Pharm Exam 2
A patient has been prescribed penicillin & gentamicin. The nurse understands that: A. Penicillin & gentamicin work synergistically B. The gentamicin should be given w/ every 2nd dose of penicillin C. The penicillin will make the gentamicin less bactericidal D. The penicillin should be changed to a cephalosporin
A. Penicillin & gentamicin work synergistically
A 17 yr. old male patient asks about treatment options for Chlamydia trachomatis infection. Which response by the nurse is appropriate? A. "Chlamydia is bacterial & is treated w/ azithromycin (Zithromax)." B. "This infection is treatable but is best prevented by vaccination." C. "The disease is viral & will be treated w/ valacyclovir (Valtrex)." D. "The infection is fungal, and metronidazole (Flagyl) will be prescribed."
A. "Chlamydia is bacterial & is treated w/ azithromycin (Zithromax)."
Which statement about syphilis does the nurse identify as true? A. Penicillin G is the drug of choice for all states of syphilis. B. Early signs of congenital syphilis include purulent discharge from the urethra. C. The risk of neurosyphilis is decreased in individuals w/ HIV infection. D. Syphilis develops in one abrupt stage.
A. Penicillin G is the drug of choice for all states of syphilis.
Which lab result, if identified in a patient who is receiving dalfopristin/quinupristin, should the nurse report to the prescriber immediately? A. ALT 250 IU/L B. BUN 20 mg/dL C. CK-MM 50 units/mL D. FBG 250 mg/dL
A. ALT 250 IU/L
Which lab result, if present, would be a reason to withhold administering cefotetan to an adult male & to notify the prescriber? A. ALT 254 international units/L B. BUN 34 mg/dL C. Creatinine 2.1 mg/dL D. fasting blood glucose 230 mg/dL
A. ALT 254 international units/L
A patient who is prescribed tobramycin (aminoglycoside) complains of a headache. What is the priority nursing action? A. Assess the onset, characteristics, & associated symptoms of the headache B. Medicate w/ acetaminophen & reassess in 1 hr. C. Withhold the tobramycin & notify the prescriber when making rounds D. Withhold the tobramycin & notify the prescriber STAT
A. Assess the onset, characteristics, & associated symptoms of the headache
A patient who is prescribed tobramycin complains of a headache. What is the priority nursing action? A. Assess the onset, characteristics, & associated symptoms of the headache. B. Medicate w/ acetaminophen & reassess in 1 hr. C. Withhold the tobramycin & notify the prescriber when making rounds. D. Withhold the tobramycin & notify the prescriber STAT
A. Assess the onset, characteristics, & associated symptoms of the headache.
It would be a priority to report which lab result to the prescriber if a patient is prescribed valacyclovir? A. CD4 less than 100/mm3 B. Hgb (Hb) 11 g/dL C. platelets 220,000/mm3 D. WBC 12,800/mm3
A. CD4 less than 100/mm3
Which statement will the nurse include when teaching a patient with HIV about management of the disease? A. HIV is considered a chronic disease B. HIV infection can be cured in 1 yr. of therapy C. Drug resistance does not occur in HIV treatment D. Blood cultures & RBCs are the principal lab tests to guide HIV treatment protocols
A. HIV is considered a chronic disease
Which assessment is of greatest priority for the nurse to complete before administering a penicillin antibiotic? A. allergy history B. BUN C. Temp. D. wound drainage
A. allergy history
Which action by the nurse would be a priority for preventing the most common complications of IV acyclovir therapy? A. assessing the IV site before infusing the drug B. ensuring a fluid intake of 2500-3000 mL/24 h C. reporting vomiting to the prescriber D. teaching perineal hygiene
A. assessing the IV site before infusing the drug
Major adverse effects of aminogylcoside antibiotics include damage to (select all that apply) A. cochlea B. heart C. kidneys D. lungs E. stomach F. vestibular apparatus
A. cochlea C. kidneys F. vestibular apparatus
Which of these lab tests would be a priority for the nurse to assess when a patient is receiving an aminoglycoside? A. creatinine B. fasting blood glucose C. hemoglobin & hematocrit D. INR
A. creatinine
