Pharmacology 2 - Exam 5
The client is receiving tobramycin intravenously every 8 hours. Which finding would indicate to the nurse that the client is experiencing an adverse medication effect?
A blood urea nitrogen (BUN) level of 30 mg/dL (10.8 mmol/L)
Tularemia (rabbit fever)
A disease process that can get into skin, mucus membranes, GI tract + lungs
Active Immunity
Antibodies formed by having the disease
Cataracts
Buildup of protein and fiber within the eye. Needs surgical intervention
Medications used to treat Otitis Externa?
Ciprodex Corticosporin
What two medications make up Ciprodex?
Dexamethasone and Ciprofloxacin
What is Cerumen?
Ear wax
Gentamycin ophthalmic drops
Eye antibiotic
How is Prussian blue excreted?
GI tract
Is the Herpes Zoster vaccine live or dead?
Live
The nurse is monitoring a client who is receiving intravenous (IV) acyclovir. The nurse would monitor the client closely for which primary toxic effect of the medication?
Nephrotoxicity
Botulism toxin symptoms
descending flaccid paralysis
What does the bubonic plague effect?
lymph nodes
Penetrate zinc trisodium & Penetrate calcium trisodium
medication to treat internal contamination of plutonium, americum and curium
Treatment for the plague
streptomycin, gentamycin, and doxycycline *must be given shortly before and after onset of symptoms*
How is Penetrate zinc trisodium excreted
urine
How long do numbing eye drops typically numb the eye for?
6-8hrs
Tobramycin sulfate is prescribed. The nurse is administering the medication by intermittent intravenous infusion every 8 hours. The nurse monitors the client for signs of an adverse effect related to this medication and determines that which, if noted on assessment, would indicate its presence?
A client complaint of ringing in the ears
What does benzoyl peroxide treat?
Acne
What does clindamycin (Cleocin T) treat?
Acne
Drug for impetigo
Bacitracin
Carbamide Peroxide (Debrox)
Cerumen emulsifier It is an otic medication that is used to emulsify ear wax. It releases H202 when exposed to moisture
The nurse is caring for a client with a urinary tract infection (UTI). The culture report reveals the presence of Pseudomonas aeruginosa. The nurse anticipates that which medication will be prescribed to treat the infection?
Ciprofloxacin
Imovax
Dead rabies vaccine for people
Glaucoma
Disease process where the aqueous humor of the eye cannot be drained properly so intraocular pressure increases. Eventually retina is damaged and blindness occurs.
When should you NOT get the Herpes Zoster Vaccine?
Do not get vaccine if you have had shingles within 3-6 months
Tularemia symptoms
Hemorrhagic inflammation of airway, headache, rigors, pneumonia
What three medications make up Corticosporin?
Hydrocortisone, neomycin and polymyxin B
Adverse effect of Azelaic acid
Hypopigmentation
Flumist
Live influenza vaccine Given intranasally DO NOT give to high risk populations
Pneunomax 23
Pneumonia vaccine given IM or SQ to adults over the age of 13
Drug used for burns
Silver Sulfadiazine
A client has been given a prescription for sulfasalazine. Which allergy would the nurse assess for in the client prior to administration?
Sulfonamides or salicylates
A client who has been diagnosed with pneumonia has been given a prescription for erythromycin. Client teaching about this medication would include which best instruction
Take the medication on an empty stomach
True or False The Herpes Zoster Vaccine is contraindicated with gelatin and and neomycin?
True
Adult ear drop instillation?
Up and back
The nurse is providing discharge instructions to the parent of a child who has been prescribed tetracycline hydrochloride. The nurse stresses to the mother the importance of which measure in giving this medication to the child?
Use a straw when giving the medication? Rationale:Tetracycline is an antibiotic. Because tetracycline can cause permanent staining of the teeth, a straw would be used, and the mouth needs to be rinsed after administration.
A client is receiving amoxicillin orally every 8 hours. Which finding would indicate to the nurse that the client is experiencing a frequent minor side effect related to the medication?
Vaginal drainage
A client with a respiratory tract infection is receiving intravenous tobramycin sulfate. The nurse would assess for which adverse effect of this medication?
Vertigo
What part of the shingles rash is the most contagious?
Vesicle
Zidovudine has been prescribed for a client, and the nurse provides instructions to the client about expected effects with this medication. Which statement by the client indicates the need for further instruction?
