals are clear.

Nicolas is a football player who presents to the clinic with athlete's foot. Patients with tinea pedis may be treated with: . OTC miconazole cream for 4 weeks

Jim presents with fungal infection of two of his toenails (onychomycosis). Treatment for fungal infections of the nail includes: Oral griseofulvin

Cancidas for aspergillosis

Lipid formula for Amphoterin B has less adverse effects

Patient education for a patient who is prescribed antibiotics for sinusitis includes:. Use of nasal saline washes

Myles is a 2-year-old patient who has been diagnosed with acute otitis media. He is afebrile and has not been treated with antibiotics recently. First-line treatment for his otitis media would include: Amoxicillin

Patient education for a patient who is prescribed antibiotics for sinusitis includes:Use of nasal saline washes

Myles is a 2-year-old patient who has been diagnosed with acute otitis media. He is afebrile and has not been treated with antibiotics recently. First-line treatment for his otitis media would include:Amoxicillin

. Isopropyl ear drops (EarSol)is / are prescribed to prevent swimmer's ear.

Patient education regarding the use of ciprofloxacin-hydrocortisone (Cipro HC otic) ear drops includes: . Warm the bottle of ear drops in his or her hand before administering.

Scabies treatment for a 4-year-old child includes a prescription for:

Permethrin 5% cream applied from the neck down

Sadie was prescribed betaxolol ophthalmic drops by her ophthalmologist to treat her glaucoma. Oral beta blockers should be avoided in patients who use ophthalmic beta blockers because: The additive effects may cause metabolic acidosis.

Pilocar drops experience itching is expected

Caleb is an adult with an upper respiratory infection (URI). Treatment for his URI would include: Topical oxymetazoline

Rose is a 3-year-old patient with an upper respiratory infection (URI). Treatment for her URI would include: . Nasal saline spray

Long-term treatment of moderate atopic dermatitis includes:Topical corticosteroids and emollients

Severe contact dermatitis caused by poison ivy or poison oak exposure often requires treatment with:Oral corticosteroids for 2 to 3 weeks

The nurse is reviewing the medication history of a patient who will be taking a sulfonamide antibiotic. During sulfonamide therapy, a significant drug interaction may occur with which of these drugs or drug classes? (Select all that apply.) Oral contraceptives Sulfonylureas Phenytoin (Dilantin) Warfarin (Coumadin)

Sulfonamides may potentiate the hypoglycemic effects of sulfonylureas in diabetes treatment, the toxic effects of phenytoin, and the anticoagulant effects of warfarin, which can lead to hemorrhage. Sulfonamides may also reduce the efficacy of oral contraceptives.

An infant has been hospitalized with a severe lung infection caused by the respiratory syncytial virus (RSV) and will be receiving medication via the inhalation route. The nurse expects which drug to be used? Ribavirin Virazole

The inhalational form of ribavirin (Virazole) is used primarily in the treatment of hospitalized infants with severe lower respiratory tract infections caused by RSV. The other drugs listed are not used for the treatment of RSV.

Jacob has been diagnosed with sinusitis. He is the parent of a child in daycare. Treatment for sinusitis in an adult who has a child in daycare is: . Amoxicillin-clavulanate 500 mg bid for 7 days

The length of treatment for sinusitis in a low-risk patient should be: 5-7 days

Josie has severe cystic acne and is requesting treatment with Accutane. The appropriate treatment for her would be: . Refer her to a dermatologist for treatment.

The most cost-effective treatment for two or three impetigo lesions on the face is: Mupirocin ointment

When reviewing the allergy history of a patient, the nurse notes that the patient is allergic to penicillin. Based on this finding, the nurse would question an order for which class of antibiotics? . Cephalosporins

The nurse is providing teaching to a patient taking an oral tetracycline antibiotic. Which statement by the nurse is correct? "Avoid direct sunlight and tanning beds while on this medication."

A young adult calls the clinic to ask for a prescription for "that new flu drug." He says he has had the flu for almost 4 days and just heard about a drug that can reduce the symptoms. What is the nurse's best response to his request? . "Drug therapy should be started within 2 days of symptom onset, not 4 days."

These drugs need to be started within 2 days of influenza symptom onset; they can be used for prophylaxis and treatment of influenza.

Mild acne may be initially treated with: OTC benzoyl peroxide

Tobie presents to the clinic with moderate acne. He has been using OTC benzoyl peroxide at home with minimal improvement. A topical antibiotic (clindamycin) and a topical retinoid adapalene (Differin) are prescribed. Education of Tobie would include: He may see an initial worsening of his acne that will improve in 6 to 8 weeks.

When choosing a topical corticosteroid cream to treat diaper dermatitis, the ideal medication would be:A low-potency corticosteroid cream applied sparingly (hydrocortisone 1%)

Topical immunomodulators such as pimecrolimus (Elidel) or tacrolimus (Protopic) are used for:Short-term or intermittent treatment of atopic dermatitis

A patient who is diagnosed with shingles is taking topical acyclovir, and the nurse is providing instructions about adverse effects. The nurse will discuss which adverse effects of topical acyclovir therapy? Burning when applied

Transient burning may occur with topical application of acyclovir.

A patient is taking a combination of antiviral drugs as treatment for early stages of a viral infection. While discussing the drug therapy, the patient asks the nurse if the drugs will kill the virus. When answering, the nurse keeps in mind which fact about antiviral drugs? . They may also kill healthy cells while killing viruses.

When prescribing topical penciclovir denavir for cold sores patient education would be ? it should be started at the first sign of a cold sore

"Milk and cheese products result in decreased levels of tetracycline." "Antacids taken with the medication interfere with absorption tetracycline."

When reviewing the medication orders for a patient who is taking penicillin, the nurse notes that the patient is also taking the oral anticoagulant warfarin (Coumadin). What possible effect may occur as the result of an interaction between these drugs? . The penicillin will cause an enhanced anticoagulant effect of the warfarin.

First-line therapy for a patient with acute otitis externa (swimmer's ear) and an intact tympanic membrane includes: Ciprofloxacin and hydrocortisone drops

Whether prescribing an antibiotic for a child with acute otitis media or not, the parents should be educated about: Providing adequate pain relief for at least the first 24 hours

During drug therapy with a tetracycline antibiotic, a patient complains of some nausea and decreased appetite. Which statement is the nurse's best advice to the patient? "Drink a full glass of water with each dose."

however, antacids and dairy products will bind with the tetracycline and make it inactive.

-Peak onset age of psoriasis 55=60

jessse is prescribed topical tazarotene for his psoriasis education that a thin film to lesions