NURS 305: Test 2 Questions

mupirocin, vancomycin, linezolid, daptomycin, ceftaroline

My Van is in Line for DC

b

A nurse administers ceftazidime (Fortaz) to a patent with a severe PCN allergy. Which of the following is concerning? a) Patient is also taking lisinopril. b) The patient reports shortness of breath c) The patient's pulse rate is 60/min d) The patient's WBC is 14,000/mm3

a

A patient drinks five to six alcoholic beverages per day and takes acetaminophen [Tylenol] for pain relief. The nurse should caution the patient to do what? A. Limit intake of acetaminophen to less than 2000 mg/day B. Avoid taking acetaminophen for pain C. Take acetaminophen with food to reduce the risk of liver damage D. Avoid taking any pain reliever other than acetaminophen

a

A patient is prescribed allopurinol for chronic tophaceous gout. The patient develops a rash. What is the priority intervention by the nurse? A.Stop the medication and assess the patient for liver and kidney failure. B.Instruct the patient to avoid exposing the skin to sunlight. C.Administer diphenhydramine (Benadryl) with the dose of allopurinol. D.Monitor the patient for respiratory depression.

b

A patient is prescribed celecoxib [Celebrex] and warfarin [Coumadin]. The nurse should monitor the patient for what? A. Renal toxicity B. Bleeding C. Stroke symptoms D. Dysrhythmias

c

A patient is prescribed doxycycline [Vibramycin]. If the patient complains of gastric irritation, what should the nurse do? A. Instruct the patient to take the medication with milk B. Tell the patient to take an antacid with the medication C. Give the patient food, such as crackers or toast, with the medication D.Have the patient stop the medication immediately and contact the health

c

A patient is prescribed ergotamine tartrate [Ergomar] for migraine headaches. Which statement made by the patient indicates a need for further teaching? A "I should place the tablet under my tongue." B. "I need to use birth control pills while taking this medication." C. "I am not at risk for physical dependence with this drug." D. "I should avoid drinking grapefruit juice with this medication."

c

A patient is receiving a second dose of IV Cefazolin (Ancef) post-op. The nurse notes that the patient is having hives and dyspnea, and hypotension. Which of the following would you expect to administer? a) Oral diphenhydramine b) Parenteral Diazepam c) Parenteral Epinephrine

d ((steven johnson syndrome))

A patient is taking TMP/SMX (Bactrim DS). Which of the following findings should the nurse report to the provider? A. Dry cough B. Involuntary wrist contration C. Photosensitivity D. Vesicular, crusty rash

b ((contraindicative for severe anaphylactic reaction, even though its 1% only applies to severe))

A patient with a history of a severe anaphylactic reaction to penicillin has an order to receive cephalosporin. What should the nurse do? A. Administer the cephalosporin as ordered. B. Contact the health care provider for a different antibiotic. (contraindicative for severe anaphylactic reaction, even though its 1% only applies to severe) C. Administer a test dose of cephalosporin to determine reactivity. D. Have an epinephrine dose available when administering the cephalosporin.

d

A patient with acute gouty arthritis requests information on the preferred drug to take to treat a painful flare-up. The nurse should recommend which medication? A.Allopurinol B.Febuxostat C.Probenecid D.Naproxen

a

A patient with gout has not experienced relief with conventional drug therapy. The nurse anticipates which agent will be prescribed for the patient? A.Pegloticase B.Allopurinol C.Probenecid D.Solu-Medrol

flagyl

Patients who drank from a well during a camping trip with GI symptoms should receive Metronidazole

d (most broad spectrum of antiboditics)

K.K. is a 12-year-old girl being examined in the emergency room for possible appendicitis. She has no significant medical history. Her father reports she had hives as 4-year-old when treated with amoxicillin/clavulanate for a recurrent ear infection. Upon examination and radiologic reports, K.K. is diagnosed with appendicitis with a suspicion of perforation and is scheduled for surgical resection. What is the most appropriate treatment? A. Cefoxitin. (no because of reaction to amoxicillin) B. Piperacillin/tazobactam. C. Ciprofloxacin plus clindamycin. D. Meropenem.

d

Nonaspirin NSAIDs differ from aspirin in all but which way? A. They cause reversible inhibition of COX, so their effects decline as soon as their blood levels decline. B. They can suppress platelet aggregation, but they are not used to prevent MI and stroke. C. They increase the risk of MI and stroke and therefore should be used in the lowest effective dosage for the shortest possible time. D. They are safe to use in children with chickenpox or influenza.

c

The nurse cares for a patient with migraine headaches. Which assessment would best determine the effectiveness of sumatriptan (Imitrex)? A. Decreased frequency of migraine headaches B. Prevention of migraine headaches C. Termination of the migraine headache D. Decreased nausea associated with a migraine headache

d

The nurse cares for a patient with migraine headaches. Which assessment would best determine the effectiveness of sumatriptan (Imitrex)? A. Decreased frequency of migraine headaches B. Prevention of migraine headaches C. Termination of the migraine headache D. Decreased nausea associated with a migraine headache

a (covers uncomplicated UTI)

The nurse is caring for a patient with candidasis. Which of the following medications should the nurse expect to administer? A. Fluconazole (Diflucan) B. Metronidazole (Flagyl) (only covers anaerobes) C. Linezolid (Zyvox) (covers gram positive, ((MRSA, BRE))) D. Nitrofurantion (Macrodantin)

b

The nurse is reviewing laboratory values from a patient who has been prescribed gentamicin. To prevent ototoxicity, it is most important for the nurse to monitor which value(s)? A. Serum creatinine and blood urea nitrogen levels B. Trough drug levels of gentamicin C. Peak drugs levels of gentamicin D. Serum alanine aminotransferase and aspartate aminotransferase levels

fosfomycin

The woman has a history of frequent UTIS and is going out of town in 2 Days. To treat the infection quickly use:

c

You are using your hospital antibiogram and current formulary to create an order-set recommending optimal antimicrobial regimens for patients being prescribed intra-abdominal infection treatment. You are considering the selection of antimicrobials targeted against enterococci. Your hospital has a 78% ampicillin susceptibility rate and a 20% vancomycin resistant enterococci rate. In which one of the following scenarios is the empiric therapy suggested most appropriate with regard to necessary enterococcal coverage? A. Required use of at least one enterococcal active agent for mild and moderate community-acquired infections. B. Linezolid containing regimens for severe community-acquired infections. C. Piperacillin/tazobactam for hospital-acquired infections. D. Cefepime and metronidazole containing regimens for severe community-acquired infections.

vancomycin, linezolid, daptomycin, ceftaroline, mupirocin

drugs that TX MRSA