P1T2

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A nurse is preparing to administer magnesium gluconate 270 mg PO. Available is magnesium gluconate liquid 54 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

25

A nurse is preparing to administer furosemide 30 mg IV bolus stat. Available is furosemide injection 10 mg/mL. How many mL should the nurse administer? (Round answer to nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

3 mL 30 mg ÷ 10 mg/mL = 3 mL

A nurse is preparing to administer hydromorphone 4 mg PO every 4 hr PRN for pain. Available is hydromorphone oral liquid 1 mg/1 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

4 mL

A nurse is caring for a client who is taking ritonavir, a protease inhibitor, to treat HIV infection. The nurse should monitor for which of the following adverse effects of this medication? increased TSH level Decreased ALT level Hypoglycemia Hyperlipidemia

Hyperlipidemia

The nurse is caring for a patient being treated with an antimicrobial agent for the diagnosis of a sexually transmitted infection. Which statement made by the patients shows a need for further education? A. "I will use a barrier method when having sexual intercourse during therapy." B. I will increase fluid intake to 2000 to 3000 ML/day." C. "I will increase protein in my diet." D. I will rest frequently

"I will use a barrier method when having sexual inter course during therapy."

Which conditions may occur with the administration of broad-spectrum antibiotics over an extended period amount of time? A. Cross sensitivity B. Immunosuppression C. Secondary infeftion D. Immunity

Secondary infection

A nurse is caring for a client who has a urinary tract infection. the nurse should instruct the client that which of the following test to determine which micro organism is causing the infection? Blood WBC Blood Creatinine Urine culture Urine specific gravity

Urine culture

A nurse is preparing to administer clindamycin 0.2 g PO. The nurse reconstitutes a container of clindamycin powder to yield a final concentration of 75 mg/ 5 mL. How many mL should the nurse administer? (Round answer to nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

13.3 mL convert the units of measurement (g does not equal mg) x mg = 1,000 mg x 0.2 g ÷ 1 g x mg = 200 mg x mL = 200 mg x 5 mL ÷ 75 mg x mL = 13.333333 mL x mL = 13.3 mL

A nurse is preparing to administer digoxin 250 mcg PO daily. Available is digoxin 0.125 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2 tablets x mg = 1 mg x 250 mcg ÷1,000 mcg x mg = 0.25 mg x tablets = 0.25 mg x 1 tablet ÷ 0.125 mg x tablets = 2 tablets

A nurse is preparing to administer diphenhydramine 25 mg PO every 6 hr. Available is diphenhydramine syrup 12.5 mg/5 ml. How many tsp should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2 tsp

A nurse is assisting with the care of a group of clients who are receiving antimicrobial therapy. The nurse should identify that which of the following clients patient toxicity? A young adult client who has a sinus infection An older client who has prostatitis A client who is postpartum and has mastitis A middle adult client who has a urinary tract infection

An older adult who has prostatitis

Which patient can safely be treated with a fluoroquinolone medication? A. A 40 year old on steroid therapy B. A 15 year old with a sore throat C. A 70 year old with a gait abnormality D. A 30 year old with a fractured tibia

A 30 year old with a fractured tibia

A nurse is caring for a client who takes several antiretroviral medications, including the NRTI zidovudine, to treat HIV infection. The nurse should monitor for which of the following adverse effects of zidovudine? (select all that apply.) Fatigue Blurred vision Ataxia Hyperventilation Vomiting

fatigue vomiting

A nurse is preparing to administer methylprednisolone 4 mg PO daily. Available is methylprednisolone 8 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

0.5 tablets 4 mg ÷ 8 mg = 0.5 tablets

A patient is scheduled to take tetracycline and aluminum hydroxide (Amphojel) at the same time. When will the nurse administer the medications to achieve the optimal effects? A. Both medications together B. Amphojel 30 minutes before tetracycline C. Tetracycline with orange juice D. Tetracycline 1 hour before Amphojel

Tetracycline 1 hour before Amphojel

A nurse is preparing to administer epinephrine hydrochloride 0.5 mg subcutaneous stat. How many mcg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

500 mcg 0.5 mg x 1,000 mcg ÷ 1 = 500 mcg

A nurse is preparing to administer haloperidol 5 mg 1M at 1715. At what time should the nurse administer the medication?

