N166 exam 4
A 6-year-old child who has chickenpox also has a fever of 102.9° F (39.4° C). The child's mother asks the nurse if she should use aspirin to reduce the fever. What is the best response by the nurse? "It's best to wait to see if the fever gets worse." "You can use the aspirin, but watch for worsening symptoms." "Acetaminophen (Tylenol) should be used to reduce his fever, not aspirin." "You can use aspirin, but be sure to follow the instructions on the bottle."
"Acetaminophen (Tylenol) should be used to reduce his fever, not aspirin."
A patient has used enteric aspirin for several years as treatment for osteoarthritis. However, the symptoms are now worse and she is given a prescription for a nonsteroidal antiinflammatory drug (NSAID) and misoprostol (Cytotec). The patient asks the nurse, "Why am I now taking two pills for arthritis?" What is the nurse's best response? "Cytotec will also reduce the symptoms of your arthritis." "Cytotec helps the action of the NSAID so that it will work better." "Cytotec reduces the mucous secretions in the stomach, which reduces gastric irritation." "Cytotec may help to prevent gastric ulcers that may occur in patients taking NSAIDs."
"Cytotec may help to prevent gastric ulcers that may occur in patients taking NSAIDs."
During drug therapy with a tetracycline antibiotic, a patient complains of some nausea and decreased appetite. Which statement is the nurse's best advice to the patient? "Take it with cheese and crackers or yogurt." "Take each dose with a glass of milk." "Take an antacid with each dose as needed." "Drink a full glass of water with each dose."
"Drink a full glass of water with each dose."
The nurse is teaching the mother of a 1-year-old patient how to instill ear drops for OE. What instructions on instillation does the nurse provide to the mother? "Hold the pinna down and back." "Just put in as many drops as you can get into the ear." "Put a cotton ball in to keep the medication in the ear." "Keep the ear drops in cold place so they work better."
"Hold the pinna down and back."
Which statement, if made by a patient with HIV infection, demonstrates a need for continued patient teaching? "I will change my position slowly to prevent dizziness and potential injury." "I must take these medications exactly as prescribed for the rest of my life." "I don't need to use condoms as long as I take my medication as prescribed." "I should remain upright for 30 minutes after taking my zidovudine."
"I don't need to use condoms as long as I take my medication as prescribed."
A female patient has been taking isotretinoin (Amnesteem) for 3 months .As a nurse you know that there has been case reports of suicide and suicide attempts in patients taking isotretinoin (Amnesteem). During a follow-up appointment, which statement by the patient would be of highest concern to the nurse? "I am using two forms of contraception while on this drug." "I have been feeling rather down and lonely lately." "I wish I didn't have to be on this medication." "It's scary to know that this drug can cause birth defects."
"I have been feeling rather down and lonely lately."
A patient tells the nurse that he likes to drink kava herbal tea to help him relax. Which statement by the patient indicates that additional teaching about this herbal product is needed? "I will not drink wine with the kava tea." "If I notice my skin turning yellow, I will stop taking the tea." "I will not take sleeping pills if I have this tea in the evening." "I will be able to drive my car after drinking this tea."
"I will be able to drive my car after drinking this tea."
The nurse is providing education to a patient who is prescribed metronidazole (Flagyl) for trichomoniasis. What statement by the patient indicates the patient has understood the teaching? "I will stop taking the medication when the discharge stops." "I will have my partner evaluated and treated." "I can continue to have intercourse as long as we use condoms." "I won't get this again since I have had it once."
"I will have my partner evaluated and treated."
Which statement, made by a patient, indicates the need for further patient teaching regarding proper administration of eyedrops? "I will put pressure on the inside corner of my eye after I administer the drops." "I will be careful not to touch my eye with the dropper." "I will rinse the eyedropper with tap water after each use." "I will turn my head slightly toward the outside of the eye I am putting the drops in."
"I will rinse the eyedropper with tap water after each use."
A patient asks the nurse about the difference between diphenoxylate with atropine (Lomotil) and the over-the-counter drug loperamide (Imodium). Which response by the nurse is correct? "Lomotil acts faster than Imodium." "Imodium does not cause physical dependence." "Lomotil is available in suppository form." "Imodium is a natural antidiarrheal drug."
"Imodium does not cause physical dependence."
