Practice Quit Unit 4-C
What statement made by the patient indicates to the nurse that the patient does not understand the transmission of HIV?
"As long as I am taking the HAART therapy, I cannot transmit the virus to anyone else."
The client has just begun taking metronidazole and calls the clinic to report that her urine has turned very dark. What is the nurse's best response to this client?
"This is an expected side effect. Your urine color will return to normal after you stop taking this drug."
A nurse is preparing to administer amoxicillin 30 mg/kg/day in 2 equally divided doses every 12 hr to a toddler who weighs 33 lb. Available is amoxicillin 200 mg/5 mL suspension. How many mL should the nurse administer. (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
5.6mL
Which client would likely be the most appropriate candidate for treatment with filgrastim?
A client whose acute myelogenous leukemia necessitated a bone marrow transplant
A nurse is aware that the concept of selective toxicity is foundational to antimicrobial therapy. Which statement most accurately describes selective toxicity?
A drug harms microbes without harming human cells.
A patient taking tamoxifen to reduce the risk of contralateral breast cancer asks the nurse about adverse effects of the drug. What is an adverse effect of tamoxifen?
Cerebrovascular accidents
An older adult client is treated for pneumonia with clindamycin. One week after the completion of the medication, the client develops diarrhea. What is the most probable cause of the diarrhea?
Change in normal flora
A nurse is conducting client teaching prior to discharge home. The client is taking ciprofloxacin. What would you teach this client is the best way to prevent crystalluria caused by ciprofloxacin?
Encourage at least 2 L of fluid per day.
Which instruction is appropriate to include in the health teaching for a client receiving anti-infective medication?
Medication needs to be taken as prescribed.
The nurse is caring for a client who is receiving IV vancomycin. The nurse infuses the medication at the prescribed rate to prevent what from occurring?
Red man syndrome
It is common practice to draw culture and sensitivity tests to determine the most effective antibiotic that will treat the causative agent of the client's infection. What does "culture" determine?
Specifically what organism is causing the infection
A nurse is assigned to care for a client with tuberculosis who has been prescribed rifampin. What should the nurse confirm to be sure that rifampin is not contraindicated in the client?
The client does not have renal impairment.
A female patient is taking oral cyclophosphamide therapy for breast cancer. Because of possible adverse effects of the drug, the nurse will instruct the patient to:
drink a lot of water.
A client has been placed on amphotericin B. The nurse caring for this client should administer this medication:
intravenously.
If clients receive drugs that are known to induce superinfections, they should be monitored for signs of:
new infection.