The nurse is reviewing lab tests before preparing to administer a dose of amphotericin B. Before administering the drug, it is a priority to review which lab result? A. creatinine levels B. ECG C. liver function tests D. WBC count
A. creatinine levels
The nurse is preparing to administer IV cipro to a patient w/ septic arthritis after arthoscopic surgery. It would be a priority to review which ordered diagnostic test result as soon as it is available? A. culture & sensitivity B. MRI C. urinanalysis D. x-ray
A. culture & sensitivity
Which assessment finding would be of greatest priority to report to the prescriber if identified in a patient who is receiving lamivudine, adenovirus, or entecavir for Hep.B b/c it suggests possible lactic acidosis? A. deep, rapid breathing B. fever C. poor appetite D. nausea
A. deep, rapid breathing
The nurse is caring for a patient receiving gentamicin (Garamycin) IV. What statement by the patient would most concern the nurse? "I am experiencing..." A. high-pitched ringing in my ears B. dizziness C. ear pain D. tone deafness
A. high-pitched ringing in my ears
The nurse is preparing to 8am medications to a patient who is to receive nafcillin 2 g via secondary IV infusion. The drug is dissolved in 100 mL of normal saline solution. The drug handbook states that the drug should be infused over 30-90 mins. Just before the nurse hangs the nafcillin, the nurse is informed the patient is to be placed on a cart to go off the unit for a diagnostic test in 30-45 mins. The patient is expected to be off the floor for 30 mins. What should the nurse do? A. hold the drug infusion until the patient returns B. infuse the drug in 30 mins before placing the patient on the cart C. Infuse the drug in 45 mins while loading the patient on the cart D. Set the infusion to run over 90 mins.
A. hold the drug infusion until the patient returns
Metronidazole (Flagyl) is ordered for a patient being prepared for colorectal surgery. The nurse understands that the rationale for administration of metronidazole is that it... A. inhibits the C. diff toxin B. can treat the fungal infection C. serves as prophylaxis for infection D. is a broad-spectrum antibiotic
A. inhibits the C. diff toxin
A patient is being discharged w/ continued ciprofloxacin therapy. When providing discharge teaching, the nurse should advise the patient to call the HCP immediately if what develops? A. pain in the heel of the foot B. nausea C. diarrhea D. headache
A. pain in the heel of the foot
Fluroquinolones should be discontinued immediately if: A. tendon pain or inflammation develop B. nausea, vomiting, or diarrhea are experienced C. dizziness, headache, or confusion occur D. theophylline is prescribed for asthma
A. tendon pain or inflammation develop
Which result would be of greatest priority to report to the prescriber of cefotaxime? A. Albumin 3.4 g/dL B. Alanine aminotransferase (ALT) 158 international units/L C. Estimated GFR 48 mL/min D. INR 1
C. Estimated GFR 48 mL/min
The nurse is preparing to administer IV acyclovir. It would be a priority for the nurse to provide nursing interventions for which assessment findings? A. BP 150/85 mmHg B. creatinine 0.9 mg/dL C. dry, sticky oral mucous membranes D. 8 hr urine output 750 mL
C. dry, sticky oral mucous membranes
Which lab test result is of greatest priority to review before the nurse administers nitrofurantoin? A. ALT B. bilirubin C. eGFR D. sodium
C. eGFR
The throat culture of a 6 year old boy is positive for gonorrhea. What is the priority in this situation? A. assessing for eye exudate B. calculating the dose of ceftriaxone to be administered C. ensuring the safety of the child D. removing the child from his home
C. ensuring the safety of the child
A patient is prescribed trimethoprim-sulfamethoxazole (Bactrim) to treat a UTI. Which of the following statements made by the patient indicate that teaching was effective? A. "It is safe to take this medication if I become pregnant." B. "I will drink at least 8-10 glasses of water every day." C. "I will be able to stop this medication when I'm symptom free." D. "I may have increased blood sugar while taking this medication."
