PHARM - Immune / Infection ATI Questions / Kahoot / Wipe Out
How long does it take to grow bacteria on a culture for a final report?
2-3 days
A nurse in a provider's office receives a call from a client who has been taking penicillin V three times daily and reports abdominal cramping with bloody diarrhea for several days. Which of the following instructions should the nurse give the client? A. "Bring in a stool sample for testing." B. "Take the drug only twice daily." C. "Use an over-the-counter anti-diarrheal medication." D. "Return to the clinic for blood work."
A. "Bring in a stool sample for testing."
A nurse is teaching a client about immunizations. Which of the following information should the nurse include in the teaching? A. "You should receive a tetanus booster every 10 years." B. "You should not receive the influenza immunization if you have a common cold." C. "You do not have to receive the shingles vaccine if you have received two doses of the varicella virus vaccine." D. "As long as you don't have risk factors, you will start receiving the pneumococcal vaccine when you are 50 years old."
A. "You should receive a tetanus booster every 10 years."
A patient is taking nitrofurantoin for a UTI. What teaching is important to provide to the patient? A. "Your urine may become brown while taking this medication, but this is harmless." B. "Save three days worth of antibiotics back to take if symptoms return." C. ????? D. "Decrease your fluid intake to prevent dilution."
A. "Your urine may become brown while taking this medication, but this is harmless."
A nurse is teaching a guardian of a child about the recommended age range to receive the human papillomavirus (HPV) vaccine. Which of the following age ranges should the nurse include? A. 11 to 12 years old B. 7 to 9 years old C. 13 to 15 years old D. 15 to 17 years old
A. 11 to 12 years old
A nurse is teaching the guardian of a 4-month-old infant about recommended immunizations for the infant. Which of the following immunizations should the nurse include? A. Haemophilus influenzae type B vaccine (Hib) B. varicella vaccine C. meningococcal conjugate vaccine (MCV4) D. tetanus-diptheria-acellular pertussis vaccine (Tdap)
A. Haemophilus influenzae type B vaccine (Hib)
A nurse is considering drug therapy options for a client who has metastatic breast cancer that is positive for human epidermal growth factor receptor 2 (HER2). Which of the following drugs should the nurse expect the provider to prescribe? A. Trastuzumab B. Imatinib C. Leuprolide D. Flutamide
A. Trastuzumab
Select the penicillins: A. amoxicillin-clavulanate B. naficillin C. ampicillin D. gentamicin
A. amoxicillin-clavulanate B. naficillin C. ampicillin
A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a child. The nurse should recognize that the MMR vaccine provides which of the following types of immunity? A. artificial active immunity B. active C. passive D. artificial passive immunity
A. artificial active immunity
A nurse is caring for a client who is taking warfarin and has a new prescription for trimethoprim/sulfamethoxazole to treat a urinary tract infection. The nurse should clarify the prescriptions with the provider because taking these two drugs concurrently can increase the client's risk for which of the following? A. bleeding B. thrombosis C. ECG changes D. ototoxicity
A. bleeding
If a patient has an allergy to penicillin, they should avoid taking which of the following due to cross-sensitivity? A. cephalexin B. ????? C. ????? D. vancomycin
A. cephalexin D. vancomycin
A nurse is teaching a client who has a new diagnosis of breast cancer about the drug tamoxifen. The nurse should tell the client that which of the following conditions is a contraindication for taking tamoxifen? A. deep-vein thrombosis B. COPD C. diabetes mellitus D. alcohol use disorder
A. deep-vein thrombosis
IV vancomycin has been prescribed to treat the meningitis. When administering this drug IV, which of the following actions should the healthcare professional take? (SELECT ALL THAT APPLY) A. do not mix it with other drugs B. administer it rapidly via IV bolus C. monitor the IV insertion site for phlebitis D. monitor vital signs during the infusion E. dilute the drug before administering it
A. do not mix it with other drugs C. monitor the IV insertion site for phlebitis D. monitor vital signs during the infusion E. dilute the drug before administering it
A nurse is reviewing a client's prescriptions prior to administering gentamicin to the client to treat a systemic infection. The nurse should clarify the use of gentamicin with the provider if the client is taking which of the following drugs? A. ethacrynic acid B. diphenhydramine C. acetaminophen D. levothyroxine
A. ethacrynic acid
A nurse is teaching a client about recommended immunizations. Which of the following immunizations should the nurse recommend the client receive starting at 50 years of age? A. herpes zoster vaccine B. human papillomavirus vaccine (HPV) C. pneumococcal vaccine D. Haemophilus influenzae type B vaccine (Hib)
A. herpes zoster vaccine
A common side effect of taking tamoxifen is which of the following? A. hot flashes B. this medication will be taken for about 6 months C. ????? D. constipation
A. hot flashes
A nurse is caring for a client who is about to begin taking isoniazid to treat tuberculosis. The nurse should instruct the client to report which of the following adverse effects of the drug? (SELECT ALL THAT APPLY) A. jaundice B. numbness of the hands C. dizziness D. hearing loss E. oral ulcers
A. jaundice B. numbness of the hands C. dizziness