5:15 p.m.

A nurse is preparing to administer glipizide 5 mg PO ac. At which of the following times should the nurse administer the medication?

Before meals The nurse should recognize that "ac" is the abbreviation for "before meals."

A nurse is reinforcing teaching with a client who has a new prescription for combination oral NRTis (abacavir, lamivudine, and dolutegravir) for treatmentn of HIV. Which of the following statements should the nurse include? "These meds work by blocking HIV entry into cells" "These meds work by weakening the cell wall of the HIV virus." "These meds work by inhibiting enzymes to prevent HIV replicatoin." "These meds work by preventing protein synthesis within the HIV cell."

"These meds work by inhibiting enzymes to prevent HIV replicatoin."

A nurse is preparing to administer nafcillin IM to an adult client who has an infection. Which of the following actions should the nurse plan to take? (select all that apply.) -Select a 25-gauge, 1/2-inch needle for inj -Administer med deeply into the ventrogluteal muscle -Ask the client about an allergy to penicillin -before administering the medication Monitor P for 30 min following the inj

-Administer med deeply into the ventrogluteal muscle -Ask the client about an allergy to penicillin -before administering the medication Monitor P for 30 min following the inj

A nurse is preparing to administer methadone 2.5 mg PO every hour. Available is methadone 5 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

.5

A nurse is preparing to administer purified protein derivative 5 tuberculin untis (TU) intradermal to aclient. Available is 5 TU/0.1 mL. How many mL should the nurse administer. (Round answer to nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

0.1 mL 5 units x 0.1 mL ÷ 5 TU = 0.1 mL

Annurse is preparing to administer potassium chloride 15 mEq PO every 12 hr. Available is potassium chloride liquid 20 mEq/15 mL. How many mL should the nurse ad per dose? (Round the answer to the nearest whole number. Use a leading zero if applies. Do not use a trailing zero.

11.25 mL 11 mL rounded

A nurse is preparing to administer lamivudine 150 mg PO every 12 hr Available is lamivudine oral solution 10mg/mL. How many mL should nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

15 mL 150 mg ÷ 10 mg/mL = 15 mL

A nurse is preparing to administer triazolam 0.25 mg PO. Available is triazolam 0.125 mg capsules. How many capsules should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2 tablets 0.25 mg ÷ 0.125 mg = 2 tablets

a nurse is preparing to administer amlodipine 10 mg PO once per day to a client. The amount available is amlodipine 2.5mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

4 tablets

A nurse is preparing to administer daptomycin 360 mg IV bolus. The nurse reconstitutes a vial of daptomycin to yield a final concentration of 0.5 g/10 mL. How many mL should the nurse administer? (Round answer to nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

7.2 mL convert the unis of measurement (mg does not equal g) xg = 1 g x 260 mg ÷ 1,000 mg xg = 0.36 g x mL = 0.36 g x 10 mL ÷ 0.5 g x mL = 7.2 mL

A nurse is collecting data from a client who has a severe infection and has been receiving cefotaxime for the past week. Which of the following findings indicates a potentially serious adverse reaction to this medication that the nurse should report to the provider?

Diarrhea

Which drug is incompatible with heparin? A. Gentamicin B. Ampicillin (Unasyn) C. Ticarcillin (Timentin) D. Ciprofloxican (Cipro)

Gentamicin

A nurse should use which of the following units when measuring weight?