"If I experience diarrhea, I need to contact my primary health care provider."
A client with acquired immunodeficiency syndrome (AIDS) experiences nausea, vomiting, and muscle aches after taking efavirenz. The ambulatory care nurse would provide which response as telephone advice to this client?
"Report to the health care clinic to be seen by the primary health care provider."
What does Azelaic Acid treat?
Acne rosacea
What it Otitis Externa?
An outer ear infection
Anthrax
Bacillus anthracis can be inhaled or go through skin Not person to person contagious. Can only get through direct contact
Timolol
Beta blocker that decreases amount of aqueous humor in the eye as well as increasing outflow of it.
Betaxolol
Beta blocker that decreases the amount of aqueous humor within the eye
How does the botulism toxin work?
Blocks acetylcholine effecting the autonomic nervous system
The nurse is monitoring a client with herpes simplex virus (HSV) who is receiving intravenous (IV) acyclovir. Which laboratory result would be of concern as a possible adverse effect of this medication? Platelet count of 300,000 mm3 (300 × 109/L) Prothrombin time of 12 seconds White blood cell count of 6000 mm3 (6 × 109/L) Blood urea nitrogen (BUN) of 36 mg/dL (12.9 mmol/L)
Blood urea nitrogen (BUN) of 36 mg/dL (12.9 mmol/L)
The primary health care provider (PHCP) writes a prescription for zidovudine for a client who was admitted to the hospital. The nurse would contact the PHCP to verify the prescription if which finding is noted in the assessment data?
Bone marrow depression
Treatment for inhaled Anthrax
Ciprofloxacin
A client with acquired immunodeficiency syndrome (AIDS) has been started on therapy with zidovudine. The nurse would monitor the results of which laboratory blood study for adverse effects of therapy?
Complete Blood Count
A client who is receiving nitrofurantoin calls the clinic complaining of troublesome effects related to the medication. Which side or adverse effect(s) indicates the need to stop treatment with this medication?
Cough and chest pain Nitrofurantoin is an antimicrobial medication. Gastrointestinal (GI) effects are the most frequent side effects to this medication and can be minimized by administering the medication with milk or meals. However, they are not an indication for discontinuing the medication. Pulmonary reactions, manifested as dyspnea, chest pain, chills, fever, cough, and the presence of alveolar infiltrates on radiography, indicate the need to stop the treatment. These abnormalities typically resolve in 2 to 4 days after discontinuation of this medication.
A client is receiving amphotericin B by the intravenous (IV) route. During ongoing therapy with this medication, the nurse would most closely assess the client for which finding that indicates a complication?
Decreased urine output
Eye meds used for post-op cataracts surgery
Dexamethasone Artificial tears Antibiotic eye drops
An aminoglycoside, given by intermittent intravenous infusion, is prescribed for a client with an infection. Which finding would indicate to the nurse that the client is experiencing an adverse effect of the medication?
Difficulty hearing
Fluzone & Fluvirin
Does not contain the live influenza virus Can give to high risk population Given IM
Kid ear drop instillation method?
Down and back
Treatment for Anthrax on skin
Doxycycline
A client is receiving amphotericin B by the intravenous (IV) route. The nurse determines that the client is having an adverse effect to the medication if which laboratory study result is noted?
Elevated serum creatinine Rationale: Amphotericin B is an antifungal medication. It exerts direct toxicity on cells of the kidneys and causes renal impairment in most clients.
How often should you get a rabies vaccine booster?
Every 2-3 years
Ciprofloxacin ophthalmic drops
Eye antibiotic
Erythromycin ophthalmic drops
Eye antibiotic
Atropine
Eye medication used to dilate pupil and paralyze ciliary muscles. Also reduces accommodation
Cyclopentolate
Eye medication used to dilate pupil and paralyze ciliary muscles. Also reduces accommodation
A client who is human immunodeficiency virus (HIV) seropositive has been taking stavudine. The nurse would monitor which most closely while the client is taking this medication?
Gait Rationale: The medication can cause peripheral neuropathy, and the nurse would monitor the client's gait closely and ask the client about paresthesia. The remaining options are unrelated to this medication.
RhoGAM
Given to mothers who are RH negative and their fetus is RH positive. Given at 28 weeks gestation and within 72hrs for her second pregnancy.
Pilocarpine
Glaucoma medication that works by constricting pupil, this prevents aqueous humor buildup in the eye and forces drainage.
