Test 1 Questions

The nurse is teaching a client who is beginning antiviral therapy for influenza. Which statement by the client indicates an understanding of the instructions? 1. "I must take the medication exactly as prescribed." 2. "Once I start the medication, I will no longer be contagious." 3. "I will not get any colds or infections while taking this medication." 4. "This medication has minimal side effects and I can return to normal activities."

1. "I must take the medication exactly as prescribed."

A client who is human immunodeficiency virus seropositive has been taking stavudine. The nurse should monitor which most closely while the client is taking this medication? 1. Gait 2. Appetite 3. Level of consciousness 4. GI function

1. Gait

Ketoconazole is prescribed for a client with a diagnosis of candidiasis. Which interventions should the nurse include when administering this medication? SATA 1. Restrict fluid intake 2. Monitor liver function studies 3. Instruct the client to avoid alcohol 4. Administer the medication with an antacid 5. Instruct the client to avoid exposure to the sun 6. Administer the medication on an empty stomach

2. Monitor liver function studies 3. Instruct the client to avoid alcohol 5. Instruct the client to avoid exposure to the sun

The nurse caring for a client who is taking an aminoglycoside should monitor the client for which adverse effects of the medication? SATA 1. Seizures 2. Ototoxicity 3. Renal toxicity 4. Dysrhythmias 5. Hepatotoxicity

2. Ototoxicity 3. Renal toxicity 4. Dysrhythmias

A client has been taking isoniazid for 2 months. The client complains to the nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing which problem? 1. Hypercalcemia 2. Peripheral neuritis 3. Small blood vessel spasm 4. Impaired peripheral circulation

2. Peripheral neuritis

Tamoxifen citrate is prescribed for a client with metastatic breast carcinoma. The client asks the nurse if her family member with bladder cancer can also take this medication. The nurse most appropriately responds by making which statement? 1. "This medication can be used only to treat breast cancer." 2. "Yes, your family member can take this medication for bladder cancer as well." 3. "This medication can be taken to prevent and treat clients with breast cancer." 4. "This medication can be taken by anyone with cancer as long as their health care provider approves it."

3. "This medication can be taken to prevent and treat clients with breast cancer."

A clinic nurse prepares a teaching plan for a client receiving an antineoplastic medication. When implementing the plan, the nurse should make which statement to the client? 1. "You can take aspirin as needed for headache." 2. "You can drink beverages containing alcohol in moderate amounts each evening." 3. "You need to consult with the primary health care provider before receiving immunizations." 4. It is fine to receive a flu vaccine at the local health fair without PHCP approval because the flu is so contagious."

3. "You need to consult with the primary health care provider before receiving immunizations."

The nurse is caring for a postrenal transplantation client taking cyclosporine. The nurse notes an increase in one of the client's vital signs, and the client is complaining of a headache. What vital sign is most likely increased? 1. HR 2. RR 3. BP 4. Pulse ox

3. BP

A client has been started on long term therapy with rifampin. The nurse should provide which information to the client about the medication? 1. Should always be taken with food or antacids 2. Should be double-dosed if 1 dose is forgotten 3. Causes orange discoloration of sweat, tears, urine, and feces 4. May be discontinued independently if symptoms are gone in 3 months

3. Causes orange discoloration of sweat, tears, urine, and feces

A client with TB is starting antituberculosis therapy with isoniazid. Before giving the client the first dose, the nurse should ensure that which baseline study has been completed? 1. Electrolyte levels 2. Coagulation times 3. Liver enzyme levels 4. Serum creatinine

3. Liver enzyme levels

The nurse is caring for a client who has been taking a sulfonamide and should monitor for signs and symptoms of which adverse effects of the medication? SATA 1. Ototoxicity 2. Palpitations 3. Nephrotoxicity 4. Bone marrow suppression 5. GI effects 6. Increased WBC count