Gram

A nurse is monitor a client who is recieving IV acyclovir for treatment of varicella. Which of the following actions should the nurse take? Administer a stool softener Decrease fluid intake following infusion Infuse acyclovir over 1 hr Monitor for a for hypotension

Infuse acyclovir over 1 hr

Which drug is the cornerstone of treatment for prophylaxis and treatment for tuberculosis (TB)? A. Amphotericin B (Abelcet) B. Streptomycin (streptomycin) C. Isoniazid (Nydrazid) D. Acyclovir (Zovirax)

Isoniazid (Nydrazid)

A patient is admitted with glomerulonephritis. IV gentamicin therapy is started after cultures indicate gram-negative bacilli in the blood. The patient also receives IV furosemide (Lasix). The nurse will monitor for signs and symptoms of toxicity related to which organ? A. Kidneys B. Pancreas C. Liver D. Brain

Kidneys

The nurse will monitor patients on cephalosporin and loop diuretics for which adverse effect? A. Hepatic toxicity B. Ototoxity C. Nephrotoxicity D. Splenotoxicity

Nephrotoxicity

A nurse is caring for a client who has a new prescription for enfuvirtide to treat HIV infection. The nurse should monitor the client for which of the adverse reactions of the medication? (select all that apply.) Bleeding Pneumonia Cerebral edema Localized erythema Hypotension

Pneumonia Localized erythema

On what is the selection of an anti microbial agent based? A. Sensitivity of the microorganism to the drug B. Half-life of the medication C. Therapeutic levels of the drug D. Bioavailability of the drug

Sensitivity of the microorganism to the drug

A nurse is reinforcing teaching with a client who is beginning highly active antirtroviral therapy (HAART) for HIV infection about ways to prevent medication resistance. Which of the following information should the nurse teach the client about resistance? Taking low dosages of antiretroviral medication at a time minimizes resistance Takine one antiretroviral medication at a time minimizes resistance Taking medication at the same times daily without missing doses minimizes resistance Changing the med regimen when adverse effects occur minimize resistance

Taking medication at the same times daily without missing doses minimizes resistance

The health care provider has prescribed penicillin and probenecid for a patient with a sexually transmitted disease. What is the purpose of combining these medications? A. To accelerate the exertion of the penicillin B. To inhibit the absorption of penicillin to allow the drug to remain in the transport phase. C. To inhibit the excretion of the penicillin D. To reduce toxic effects associated with penicillin

To inhibit the excretion of the penicillin

A nurse is obtaining med history from P who is to receive imipenem-cilastatin IV to treat an infection. Which of the following meds the client also receives increases the risk for med interaction?

Valproic acid

A nurse is caring for a client who has a cerebrospinal fluid infection with gram-negative bacteria. Which cephalosporin antibiotics should N expect to administer IV to treat this infection?

cefepime

A nurse is preparing a medication and calculates the dosage as 1.42 mL. Rounding this amount to the nearest tenth, the nurse should administer how many mL?

1.40 mL

A nurse is preparing to administer vasopressin 5 unites IM. Available is vasopressin 20 units/Ml. How many mL should the nurse administer per dose? (Round answer to nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

0.25 mL 5 units ÷ 20 units = 0.25 mL

A nurse is preparing to administer morphine 4 mg IV bolus every 3 hr PRN pain. Available is morphine injection 10 mg/mL. How many mL should the nurse administer per dose? (Round answer to nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

0.4 mL 4 mg ÷ 10 mg/mL= 0.4 mL

A nurse is preparing to administer diphenhydramine 25 mg IV bolus stat. Available is diphenhydramine injection 50 mg/mL. How man mL shoulder nurse administer. (Round answer to nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

0.5 mL 25 mg ÷ 50 mg = 0.5 mL

A nurse is preparing to administer cephalexin 0.25 g PO every 6 hr. Available is cephalexin 500 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

0.5 tablet 1,000 mg x 0.25 g ÷ 1 x mg = 250 mg x = 250 mg x 1 tablet ÷ 500 x = 0.5 tablet

a nurse is preparing to administer famotidine 20 mg PO every 12 hour. Available is famotidine 40 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

0.5 tablets 20 ÷ 40 = 0..5

A nurse is preparing to administer trazodone 25 mg PO at bedtime. Available is trazodone 50 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

0.5 tablets 25 ÷ 50 = 0.5

A nurse is preparing a medication and calculates the dosage as 0.547 mL. Rounding this amount to the nearest hundredth, the nurse should administer how many mL?

