Pharm - exam 2

A nurse is assessing a client's IV infusion site. Which of the following findings should the nurse identify as an indication of phlebitis?

-redness.​ -swelling.​ -warmth.​ -visible red "streaking" on your arm or leg.​ -tenderness.​ -rope- or cord-like structure that you can feel through the skin​

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

A 26-year-old female client with a skin infection has been prescribed 400 mg ampicillin to be taken orally. Which instruction should the nurse include in the client teaching plan?

Ampicillin will reduce the effectiveness of birth control pills

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 client develops pseudomembranous colitis secondary to fluoroquinolone therapy. The nurse anticipates the bowel culture will grow which organism?

C. difficile

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

Cefepime

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

Cranberry

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

Decreased absorption of tetracycline

A nurse is preparing to administer cefotaxime IV to 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

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 PCP

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

Nephrotoxicity

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 clients about the use of insulin to treat type 1 diabetes mellitus. For which of the following types of insulin should the nurse tell the clients to expect a peak effect 1 to 5 hr after administration?​

Regular insulin​

A nurse is providing teaching for a client who has a new prescription for metformin. Which of the following findings should the nurse instruct the client to report as an adverse effect of metformin?​

Somnolence

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

A nurse is planning discharge teaching for a female client who has a new prescription for trimethoprim‑sulfamethoxazole. Which of the following information should the nurse include?​

Take it on an empty stomach.​

A nurse is caring for an older adult client who has hypothyroidism and a new prescription for levothyroxine. Which of the following dosage schedules should the nurse expect for this client?​

The client will start on a low dosage, which can be gradually increase.​

A nurse is obtaining a medication history from a client who is to receive imipenem‑cilastatin IV to treat an infection. Which of the following medications the client also receives puts him at risk for a medication interaction? ​

Valproic acid ​

A nurse suspects that a client who is receiving a cephalosporin and has ingested alcohol may be experiencing a disulfiram-like reaction based on assessment of which sign? Select all that apply.

1. Flushing 2. Respiratory difficulty 3. Vomiting 4. Sweating

The nurse is preparing a teaching plan to foster client adherence to the tubercular drug treatment programs. Which factors would the nurse include? Select all that apply.

1. Reinforcing that short-term treatment is ineffective 2. Reviewing the prescribed drug, doses, and frequency of administration 3. Arranging for direct observation therapy with the client and family 4. Instructing the client about possible adverse reactions and the need to notify prescriber should any occur

A nurse is preparing to administer a fluoroquinolone. Which infections are treated with fluoroquinolones? Select all that apply.

1. Skin infections 2. Urinary tract infections 3. Upper respiratory infections

A nurse is preparing to administer a sulfonamide to a client. The nurse is aware sulfonamides are commonly used to treat which types of infections? Select all that apply.

1. Ulcerative colitis 2. Urinary tract infection 3. 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

A nurse is preparing to administer penicillin V to a client who has a streptococcal infection. The client tells the nurse that she has difficulty swallowing tablets and doesn't "do well" with liquid or chewable medications because the taste gags her, even when the nurse mixes the medication with food. The nurse should request a prescription for which of the following medications? ​

Nafcillin

A nurse in an outpatient facility 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.)

1. Administer the medication deeply into the ventrogluteal muscle.​ 2. Ask the client about an allergy to penicillin before administering the medication. ​ 3. Monitor the client for 30 min following the injection. ​

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.

1. Human immunodeficiency virus (HIV) 2. Herpes simplex virus (HSV) 3. Cytomegalovirus (CMV)