pharmacology week 7 quizes 86 87 88
Which instruction should a nurse include in the discharge teaching for a patient who is to start taking tetracycline?
"Use sunscreen and protective clothing when outdoors."
A nurse is administering a daily dose of tobramycin at 1000. At which time should the nurse obtain the patient's blood sample to determine the trough level?
9:00 AM
When caring for a patient receiving mafenide [Sulfamylon] for treatment of a severe burn, it is most important for the nurse to monitor which laboratory value?
Acid-base status
A patient is receiving local applications of mafenide [Sulfamylon] to burn areas. Before application, it is most important for the nurse to do what?
Administer a pain medication.
Before administering trimethoprim, it is most important for the nurse to assess the patient for a history of what?
Alcoholism
When providing patient teaching for oral sulfonamide therapy, the nurse should instruct the patient to take the sulfonamide in what way?
Between meals with a full cup of water
When administering an aminoglycoside to a patient with myasthenia gravis, it is most important for the nurse to assess what?
Breath sounds
A patient who is receiving an aminoglycoside develops flaccid paralysis and impaired breathing. Which medication does the nurse anticipate administering?
Calcium gluconate [Kalcinate]
A nurse assessing a patient who is 12 years old should associate which complication with the patient's receiving tetracycline as a younger child?
Discoloration of the teeth
What does the nurse identify as an adverse effect of clindamycin [Cleocin] therapy?
Frequent loose, watery stools with mucus and blood.
A nurse monitors a patient who is receiving an aminoglycoside (gentamicin) for symptoms of vestibular damage. Which finding should the nurse expect the patient to have first?
Headache
Which laboratory result should a nurse monitor more frequently when a patient is receiving clarithromycin [Biaxin] and warfarin [Coumadin]?
International normalized ratio (INR)
Which statements about CDAD associated with clindamycin therapy does the nurse identify as true? (Select all that apply.)
It is a potentially fatal condition Patients usually experience abdominal pain Clindamycin therapy should be discontinued and vancomycin started
Before administering an aminoglycoside, it is most important for the nurse to assess the patient for a history of what?
Myasthenia gravis
Which enteral aminoglycoside would the nurse expect to be ordered preoperatively for a patient having intestinal surgery?
Neomycin
A patient taking a sulfonamide is breast-feeding an infant. Which complication in the infant would the nurse associate with kernicterus?
Neurologic deficits
The nurse identifies which statements about Stevens-Johnson syndrome as true? (Select all that apply.)
Patients with Stevens-Johnson syndrome have a mortality rate of about 25%. Toxemia is associated with Stevens-Johnson syndrome. Lesions of the mucous membranes are a characteristic of Stevens-Johnson syndrome.
Which cardiovascular finding does the nurse identify as a possible adverse effect of erythromycin [Ery-Tab] therapy?
Prolonged QT interval
A patient who is receiving an aminoglycoside (gentamicin) has a urinalysis result with all of these findings. Which finding should a nurse associate most clearly with an adverse effect of gentamicin?
Protein
A patient who has acquired immunodeficiency syndrome (AIDS) is receiving trimethoprim/sulfamethoxazole [Bactrim]. Which response should a nurse expect if the medication is achieving the desired effect?
Resolution of pneumonia
A nurse should recognize that which sulfonamide, applied topically, has the greatest therapeutic benefit for burns?
Silver sulfadiazine [Silvadene]
The nurse is assessing a patient who is receiving a sulfonamide for treatment of a urinary tract infection. To monitor the patient for the most severe response to sulfonamide therapy, the nurse will assess for what?
Skin rash and lesions
A patient is receiving an aminoglycoside (tobramycin) antibiotic. A nurse asks the patient to choose daily meal selections, to which the patient responds, "Oh, dear, I don't want another IV." The nurse makes which assessment about the patient's response?
Some hearing loss may have occurred.
The nurse identifies which drug as a short-acting tetracycline?
Tetracycline (generic)
The nurse identifies tigecycline [Tygacil] as a derivative of what?
Tetracyclines
Which statements about ototoxicity and aminoglycosides does the nurse identify as true? (Select all that apply.)
The first sign of impending vestibular damage is headache. Ototoxicity is largely irreversible. Use of aminoglycosides for less than 10 days is recommended to avoid ototoxicity.
The nurse knows that there is an increased risk of ototoxicity in a patient receiving an aminoglycoside if which level is high?
Trough
A patient who has a vancomycin-resistant enterococci (VRE) infection is receiving linezolid [Zyvox]. Which laboratory result indicates that the patient is having an adverse effect?
White blood cell (WBC) count of 1200 units/L
Which manifestations does the nurse associate with the development of hemolytic anemia? (Select all that apply.)
fever pallor jaundice
The nurse should include which instructions when teaching a patient about tigecycline therapy? (Select all that apply.)
"Use sunscreen when you are outside." "If you have diarrhea more than five times a day, notify your healthcare provider." "Avoid using this drug if you are pregnant."