0.55 mL

A nurse is preparing to administer heparin 15,000 units subcutaneous every 12 hr. Available is injection 20,000 units/mL. How many mL should the nurse administer per dose? (Round answer to nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

0.75 mL 15,000 units ÷ 20,000 units/mL = 0.75 mL

A nurse is preparing a medication and calculates the dosage as 0.893 mL. Rounding this amount to the nearest hundredth, the nurse should administer how many mL?

0.890 mL

A nurse is preparing to administer regular insulin 15 units and isophane insulin 40 units subcutaneous at 6:30 a.m. At which of the following times should the nurse administer the medication?

0630

A nurse is preparing to administer digoxin 0.125 mg PO at 9:00 a.m. At which of the following times should the nurse administer the medication?

0900

A nurse is preparing to administer sucralfate 1 g PO twice daily to a client. Available is sucralfate 1,000 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

1 tablet 1,000 mg ÷ 1 = 1 tablet

A nurse is preparing to administer furosemide 60 mg PO daily. Available is furosemide 40 mg tablets. How many tablets should the nurse administer daily? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

1.5 tablets 60 mg ÷ 40 mg = 1.5 tablets

A nurse is preparing to administer doxepin 75 mg PO at bedtime. Available is doxepin 50 mg capsules. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

1.5 tablets 75 mg ÷ 50 mg = 1.5 tablets

A nurse is preparing to administer acetaminophen 325 mg PO every 6 hr. Available is acetaminophen oral suspension 160 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

10 mL

a nurse is preparing to administer diphenhydramine 25 mg PO to a client. Available is diphenhydramine elixir 12.5 mg/5 mL. How many mL should nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

10 mL 25 x 5 ÷ 12.5 = 10 mL

A nurse is preparing to administer amoxicillin/clavulanate 250 mg PO. Refer to the medication label below. How many mL should nurse administer (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

10 mL 250 x 5 ÷ 125 = 10 mL

A nurse is preparing to administer albuterol 4 mg PO every 6 hr. Available is albuterol syrup 2 mg/5 mL. . How many mL should nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

10 mL 4 x 5 ÷ 2 = 10 mL

A nurse is preparing to administer cephalexin 500 mg PO every 6 hr. Available is cephalexin suspension 250 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

10 mL x = desired = quantity ÷ have x mL = 500 mg x 5 mL ÷ 250 mg x mL = 10 mL

A nurse is preparing to administer erythromycin ethylsuccinate 800 mg PO every 12 hr. Available is erythromycin ethylsuccinate suspension 400 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number.)

10 mL x = desired = quantity ÷ have x mL = 800 mg x 5 mL ÷ 400 x mL = 10 mL

A nurse is preparing to administer ethosuximide 750 mg PO daily. Available is ethosuximide syrup 250 mg/tsp. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

15 mL convert the units of measurement x mL = 1 tsp x 5 mL ÷ 1 tsp x mL = 5 mL x mL = 750 mg x 5 mL ÷ 250 mg x mL = 15 mL

A nurse is preparing to administer furosemide 40 mg PO in 0.5 oz of orange juice. How many mL of orange juice should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

15 mL x mL = 0.5 oz x 30 mL ÷ 1 oz x mL = 15 mL

A nurse is preparing to administer codeine 30 mg PO every 4 hr PRN for pain. The client last received the medication at 1 p.m. The earliest the nurse should administer the next dose is at which time?

1700

A nurse is preparing to administer potassium chloride powder 20 mEq PO in 6 oz of water. How many mL of water should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.

180 mL x mL = 6 oz x 30 mL ÷ 1 oz x mL = 180 mL

A nurse is preparing to administer gabapentin 1,800 mg per day divided in three equal doses. The amount available is gabapentin 300 mg capsules. How man capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2 capsules

A nurse is preparing to administer lithium 600 mg PO every 8 hr. Available is lithium carbonate 300 mg capsules. How many capsules should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2 capsules 600 mg ÷ 300 mg = 2

A nurse is preparing to administer methylprednisolone acetate 40 mg IM daily. Available is methylprednisolone acetate injection 20 mg/Ml. How many mL should the nurse administer per dose? (Round answer to nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2 mL 40 mg ÷ 20 mg = 2 mL