B. "I will drink at least 8-10 glasses of water every day."
Which of the following patients would most likely need IV antibiotic therapy to treat a UTI? A. a patient w/ an uncomplicated UTI caused by E. coli B. A patient w/ pyelonephritis w/ symptoms of high fever, chills, & severe flank pain C. A patient w/ acute cystitis complaining of dysuria, frequency, & urgency D. A patient w/ acute bacterial prostatitis w/ a mild fever, chills, & nocturia
B. A patient w/ pyelonephritis w/ symptoms of high fever, chills, & severe flank pain
The nurse is reviewing test results for a patient who is prescribed itraconazole. Which result would warrant immediate consultation w/ the prescriber? A. AST 35 IU/L B. BNP 745 pg/mL C. ECG - ejection fraction 60% D. potassium 3.8 mEq/L
B. BNP 745 pg/mL
An HIV-positive patient is prescribed TMZ/SMZ as treatment for active PCP infection. A priority nursing action is to monitor which lab tests? A. AST B. BUN C. CBC and differential D. electrolytes E. lipids F. PT & INR
B. BUN C. CBC and differential
Which is (are) the preferred drugs for the treatment of gonorrhea? A. Doxycycline & azithromycin B. Ceftriaxone C. Metronidazole D. Acyclovir (Zovirax)
B. Ceftriaxone
The nurse teaches a patient who has been prescribed oral tetracycline that the medication should not be taken w/ which OTCs? Select all that apply. A. Ascorbic acid B. Centrum Silver C. Ferrous sulfate D. folic acid E. TUMS
B. Centrum Silver C. Ferrous sulfate E. TUMS
When performing shift assessment, the nurse notes a maculopapular rash over the trunk of a patient who has been taking ceftriaxone for 4 days. What is the priority nursing action? A. Administer standing order for epinephrine as needed B. Complete the assessment C. Consult the prescriber D. Withhold the ceftriaxone
B. Complete the assessment
The nurse is caring for a patient who is receiving gentamicin twice a day. Peak & trough levels were drawn after the fourth dose. Results were peak 3 mcg/mL & trough 0.6 mcg/mL. What should the nurse do? A. Administer an additional dose B. Continue nursing care C. consult w/ the prescriber D. Withhold future doses until the prescriber can be consulted
B. Continue nursing care
It would be a priority to report which test result if a patient is prescribed tetracycline? A. Glucose-6-phosphate dehydrogenase (G6PD) 8.2 U/g of hemoglobin B. Human chorionic gonadotropin (hCG) 5325 mIU/mL C. Innternational normalized ratio (INR) 1.1 D. Sodium 132 mEq/L
B. Human chorionic gonadotropin (hCG) 5325 mIU/mL
A patient is diagnosed w/ C. diff infection. The nurse anticipates administering which medication? A. Daptomycin B. Metronidazole C. Rifampin D. Rifaximin
B. Metronidazole
A patient is prescribed acyclovir (Zovirax) by mouth. The nurse should assess the patient for which adverse effects associated w/ oral acyclovir therapy? A. Stomatitis B. Nausea, vomiting, & diarrhea C. Hives, difficulty breathing, & angioedema D. Tinnitus & decreased hearing
B. Nausea, vomiting, & diarrhea
A patient who is prescribed rilpivirine reports loss of interest in usual activities. What nursing action is of greatest priority? A. asking about difficulties complying w/ therapy B. assessing for thoughts of harming self C. identifying reasons for loss of interest D. providing a safe environment
B. assessing for thoughts of harming self
The nurse is caring for a patient who has repeated episodes of UTIs (caused by E. coli) treated w/ trimethoprim-sulfamethoxazole (TMP/SMZ). What is the priority action to prevent recurrence of infection? A. assessing for sore throat & fever B. carefully wiping from front to back during perineal care C. encouraging ingestion of at least 2000 mL of fluids each day D. offering cranberry juice each day
B. carefully wiping from front to back during perineal care
