Pharm Practice Q from Tutoring page

When assessing a patient for adverse effects of cyclosporine [Sandimmune], it is most important for the nurse to review which laboratory findings?

*Liver function test *White blood cell (WBC) count

Which statements about ototoxicity and aminoglycosides does the nurse identify as true? SATA

*The first sign of impending vestibular damage is headache. *Ototoxicity is largely irreversible. *Use of aminoglycosides for less than 10 days is recommended to avoid ototoxicity

The nurse should include which instructions when teaching a patient about tigecycline therapy? SATA

*Use sunscreen when you are outside * If you have diarrhea more than five times a day, notify your healthcare provider *Avoid using this drug if you are pregnant

A nurse is preparing to administere doxorubicin [Adriamyin] intravenously (IV) to a patient with breast cancer. Which actions should the nurse take? SATA

*place the pt on a cardiac monitor * tell the pt the urine turns red * ensure the patency of the IV site

Thirty minutes after receiving an intramuscular (IM) injection of penicillin G [Pfizerpen], a pt reports itching and redness at the injection site. Which action should the nurse take first?

Administer Subcutaneous epinephrine. (itching & redness indicate allergic reaction)

The nurse notices tan lines around the arms of a female patient who is taking levofloxacin [Levaquin.] Which action should the nurse take?

Advise the patient to avoid sun exposure and wear sunscreen when outside

Which drug is associated with fewer GI adverse effects due to its selective properties?

Celebrex

The nurse assessing a pt who i 12 years old should associate which complication with the patient's receiving tetracycline as a younger child?

Discoloration of the teeth

A patient taking gemifoxacin develops a rash. The nurse anticipates the healthcare provider to take which action?

Discontinue the medication

What are the signs of salicylism or ASA toxicity?

Dizziness, Tinnitus, Intense sweating

What does the nurse identify as an adverse effect of clindamycin [Cleocin] therapy?

Frequent loose, watery stools with mucus an blood.

A nurse caring for a patient who is taking the prostaglandin analog latanoprost [xalatan] documents which finding as an adverse effect?

Heightened brown pigment of the iris

Which medication order would the nurse be concerned for with a patient with acute renal failure?

Indomethacin

Which laboratory result should a nurse monitor more frequently when a patient is receiving clarithromycin [Blaxin] and warfarin [Coumadin]?

International Normalized Ratio (INR)

A patient who is receiving ceftriaxone has all of these medications ordered. The nurse monitors the pt for an adverse effect related to interaction with which medication

Naproxen

A patient taking sulfonamide is breast feeding an infant. Which complication in the infant would the nurse associate with kernicterus?

Neurologic deficits

The nurse informs the patient that the serious side effects of ____ can cause tendinitis or tendon rupture. What medication is possible?

Norfloxacin

A patient is receiving amphotericin B. The nurse identifies which medication as useful in preventing adverse effects of amphotericin b?

Potassium

A nurse administers pilocarpine [Pilocar] eye drops to a patient who has glaucoma. The nurse would expect an increase in which outcome if the medication is having the desired effect?

Pupillary constriction

The nurse is assessing a patient who is receiving a sulfonamide for treatment of urinary tract infection. To monitor the patient for the most severe response to sulfonamide therapy, the nurse will assess for what?

Skin rash and lesions

A patient is receiving an aminoglycoside (tobramycin) antibiotic. A nurse asks the patient to choose a daily meal selection, to which the pt responds "Oh, dear, I don't want another IV." The nurse makes which assessment about the patient's response?

Some hearing loss may have occurred.

After completing a course of ciprofloxacin for skin infection the patients says, "I took the whole bottle of pills, but my infection hasn't gotten any better." Which additional information should the nurse recognize as most significant?

The pt takes antacids on a daily basis

Which of the following is not part of the class of drugs known as Macrolides?

Tobramycin

The nurse knows that there is an increased risk of ototoxicity in a patient receiving an aminoglycoside if which level is high?

Trough

Which instruction should a nurse include in the discharge teaching for a patient who is to start taking tetracycline?

Use sunscreen and protective clothing when outdoors

A patient who has a vancomycin-resistant enterococci (VRE) infection is receiving linezolid [zyvox]. Which laboratory result indicates that the patient is having an adverse effect?

White blood cells (WCB) count of 1200 units/l

A nurse prepares to apply timolol [Timoptic] eye drops to a pt who has asthma. Which action should the nurse take when applying the eye drops?

apply pressure to the inner aspects of the eye during and after administration

A patient is receiving cisplatin [platinol-AQ]. which finding, if noted in the patient, would indicate a complication requiring follow-up by a nurse?

numbness in the fingers and toes

A nurse should teach a patient to observe for which side effects when taking ampicillin?

skin rash & loose stools

Which question should the nurse ask a client prior to the initiation of treatment with IV infusions of gentamicin sulfate (Garamycin)?

Are you having difficulty hearing?

Before administering intravenous (IV) penicillin, the nurse should do what?

Assess the pt for allergies

A patient who is receiving an aminoglycoside (gentamicin) has a urinalysis result with all of these findings. Which finding should a nurse associate most clearly with an adverse effect of gentamicin?

BUN

What labs should the nurse monitor with chronic usage of the drug, Ketorolac (Toradol)?

BUN & Creatinine levels

What teaching should the nurse give the client regarding doxycycline?

Be sure to wear sunscreen while outside in the sun

Which of the following drug i used to treat upper/lower respiratory tract infections and commonly associated with a metallic taste?

Clarithromycin

a pt is receiving amphotericin B. It is most important for the nurse to monitor whcih lab result?

Creatinin level

A patient who takes Ciprofloxacin [cipro] and runs 6 miles daily tells a nurse about heel and calf tenderness. The nurse anticipates the healthcare provider to take which action?

Discontinue the medication, because severe damage can result

Before administering a cephalosporin to a patient, it is most important for the nurse to assess the patient for an allergy to what?

Penicillins

The nurse identifies rifampin as useful in treatment of which disorders?

TB Migrains

When evaluating the effects of probenecid, the nurse should monitor which laboratory result?

Uric acid level

A patient develops flushing, rash, and pruritus during an IV infusion and vacomycin [Vancocin]. Which action should a nurse take?

reduce the infusion rate