A nurse is preparing to administer quinapril 40 mg PO daily. Available is quinapril 20 mg tablets. How many tablets should the nurse administer daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2 tablets

A nurse is preparing to administer zolpidem 10 mg PO at bedtime. Available is zolpidem 5 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2 tablets 10 mg ÷ 5 mg = 2 tablets

A nurse is preparing to administer doxycycline 100 mg PO every 12 hr. Available is doxycycline 50 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2 tablets 100 mg ÷ 50 mg = 2 tablets

A nurse is preparing to administer amoxicillin 500 mg PO every 8 hr. Available is amoxicillin oral suspension 250 mg/ 5 mL. How many tsp shoulder the nurse administer per dose? (Round answer to nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2 tsp convert the units of measurement x tsp = 5 mL x 1 tsp ÷ 5 mL x tsp = 1 tsp x tsp = 500 mg x 1 tsp ÷ 250 mg x tsp = 2 tsp

A nurse is preparing to administer dextrose 5% in water 2 L to infuse over 6 hr. The nurse should administer how many mL? (Round the answer to the nearest whole number. use a leading zero if it applies. Do not use a trailing zero.)

2,000 mL x mL = 2t x 1,000 mL ÷ 1t x mL = 2,000 mL

A nurse is preparing to administer 0.9% sodium chloride 2,500 mL to infuse over 12 hr. The nurse should administer how many mL? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

2.5 L x L = 2,500 mL x 1 L ÷ 1,000 mL x L = 2.5 L

A nurse is preparing to administer levothyroxine 0.25 mg IV bolus stat. Available is levothyroxine injection 100 mcg/mL. How many mL should the nurse administer? (Round answer to nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

2.5 mL convert the units of measurement (mcg does not equal mg) x mcg = 100 mcg x 0.25 mg ÷ 1 mg x mcg = 250 mcg x mL = 250 mcg x 1 mL ÷ 100 mcg x mL = 2.5 mL

A nurse is preparing to administer levothyroxine 0.075 mg PO to a client. Available is levothyroxine 25 mcg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. use a leading zero if it applies. Do not use a trailing zero.)

3 tablets 1,000 mg x 0.075 mg ÷ 1 x mcg = 75 mcg x = 75 mcg x 1 tablet ÷ 25 mcg x = 3 tablets

A nurse is preparing to administer rifampin 0.6 g PO daily. Available is rifampin 150 mg capsules. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

4 capsules convert the units of measurement x mg = 0.6 x 1,000 mg ÷ 1 g x mg = 600 mg x capsules = 600 mg x 1 capsule ÷ 150 x capsules - 4 capsules

A nurse is preparing to administer 650 mg of acetaminophen syrup to a client. The amount available is acetaminophen syrup 160 mg/5 mL. How many tsp should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

4 tsp x tsp = 1 tsp x 5 mL ÷ 5 mL x tsp = 1 tsp x tsp = 650 mg x 1 tsp ÷ 160 mg x tsp= 4.0625 x tsp = 4

A nurse is preparing a medication and calculates the dosage as 6.25 mL. Rounding this amount to the nearest tenth, the nurse should administer how many mL?

6.30

A nurse is preparing to administer fluoxetine 35 mg PO daily. Available is fluoxetine solution 20 mg/5 mL. How many mL should the nurse administer daily? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

8.80 mL

The nurse is planning to administer an ertapenem IV to a patient in the intensive care unit. When preparing this medication, the nurse will consider reconstituting it with (Select all that apply.) A. Water B. Bacterial static water C. 0.9% sodium chloride D. 0.45% dextrose E. 1% lidocaine

A, B, & C

A patient has been receiving home health care & IV antimicrobial therapy for osteomyelitis (bone infection) of the lower right leg for the past 4 weeks. What will the nurse assess to evaluate the effectiveness of the antimicrobial agent? (Select all that apply.) A. Pain of the right leg B. Patient temperature C. Presence of edema, redness, or swelling in the right lower leg D. Culture and sensitivity parameters at the drug completion. E. Complete blood count (CBS) and sedimentation rate laboratory values.