3. Nephrotoxicity 4. Bone marrow suppression 5. GI effects

A client with non-Hodgkin's lymphoma is receiving daunorubicin. Which finding would indicate to the nurse that the client is experiencing an adverse effect related to this medication? 1. Fever 2. Sores in the mouth and throat 3. Complaints of nausea and vomiting 4. Crackles on auscultation of the lungs

4. Crackles on auscultation of the lungs

The nurse has given a client taking ethambutol information for the medication. The nurse determines that the client understands the instructions if the client states that they will immediately report which finding? 1. Impaired sense of hearing 2. GI side effects 3. Orange-red discoloration of body secretions 4. Difficulty in discriminating the color red from green

4. Difficulty in discriminating the color red from green

A client with small cell lung cancer is being treated with etoposide. The nurse monitors the client during administration, knowing that which adverse effect is specifically associated with this medication? 1. Alopecia 2. Chest pain 3. Pulmonary fibrosis 4. Orthostatic hypotension

4. Orthostatic hypotension

The nurse is assigned to care for a client with cytomegalovirus retinitis and AIDS who is receiving foscarnet (Foscavir), an antiviral medication. The nurse should monitor the results of which lab study while the client is taking this medication? 1. CD4+ T cell count 2. Lymphocyte count 3. Serum albumin level 4. Serum creatinine level

4. Serum creatinine level

A 15 year-old patient is diagnosed with the herpes simplex virus and is very distraught. She states "Everyone will see the herpes sores on my face and lips. Am I always going to have them?" Which of the following is a correct statement bu the nurse? A. "A medication called acyclovir (Zovirax) can be administered orally on a daily basis to prevent episodes of recurrence." B. "There is no treatment available to prevent recurrence." C. "A medication called acyclovir (Zovirax) can be used, but it can only be administered by pill form. It is not available as a topical agent." D. "The sores will always be there, either inside or outside the mouth. I'm sorry this is a difficult diagnosis for someone you age."

A. "A medication called acyclovir (Zovirax) can be administered orally on a daily basis to prevent episodes of recurrence."

Which statement about allergic reactions to penicillin does the nurse identify as true? A. Anaphylactic reactions occur more frequently with penicillins than with any other drug. B. Allergy to penicillin always increases over time. C. Benadryl is the drug of choice for anaphylaxis due to penicillin allergy. D. Patients allergic to penicillin are also allergic to vancomycin.

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

Which statement will the nurse include when teaching a patient with HIV about management of the disease? A. HIV is considered a chronic disease. B. HIV infection can be cured with 1 year of therapy. C. Drug resistance does not occur in HIV treatment. D. Blood cultures and red blood cell counts are the principal laboratory tests to guide HIV treatment protocols.

A. HIV is considered a chronic disease.

A patient is receiving androgen deprivation therapy for treatment of prostate cancer. The nurse identifies all as adverse effects of androgen deprivation therapy except which? A. Increased muscle mass B. Gynecomastia C. Hot flashes D. Erectile dysfunction

A. Increased muscle mass

Which statement about the treatment of helminth infestations does the nurse identify as true? A. Many worm infestations are asymptomatic and self-limiting. B. Treatment with antihelmintic drugs should be avoided. C. Most of the antihelmintics cause serious or life-threatening adverse effects. D. The best way to prevent helminth infestations in countries where funds are limited is to teach people to avoid eating beef and pork.

A. Many worm infestations are asymptomatic and self-limiting.

Itraconazole (Sporanox) should NOT be used in which population? A. Patients with heart failure B. Older adults C. Patient with diabetes D. Patients with renal disease

A. Patients with heart failure

Vincristine [Oncovin] is prescribed for a patient with bladder cancer. The nurse will teach the patient that a common adverse effect of the medication is what? A. Peripheral neuropathies B. Hair loss C. Nausea and vomiting D. Bone marrow suppression

A. Peripheral neuropathies

The nurse knows that severe nausea and vomiting from chemotherapy are caused by what? A. Stimulation of the chemoreceptor trigger zone B. Anxiety and anticipatory grieving C. Increased peristalsis of the gastrointestinal tract D. Injury of the epithelial lining of the esophagus and stomach