Which assessment finding suggests hypokalemia & should be reported to the prescriber of moxifloxacin? A. confusion & irritability B. constipation & weakness C. diarrhea & vomiting D. tremor & numbness
B. constipation & weakness
Which of these assessment findings, if identified in a patient who is receiving nitrofurantoin, should a nurse report to the prescriber immediately? A. brown-colored urine B. dyspnea C. nausea D. headache
B. dyspnea
It would be a priority to report which symptoms in a patient who is prescribed the -azole anti fungal drug fluconazole? A. abdominal pain & diarrhea B. fever & blisters in the mouth C. headache & photophobia D. N/V
B. fever & blisters in the mouth
The nurse assesses a 6 yr old who is receiving cipro for a complicated UTI. Wha is a priority concern? A. abdominal pain B. fluid & electrolyte balance C. nutrition D. skin integrity
B. fluid & electrolyte balance
Erythromycin is an example of a (an): A. aminoglycoside B. cephalosporin C. antifungal D. macrolide
D. macrolide
A patient is admitted to a medical unit & prescribed IV ampicillin/sulbactam after a specimen was sent for culture & sensitivity (C&S) from the ER. The nurse knows the priority reason for notifying the prescriber of culture results ASAP is that ampicillin/sulbactam... A. has many more adverse effects than most other antibiotics B. is a broad-spectrum antibiotic, & there may be an effective narrow-spectrum antibiotic C. is a very expensive antibiotic D. is a narrow-spectrum antibiotic & may not be effective for the cultured organism
B. is a broad-spectrum antibiotic, & there may be an effective narrow-spectrum antibiotic
When a patient is prescribed a fluoroquinolone that is known to cause prolongation of the QT interval on ECG, the nurse should monitor the electrolytes for which result that is most likely to increase the risk of this adverse effect? (Select all that apply) A. chloride less than 98 mEq/L B. magnesium less than 1.3 mEq/L C. potassium less than 3.5 mEq/L D. sodium less than 135 mEq/L
B. magnesium less than 1.3 mEq/L C. potassium less than 3.5 mEq/L
What is the priority reason why the nurse teaches a patient who is prescribed sulfamethoxazole to take this med w/ a full glass of water? A. decrease the risk of esophageal irritation B. minimize crystal formation in the urine C. prevent nausea D. stimulate frequent voiding
B. minimize crystal formation in the urine
B/c they are broad-spectrum antibiotics, tetracyclines can cause: A. targeted kill of susceptible microbes B. superinfection esp. w/ C. diff & yeast C. eradication of candida in mouth, pharynx, vagina, & bowel D. growth suppression in children
B. superinfection esp. w/ C. diff & yeast
The nurse is working at a STD clinic. A patient has been diagnosed w/ an STD & will be treated w/ penicillin G. The nurse understands that penicillin G is the drug of choice in the treatment of: A. gonorrhea B. syphilis C. genital herpes D. chlamydia
B. syphilis
The nurse is reviewing lab values from a patient who has been prescribed gentamicin (Garamycin). To prevent ototoxicity, the nurse will monitor: A. serum creatinine & BUN levels B. trough drug levels of gentamicin C. peak drug levels of gentamicin D. ALT & AST levels
B. trough drug levels of gentamicin
B/c of the risk of hyperkalemia when prescribed trimethoprim, it is a priority for the nurse to teach the patient to report what symptom? A. bruising B. weakness C. pallor D. sore throat
B. weakness
A patient has been prescribed oral ciprofloxacin (Cipro) for a skin infection. When administering the medication, the nurse will: A. monitor for a decrease in prothrombin time (PT) if the patient is also taking warfarin (Coumadin) B. withhold antacids & milk products for 6 hrs. before or 2 hrs. after C. inform the HCP if the patient has a history of asthma D. assess the skin for Stevens-Johnson syndrome.