Amikacin is prescribed for a client with a bacterial infection. The nurse instructs the client to contact the physician immediately if which occurs?
Hearing Loss Rationale: Amikacin is an aminoglycoside. Side and adverse effects of aminoglycosides include ototoxicity (hearing problems), confusion, disorientation, gastrointestinal irritation, palpitations, blood pressure changes, nephrotoxicity, and hypersensitivity.
Pneumonia vaccine
Helps protect against bacterial meningitis and streptococcus pneumoniae
signs and symptoms of Anthrax poisoning
Hemorrhagic meningitis, black skin lesions, fever, shock, edema of airway
The nurse is collecting subjective and objective data from a client and notes that the client is taking abacavir. The nurse determines that this medication has been prescribed to treat which condition?
Human immunodeficiency virus (HIV) infection
The nurse is collecting subjective and objective data from a client and notes that the client is taking zidovudine. The nurse determines that this medication has been prescribed to treat which condition?
Human immunodeficiency virus (HIV) infection
WHO should not get the Herpes Zoster Vaccine and why?
Immunocompromised people
A pediatric nurse has obtained ribavirin in powder form from the pharmacy to administer to a child with respiratory syncytial virus (RSV) infection. After preparing the medication, the nurse would administer it by which route
Inhalation
What does the Pneumonic Plague effect?
Lungs
Drug used for MRSA
Mupirocin
Tetracaine
Numbing eye medication used during eye exams
A client is seen in the clinic complaining of anorexia and nausea. The primary health care provider (PHCP) suspects that the client may be experiencing digoxin toxicity. While waiting for test results to become available, the nurse would assess the client for which sign or symptom that would support a diagnosis of digoxin toxicity?
Photophobia
Prevnar 13
Pneumonia vaccine given IM to kids 13 and under
Treatment for nuclear bomb radiation poisoning
Potassium Iodide
A client is receiving ganciclovir. Which nursing action is appropriate during the time the client is receiving this medication?
Providing the client with a soft toothbrush and an electric razor
The home health nurse is visiting a client who has been started on therapy with clotrimazole. The nurse would monitor which item to monitor the effectiveness of this medication with each visit?
Rash Rationale: Clotrimazole is a topical antifungal agent used in the treatment of cutaneous fungal infections. The nurse monitors the effectiveness of this medication by noting the presence or absence of a skin rash, which is characteristic of this infection. Fever, pain relief, and sore throat are unrelated to the use of this medication.
A client has been given a prescription for a course of azithromycin. The nurse would tell the client that this medication will relieve which problem?
Signs and symptoms of infection
A client is receiving acyclovir by the intravenous (IV) route for treatment of cytomegalovirus (CMV) infection. After reconstituting the powder dispensed by the pharmacy, the nurse would administer this medication via which method?
Slow IV infusion over 1hrs
Tularemia (rabbit fever) treatment
Streptomycin and gentamycin
A client with human immunodeficiency virus infection is taking indinavir. The nurse plans to provide the client with which direction when providing instructions about the use of this medication?
Take the medication with water on an empty stomach.
Passive Immunity
Temporary immunity by immunoglobulins - mother to baby
A client with acquired immunodeficiency syndrome who is taking zidovudine 200 mg orally 3 times daily has severe neutropenia noted on follow-up laboratory studies. The nurse interprets that which change is likely to occur at this point?
The medication probably will be discontinued until laboratory results indicate bone marrow recovery Rationale: Zidovudine is a nucleoside-nucleotide reverse transcriptase inhibitor. Hematological monitoring would be done every 2 weeks in the client taking zidovudine. If severe anemia or severe neutropenia develops, treatment needs to be discontinued until evidence of bone marrow recovery is noted.
The nurse is creating a plan of care for a client who is receiving amphotericin B intravenously. A main component of the plan of care is monitoring for adverse effects related to the administration of this medication. Which would the nurse include in a list of manifestations to watch for?
Visual difficulties
Nursing implications of eye drops
Wash hands Use gloves Go into conjunctival sac - lower inside lid Do not touch eye with tip of bottle 5 minutes between different types of eye drops Apply pressure on tear ducts so that it does not drain and go into systemic circuit
The nurse is about to administer the next intravenous dose of tobramycin when the client complains of vertigo and a ringing in the ears. What is the most appropriate nursing action?
Withhold the dose and call the primary health care provider (PHCP).