A. Stimulation of the chemoreceptor trigger zone

Cisplatin (Platinol-AQ) may: A. cause nausea and vomiting, but much less than other cancer drugs. B. cause ototoxicity, but is unlikely to cause peripheral neuropathy C. cause kidney damage. D. be selected as one of the first-line alkylating agents for treatment of lymphoma

C. cause kidney damage.

A patient with a history of a severe anaphylactic reaction to penicillin has an order to receive cephalosporin. What should the nurse do? A. Administer the cephalosporin as ordered. B. Contact the healthcare provider for a different antibiotic. C. Administer a test dose of cephalosporin to determine reactivity. D. Have an epinephrine dose available when administering the cephalosporin.

B. Contact the healthcare provider for a different antibiotic.

The most important concern for patients receiving tamoxifen therapy is the development of what? A. Ovarian cancer B. Endometrial cancer C. Hodgkin's disease D. Leukemia

B. Endometrial cancer

A patient is taking tamoxifen [Nolvadex] for treatment of breast cancer with metastatic bone cancer. It is most important for the nurse to assess the patient for the development of what? A. Hyperphosphatemia B. Hypercalcemia C. Hypokalemia D. Hyponatremia

B. Hypercalcemia

A patient asks the nurse what he can do to prevent influenza. What should the nurse do? A. Teach the patient about antiviral medications. B. Instruct the patient to obtain an influenza vaccination. C. Tell the patient that frequent hand washing is effective. D. Have the patient wear a mask when in public areas.

B. Instruct the patient to obtain an influenza vaccination.

A patient is prescribed acyclovir [Zovirax] by mouth. The nurse should assess the patient for which adverse effects associated with oral acyclovir therapy? A. Stomatitis and gastritis B. Nausea, vomiting, and diarrhea C. Hives, difficulty breathing, and angioedema D. Tinnitus and decreased hearing

B. Nausea, vomiting, and diarrhea

A patient is receiving chemotherapy. Which laboratory result will most likely require chemotherapy to be withheld? A. Platelet count of 157,000/mm3 B. Neutrophil count of 375/mm3 C. Hemoglobin of 12.2 g/dL D. Partial thromboplastin time of 35 seconds

B. Neutrophil count of 375/mm3

A patient who was on a mission trip to sub-Saharan Africa is admitted to the hospital with severe malaria. The nurse anticipates administration of which medication? A. Quinidine B. Quinidine gluconate C. Mefloquine D. Artesunate

B. Quinidine gluconate

A patient is prescribed cefixime. The nurse should teach the patient to immediately report any signs of what? A. Milk intolerance B. Skin rash, hives, or itching C. Constipation, nausea, or vomiting D. Headache, contusions, or seizures

B. Skin rash, hives, or itching

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? A. Administer the medication through a central venous access device. B. Administer potassium supplements. C. Administer 1000 mL of 0.9% saline. D. Administer the medication orally.

C. Administer 1000 mL of 0.9% saline.

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)? A. Serum creatinine and blood urea nitrogen levels B. Trough drug levels of gentamicin C. Peak drugs levels of gentamicin D. Serum alanine aminotransferase and aspartate aminotransferase levels

B. Trough drug levels of gentamicin

Patients with Clostridium difficile (C. Diff.) or Methicillin -Resistant Staphylococcus aureus (MRSA) infections are mostly likely prescribed which antibiotic? A. cefazolin (Ancef) B. Vancomycin (Vancocin) C. Penicillin D. Aztreonam (Azactam)

B. Vancomycin (Vancocin)

A patient who takes warfarin has been prescribed sulfadiazine. When teaching the patient about this drug, which statement will the nurse include? A. "If you become pregnant, it is safe to take sulfadiazine." B. "You should limit your fluid intake while taking sulfadiazine." C. "Avoid prolonged exposure to sunlight, wear protective clothing, and apply a sunscreen to exposed skin." D. "You will most likely need to have an increase in the dose of warfarin while taking sulfadiazine."