Patient teaching for a patient receiving allopurinol (Zyloprim) should include which information? "Increase your fluid intake to 3 L per day." "Include salmon and organ meats in your diet on a weekly basis." "Take the medication with an antacid to minimize gastrointestinal distress." "This medication may cause your urine to turn orange."
"Increase your fluid intake to 3 L per day."
When reviewing a patient's medication regimen before discharge, the patient asks why he is taking pyridoxine when he is already taking isoniazid (INH) to treat tuberculosis. What is the nurse's best response? "Pyridoxine is another antitubercular drug that will work synergistically with the isoniazid." "You really should not be on that drug. I will check with the doctor." "Pyridoxine will help prevent numbness and tingling that can occur secondary to the isoniazid." "Multidrug therapy is necessary to prevent the occurrence of resistant bacteria."
"Pyridoxine will help prevent numbness and tingling that can occur secondary to the isoniazid."
Which information will the nurse include in discharge teaching for a patient receiving doxycycline? "Take the medication until you feel better." "Use sunscreen and protective clothing when outdoors." "Keep the remainder of the medication in case of recurrence." "Take the medication with food and milk to minimize gastrointestinal upset."
"Use sunscreen and protective clothing when outdoors."
A patient arrives at the urgent care center complaining of leg pain after a fall when rock climbing. The x-rays show no broken bones, but he has a large bruise on his thigh. The patient says he drives a truck and does not want to take anything strong because he needs to stay awake. Which statement by the nurse is most appropriate? "It would be best for you not to take anything if you are planning to drive your truck." "We will discuss with your doctor about taking an opioid because that would work best for your pain." "You can take acetaminophen, also known as Tylenol, for pain, but no more than 1000 mg per day." "You can take acetaminophen, also known as Tylenol, for pain, but no more than 3000 mg per day."
"You can take acetaminophen, also known as Tylenol, for pain, but no more than 3000 mg per day."
A female patient will be starting therapy with oral isotretinoin (Amnesteem) as part of treatment for severe acne, and the nurse is providing teaching. Which teaching point will the nurse include in her teaching plan about isotretinoin? "You will have to use two contraceptive methods while on this drug." "You must avoid sexual activity while on this drug." "You will have to avoid pregnancy for 2 weeks after taking this drug." "If you are taking an oral contraceptive, you may take this drug."
"You will have to use two contraceptive methods while on this drug."
When providing instructions to patients on use of antibiotics, which instructions would the nurse include in the teaching? (Select all that apply.) Complete the entire course of therapy. Notify the provider of any possible reactions that occur. Save any leftover medication in a cool dry place for later use. Wash hands before and after preparing food. Increase fluid intake.
-Complete the entire course of therapy. -Notify the provider of any possible reactions that occur. -Increase fluid intake. -Wash hands before and after preparing food.
The nurse should question an order written to administer acetylsalicylic acid (aspirin) to which patient? 45-year-old man with a history of heart attack 28-year-old woman with a history of sports injury 14-year-old boy with a history of flulike symptoms 62-year-old woman with a history of stroke
14-year-old boy with a history of flulike symptoms
When planning care for a patient receiving once-daily intravenous gentamicin therapy, the nurse schedules a trough drug level to be drawn:. 30 minutes before beginning the next antibiotic infusion. 60 minutes after beginning the antibiotic infusion. 12 hours after completing the antibiotic infusion. 18 hours after completing the antibiotic infusion.
30 minutes before beginning the next antibiotic infusion.
To avoid fecal impaction, psyllium (Metamucil) should be administered with at least how many ounces of fluid? 4 6 8 10
8
The nurse notes in the patient's medication history that the patient is taking cyclobenzaprine (Flexeril). Based on this finding, the nurse interprets that the patient has which disorder? A musculoskeletal injury Insomnia Epilepsy Agitation
A musculoskeletal injury
What information must be provided to a patient receiving rifampin? A nonharmful side effect of the drug is red-orange discoloration of urine, sweat, and tears. Oral contraception is the preferred method of birth control when using rifampin. Peripheral neuropathy is an expected side effect, and the patient should report any numbness or tingling of the extremities. The patient will only need to take this medication for the prescribed 14-day period.
A nonharmful side effect of the drug is red-orange discoloration of urine, sweat, and tears.