A, B, C, E

Which drugs may reach toxic blood levels if administered with macrolide antibiotics? (Select all that apply.) A. Benzodiazepines B. Digoxin C. NSAIDS D. HMG CoA reductase inhibitors E. Diuretics F. Theophylline

A, B, D, F

An older adult with a history of asthma, rhinitis, & no known drug allergies has been admitted to receive IV antimicrobial therapy for bronchitis. The patient has received the oral form of the antimicrobial agent in the past. Which factors increase the risk for an allergic reaction? (Select all that apply.) A. Medical history of asthma B. The patients age C. IV antimicrobial therapy D. Medical history of rhinitis E. Subsequent use of the same antimicrobial therapy

A, D, & E

A nurse is reviewing prophylactic antimicrobial therapy with the charge nurse. which of the following actions should the nurse take one considering this type of therapy (select all that apply.) Administer prophylactic antimicrobial therapy to client who report exposure to a sexually transmitted infection Administer prophylactic antimicrobial therapy to clients were having orthopedic surgery Instructed client to have a prosthetic heart valve about the need for prophylactic therapy before dental work Consult the provider for prophylactic antimicrobial therapy for clients who have recurrent urinary tract infections Instruct clients to request prophylactic antimicrobial therapy immediately when they have an upper respiratory infection

Administer prophylactic antimicrobial therapy to client who report exposure to a sexually transmitted infection Administer prophylactic antimicrobial therapy to clients were having orthopedic surgery Instructed client to have a prosthetic heart valve about the need for prophylactic therapy before dental work Consult the provider for prophylactic antimicrobial therapy for clients who have recurrent urinary tract infections

A patient allergic to penicillin is being evaluated for a gram-negative infection. Which antimicrobial drug class would the health care provider be cautious in prescribing because of a possible cross sensitivity and/or allergic reaction? A. Cephalosporins B. Aminooglycosides C. Sulfonamides D. Quinolones

Cephalosporins

A nurse is reviewing information with a peer about antimicrobial therapy. The nurse should identify that antibiotics can be impeded by which the following conditions? Meningitis An infected abscess Endocarditis Pneumonia Pyelonephritis

Meningitis an infected abscess Endocarditis

A nurse is teaching a class about error-prone abbreviations in medication prescriptions. The nurse should include that which of the following prescriptions has acceptable abbreviations? ◦Metoclopramide 10 mg 1M Q6H PRN nausea ◦Desipramine 100 mg PO QD ◦Enoxaparin 30 mg sub q 2 hr before surgery ◦MS04 10 mg 1M Q3H PRN pain

Metoclopramide 10 mg 1M Q6H PRN nausea The nurse should include in the teaching that this prescription uses acceptable abbreviations & includes a medication, dose, route, & time.

N preparing to administer penicillin V to P who has a streptococcal infection. P reports difficulty swallowing tablets and doesn't "do well" with liquid or chew-able meds bc of taste, even when N mixes meds w food. N should request a Rx for which medication?

Nafcilliin

The nurse is contributing to a plan of care for a client who has a wound infection. Which of the following actions should the nurse recommend as the priority? Administer antibiotic medication Obtain a wound specimen for culture Monitor the client for a superinfection Reinforce teaching with the client about wound car

Obtain a wound specimen for culture

An older adult who has septicemia is receiving IV aminoglycoside therapy. Which symptom is most important for the nurse to monitor? A. Bone marrow suppression B. Ototoxity C. Gastrointestinal (GI) distress D. Photosensitivity

Ototoxity

Which adverse effect may manifest as dizziness, tinnitus, and progressive hearing loss? A. Ear infection B. Drug allergy C. Ototoxity D. Idiosyncratic reaction

Ototoxity

A nurse is preparing to administer codeine oral solution 30 mg PO to a client. The amount available is codeine 10 mg/5 mL. How many Tbsp should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

x tbsp = 1 tbsp x 5 mL ÷ 15 mL x tbsp = 0.333333 tbsp x = desired = quantity ÷ have x tbsp = 30 mg x 0.333333 tbsp ÷ 10 mg x tbsp = 0.999999 tbsp x tbsp = 1 tbsp


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