Clinical Pharm Chapters 6-12 test questions

After teaching the client about taking the prescribed sulfonamide therapy, the nurse determines that the client needs additional teaching after they make which comment?

"I can take the drug at different times of the day each day."

A client has been prescribed albendazole on an outpatient basis for an anthelmintic infection. After teaching the client about the therapy, which statement by the client indicates effective teaching?

"I need to disinfect the bathtub or shower stall immediately after bathing."

The nurse is preparing discharge planning and education for a client who will continue antiviral therapy at home. Which points should the nurse include in the teaching session?

"Make sure to notify your primary health care provider if you develop any adverse reactions."

A client is ordered to receive vancomycin IV. When administering the drug, the nurse would infuse the drug over which time frame?

60 minutes

The nurse is evaluating the medical records of several clients and note some are receiving both fluoroquinolone and corticosteroid therapy. The nurse concludes which client is at the greatest risk for tendonitis?

72-year-old male

The nurse is completing a preadministration assessment on a client with tuberculosis who is to start pyrazinamide. The nurse should question giving this drug after discovering which factor in the client's medical record?

Acute gout

After teaching a group of nursing students about indications for linezolid (Zyvox), the instructor determines a need for additional teaching when the students choose which disorder as an indication?

Acute otitis media

While obtaining a medication history on a 48-year-old client who is to receive penicillin for an ear infection, the nurse learns the client takes a beta-adrenergic blocker for hypertension. The nurse develops appropriate nursing goals as this client is at increased risk for which adverse reaction if penicillin is administered?

Anaphylactic shock

The nurse is preparing to teach a client about the proper way to take the various antitubercular drugs. Which action should the nurse point out as the best way to minimize GI complications?

Avoid the consumption of alcohol.

A nurse suspects that a client receiving oral penicillin therapy is developing pseudomembranous colitis based on which assessment finding?

Bloody diarrhea

After taking penicillin as prescribed, a client shows signs of diarrhea and informs the nurse that there is blood in his stools. Which intervention should the nurse do next?

Contact primary health provider immediately.

A client, diagnosed with a urinary tract infection, indicates the use of an herbal product to help prevent and relieve the symptoms. Which herb has the client most likely been using?

Cranberry

A client who routinely takes antacids has been prescribed tetracycline. The nurse explains to the client there is an increased risk of which effect related to this combination?

Decreased absorption of tetracycline

The nurse notes a 25-year-old female client who is to begin antiretroviral therapy is currently taking oral contraceptives. The nurse should point out the combination can result in which interaction?

Decreased effectiveness of birth control pills

A client is receiving iron therapy for anemia. The health care provider has ordered tetracycline for an infection. Which action would be most appropriate for the nurse to do?

Separate administration times by 2 hours.

A client is prescribed entecavir, which is supplied as a buffered powder. The nurse instructs the client to mix the powder with substance?

Water

The nurse is teaching a client and the family about administering pentamidine at home. Which statement by the client indicates a need for additional teaching?

"The entire treatment should take no more than 15 minutes."

The nurse determines a teaching session about chloroquine is successful when the client correctly articulates which factor?

Avoid foods that acidify the urine.

A client who receives statin therapy for elevated lipid levels is to begin receiving daptomycin. Which laboratory value should the nurse prioritize?

Creatine phosphokinase levels

A nurse is preparing to administer ciprofloxacin as ordered. Which test would the nurse ensure is completed before administering the first dose to the client?

Culture tests

A nurse is caring for a client who is receiving a fluoroquinolone as an intravenous infusion. The nurse would check the infusion rate at which frequency?

Every 15 minutes

The nurse monitoring a client receiving saquinavir assesses the client for responses. Which reaction requires priority response?

Increase in client's weight

The nurse is caring for a 72-year-old client with tuberculosis on the unit. Which action should the nurse prioritize?

Monitoring for appearance of adverse reactions

A client is prescribed demeclocycline. The nurse would teach the client to be alert for which signs or symptoms?

Photosensitivity

A nurse is to administer mafenide to a client. The nurse would be alert for which possible reaction?

Rash, itching, or other allergic reactions

The nurse administers rifampin to a 45-year-old client with tuberculosis. The nurse would monitor the client for which potential adverse reaction?

Vertigo

A client receiving levofloxacin tells the nurse, "I used sunscreen but it didn't help." Which response by the nurse would be most appropriate?

"Be sure to wear long sleeves and a wide-brimmed hat in addition to using sunscreen."

A client is questioning the nurse as to why they developed a superinfection while receiving fluoroquinolone therapy. Which response by the nurse would be most appropriate?