A client is prescribed amoxicillin to treat an ear infection. The healthcare provider instructs the client to monitor and report which of the following? A. rash B. blurred vision C. peripheral edema D. insomnia
A. rash
Antihelmintics are prescribed to treat which of the following? A. roundworms B. amebiasis C. ????? D. gram-positive bacteria
A. roundworms
A nurse in a provider's office receives a call from a client who is taking ciprofloxacin to treat a respiratory tract infection and reports dyspepsia. Which of the following instructions should the nurse give the client? A. take an antacid at least 2hr after taking the drug B. take the drug with a cup of coffee C. take an iron supplement with the drug D. take the drug with 240ml (8oz) of milk
A. take an antacid at least 2hr after taking the drug
What are signs/symptoms of gentamicin toxicity? (SELECT ALL THAT APPLY) A. tinnitus B. unyielding headache C. constipation D. insomnia
A. tinnitus B. unyielding headache
A nurse in a provider's office receives a call from a client who is taking tetracycline orally to treat a chlamydia infection and reports severe blood-tinged diarrhea. The nurse should suspect the client is experiencing which of the following? A. hemorrhoids B. Clostridium difficile-associated diarrhea C. diverticular disease D. small bowel obstruction
B. Clostridium difficile-associated diarrhea
A nurse is caring for a client who has streptococcal pharyngitis and an allergy to penicillin. The nurse should recognize that which of the following drugs can be safely administered to this client? A. nafcillin B. azithromycin C. cephalexin D. amoxicillin / clavulanic acid
B. azithromycin
Which of the following medications is a treatment for anthrax and is now carried in all emergency rooms after 9/11? A. fluconazole B. ciprofloxacin C. tobramycin D. vancomycin
B. ciprofloxacin
Clients receiving vancomycin should be closely monitored for which of the following? A. visual disturbances B. hearing loss C. perioral numbness D. metallic taste
B. hearing loss
A client is prescribed rifampin for treatment of tuberculosis. The health care provider should instruct the client to monitor and report which of the following (which may indicate a serious adverse effect)? A. tremor B. jaundice C. sweating D. insomnia
B. jaundice
Which of the following is a common side effect of sulfamethoxazole-trimethoprim? A. constipation B. photosensitivity C. ????? D. ?????
B. photosensitivity
Prior to receiving aminoglycosides, the patient should be evaluated for which of the following? A. candida infection B. renal function C. ????? D. cardiac abnormalities
B. renal function
A client is prescribed trimethoprim/sulfamethoxazole for treatment of a urinary tract infection. The health care provider should instruct the client to monitor and report which of the following (which may indicate a serious adverse effect)? A. blurred vision B. sore throat C. insomnia D. swelling in calf
B. sore throat
A nurse is caring for a client who has a new diagnosis of bacterial meningitis. The nurse should expect the provider to prescribe a drug from which of the following classifications of antibiotics? A. first generation cephalosporins B. third generation cephalosporins C. monobactams D. macrolides
B. third generation cephalosporins
Which of the following signs/symptoms of an anaphylactic reaction to an antibiotic that was administered is considered emergent? A. urticaria (hives) B. wheezing C. ????? D. B/P of 98/62
B. wheezing
Which of the following are teaching points to give to patients going home with amoxicillin-clavulanate? A. "I will stop taking this medication if my tongue turns black." B. "I can stop this medication as soon as I start to feel better." C. "Take the medication with food." D. "I should not take acetaminophen while taking this medication."
C. "Take the medication with food."
A nurse in a provider's office receives a call from a client who is taking amoxicillin to treat a respiratory infection and reports a rash and wheezing. Which of the following instructions should the nurse give the client? A. wait 1hr and contact the provider if there is no improvement B. skip today's dose of amoxicillin and resume taking the drug tomorrow C. call emergency services immediately D. take an NSAID to reduce skin and airway inflammation
C. call emergency services immediately
A nurse is caring for a client who is about to begin taking nitrofurantoin to treat a urinary tract infection. The nurse should tell the client to report which of the following adverse effects of the drug? A. constipation B. dark brown urine C. cough D. tremors
C. cough
Because the client is allergic to penicillin, which of the following drugs should be available in case the client has a severe allergic reaction to the antibiotic that has been prescribed? A. atropine B. naloxone C. epinephrine D. neostigmine
C. epinephrine
A nurse is caring for a client who has a prescription for rifampin to treat tuberculosis. The nurse should expect the provider to prescribe which of the following drugs to the client to prevent possible resistance to rifampin? A. gentamicin B. vancomycin C. isoniazid D. metronidazole
C. isoniazid
What interventions should be implemented in a patient taking oral chemo with a WBC of 2000/mm3 ? A. have the client placed in a negative pressure room B. report temperature greater than 103.0*F C. serve meals only with cooked (not raw) foods D. instruct the patient to reposition, cough, and deep breathe every 8 hours
C. serve meals only with cooked (not raw) foods
What teaching should be given to a patient that is starting rifampin for tuberculosis? A. take medication with meals B. ????? C. urine and other secretions are orange-colored D. ?????
