Chapter 9 practice questions- PrepU
A client has been prescribed INH for the treatment of tuberculosis. The nurse teaches the client about dietary restrictions while taking this medication. What is the most important instruction to give the client about dietary restrictions? "Avoid excessive caffeine intake because this could increase the side effects of the medication." "Make sure to limit your protein intake, as increased protein delays absorption of the medication." "Do not drink beer or red wine while taking this medication because a serious adverse reaction can occur." "Take the medication with a full glass of water to prevent the mouth from becoming dry during therapy."
"Do not drink beer or red wine while taking this medication because a serious adverse reaction can occur."
The nurse is providing care for a teenager with otitis media. When assessing the patient for potentially adverse effects of Cortisporin Otic, what question should the nurse ask? "Has there been any blood that you've noticed in your outer ear?" "Have you developed a fever since you started to use the ear drops?" "Have you noticed any loss of hearing since you started taking the drops?" "Have you been getting any headaches since you started taking the drops?"
"Have you noticed any loss of hearing since you started taking the drops?" It is also necessary to assess the patient taking Cortisporin Otic for signs of hearing loss due to ototoxicity. Fever, bleeding, and headaches are not typical adverse effects.
A pregnant woman calls the clinic and asks if it is suitable to use ofloxacin otic drops that she used prior to pregnancy for a current ear infection. What would be an appropriate response from the nurse? "If the infection seems the same, then you could try using the same prescription." "Some medications are contraindicated in pregnancy, and ofloxacin is one of these medications." "Otic medications are contraindicated during pregnancy. Do not take it." "Ofloxacin drops are used in children, so it is probably okay to use when pregnant."
"Some medications are contraindicated in pregnancy, and ofloxacin is one of these medications."
When instilling ear drops, the nurse informs the patient that to facilitate penetration of the drug into the ear canal, the patient should lie on the untreated side for how many minutes after receiving the drops? at least 10 minutes 3 minutes 5 minutes 1 minute
5 minutes
A patient is diagnosed with the gram-negative microorganism Pseudomonas. Which of the following anti-infective agents is most reliable in treating this microorganism? Antifungal GABA analog Aminopenicillin Aminoglycosides
Aminoglycosides
A patient has been prescribed doxycycline (Vibramycin). Which of the following teaching instructions is important with this medication? Administer with an antacid Chew the tablets Avoid sun exposure Avoid sexual activity
Avoid sun exposure
The nurse triaging an infant client may note which of the following behaviors in infants with ear infections? Select all that apply: Nasal drainage Ear tugging Fever Change in behavior Irritability
Change in behavior Irritability Ear tugging Fever
The nurse should advise the client which of the following in regards to the administration of fluoroquinolones? (Choose one) Do not take antacids while taking fluoroquinolones Do not take diabetes medications while taking fluoroquinolones Do not take blood pressure medications while taking fluoroquinolones Do not take oral contraceptives while taking fluoroquinolones
Do not take antacids while taking fluoroquinolones
Because of their low risk of toxicity, aminoglycocides are replacing many of the other antibiotics today. T/F?
False
The nurse is giving instructions to a client age 77 years who has been prescribed a sulfonamide for treatment of a urinary tract infection. The nurse has instructed the client to increase fluids while taking this medication. What does the nurse anticipate will be the client's greatest fear related to this instruction? Fear of an allergic reaction. Fear of diarrhea. Fear of skin blisters. Fear of incontinence.
Fear of incontinence.
After teaching a group of students about aminoglycosides, the instructor determines that the teaching was successful when the group identifies which drug as the prototype for this class? Neomycin Tobramycin Gentamicin Kanamycin
Gentamicin
What is the rationale for not administering tetracycline (Sumycin) in children under the age of 8 years? It will increase the risk for future infections. It will increase the risk of heart failure. It will not treat the infection. It will interfere with enamel development.
It will interfere with enamel development.
A major concern among public health authorities is an increase in drug-resistant TB infections. Traditionally, this has been attributed to patient lack of adherence to medication regimen. New evidence indicates that: All TB infections are now drug-resistant. Client adherence is the only cause of drug-resistant TB infections. Many drug-resistant infections are new infections, especially in those who are immunosuppressed. New cases of drug-resistant infections are decreasing.
Many drug-resistant infections are new infections, especially in those who are immunosuppressed.
Which of the following should a nurse carefully monitor in a patient who has been administered cephalosporin as well as aminoglycosides for a wound infection? Increased bleeding Nausea Respiratory difficulty Nephrotoxicity
Nephrotoxicity
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? Serotonin syndrome Cushing's syndrome Gray syndrome Red man syndrome
Red man syndrome
A nurse is caring for a patient undergoing the second phase of standard TB treatment. The nurse knows that which of the following combinations of drugs need to be administered to the client? Rifampin and Pyrazinamide Dapsone and isoniazid Pyrazinamide and dapsone Rifampin and isoniazid
Rifampin and isoniazid Why? The nurse knows that a combination of rifampin and isoniazid drugs should be used during the second phase of standard treatment. Isoniazid, rifampin, and pyrazinamide are not used together as combination drugs in the second phase of standard treatment. Dapsone is used for leprosy and cannot be used in combination with isoniazid or any other drug for TB.