"The drug disrupts your normal bacteria so it allows other organisms to grow."

A client is to receive ciprofloxacin and calcium carbonate. What is correct in the administration of these two medications?

Administer the ciprofloxacin, and then 4 hours later administer calcium carbonate.

A client with malaria is prescribed doxycycline. The nurse should include which instructions when teaching the client about the adverse reactions?

Avoid exposure to the sun by wearing protective clothing.

A client with intestinal amebiasis is preparing for discharge. The nurse will include which instruction when teaching the client about the prescribed metronidazole?

Avoid intake of alcohol.

A nurse is preparing to administer lincosamide to a client. The nurse should examine the client's record to ensure which contraindication does not apply in this case?

Clients taking cisapride

A client is receiving quinupristin/dalfopristin via a peripheral intravenous infusion. After the drug is administered, the nurse would flush the intravenous line with which solution?

Dextrose 5% and water

A client who is being discharged has been instructed to continue with sulfonamide therapy for a week. Which point should the nurse include in the teaching plan to educate the client about the therapy?

Ensure that all follow-up appointments are met.

A client develops a severe case of pseudomembranous colitis secondary to fluoroquinolone therapy. The fluoroquinolone is stopped immediately and intravenous fluids and protein supplementation are started. The nurse would also expect to administer which new medication?

Fidaxomicin

Before administering the first dose of a penicillin to the client, which assessment should the nurse perform as part of the preadministration assessment?

General history of client's health

A client with a history of type 2 diabetes mellitus is to start rifampin for newly diagnosed tuberculosis. The nurse will instruct the client about which potential risk?

Increased blood glucose levels

The nurse is administering fluoroquinolone and ibuprofen to a client. The nurse should be alert for which potential adverse reaction?

Increased risk for seizures

A nurse is obtaining the medication history of a client who is to start acyclovir. The nurse discovers this client is currently taking theophylline. The nurse should question the use of acyclovir due to which contraindication?

Increases serum level of theophylline in clients taking theophylline

The nurse administers ethambutol to a client in the initial phase of tuberculosis. The nurse will monitor the client for which potential adverse reaction?

Joint pain

A 75-year-old client with a history of renal impairment is admitted with a UTI and has been prescribed a cephalosporin. Which intervention is most important for the nurse to perform when caring for this client?

Monitoring blood creatinine levels

The nurse determines the nursing diagnosis for a client receiving systemic fluconazole is Risk for Ineffective Tissue Perfusion: Renal. Which activity will the nurse include in the plan of care?

Monitoring serum creatinine levels

The nurse is providing care to a client who is receiving an aminoglycoside and cephalosporin. Which assessment is a priority of care?

Nephrotoxicity

A client is ordered to receive an antiretroviral agent that is categorized as a nonnucleoside reverse transcriptase inhibitor. Which drugs would the nurse expect to administer?

Nevirapine

A nurse is preparing to teach a client about fluoroquinolones. The nurse will explain the importance of taking which drug on an empty stomach?

Norfloxacin

An HIV-positive client is being treated with didanosine as part of the antiretroviral therapy. When assessing the client, the nurse would immediately report which finding to the primary health care provider?

Peripheral neuropathy

A nursing instructor is teaching the class about helminthes. The instructor determines the teaching was successful when students correctly choose what as a helminth? Select all that apply.

Pinworms Hookworms Tapeworms Roundworms

An HIV-positive client in a continuing phase of TB has shown no positive sputum results for 6 months. The nurse is aware that the second phase can last 4 months or more under which circumstances?

Positive sputum culture after the completion of initial treatment

The nurse is preparing to administer medications to some clients. The nurse should question orders for anthelmintics for which clients?

Pregnant

The nurse is preparing to administer sulfadiazine to a client who is also taking warfarin. The nurse would be alert for which potential adverse effect?

Prolonged clotting times

A nurse is teaching a client and the caregivers how to care for the tuberculosis. The nurse should point out which approach will be best to help prevent the spread of disease to all close contacts?

Prophylactic therapy

A nursing instructor is explaining the different categories of antiretroviral agents used in treatment for HIV infection. The instructor determines that the teaching was successful when the students choose which category as affecting an enzyme so that new viral particles cannot mature?

Protease inhibitors

A client undergoing penicillin therapy shows improvement and states that he is feeling better. Which intervention is the nurse most likely to perform in such a situation?

Record assessments on client's chart.

A nurse is to administer sulfasalazine to a client with ulcerative colitis. Which interventions would be most important while caring for this client?

