Exam #4
A patient drinks five to six alcoholic beverages per day and takes acetaminophen [Tylenol] for pain relief. The nurse should caution the patient to do what? a. Limit intake of acetaminophen to less than 2000 mg/day b. Avoid taking acetaminophen for pain c. Take acetaminophen with food to reduce the risk of liver damage d. Avoid taking any pain reliever other than acetaminophen
ANS: A
A patient is prescribed allopurinol for chronic tophaceous gout. The patient develops a rash. What is the priority intervention by the nurse? a. Stop the medication and assess the patient for liver and kidney failure. b. Instruct the patient to avoid exposing the skin to sunlight. c. Administer diphenhydramine (Benadryl) with the dose of allopurinol. d. Monitor the patient for respiratory depression.
ANS: A
A patient with gout has not experienced relief with conventional drug therapy. The nurse anticipates which agent will be prescribed for the patient? a. Pegloticase b. Allopurinol c. Probenecid d. Solu-Medrol
ANS: A
A prescriber states that a patient will need to receive penicillin intravenously. The nurse anticipates administering which drug? a. Penicillin V b. Procaine penicillin G c. Benzathine penicillin G d. Potassium penicillin G
ANS: A
The patient is ordered daily divided doses of gentamycin. The patient received an intravenous dose of gentamycin at 4:00 PM. When should the nurse obtain the peak level? a. 4:30 PM b. 5:00 PM c. 5:30 PM d. 6:00 PM
ANS: A
Which statement about allergic reactions to penicillin does the nurse identify as true? a. Anaphylactic reactions occur more frequently with penicillins than with any other drug. b. Allergy to penicillin always increases over time. c. Benadryl is the drug of choice for anaphylaxis due to penicillin allergy. d. Patients allergic to penicillin are also allergic to vancomycin.
ANS: A
A patient has been prescribed oral ciprofloxacin [Cipro] for a skin infection. When administering the medication, it is most important for the nurse to do what? q. Monitor for a decrease in the prothrombin time (PT) if the patient is also taking warfarin [Coumadin] b. Withhold antacids and milk products for 6 hours before or 2 hours afterward c. Inform the healthcare provider if the patient has a history of asthma d. Assess the skin for Stevens-Johnson syndrome
ANS: B
A patient is diagnosed with C. difficile infection. The nurse anticipates administering which medication? a. Daptomycin b. Metronidazole c. Rifampin d. Rifaximin
ANS: B
A patient is prescribed celecoxib [Celebrex] and warfarin [Coumadin]. The nurse should monitor the patient for what? a. Renal toxicity b. Bleeding c. Stroke symptoms d. Dysrhythmias
ANS: B
A patient with a history of a severe anaphylactic reaction to penicillin has an order to receive cephalosporin. What should the nurse do? a. Administer the cephalosporin as ordered. b. Contact the health care provider for a different antibiotic. c. Administer a test dose of cephalosporin to determine reactivity. d. Have an epinephrine dose available when administering the cephalosporin.
ANS: B
A patient with rheumatoid arthritis is prescribed methotrexate [Rheumatrex]. The nurse will expect to observe therapeutic effects with this drug in which time period? a. 3 to 7 days b. 3 to 6 weeks c. 3 to 4 months d. 1 to 2 years
ANS: B
Before administering gentamycin, it is most important for the nurse to assess the patient for a history of what? a. Hypertension b. Myasthenia gravis c. Diabetes mellitus d. Asthma
ANS: B
The nurse is reviewing laboratory values from a patient who has been prescribed gentamicin. To prevent ototoxicity, it is most important for the nurse to monitor which value(s)? a. Serum creatinine and blood urea nitrogen levels b. Trough drug levels of gentamicin c. Peak drugs levels of gentamicin d. Serum alanine aminotransferase and aspartate aminotransferase levels
ANS: B
A patient is prescribed cefixime. The nurse should teach the patient to immediately report any signs of what? a. Milk intolerance b. Skin rash, hives, or itching c. Constipation, nausea, or vomiting d. Headache, contusions, or seizures
ANS: C
A patient is prescribed doxycycline [Vibramycin]. If the patient complains of gastric irritation, what should the nurse do? a. Instruct the patient to take the medication with milk b. Tell the patient to take an antacid with the medication c. Give the patient food, such as crackers or toast, with the medication d. Have the patient stop the medication immediately and contact the health care provider
ANS: C
A patient is receiving amphotericin B to treat a systemic fungal infection. To prevent renal damage, it is most important for the nurse to do what? a. Administer the medication through a central venous access device b. Administer potassium supplements c. Administer 1000 mL of 0.9% saline d. Administer the medication orally
ANS: C
A patient who takes warfarin is prescribed itraconazole [Sporanox] to treat a fungal infection. The nurse will teach the patient to do what? a. Take the medication with famotidine [Pepcid] to reduce gastric upset b. Prepare for long-term intravenous administration of itraconazole c. Avoid taking esomeprazole [Nexium] with itraconazole therapy d. Double the dose of warfarin
ANS: C
A patient with rheumatoid arthritis has been taking high-dose aspirin and complains of gastric upset and pain. What does the nurse anticipate will be prescribed for this patient? a. Taking a lower dose of aspirin b. Biweekly injections of methotrexate [Rheumatrex] c. Obtaining a prescription for celecoxib [Celebrex] d. Daily drug therapy with prednisone
ANS: C
Fluoroquinolones should be discontinued immediately if what happens? a. Nausea, vomiting, or diarrhea is experienced. b. Dizziness, headache, or confusion occurs. c. Tendon pain or inflammation develops. d. Theophylline is prescribed for asthma.