B. withhold antacids & milk products for 6 hrs. before or 2 hrs. after
A patient is receiving amphotericin B to treat a systemic fungal infection. To prevent renal damage, it is most important for the nurse to do what? A. Administer the medication thru a central venous access device B. Administer potassium supplements C. Administer 1000 mL of 0.9% saline D. Adminiser the medication orally
C. Administer 1000 mL of 0.9% saline
An alert & oriented patient w/ a history of penicillin allergy is prescribed cephalexin. What is the priority action by the nurse? A. Administer the cephalexin B. Administer the cephalin & carefully assess for allergic reaction C. Assess the type of reaction that the patient had to the penicillin D. Notify the prescriber of the allergy & ask for a different antibiotic order
C. Assess the type of reaction that the patient had to the penicillin
A patient who takes warfarin is prescribed itraconazole (Sporanox) to treat a fungal infection. The nurse will teach the patient to do what? A. Take the medication w/ famotidine (Pepcid) to reduce gastric upset. B. Prepare for long-term IV administration of itraconazole C. Avoid taking esomeprazole (Nexium) w/ itraconazole therapy D. Double the dose of warfarin
C. Avoid taking esomeprazole (Nexium) w/ itraconazole therapy
IT would be a priority to monitor which lab test when a patient is prescribed linezolid? A. AST & ALT B. BUN C. CBC D. fasting blood glucose
C. CBC
Which result would be of greatest priority to report to the prescriber of ceftriaxone? A. Albumin 3.4 g/dL B. eGFR 88 mL/min C. Hemoglobin 9.2 g/dL & hematocrit 27% D. INR 1
C. Hemoglobin 9.2 g/dL & hematocrit 27%
Which drug does the nurse identify as a urinary tract antiseptic? A. Ciprofloxacin B. Ceftriaxone C. Nitrofurantoin D. Ceftazidime
C. Nitrofurantoin
The nurse reviews current lab test results before administering piperacillin/tazobactam. It would be a priority to report which lab result to the prescriber? A. Brain natriuretic peptide (BNP) 65 picograms/dL B. BUN 22 mg/mL C. Platelets 100,000/mL D. WBC 15,000/mm3
C. Platelets 100,000/mL
When imipenem (Primaxin) and valproate are prescribed for a patient, what is the priority nursing concern? A. Hydration B. Nutrition C. Safety D. Skin integrity
C. Safety
A patient received a neuromuscular blocking agent during surgery. IN the PACU, the prescriber orders gentamicin 40 mg IV STAT. What is the priority nursing action? A. administer the drug as quickly as possible B. assess the patient's vital signs C. clarify the order D. refuse to administer the drug
C. clarify the order
A consulting urologist orders ciprofloxacin 250 mg twice a day for a 72 year old woman with a UTI. The patient is also receiving ferrous sulfate 300 mg for anemia and calcium carbonate 400 mg 4 times a day for osteopenia, What should the nurse do? A. administer the cipro 1 hr. before the other meds B. administer the cipro 2 hrs. after the other meds C. consult w/ the prescriber for directions D. hold the ferrous sulfate & calcium during cipro therapy
C. consult w/ the prescriber for directions
A patient is prescribed doxycycline (Vibramycin). If the patient complains of gastric irritation, the nurse should: A. instruct the patient to take the medication w/ milk B. tell the patient to take an antacid w/ the medication C. give the patient food such as crackers or toast w/ medication D. have the patient stop the medication immediately & contact the HCP
C. give the patient food such as crackers or toast w/ medication
The nurse is assessing for adverse effects of IV tobramycin. Which change would be a priority to report to the prescriber? A. dilute urine B. headache C. limp, weak muscles D. ringing in the ears
C. limp, weak muscles
Lab results for a patient who is prescribed foscarnet include fasting blood glucose 90 mg/dL, AST 87 units/L, potassium 3.6 mEq/L, calcium 8.2 mg/dL, & magnesium 2 mEq/L. The nurse should assess for what symptom of electrolyte imbalance? A. cool, clammy skin B. headache C. muscle spasms D. thirst
C. muscle spasms
The nurse has consulted the prescriber because a patient reports an allergy to the prescribed penicillin antibiotic. The prescriber is aware of the allergy, but the patient is experiencing a life-threatening infection & no other suitable antibiotic is available. What is the priority nursing action. A. administer the antibiotic B. ask the patient if he/she is willing to take the antibiotic C. obtain orders for treatment of a possible allergic reaction D. refuse to administer the antibiotic