Regularly inspect client's stool samples.

A middle-aged client is to receive tetracycline for treatment of H. pyloriinfection, as well as continue with digoxin for a history of heart disease. The nurse will be prepared to monitor the client for which potential condition?

Risk of digoxin toxicity

A client with TB is receiving a combination of drugs in the initial phase and is questioning the purpose for all the medications. How can the nurse best explain the reasoning behind the treatment to the client?

Slows down bacterial resistance

After administering sulfonamides to a client, the nurse observes the client has developed a fever, cough, and muscular aches, as well as lesions in the form of red wheals on the neck and the mouth. The nurse interprets these findings as indicating which possible adverse reaction?

Stevens-Johnson syndrome (SJS)

A nurse is caring for a client who is being administered sulfasalazine. Which instruction should the nurse include to ensure that the client gets the full benefits of the treatment?

Take dosage while eating or immediately after eating.

A 60-year-old client with impaired urinary elimination is prescribed sulfonamide and instructed to increase daily fluid intake. Which nursing intervention would be most appropriate to address the fear of incontinence?

Teach the client the times to take fluids to maintain continence.

A client is to receive quinine for malaria. Which factor should the nurse prioritize while providing care if the nurse notes the client is also taking warfarin?

The client is at increased risk for bleeding.

A client with skin lesions due to a viral infection has been prescribed a topical antiviral agent. When teaching the client about this therapy, which factor would the nurse emphasize?

The drug will not prevent the spread of the disease to others.

After teaching a group of nursing students about antiprotozoal drugs, the instructor determines that the teaching was successful when the group articulates which disorders as an indication for use? Select all that apply.

Trichomoniasis Toxoplasmosis Pneumocystis jirovecii pneumonia Giardiasis Malaria

A client is to be discharged with a prescription for both zanamivir and a bronchodilator. Which instruction would the nurse include in the teaching plan for the client?

Use the bronchodilator before taking zanamivir.

A nurse is preparing to teach a client about tuberculosis therapy. The nurse should explain which factors are true concerning treatment in the initial phase of tuberculosis therapy? Select all that apply.

Used to kill the rapidly multiplying M. tuberculosis. Used to prevent drug resistance. Lasts approximately 2 months.

The nurse determines more teaching is needed by a client after discussing ketoconazole, when the client makes which statement?

"I should be careful when I drive, especially if I get dizzy."

A client is scheduled for abdominal surgery and is ordered to receive kanamycin. The client asks the nurse why he is getting this drug. Which response by the nurse would be most appropriate?

"The drug helps eliminate bacteria so that your GI tract is as clean as possible for surgery."

A client asks the nurse why he/she needs to increase fluid intake while taking sulfonamides. Which response by the nurse would be most appropriate?

"The fluids will help to decrease your risk for kidney stones."

The nurse administers cefuroxime to a client at least 1 hour before meals, as prescribed; however, the client experiences GI upset. Which action would be most appropriate for the nurse to do?

Administer the drug with food.

A nurse is preparing to teach a client with a parasitic infection and family member's measures to prevent reinfection and transmission of the infection. Which instructions should the nurse emphasize? Select all that apply.

Avoid putting fingers in the mouth or biting fingernails. Disinfect the bathtub or shower stall immediately after bathing. Bathe daily. Wash hands thoroughly before preparing or eating food. Disinfect toilets daily.

Concerned that a client is not taking the prescribed medication correctly, the nurse arranges for the client to visit the health care provider's office and take the medications in front of the nurse. Which form of treatment is the client participating in?

Directly observed therapy

A client treated for a respiratory infection is being treated with levofloxacin. The client is complaining of diarrhea, abdominal cramping, and a fever. What is the action of the nurse?

Discontinue the levofloxacin.

An elderly client receiving treatment for a urinary tract infection is now reporting diarrhea. On assessment, the nurse notes the client has been receiving the appropriate medication as well as drinking cranberry juice. Which factor is most likely the cause of the client's condition?

Extremely large dosage of cranberry juice

After teaching a group of nursing students about the actions of the various antifungal drugs, the instructor determines that the teaching was successful when the students correctly choose which drug as having only fungistatic activity?

Fluconazole

A nursing instructor determines a class on the various antiviral drugs is successful after the students correctly choose which viruses as being susceptible to antiviral medications? Select all that apply.

Herpes simplex virus (HSV) Cytomegalovirus (CMV) Human immunodeficiency virus (HIV)

After teaching a group of nursing students about antiretroviral drugs, the instructor determines that the teaching was successful when the students point out that these drugs are used to treat which infections? Select all that apply.