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

Which information should the nurse include when teaching a patient about isoniazid (INH) therapy? A. Tubercle bacilli cannot develop resistance to isoniazid during treatment. B. Isoniazid is administered intravenously. C. An adverse effect of isoniazid therapy is peripheral neuropathy, which can be reversed with pyridoxine. D. The dose of isoniazid should be lowered if the patient is also taking phenytoin.

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

A patient who takes warfarin is prescribed itraconazole [Sporanox] to treat a fungal infection. The nurse will teach the patient to do what? A. Take the medication with famotidine [Pepcid] to reduce gastric upset. B. Prepare for long-term intravenous administration of itraconazole. C. Avoid taking esomeprazole [Nexium] with itraconazole therapy. D. Double the dose of warfarin.

C. Avoid taking esomeprazole [Nexium] with itraconazole therapy.

A patient with HIV is prescribed a protease inhibitor. It is most important for the nurse to monitor which laboratory value? A. Hemoglobin levels B. Platelet count C. Blood glucose levels D. Serum potassium levels

C. Blood glucose levels

Which of the following is INCORRECT regarding Albendazole (Albenza)? A. Used to treat parenchymal neurocysticerosis caused by larval forms of the pork tapeworm B. The patient's liver function will need to be monitored throughout therapy. C. Does not impact bone marrow production D. Prevents microtubule-dependent uptake of glucose in parasitic organisms.

C. Does not impact bone marrow production

Which statement about enfuvirtide does the nurse identify as true? A. The drug is administered intravenously. B. Enfuvirtide is one of the least expensive drugs used to treat HIV. C. Enfuvirtide is reserved for treating HIV-1 infection that has become resistant to other antiretroviral agents. D. This drug is most effective when used alone.

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

A patient is prescribed ivermectin for river blindness. It is most important for the nurse to inform the patient that expected adverse effects of this medication include what? A. Dyspnea, increased respiratory rate, and headache B. Angioedema and blurred vision C. Fever, pruritus, and rash D. Tachycardia, palpitations, and diaphoresis

C. Fever, pruritus, and rash

A patient is prescribed doxycycline [Vibramycin]. If the patient complains of gastric irritation, what should the nurse do? A. Instruct the patient to take the medication with milk. B. Tell the patient to take an antacid with the medication. C. Give the patient food, such as crackers or toast, with the medication. D. Have the patient stop the medication immediately and contact the healthcare provider.

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

A patient is prescribed mefloquine [Lariam] to treat erythrocytic malaria. Which symptom should the nurse teach the patient to report that would indicate central nervous system toxicity? A. Amnesia B. Dizziness C. Hallucinations D. Fever

C. Hallucinations

A patient is receiving intravenous rituximab [Rituxan] for treatment of B-cell non-Hodgkin's lymphoma. During administration of this medication, it is most important for the nurse to assess the patient for the development of what? A. Bone marrow suppression B. Diarrhea, nausea, and abdominal pain C. Hypotension, bronchospasm, and angioedema D. Altered mental status and pulmonary congestion

C. Hypotension, bronchospasm, and angioedema

Which statement about oseltamivir [Tamiflu] does the nurse identify as true? A. Oseltamivir must be administered on an empty stomach. B. The drug is administered via an inhaler. C. Oseltamivir can be used to treat and prevent influenza. D. The drug is approved for use in infants 6 months of age or older.

C. Oseltamivir can be used to treat and prevent influenza.

Which medication is the MOST common cause of drug allergy? A. aspirin B. Sulfa drugs C. Penicillin D. Methotrexate (Rasuvo, Otrexup, Xatmep, Trexall)

C. Penicillin

The nurse is administering efavirenz [Sustiva] to a patient with AIDS. What will the nurse do? A. Offer St. John's wort with the medication to decrease depression. B. Have the patient take the medication with ice cream or a milkshake. C. Give the medication without regard to meals. D. Administer the medication on an empty stomach at bedtime.