C. obtain orders for treatment of a possible allergic reaction
The nurse is preparing to apply topical mafenide to second-degree burns on the anterior of a 7 yr. old patient's arms, upper legs, & trunk. What is the priority nursing action, aimed at preventing the common adverse effect relating to application of this drug? A. employ aseptic technique B. explain the importance of therapy C. prevent pain D. shield so the patient cannot see the wounds
C. prevent pain
Which lab test result would be a priority to report to the prescriber of a sulfonamide? A. neutrophils 65% B. platelets 200,000/mm3 C. red cell distribution width 18.4% D. WBC 11,800/mm3
C. red cell distribution width 18.4%
When planning nursing interventions & teaching for the most common adverse effects of efavirenz, which nursing problem should the focus for the nurse? A. circulation B. nutrition C. safety D. skin integrity
C. safety
The nurse is administering cipro to a patient who receives theophylline for asthma. B/c of potential drug interactions, the nurse should monitor theophylline levels & assess for... A. constipation B. drowsiness C. tachycardia D. weakness
C. tachycardia
Which assessment finding would be a priority to report to the prescriber if it occurred after administration of a large IV dose of penicillin? A. discomfort at IV site B. fever higher than 100.4 F C. wheezing D. shivering
C. wheezing
A pregnant adolescent patient asks the nurse whether she should continue to take her prescription for tetracycline (Sumycin) to clear up her acne. Which response by the nurse is correct? A. "Tetracycline is effective in clearing up acne." B. "Tetracycline may cause allergic reactions in pregnant women." C. "Tetracycline will resolve an asymptomatic UTI." D. "A tetracycline drug could be harmful to the baby's teeth & should be avoided."
D. "A tetracycline drug could be harmful to the baby's teeth & should be avoided."
The nurse is taking a history from the spouse of a patient who was admitted in a septic state & prescribed an amino glycoside antibiotic. Which question is most important to ask the patient's spouse about the patient's history? A. "Has your spouse ever had any surgery performed?" B. "Has your spouse been told to follow any specific diet?" C. "Has your spouse received a flu vaccine this year?" D. "What meds is your spouse currently taking?"
D. "What meds is your spouse currently taking?"
Which statement by a new nurse about IV administration of amphotericin B indicates the nurse needs more education? A. Almost all patients receiving amphotericin B experience some degree of nephrotoxicity B. Patients receiving amphotericin B should be under close supervision in a hospital C. Heparin can be used in the infusion site to prevent phlebitis associated w/ amphotericin B therapy D. Diphenhydramine plus acetaminophen can minimize rigors associated w/ amphotericin B therapy
D. Diphenhydramine plus acetaminophen can minimize rigors associated w/ amphotericin B therapy
A patient who recently was discharged from the hospital & prescribed ciprofloxacin (Cipro) phones the prescriber's office complaining of pain above the heel while walking or stretching. The nurse expects the patient to be instructed to... A. Avoid the treadmill & apply ice to area B. Try isometric exercises prior to walking or stretching C. Continue the medication & watch for signs of redness or swelling D. Discontinue the medication & avoid weight bearing on the ankle
D. Discontinue the medication & avoid weight bearing on the ankle
The nurse would be most concerned that a patient may not adhere to therapy w/ which class of antiviral drugs if the patient verbalized that body image is an important priority? A. fusion inhibitor B. NRTI C. NNRTI D. PI
D. PI
Eight hours after administering a sulfonamide, the nurse notes that a patient has a temperature of 104° F, pulse of 112, BP of 104/52, respirations of 20, malaise, and widespread lesions of the skin and mucous membranes. The nurse would be correct to suspect... A. superinfection. B. systemic mycoses. C. red man syndrome. D. Stevens-Johnson syndrome.
