Pharm Exam 3 Practice Questions

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?

4:30PM

Normal WBC count

5,000-10,000

A patient who takes warfarin has been prescribed sulfadiazine. When teaching the patient about this drug, which statement will the nurse include?

"Avoid prolonged exposure to sunlight, wear protective clothing, and apply a sunscreen to exposed skin."

Which patient does the nurse identify as most likely to need treatment with trimethoprim/sulfamethoxazole [Bactrim] for a period of 6 months?

A female patient with recurring acute urinary tract infections

Which patient should receive prophylactic antibiotic therapy?

A patient who is scheduled for a hysterectomy

Which patient would most likely need intravenous antibiotic therapy to treat a urinary tract infection?

A patient with pyelonephritis with symptoms of high fever, chills, and severe flank pain

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

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 information should the nurse include when teaching a patient about isoniazid (INH) therapy?

An adverse effect of isoniazid therapy is peripheral neuropathy, which can be reversed with pyridoxine.

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 twice a day. Use of the cream will cut the duration of the herpes simplex lesion in half. Many serious adverse effects are associated with use of this medication.

Apply the cream at the first sign of recurrence.

Which is the priority nursing action priority when preparing to administer an intravenous (IV) dose of ceftriaxone to a client with allergies to sulfasalazine, penicillin, and levofloxacin?

Ask the client to describe any reaction that occurred with the last dose.

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

A patient with HIV is prescribed saquinavir [Invirase], a protease inhibitor (PI). It is most important for the nurse to monitor which laboratory value?

Blood glucose levels

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

Contact the health care provider for a different antibiotic

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.

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 due to cost and dosing regimen.

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

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

Which nursing action below is correct for how the nurse should draw the trough level for a patient who is prescribed Gentamicin via Intravenous (IV) infusion?

Immediately before the next dose of Gentamicin

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

A patient who sustained second- and third-degree burns has been prescribed mafenide. Which statement about mafenide does the nurse identify as true?

Mafenide is painful upon application.

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

Metronidazole

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

Milk

Which tetracycline may be administered with meals?

Minocycline

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 drug does the nurse identify as a urinary tract antiseptic?

Nitrofurantoin

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 health care 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

Which information should the nurse include when teaching a patient about rifampin therapy?

Rifampin should be taken on an empty stomach.

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 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.

Which statement about the BCG vaccine does the nurse identify as true?

Those given BCG should be screened for TB with the IGRA

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

Your patient is taking Gentamicin to treat an infection. Which finding below requires immediate attention?

Urinary output 480 mL/day

Before administering erythromycin to a patient for an upper respiratory tract infection, it is most important for the nurse to determine if the patient is also prescribed which drug?

Verapamil

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