PHARM practice question 7

A nurse manager is providing an educational program on antibiotic sensitivity to bacterial infections. The nurse should include in the teaching that vancomycin indicated for which of the following infections? a. pseudomonas aeruginosa b. klebsiella c. candida d. methicillin-resistant staphylococcus aureus

d. methicillin-resistant staphylococcus aureus

A nurse is caring for a client who has a bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of the medication? A. Limit the client's fluid intake B. Instruct the client to report agitation C. Monitor the serum medication levels D. Administer the medicine with food

C. Monitor the serum medication levels

The nurse is teaching a client who has a UTI and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client? A. If the medicine causes an upset stomach, take an antacid at the same time B. Limit your daily fluid intake while taking this medication C. This medication can cause photophobia, so be sure to wear sunglasses outdoors D. You should report any tendon discomfort you experience while taking this medication

D. You should report any tendon discomfort you experience while taking this medication

A nurse assessing a client who is taking oxacillin to treat an infectionThe nurse should recognize which of the following findings is a manifestation of an allergic reaction? a. Pruitus b. diarrhea c. dark urine d. fever

a. Pruitus

A nurse is providing teaching to a client who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide? a. Wash the affected area with soap and water before applying cream. b. increase intake of fluids while using this med c. the med might cause temporary blurred vision d. apply the cream to large areas around the infection

a. Wash the affected area with soap and water before applying cream.

A nurse is preparing to administer cephalexin oral suspension to an older adult client who has difficulty swallowing pills. Which of the following actions should the nurse take? a. check the client for a penicillin allergy b. monitor the client for constipation c. store the medication at room temp d. avoid shaking the med before admin

a. check the client for a penicillin allergy

A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent IV bolus. 10 min into the infusion of the third dose, the client reports that the IV site itches and that he feels dizzy and short of breath. Which of the following actions should the nurse take first? a. stop the infusion b. call the client's provider c. elevate the head of the bed d. auscultate the client's breath sounds

a. stop the infusion

A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take? a. Document that the client experienced an anaphylactic reaction to the medication. b. Change the IV infusion site. c. Decrease the infusion rate on the IV. d. Apply cold compresses to the neck area.

c. Decrease the infusion rate on the IV.

A nurse is caring for a client who has a fungal infection and has a new prescription for amphotericin B. Which of the following laboratory values should the nurse report to the provider before initiating the medication? a. sodium 140 meq/l b. potassium 4.5 c. bun 55 d. glucose 120

c. bun 55

A nurse teaching a client who has a new prescription for amoxicillin clavulanate to treat pharyngitis. Which of the following statements by the client indicates an understanding of the teaching? a. i will take this med until my sore throat goes away b. i should take this med on an empty stomach between meals c. i will stop taking tis med if i develop itching d. i will double my dose, if i miss one

c. i will stop taking tis med if i develop itching

A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin via intermittent IV bolus. Which of the following findings should the nurse identify as a contraindication for the pt to receive cefoxitin and report to the provider? a. hx of phlebitis following an iv infusion of normal saline with 10 meq of k-cl b. recent hx of diarrhea for 3 days c. serum creatinine 0.8 mg/dl d. A severe allergy to amoxicillin

d. A severe allergy to amoxicillin

A nurse is providing discharge teaching to a client who has pulmonary tuberculosis and a new prescription for rifampin. Which of the following information should the nurse provide? a. treatment with this med will last 1 month b. this med can cause insomnia c. its best to take the med with meals d. urine and other secretions might turn orange

d. urine and other secretions might turn orange

A nurse is planning to administer ceftriaxone IM to an adult client. Which of the following actions should the nurse plan to take? a. use 5/8 in needle b. admin at 45 degree angle c. admin in deltoid d. use z track method

d. use z track method

a nurse is preparing to administer ampicillin and gentamicin sulfate via iv infusion. which of the following resource should the nurse consult first regarding medication compatibility ? a. nurse manager b. hospital pharmacist c. health care provider d. medication sales representative

b. hospital pharmacist

A nurse teaching a client who has a new prescription for ciprofloxacin to treat an uncomplicated UTI. Which of the following instructions should the nurse Include? a. Take this medication with an antacid. b. monitor for tendon pain c. drink 1,000 ml of fluid daily d. Expect urine to turn dark orange

b. monitor for tendon pain

A nurse is teaching a pt who has a new prescription for erythromycin. Which of the following information should the nurse include? a. take this med with a glass of grapefruit juice b. expect your skin to turn yellow c. Monitor for ringing in your ears. d. increase fiber intake to prevent constipation

c. Monitor for ringing in your ears.

A nurse collecting data on a client who has a new prescription for ampicillin. The nurse should recognize which of the following findings is a priority ? a. Nausea b. Vomiting c. Wheezing d. Monillasis

c. Wheezing

A nurse is caring for a client who has active TB and is to be started on IV rifampin therapy. The nurse should instruct that this medication can cause which of the following adverse effects? a. constipation b. black colored stools c. straining of teeth d. Body secretions turning a red-orange color

d. Body secretions turning a red-orange color

A nurse is caring for a client who received an injection of penicillin G procaine. The client begins to experience dyspnea and tongue swelling. Which of the following actions should the nurse perform first? a. obtain iv fluids for admin b. record the observed data in medical record c. deliver a dose of aminophylline by inhalation d. administer epinephrine subcutaneously

d. administer epinephrine subcutaneously

A nurse is assessing a client after administering IV vancomycin. Which of the following findings is the nurse's priority to report to the provider? a. localized redness at the catheter insertion site b. client report of a headache c. client report of tinnitus d. audible inspiratory stridor

d. audible inspiratory stridor

A nurse is observing a licensed practical nurse (LPN) preparing to administer a 2 penicillin G injection to a clientWhich of the following actions by the LPN require intervention by the nurse? a. determines if the client has a history of allergies to cephalosporin b. selects a 21 gauge, 1 1/2 in needle c. plans to inject the needle 5.08 cm (2 in) below the acromion process d. she will aspirate

c. plans to inject the needle 5.08 cm (2 in) below the acromion process

A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level? a. draw a trough level at 0900 and a peak level at 2100 b. draw a peak level 90 min prior to administering the med and trough level 90 min after the dose c.Draw a trough level immediately prior to administering the medication and a peak level 30 min after the dose d. draw a peak level at 0900 and a trough level at 2100

c.Draw a trough level immediately prior to administering the medication and a peak level 30 min after the dose