The nurse concludes that docusate sodium is appropriate for use in which of the following clients? Select all that apply.'' A client preparing for a colonoscopy who needs a bowel prep A postoperative client taking opioid anagesics for pain A client who experienced a myocardial infarction A client trying to reduce the chances of chronic constipation A client with painful hemorrhoids
A postoperative client taking opioid anagesics for pain A client who experienced a myocardial infarction A client with painful hemorrhoids
The nurse is administering intravenous vancomycin (Vancocin) to a patient who has had gastrointestinal surgery. Which nursing measures are appropriate? (Select all that apply.) A.) Monitoring serum creatinine levels B.) Restricting fluids while the patient is on this medication C.) Warning the patient that a flushed feeling or facial itching may occur D.) Instructing the patient to report dizziness or a feeling of fullness in the ears
A.) Monitoring serum creatinine levels C.) Warning the patient that a flushed feeling or facial itching may occur D.) Instructing the patient to report dizziness or a feeling of fullness in the ears
A laxative has been ordered for a patient. The nurse checks the patient's medical history and would be concerned if which condition is present? High ammonia levels due to liver failure Diverticulosis Abdominal pain of unknown origin Chronic constipation
Abdominal pain of unknown origin
Fluroquinolones are a class of antibiotics known for several significant complications. Which are possible adverse effects with these drugs? (Select all that apply.) Abnormal cartilage development in children Prolongation of the QT interval Nephrotoxicity Tendon rupture Ototoxicity
Abnormal cartilage development in children Prolongation of the QT interval Tendon rupture
A patient has been admitted after overdosing on acetaminophen (Tylenol), with a total ingested dose of 14 g over a period of 1 hour. The nurse plans to monitor this patient for development of which of the following signs and symptoms related to the overdose? Renal failure Kidney stones Acute hepatic necrosis Metabolic alkalosis
Acute hepatic necrosis
A child has a fever and otitis media. Which drug does the nurse expect to act as the first line of treatment for the child? Amoxicillin Floxin Acetasol HC Debrox
Amoxicillin
A patient is prescribed bacitracin topical ointment. What does the nurse suspect as the possible diagnosis based on the medication prescribed? Fungal infection Bacterial infection Parasitic infection Viral infection
Bacterial infection
When teaching a patient about potential side effects of NSAID therapy, the nurse will teach the patient to promptly report which effect? Mild indigestion Black tarry stools Nonproductive cough Nausea
Black tarry stools
The nurse would monitor which laboratory values in a patient receiving intravenous gentamicin (Garamycin)? Hematocrit and hemoglobin Serum glutamic-oxaloacetic transaminase (SGOT) and alanine transaminase (ALT) Prothrombin time (PT) and partial thromboplastin time (PTT) Blood urea nitrogen (BUN) and creatinine
Blood urea nitrogen (BUN) and creatinine
A patient wants to prevent problems with constipation and asks the nurse for advice about which type of laxative is safe to use for this purpose. Which class of laxative is considered safe to use on a long-term basis? Emollient laxatives Bulk-forming laxatives Hyperosmotic laxatives Stimulant laxatives
Bulk-forming laxatives
Vicodin (acetaminophen/hydrocodone) is prescribed for a patient who has had surgery. The nurse informs the patient that which common adverse effects can occur with this medication? (Select all that apply.) Diarrhea Constipation Lightheadedness Nervousness Urinary retention Itching
Constipation Lightheadedness Urinary retention Itching
In an effort to prevent superinfections of the gastrointestinal tract (e.g., from Clostridium difficile), the nurse will instruct patients to eat which foods? Multigrain foods Raw fruits and vegetables Cultured dairy products such as yogurt Low-fat meats such as chicken and pork
Cultured dairy products such as yogurt
A patient taking an anthelmintic drug should be instructed to notify the physician immediately if he or she experiences which side effect? Darkened urine Light-colored stools Anal irritation Gastrointestinal discomfort
Darkened urine
A nurse administering tamsulosin to a client would expect to note which THERAPUTIC outcomes? Select all that apply. Hypotension Syncope Decreased urethral obstruction Increased urine flow Decreased urinary frequency
Decreased urethral obstruction Increased urine flow Decreased urinary frequency
A patient with gout has been treated with allopurinol (Zyloprim) for 2 months. The nurse will monitor laboratory results for which therapeutic effect? Decreased uric acid levels Decreased prothrombin time Decreased white blood cell count Increased hemoglobin and hematocrit levels