Human immunodeficiency virus (HIV) Acquired immunodeficiency syndrome (AIDS)

A nurse is assessing a client receiving amantadine for effectiveness of treatment. Which findings should the nurse prioritize for attention if noted?

Hypotension and insomnia

When developing the plan of care for a client receiving sulfonamides for treatment of a urinary tract infection, the nurse determines actions for encouraging fluid intake and monitoring intake and output based on which nursing diagnosis?

Impaired Urinary Elimination

A nurse is caring for a client who is receiving penicillin. The nurse would assess for which common adverse reaction?

Inflammation of the tongue and mouth

A nurse needs to administer a cephalosporin to a client. The client informs the nurse that he is allergic to penicillin. Which action by the nurse would be most appropriate?

Inform the primary health care provider.

A nurse is administering ciprofloxacin IV. What should the nurse assess prior to administering the medication?

Inspect the needle site for signs of tenderness, pain, and redness.

After teaching a group of nursing students about antitubercular therapy, the instructor determines that the teaching was successful when the students choose which drug as a primary drug to treat tuberculosis? Select all that apply.

Isoniazid Ethambutol Rifampin

A client is entering the continuation phase of treatment for tuberculosis. Which drugs will the nurse prepare to teach the client about? Select all that apply.

Isoniazid Rifampin

The nurse is caring for a client diagnosed with amebiasis. When developing the care plan, the nurse will include which activity?

Provide the client with small, frequent meals

A client with roundworms is prescribed pyrantel. The nurse determines the client teaching is successful after the client correctly chooses which adverse reactions to immediately report to the health care provider?

Rashes

The nurse is preparing to administer an antiviral drug to a client. Which factors would the nurse include in the preadministration assessment? Select all that apply.

Resistance to infection Vital signs Client's general state of health

A nurse is caring for a client undergoing the second phase of standard TB treatment. The nurse expects to administer which combinations of drugs to the client?

Rifampin and isoniazid

A client diagnosed with HIV infection is receiving HAART. On assessment, the nurse notes the client is alert and oriented, with reports of anorexia, nausea, and vomiting; 10-pound weight loss in past 6 weeks, pale, pin skin with irritation or breakdown, and without report of pain Which nursing diagnosis is a priority for this client?

Risk for Imbalanced Nutrition: Less Than Body Requirements

A client has returned to the clinic for follow-up of an infection which is being treated with an aminoglycoside and reports ringing in the ears and dizziness. When developing this client's plan of care, which nursing diagnosis would be the priority?

Risk for Injury

A nurse has assessed a client with tuberculosis on a follow-up visit and appraised multiple lacerations and bruising on the client's hands. The nurse prioritizes which nursing diagnosis for this client?

Risk for Injury.

A client develops a cough and fever, and laboratory test results reveal leukopenia after receiving sulfonamide therapy. When developing the client's plan of care, the nurse would determine which nursing diagnosis is most appropriate?

Risk for Secondary Infection

An HIV-positive client on antiretroviral therapy informs the nurse that he is considering taking sildenafil. The nurse informs the client that he may experience which reaction when combining sildenafil and antiretroviral therapy?

Risk of hypotension

A client, receiving linezolid, is fond of eating chocolates and drinking coffee. When teaching the client about this drug which adverse effect should the nurse point out presents the greatest risk to this client?

Severe hypertension

A nurse is required to administer a parenteral form of penicillin to a client. Which intervention would be most appropriate for the nurse to do when preparing penicillin in parenteral form?

Shake the vial well to distribute the drug evenly.

A nurse caring for a client with burns carefully applies the topical silver sulfadiazine. The nurse would be alert for which potential adverse reaction?

Skin necrosis

A client presents to the urgent care clinic reporting vague lower abdominal pains, upset stomach, and itching around the anus. Which laboratory test will be a priority?

Stool

A client has been prescribed oral tetracycline for the treatment of acne. Which instruction must the nurse include in the client teaching plan?

Take on an empty stomach.

A group of nursing students are preparing for an examination about fungal infections. They demonstrate they are prepared by correctly choosing what as a superficial fungal infection?

Thrush

The nurse is explaining to a client the proper way to take extended-release fluoroquinolone. Which instruction would be most important to include in the client's teaching plan?

To swallow the medication whole

The nurse is preparing a client who is receiving antiretroviral therapy for discharge. Which precautions should the nurse point out to reduce the effects of photosensitivity?

Wear protective clothing when outside.