Practice Quiz Pharm
A client, taking metronidazole for the past 4 days, reports to the nurse that the most recent dose caused a "flushed, sweaty and sick in the stomach". What assessment is most likely to address the cause of this phenomenon?
"Did you drink any alcoholic beverages around the time of taking the drug?"
A client has been prescribed phenazopyridine tract symptoms related to the taking this medication. What is the most appropriate response by the nurse?
"This medicine will decrease the pain of your infection"
A client is receiving hydrocortisone 40mg PO daily for treatment of serve autoimmune inflammation. What nursing intervention s the most important to implement?
....
The therapeutic value (or level) of magnesium is
1.8-2.6
The therapeutic value (or level) of sodium is
135-145
What is the therapeutic value (or level) of potassium is
3.5-5.2
What is the expected length of treatment of a client being treated with amphotercin B for a serve fungal infection?
4 to 12 weeks
A normal glucose would be found between _______ mg/dL
70-110
A client began taking acetylsalicylic acid several years ago to prevent platelet aggregation following a myocardial infarction. Which dose is the client most likely taking daily?
81 mg
What is the therapeutic value (or level) of chloride
96-106
The antidote for acetaminophen is
Acetylcysteine (Mucomyst)
A child has symptoms of influenza, including a fever. Which medication should not be administered to the child because of the risk of Reye's syndrome?
Acetylsalicylic acid (aspirin)
A client, seen in the clinic for symptoms of persistent cough and night sweats, has recently entered the United States the IndiaWhat is the most plausible explanation for the client's condition?
Active tuberculosis
A client is prescribed ibuprofen for knee pain. When the client is admitted to the hospital with abdominal pain, which assessment should the nurse prioritize?
Assessment for occult blood
An adult client has been treated for strep throat with ampicillin by mouth. The client visits the occupational health nurse and states she's has vaginal itching?
Candida
A client develops itching and burning of the vaginal vault while taking anti-infective to treat strep throat. What fungal agent has most likely causes the burning and itching?
Candida albicans
A PT of 17 seconds is within normal limits.
False
A hematocrit of 32% is within normal limits.
False
The normal range for a PTT its 10-35 seconds.
False
The nurse is preparing to administer gentamicin when the client mentions having experienced diminished hearing What action should the nurse based on this statement?
Hold the dosage and notify the health care provider of the alteration in hearing.
A client, diagnosed with Trichomonas vaginalis, is being treated with metronidazole orally. What instructions is most important for the nurse to provide this client to minimize the spread of this infection?
Instruct her to have her partner treated.
A client is diagnosed with a gram-negative infection and is proscribed an aminoglycoside. What is the action of an aminoglycoside?
It blocks protein synthesis of the cell wall.
A client is prescribed penicillin V orally for strep throat. What is the mechanism of action of this medication?
It inhibits cell wall synthesis.
A client is to be discharged with a prescription for prednisone to be administered every other 09.00 AM When implementing discharge teaching, what should the nurse explain as the rationale for giving medication every other day?
It reduces adverse effects
What is the rationale for nor administering tetracycline to children under the age of 8 years?
It will interfere with enamel development
A client has developed Clostridium difficile associated with pseudomembranous colitis. Which medication is effective in the treatment of clostridium difficile?
Metronidazole
Which medication will be administered to treat the diarrhea and abdominal distention associated with giardiasis?
Metronidazole
Numerous residents of a long-term care facility have developed Clostridium difficile- associated for diarrhea over the past week. The nurses at this facility would anticipate that many resident would require which medication therapy?
Metronidazole (Flagyl)
The antidote for morphine, a narcotic, is
Narcan
An influenza outbreak has spread through a long-term care residence, affecting many of the residents with severe malalise, and nausea and vomiting. In an to curb the outbreak nurse has liaised with health care provider to see residents may be candidates for treatment with what drug?
Oseltamivir phosphate
A group of nursing students are about the factors that underlie recent the increase and prevalence antibiotic resistant microorganisms. What factor is known to contribute antibiotic resistance?
Over use of antibiotics
A young adult client's acne has responded well to treatment with tetracycline. However, the client has now returned to the clinical 6 week later with signs and symptoms of oral candidiasis. The nurse should recognize that this client's current health problem is likely attributable to which occurrence?
