Pharm Exam 2 Practice Questions

Which patient should receive prophylactic antibiotic therapy?

A patient who is scheduled for a hysterectomy

The patient is ordered daily divided doses of gentamycin. The patient received an intravenous dose of gentamycin at 4:00 PM. When should the nurse obtain the peak level?

4:30 PM

A patient with HIV is prescribed saquinavir [Invirase]. It is most important for the nurse to monitor which laboratory value?

Blood glucose levels

Which statement by a new nurse about intravenous administration of amphotericin B indicates the nurse needs more education?

Diphenhydramine plus acetaminophen can minimize rigors associated with amphotericin B therapy.

A patient is prescribed an antibiotic to treat a urinary tract infection. What statement by the patient indicates a need for further teaching?

"I can stop the medication as soon as the symptoms have disappeared."

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?

Administer 1000 mL of 0.9% saline

The nurse is administering efavirenz [Sustiva] to a patient with AIDS. What will the nurse do?

Administer the medication on an empty stomach at bedtime

A patient is prescribed cefazolin. It is most important for the nurse to teach the patient to avoid which substance while taking cefazolin?

Alcohol

Which statement about allergic reactions to penicillin does the nurse identify as true?

Anaphylactic reactions occur more frequently with penicillins than with any other drug.

A patient has been prescribed docosanol [Abreva] cream for herpes labialis. Which statement will the nurse include in patient teaching?

Apply the cream at the first sign of recurrence.

A patient who takes warfarin is prescribed itraconazole [Sporanox] to treat a fungal infection. The nurse will teach the patient to do what?

Avoid taking esomeprazole [Nexium] with itraconazole therapy

Which statement about enfuvirtide does the nurse identify as true?

Enfuvirtide is reserved for treating HIV-1 infection that has. become resistant to other antiretroviral agents.

A patient with a history of a severe anaphylactic reaction to penicillin has an order to receive cephalosporin. What should the nurse do?

Contact the health care provider for a different antibiotic.

A patient is prescribed doxycycline [Vibramycin]. If the patient complains of gastric irritation, what should the nurse do?

Give the patient food, such as crackers or toast, with the medication

Which statement will the nurse include when teaching a patient with HIV about management of the disease?

HIV is considered a chronic disease.

A patient asks the nurse what he can do to prevent influenza. What should the nurse do?

Instruct the patient to obtain an influenza vaccination

It is most important for the nurse to avoid administering oral ciprofloxacin to this patient with which food?

Milk

A patient has been prescribed ciprofloxacin for treatment of a urinary tract infection with Escherichia coli. Before administering the drug, it is most important for the nurse to assess the patient for a history of what?

Myasthenia gravis

Before administering gentamycin, it is most important for the nurse to assess the patient for a history of what?

Myasthenia gravis

A patient is prescribed acyclovir [Zovirax] by mouth. The nurse should assess the patient for which adverse effects associated with oral acyclovir therapy?

Nausea, vomiting, and diarrhea

Which statement about oseltamivir [Tamiflu] does the nurse identify as true?

Oseltamivir can be used to treat and prevent influenza.

A patient is prescribed vancomycin orally for antibiotic- associated pseudomembranous colitis. The nurse will monitor the patient for what?

Ototoxicity

The patient is being discharged with continued ciprofloxacin therapy. When providing discharge teaching, the nurse should advise the patient to call the healthcare provider immediately if what develops?

Pain in the heel of the foot

A prescriber states that a patient will need to receive penicillin intravenously. The nurse anticipates administering which drug?

Potassium penicillin G

A patient is prescribed cefixime. The nurse should teach the patient to immediately report any signs of what?

Skin rash, hives, or itching

Which statement about superinfections does the nurse identify as true?

Superinfection is defined as a new infection that appears. during the course of treatment for a primary infection.

Fluoroquinolones should be discontinued immediately if what happens?

Tendon pain or inflammation develops.

The nurse is caring for a patient receiving intravenous gentamicin for a severe bacterial infection. Which assessment finding by the nurse indicates the patient is experiencing an adverse effect of gentamycin therapy?

Tinnitus

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)?

Trough drug levels of gentamicin

A patient has been prescribed oral ciprofloxacin [Cipro] for a skin infection. When administering the medication, it is most important for the nurse to do what?

Withhold antacids and milk products for 6 hours before or 2 hours afterward

A patient is diagnosed with C. difficile infection. The nurse anticipates administering which medication?

metronidazole

Which tetracycline may be administered with meals?

minocycline