nurs 504 exam 5 prepU

A client who is receiving drug therapy for treatment of giardiasis asks the nurse about how she may have gotten this infection. The nurse would incorporate knowledge of transmission into what assessment question?

"Have you drunk any water that might have been contaminated?"

A client is receiving gentian violet as topical treatment for a fungal infection. What instruction should the nurse include in the teaching plan?

"This medication can stain your skin and clothing."

A client has been diagnosed with malaria and will begin treatment promptly. How can the nurse best attack the Plasmodium protozoa at the different stages of its life cycle?

Administer combination therapy as prescribed

A nurse is assessing a 66-year-old man who is HIV-positive. The patient has been prescribed didanosine (Videx). It would be most important to question the patient about which of the following?

Alcohol use

A client taking Bactrim DS one tablet twice daily for 14 days should be counseled about which of the following adverse reactions? Select all that apply.

Anorexia Crystalluria Photosensitivity

The client is diagnosed with trichomoniasis and prescribed metronidazole 250 mg PO t.i.d. What health education should the nurse provide?

Avoid drinking alcohol until treatment is complete.

A male client is traveling to a country where malaria is endemic. The nurse suggests that he visit his health care provider and receive a prescription for what medication?

Chloroquine

A client is to be started on an antibiotic. Which is most important to take into consideration before beginning the antibiotic regimen?

Culture and susceptibility

A nurse is caring for a patient who is being administered penicillin. What are the common adverse reactions to penicillin a nurse should assess for?

Inflammation of the tongue and mouth

Which statement would be correct for a client regarding the administration of an antifungal medication?

Instruct the client to complete the entire drug therapy even if a dose is missed.

Trichinosis is the disease caused by ingestion of the encysted larvae of the roundworm, Trichinella spiralis. Which of the following are not characteristics of trichinosis? Select all that apply

Live in the human intestine May cause abdominal discomfort and weight loss

Which agent would the nurse expect to be administered orally?

Methotrexate

A client receiving which agent should be instructed to avoid alcohol consumption?

Metronidazole

To ensure that the most appropriate drug is being used to treat a pathogen, which would need to be done first?

Obtaining sensitivity testing

A patient has just received the first dose of imatinib and the nurse on the oncology unit is amending the patient's care plan accordingly. What nursing diagnosis is most appropriate in light of this addition to the patient's drug regimen?

Risk for Infection related to bone marrow suppression

Bacitracin (Baciguent) interferes with the cell wall synthesis of which type of bacteria?

Staphylococcal

A 43-year-old man is traveling to an area where malaria is endemic and is being treated prophylactically. The nurse will explain which regimens of chloroquine prescribed by the health care provider?

Taking the medication for 2 weeks before the trip and for 4 to 6 weeks after the trip

A client has presented to the emergency department after suffering a severe laceration to the hand in a workplace accident. During the subsequent process of acute inflammation, what physiologic event took place first?

The client's blood vessels constricted.

What response should a nurse provide to a client prescribed voriconazole who is reporting problems with his/her vision?

Transient visual disturbance is a common adverse effect with voriconazole.

The drugs used to treat systemic fungal infections can be toxic to the host and are not used indiscriminately. Which client would the nurse be especially cautious with if an antifungal agent was ordered? Select all that apply.

a 4-year-old diagnosed with thrush a newly admitted client with suspected fungal infection a 56-year-old with cirrhosis

A client is diagnosed with an infection attributable to the gram-negative microorganism Pseudomonas. Which anti-infective agent is most reliable in treating this microorganism?

aminoglycoside

A client being treated with an oral penicillin should be encouraged to administer the medication on which schedule to best achieve a therapeutic effect? Select all that apply.

at regular intervals around the clock

Antivirals are used to treat infections caused by viruses. In particular, acyclovir is useful to treat which infection?

herpes zoster

A client has been placed on amphotericin B. The nurse caring for this client should administer this medication:

intravenously.

The nurse is justified in suspecting that a client who recently completed a course of ceftaroline may have been treated for what health problem?

methicillin-resistant Staphylococcus aureus (MRSA) infection

Which medication will be administered to treat the diarrhea and abdominal distention associated with giardiasis?

metronidazole

The development of what symptomology would warrant discontinuation of HAART therapy that contains the administration of zidovudine?

musculoskeletal pain

Which are the most frequent cause of helminth infections in the United States?

pinworms

A nurse is administering a drug that blocks the protease enzyme so new viral particles cannot mature. Which category of drugs is the nurse most likely administering?

protease inhibitors

With the emergence of chloroquine-resistant strains of Plasmodium, the Centers for Disease Control and Prevention recommends the use of a drug and one of the following antibiotics as a combination therapy for the treatment of uncomplicated or severe malaria: doxycycline, tetracycline, or clindamycin. Which is the correct other drug for the combination?

quinine

A patient being treated for HIV with saquinavir informs the nurse they he has been "suffering from depression" and taking St. John's wort to help. What is important for the nurse to discuss with this patient?

refraining from use of St. John's wort, which can cause decreased effectiveness of saquinavir

The use of rifampin is contraindicated in which? Select all that apply.

renal impairment hepatic impairment

The drug's effect on what best reflects the major reason for avoiding the use of tetracyclines in children under 8 years of age?

teeth

A client 45-years-old just received a heart transplant. One of the clients medications is ganciclovir. The nurse knows this medication was prescribed why?

to prevent CMV infection.

The nurse at the clinic understands that metronidazole is used in the treatment of which?

trichomoniasis.

A client can take an anthelmintic agent with food if GI upset occurs

true

Anemia from chemotherapy treatment is the result of bone marrow suppression.

true

A nurse is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A teaching priority will be to:

use an alternative form of birth control, if taking an oral contraceptive.