A client is prescribed ciprofloxacin for a urinary tract infection. The nurse is preparing to teach the client about the medication. What must the nurse include in the education plan? Take precautions to prevent photosensitivity. Take the necessary vitamins along with the drug. Take a forgotten dose as soon as it is remembered, even if it is almost time for the next dose. Avoid dry areas to prevent the risk of asthma.
Take precautions to prevent photosensitivity.
Choice of a beta-lactam antibacterial depends on which factors? (Select all that apply.) Age of the client Other coexisting illnesses The organism causing the infection Sex of the client Severity of the infection
The organism causing the infection Severity of the infection Other coexisting illnesses
What action do fluoroquinolone drugs such as levofloxacin have on bacteria? They inhibit bacterial growth. They affect the cell wall. They affect protein synthesis. They prevent cell reproduction.
They prevent cell reproduction.
A client's risk for ototoxicity, nephrotoxicity, and neurotoxicity increases dramatically if he or she receives an aminoglycoside in conjunction with a potent diuretic. T/F?
True
The nurse is caring for a 23-year-old female client who uses oral contraceptives and has been prescribed ampicillin for treatment of a respiratory infection. What information is most important for the nurse to share with this client? Taking this antibiotic with your oral contraceptives will cause an increased chance of bleeding. Do not take your oral contraceptives while you are taking this medication. Use a type of barrier birth control while you are taking this antibiotic. You will need to double up on your oral contraceptive pills while taking this antibiotic.
Use a type of barrier birth control while you are taking this antibiotic.
A nurse is caring for a patient who is prescribed Coly-Mycin S Otic for bacterial infections of the external auditory canal. Which of the following instructions should be followed by the nurse administering the otic solution? Insert the applicator or dropper tip sufficiently to reach into the external auditory canal. Keep the patient lying on the untreated side for 30 minutes after instilling the drops. When the patient is upright, remove the solution running out of the ear with gauze. After instilling the drops, insert a cotton piece deep into the ear to keep the drops in.
When the patient is upright, remove the solution running out of the ear with gauze.
The physician is selecting an antibiotic for a patient with a known penicillin allergy. The physician knows that cephalosporins are a poor choice for this patient because cephalosporins: are derived from penicillin. are ineffective in patients who are allergic to penicillins. can cause allergic reactions in patients who are allergic to penicillins. can cause kidney damage in patients who are allergic to penicillins.
can cause allergic reactions in patients who are allergic to penicillins.
The nurse receives a call from a client who is taking clindamycin (Cleocin) and reports of a burning feeling when swallowing. The nurse knows that the client has developed which adverse reaction related to this medication? nausea gastritis peptic ulcer esophagitis
esophagitis
A patient newly diagnosed with tuberculosis (TB) asks the nurse if medications will make him better. The nurse informs the patient that sometimes treatment fails and why this happens. Which of the following are reasons for treatment failure? (Select all that apply.) type of facility where the patient resides noncompliance with the therapeutic regimen inadequate initial drug treatment lack of vegetables in person's diet
noncompliance with the therapeutic regimen inadequate initial drug treatment
Tetracyclines should not be used in children younger than 8 years of age because of their effects on: blood. teeth and bones. liver. kidneys.
teeth and bones
A 7-year-old child has tonsillitis and is prescribed penicillin V, which is to be administered at home. The nurse will instruct the parents to administer the drug intravenously with the assistance of a home health nurse. with a glass of water 1 hour before or 2 hours after a meal. immediately before or with a meal. with a sip of water 1 hour before mealtime.
with a glass of water 1 hour before or 2 hours after a meal.
A client who takes zinc daily is diagnosed with a severe infection and is ordered levofloxacin (Levaquin). The nurse is aware that taking these two drugs may have what affect on the antibiotic? Increased elimination Decreased absorption Decreased elimination Increased absorption
Decreased absorption
An elderly patient comes to the clinic and informs the nurse that he feels as if his ear is clogged. He states that he frequently has to have his ears irrigated to get out the wax. He asks the nurse what causes this wax build-up. What is the nurse's best response? Modified sweat glands in the ear canal Poor hygiene Diabetes No real cause
Modified sweat glands in the ear canal
The nurse is assisting in the admission of a client with a suspected urinary tract infection. The health care provider has written the following orders: acetaminophen 500 mg PO for elevated temperature; urinalysis for culture and sensitivity; sulfasalazine (Azulfidine) 500 mg PO four times daily; and force fluids to 3 L/day. Which order will the nurse complete first? Administer sulfasalazine (Azulfidine). Provide client with eight ounces of fluid. Administer acetaminophen for temperature. Obtain urine for culture and sensitivity.
Obtain urine for culture and sensitivity.