C. urine and other secretions are orange-colored
A nurse is caring for a client who is about to begin gentamicin therapy to treat an infection. The nurse should monitor the client for an alteration in which of the following? A. bowel function B. peripheral pulses C. urine output D. level of consciousness
C. urine output
When teaching a patient about vancomycin, be sure to include which of the following points? A. "Your urine may turn pink or red when taking this medication." B. "Stop the medication once your symptoms go away." C. "Decrease your fluid intake to about 1 L a day." D. "Call your PCP if you begin experiencing changes in your hearing."
D. "Call your PCP if you begin experiencing changes in your hearing."
IM injections should be given only at what angle? A. 45 B. 15 C. 30 D. 90
D. 90
What is the priority treatment for a patient that received a new antibiotic and is having an anaphylactic reaction to it? A. IV Benadryl B. IV fluid resuscitation C. albuterol inhaler D. SQ epinephrine
D. SQ epinephrine
When administering oral erythromycin to a client who has acute diphtheria, a nurse should monitor for which of the following adverse effects? A. hypothermia B. blurred vision C. constipation D. cardiac dysrhythmias
D. cardiac dysrhythmias
Which receiving vancomycin, the client becomes flushed and warm. Which of the following additional adverse reactions to vancomycin should be expected? A. muscle weakness B. pupil change C. ecchymosis D. hypotension
D. hypotension
Which of the following is correct when referring to MRSA infections? A. antibiotics are prescribed only when a viral infection is present B. broad-spectrum antibiotics are used whenever possible C. ????? D. infections become resistant to high doses of antibiotics
D. infections become resistant to high doses of antibiotics
Common side effects of erythromycin include which of the following? A. swollen lips B. constipation with abdominal cramping C. ????? D. small emesis
D. small emesis
A nurse is administering cefotetan IV to a client to treat an intra-abdominal infection. The nurse notes that the IV site is warm, edematous, and painful to the touch. Which of the following actions should the nurse take? A. decrease the rate of cefotetan infusion B. administer diphenhydramine to the client C. request a prescription for another antibiotic D. stop the cefotetan infusion
D. stop the cefotetan infusion
A nurse is caring for a client who is taking ciprofloxacin to treat a urinary tract infection. The client also takes prednisolone to treat rheumatoid arthritis. Recognizing the adverse effects of ciprofloxacin, the nurse should instruct the client to report which of the following adverse effects? A. tachycardia B. hair loss C. insomnia D. tendon pain
D. tendon pain
A client is prescribed gentamicin for treatment of a respiratory tract infection. The provider instructs the client to monitor and report which of the following adverse effects of gentamicin? A. blurred vision B. tremor C. sweating D. tinnitus
D. tinnitus
A nurse is caring for a client who has a new prescription for ritonavir and zidovudine therapy to treat HIV-1. The nurse should inform the client that zidovudine is prescribed with ritonavir for which of the following reasons? A. to prevent an infusion reaction B. to increase platelet production C. to protect healthy cells from the toxic effects of ritonavir D. to prevent drug resistance
D. to prevent drug resistance
A nurse is providing teaching for a client who take an oral contraceptive and is about to begin rifampin therapy to treat tuberculosis. Which of the following instructions should the nurse include? A. increase the rifampin dose B. increase the oral contraceptive dose C. allow 2hr between taking the two drugs D. use a non-hormonal form of contraception
D. use a non-hormonal form of contraception
A nurse is caring for a client whose sputum culture results indicate methicillin-resistant Staphylococcus aureus (MRSA). The nurse should recognize that which of the following medications will likely be administered to this client? A. trimethoprim/sulfamethoxazole B. tetracycline C. cephalexin D. vancomycin
D. vancomycin
Because the client is allergic to penicillin, which of the following antibiotics is appropriate to prescribe for the meningitis? A. cephalexin B. amoxicillin C. cefotetan D. vancomycin
D. vancomycin
MATCH THE PHARMACOLOGIC TERM WITH A THERAPEUTIC USE: A. vancomycin
MATCH A THERAPEUTIC USE WITH THE PHARMACOLOGIC TERM: A. methicillin-resistant Staphylococcus aureus (MRSA)
MATCH THE PHARMACOLOGIC TERM WITH A THERAPEUTIC USE: B. isoniazid C. cephalexin
MATCH A THERAPEUTIC USE WITH THE PHARMACOLOGIC TERM: B. tuberculosis highly specific for Mycobacterium tuberculosis C. gram-positive infections
When applying topical medications, what needs to be done?
Wash the area with soap and water and let dry prior to administration
Which classification of antibiotics has over 20 medications available by generations?
cephalosporins
Two conditions that an antiviral may be used to treat
herpes and influenza (H1N1)
Drug of choice to treat most amebas and some fungal infections
metronidazole
Two toxic side effects of aminoglycosides
nephrotoxicity and ototoxicity
Crystalluria can be an adverse reaction with what class of medications?
sulfonamides
Two classifications of antibiotics causing photosensitivity
tetracycline and sulfonamide