Superinfection following the eradication of normal oral flora
A client is seen in the clinic after a bite from a tick. She has a rash over her arms and legs and in the joints. What is the drug of choice treating the infection associated with Lyme's disease?
Tetracycline
A client has been on chronic corticosteroid therapy for several years and has been scheduled for a colonoscopy. How should the client's corticosteroid therapy be altered to accommodate this impending stressful event?
The client should temporarily be ordered a higher dose of his or her corticosteroid.
A client, admitted with an acute asthma attack, has been using inhaled corticosteroids two times daily for several years. Based on this information in the client history, what should the nurse anticipate will be required in his or her care?
The client will require high doses of systemic drugs
An older adult client with a creatinine level of 4.0 mg/dL and a diagnosis of herpes simplex is prescribed cyclovir. When preparing to administer this medication parenterally, what would the nurse expect in regard to medication dosage?
The dose is smaller based on the client's kidney function.
A critically ill client has developed a fever of 38.9 C, and blood cultures have been drawn and sent to the laboratory for culture and sensitivity test. Determination of the culture will give the care team what information?
The exact identity of the infectious microorganism.
A diagnosed with a genitourinary infection is being treated with a fluoroquinolone. What the advantage fluoroquinolone over an aminoglycoside ?
The fluoroquinolone can be given orally.
A client is prescribed ciprofloxacin. Which nursing intervention will best prevent the possible development of crystalluria?
The nurse should administer 2000 mL of oral fluids per day.
A 69-year-old responded well to in client treatment with a third-generation cephalosporin. After being largely symptom free for 48 hours, the woman has developed a fever of 38.6 degrees C and an elevated white cell count. What phenomenon may account for this client's current clinical presentation?
The patient may be infected with microorganisms that were resistant to the cephalosporin.
A normal BUN is 6-20 mg/dL.
True
A sodium level of 140 mEq/L is within normal limits.
True
A client prescribed metronidazole to treat Clostridium difficile is also prescribed which medication orally to assist in restructuring the flora of the intestinal tract?
Vancomycin
Extreme Caution would be necessary with the use if gentamicin in which client?
a client who has chronic renal failure secondary to diabetes mellitus
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 s being treated with corticosteroids for chronic adrenocortical insufficiency. When should the client be instructed to take the medication?
between 06:00 and 09:00
An elderly client has taken ibuprofen 800 mg two times per day for the past 3 years. Which laboratory test is priority assessment?
blood urea nitrogen and serum creatinine
An older adult client is treated for pneumonia with clindamycin. One week after the completion of the medication, the client develops diarrhea. What is the most probable cause of the diarrhea?
change in normal flora
Which miscellaneous antibacterial drug us administered topically in the treatment of acne?
clindamycin
A client is prescribed acyclovir for the treatment of genital herpes. What is the expected outcome of this medication?
decrease viral shedding
Which medication is the drug of choice for Legionnaires disease?
erythromycin
A client has been prescribed chloramphenicol for vancomycin- resistance enterococci. How is this medication eliminated from the body?
excreted in the urine
A client is administered a third- generation cephalosporin. The board-spectrum agent like cephalosporins are most effective in treating which type microorganism?
gram-negative
An adult client has begun treatment with fluconazole. The nurse should recognize the need to likely discontinue the drug if the client develops which sign or symptom?
jaundice
What organ system is responsible for the excretion of cefotaxime sodium from the body?
renal
A client, being treated in the intensive care unit, has been diagnosed with ventilator-associated pneumonia. Culture and sensitivity testing of the client's sputum indicates that erythromycin is a treatment option. Which nursing assess is most appropriate to rule out contraindications for medication therapy?
review lab results to confirm normal liver function
An adult client has been prescribed oral prednisone for the treatment of an acute dermatological condition. When teaching this client about this course of treatment, what teaching point should the nurse emphasize?
the importance of gradually reducing than abruptly stopping the drug
A hospital nurse is aware that nosocomial infections pose a significant threat to many client's health status. In order to reduce the spread of nosocomial infections, the nurse should prioritize which action?
vigilant and thorough hand hygiene