D. Stevens-Johnson syndrome.
A diabetic patient is receiving clindamycin for gas gangrene. Which drug, if also taken by this patient, could decrease bowel motility & prevent the body's attempt to rid the colon of overgrowth of C. diff? A. Bethanechol B. Digoxin C. Tolterodine D. Warfarin
D. Warfarin
A patient is prescribed tetracycline for Chlamydia trachomatis. Which change in assessment findings would be a priority to report to the prescriber? A. Burning on urination B. Perineal itching C. Vaginal discharge D. Watery stool
D. Watery stool
A patient who was admitted w/ severe abdominal pain has been diagnosed w/ Helicobacter pylori-associated peptic ulcer. Tetracycline 500 mg, metronidazole 250 mg, & bismuth subsalicylate 524mg have been prescribed 4xs/day. The nurse notes that the patients 24-hr fluid intake has been about 2500 mL & urine output has been 600-800 mL for each of the past 2 days. What should the nurse do? A. Administer the meds & continue care B. Administer meds & report changes C. Withhold the med & continue nursing care D. Withhold the med & notify prescriber of changes
D. Withhold the med & notify prescriber of changes
Which signs would most likely indicate the start of Stevens-Johnson syndrome when a patient is receiving sulfonamides? A. amber-colored, crusty rash on the cheeks B. papular rash on the shoulders C. pruritic rash on lower arms D. blisters in the mouth
D. blisters in the mouth
What is the priority nursing action before administering an amino glycoside to a patient w/ an eGFR of 50mL/min? A. ask the patient if he/she has had a headache B. assess peak levels of the drug C. assess liver function tests D. compare prescribed dose to recommended dose
D. compare prescribed dose to recommended dose
Which situation would warrant assessing for candida infection when the nurse is caring for a 6 month old, breast-fed infant who is prescribed cipro for pyelonephritis? A. parents supplement breast milk w/ rice cereal B. infant has stool after every feeding C. infant's stool is mushy & seedy D. infant's suckling is interrupted by crying
D. infant's suckling is interrupted by crying
The nurse is caring for a neonate whose mother has an active infection w/ gonorrhea. A priority nursing outcome for the neonate relating to possible infection during vaginal delivery is that the neonate will... A. blink in response to direct light shone into eyes B. breast-feed for 10-15 mins at least every 3 hrs w/out becoming dyspneic c. have clear breath sounds D. not experience conjunctival discharge
D. not experience conjunctival discharge
A prescriber's orders for a new admission include urine culture & sensitivity & copra 400 mg IV every 12 hrs. What is a priority nursing responsibility? A. calculate the drip rate for the IV infusion B. flush the IV cap C. mix the antibiotic in the correct IV solution D. obtain the urine culture specimen before administering the antibiotic
D. obtain the urine culture specimen before administering the antibiotic
When a patient who receiving nevi rapine or delavirdine complains of conjunctivitis or muscle & joint pain, it would be a priority to assess for... A. dizziness B. nausea C. paresthesias D. rash
D. rash
When emptying a urinal form an HIV-seropositive patient, the nurse splashes urine on intact skin. What should the nurse do? A. go to the ER at the end of the shift for bloodworm B. immediately go to the ER C. make an appt w/ doctor to discuss treatment D. report it
D. report it
A neonate was delivered vaginally to a mother w/ an active C. trachomatis infection. Relating to this exposure, what is the priority system when caring for the neonate. A. GI B. ophthalmic C. renal D. respiratory
D. respiratory
A hospitalized HIV-positive patient who is prescribed indinavir complains of sharp, colicky flank pain. In addition to notifying the prescriber which nursing intervention would be most appropriate? A. assess bowel sounds B. elevate the head of the bed C. increase viral signs to every 4 hours D. strain urine
D. strain urine
A patient is prescribed IV gentamicin for a severe bacterial infection. To monitor for adverse effects of this medication, the nurse will teach the patient to immediately report: A. blurred vision B. hand tremors C. urinary frequency D. tinnitus
D. tinnitus
Aminoglycosides are first line drugs: A. for oral therapy of a serious systemic infection B. in patients w/ a history of hearing impairment associated w/ loud noise exposure. C. against infections w/ a mixture of aerobic & anaerobic microbes D. to treat infections w/ aerobic gram - bacilli
D. to treat infections w/ aerobic gram - bacilli
It would be of greatest priority to consult the prescriber of enfuvirtide if the patient experienced... A. headache B. pain & tenderness at injection site C. positive pregnancy test D. weakness & tingling in extremities
D. weakness & tingling in extremities