ANS: C
Which information should the nurse include when teaching a patient about isoniazid (INH) therapy? a. Tubercle bacilli cannot develop resistance to isoniazid during treatment. b. Isoniazid is administered intravenously. c. An adverse effect of isoniazid therapy is peripheral neuropathy, which can be reversed with pyridoxine. d. The dose of isoniazid should be lowered if the patient is also taking phenytoin.
ANS: C
A patient is prescribed cefazolin. It is most important for the nurse to teach the patient to avoid which substance while taking cefazolin? a. Warfarin b. Milk products c. Digitalis d. Alcohol
ANS: D
A patient is prescribed vancomycin orally for antibiotic-associated pseudomembranous colitis. The nurse will monitor the patient for what? a. Leukopenia b. "Red man" syndrome c. Liver impairment d. Ototoxicity
ANS: D
A patient with acute gouty arthritis requests information on the preferred drug to take to treat a painful flare-up. The nurse should recommend which medication? a. Allopurinol b. Febuxostat c. Probenecid d. Naproxen
ANS: D
Before administering erythromycin to a patient for an upper respiratory tract infection, it is most important for the nurse to determine if the patient is also prescribed which drug? a. Guaifenesin [Guiatuss] b. Hydrocodone [Vicodin] c. Nitroglycerin [Tridil] d. Verapamil [Calan]
ANS: D
Nonaspirin NSAIDs differ from aspirin in all but which way? a. They cause reversible inhibition of COX, so their effects decline as soon as their blood levels decline. b. They can suppress platelet aggregation, but they are not used to prevent MI and stroke. c. They increase the risk of MI and stroke and therefore should be used in the lowest effective dosage for the shortest possible time. d. They are safe to use in children with chickenpox or influenza.
ANS: D
The nurse is caring for a patient receiving intravenous gentamicin for a severe bacterial infection. Which assessment finding by the nurse indicates the patient is experiencing an adverse effect of gentamycin therapy? a. Blurred vision b. Hand tremors c. Urinary frequency d. Tinnitus
ANS: D
Which information should the nurse include when teaching a patient about rifampin therapy? a. Oral contraceptives are safe to use with rifampin therapy. b. Contact your healthcare provider immediately if the color of your body fluids changes to reddish orange. c. Rifampin is safe to use in patients who have hepatic disease. d. Rifampin may be administered intravenously.
ANS: D
Which statement about the BCG vaccine does the nurse identify as true? a. BCG is a live preparation of attenuated Mycobacterium bovis. b. BCG is routinely administered in the United States. c. BCG has no effect on tuberculin skin tests. d. BCG vaccine can be used to treat carcinoma of the bladder.
ANS: D
Which statement by a new nurse about intravenous administration of amphotericin B indicates the nurse needs more education? a. Almost all patients receiving amphotericin B experience some degree of nephrotoxicity. b. Patients receiving amphotericin B should be under close supervision in a hospital. c. Heparin can be used in the infusion site to prevent phlebitis associated with amphotericin B therapy. d. Diphenhydramine plus acetaminophen can minimize rigors associated with amphotericin B therapy.
ANS: D
Which tetracycline may be administered with meals? a. Tetracycline b. Demeclocycline c. Doxycycline d. Minocycline
ANS: D