D. 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? A. Warfarin B. Milk products C. Digitalis D. Alcohol

D. Alcohol

Which of the following is a major therapeutic use of imatinib (Gleevec)? A. Colon Cancer B. Pancreatic Cancer C. Breast Cancer D. Chronic Myeloid Leukemia

D. Chronic Myeloid Leukemia

Which statement by a new nurse about intravenous administration of amphotericin B indicates the nurse needs more education? A. Almost all patients receiving amphotericin B experience some degree of nephrotoxicity. B. Patients receiving amphotericin B should be under close supervision in a hospital. C. Heparin can be used in the infusion site to prevent phlebitis associated with amphotericin B therapy. D. Diphenhydramine plus acetaminophen can minimize rigors associated with amphotericin B therapy.

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

A patient receiving chemotherapy is anemic. Which medication does the nurse anticipate administering to this patient? A. Filgrastim B. Pegfilgrastim C. Neumega D. Erythropoietin

D. Erythropoietin

Which tetracycline may be administered with meals? A. Tetracycline B. Demeclocycline C. Doxycycline D. Minocycline

D. Minocycline

A patient is prescribed vancomycin orally for antibiotic-associated pseudomembranous colitis. The nurse will monitor the patient for what? A. Leukopenia B. "Red man" syndrome C. Liver impairment D. Ototoxicity

D. Ototoxicity

Which information should the nurse include when teaching a patient about rifampin therapy? A. Oral contraceptives are safe to use with rifampin therapy. B. Contact your healthcare provider immediately if the color of your body fluids changes to reddish orange. C. Rifampin is safe to use in patients who have hepatic disease. D. Rifampin may be administered intravenously.

D. Rifampin may be administered intravenously.

A nurse has to administer a penicillin and an aminoglycoside intavenously. The nurse knows which of the following is correct? A. The medications can be mixed in the same IV solution. B. The nurse has to check the patient's sodium and thyroid function levels before administering the medications. C. Those medications are not prescribed together because penicillin will inactivate the aminoglycooside. D. The medications cannot be mixed in the same IV solution.

D. The medications cannot be mixed in the same IV solution.

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? A. Blurred vision B. Hand tremors C. Urinary frequency D. Tinnitus

D. Tinnitus

A patient is prescribed Praziquantel (Biltricide) for treating fluke infestation. What should the nurse focus on while educating the patient? A. Not to take with food B. That this medication is highly toxic C. That the most common adverse effect is kidney damage D. To avoid driving or other hazardous activities after taking this medication.

D. To avoid driving or other hazardous activities after taking this medication.

A patient with non-Hodgkin's lymphoma is prescribed cyclophosphamide [Cytoxan]. It is most important for the nurse to teach the patient what? A. To observe for hepatotoxicity B. That alopecia is a rare side effect of this medication C. To take the medication on an empty stomach to reduce nausea D. To increase fluid intake to prevent kidney damage

D. To increase fluid intake to prevent kidney damage

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? A. Guaifenesin [Guiatuss] B. Hydrocodone [Vicodin] C. Nitroglycerin [Tridil] D. Verapamil [Calan]

D. Verapamil [Calan]

A patient is prescribed atovaquone and proguanil hydrochloride [Malarone] for prophylaxis against malaria. The patient should take the medication in which way? A. For 7 days before exposure to an endemic area B. At bedtime to reduce possible food interactions C. With tetracycline to improve protection against infection D. With food or milk to enhance absorption

D. With food or milk to enhance absorption

Which statement about the BCG vaccine does the nurse identify as true? A. BCG is a live preparation of attenuated Mycobacterium bovis. B. BCG is routinely administered in the United States. C. BCG has no effect on tuberculin skin tests. D. BCG vaccine can be used to treat carcinoma of the bladder.

D.BCG vaccine can be used to treat carcinoma of the bladder.

In an antibiotic that is bactericidal, the target of therapy is mature non-dividing cells. True False

False