Decreased uric acid levels
After administering oxybutynin (Ditropan) to a patient with spina bifida, the nurse is assessing the patient for therapeutic effects. What is the nurse assessing for in the patient? Decreased muscle twitches Decreased urinary frequency Increased bowel movements Increased heart rate
Decreased urinary frequency
A patient with irritable bowel syndrome (IBS) receiving 0.5 mg alosetron (Lotronex) bid orally develops constipation. What is the appropriate treatment strategy in this situation? Discontinuing the medication Increasing the dose of medication Changing the route of administration Decreasing the frequency of administration
Discontinuing the medication
The nurse teaches a patient prescribed the fentanyl (Duragesic) transdermal delivery system to change the patch at what interval? When pain recurs Every 24 hours Every 72 hours Once a week
Every 72 hours
Which drug is used to identify corneal defects? Atropine sulfate Cromolyn sodium Fluorescein Cyclopentolate solution
Fluorescein
A patient is recovering from abdominal surgery, which he had this morning. He is groggy but complaining of severe pain around his incision. What is the most important assessment data to consider before the nurse administers a dose of morphine sulfate to the patient? His pulse rate His respiratory rate The appearance of the incision The date of his last bowel movement
His respiratory rate
In developing a plan of care for a patient receiving morphine sulfate, which nursing diagnosis is a priority? Acute pain Risk for injury related to central nervous system side effects Impaired gas exchange related to respiratory depression Constipation related to gastrointestinal side effects
Impaired gas exchange related to respiratory depression
The nurse is aware that viruses can enter the body through various routes. By which methods can viruses enter the body? (Select all that apply.) Inhalation through the respiratory tract Ingestion via the gastrointestinal (GI) tract Transplacentally from mother to infant Through an animal bite
Inhalation through the respiratory tract Ingestion via the gastrointestinal (GI) tract Transplacentally from mother to infant Through an animal bite
The nurse tells a patient who is being treated for acne to report if any signs of depression occur. Which drug is part of the patient's prescription? Tretinoin Clindamycin Clotrimazole Isotretinoin
Isotretinoin
During the administration of finasteride (Proscar), the nurse must remember which important precaution? It must be taken on an empty stomach. It must not be handled by pregnant women. It is given by deep intramuscular injection to avoid tissue irritation. The patient needs to be warned that alopecia is a common adverse effect.
It must not be handled by pregnant women.
While recovering from surgery, a 74-year-old woman started taking a stimulant laxative, senna (Senokot), to relieve constipation caused by the pain medications. Two weeks later, at her follow-up appointment, she tells the nurse that she likes how "regular" her bowel movements are now that she is taking the laxative. Which teaching principle is appropriate for this patient? She needs to be sure to take this medication with plenty of fluids. It is important to have a daily bowel movement to promote bowel health. Long-term use of laxatives often results in decreased bowel tone and may lead to dependency. She needs to switch to glycerin suppositories to continue having daily bowel movements.
Long-term use of laxatives often results in decreased bowel tone and may lead to dependency.
A patient is taking the nonsteroidal antiinflammatory drug indomethacin (Indocin) as treatment for pericarditis. The nurse will teach the patient to watch for which adverse effect? Tachycardia Nervousness Nausea and vomiting Dizziness
Nausea and vomiting
At the time of birth, infants are often treated with erythromycin eye ointment as prophylactic treatment against what possible organism? Aspergillus fumigatus Candida albicans Neisseria gonorrhoeae Malassezia furfur
Neisseria gonorrhoeae
An 18-year-old basketball player fell and twisted his ankle during a game. The nurse will expect to administer which type of analgesic? Synthetic opioid, such as meperidine (Demerol) Opium alkaloid, such as morphine sulfate Opioid antagonist, such as naloxone HCL (Narcan) Nonopioid analgesic, such as indomethacin (Indocin)
Nonopioid analgesic, such as indomethacin (Indocin)
The nurse is preparing to administer an injection of morphine to a patient. Assessment notes a respiratory rate of 10 breaths/min. Which action will the nurse perform? Administer a smaller dose and record the findings. Notify the physician and delay drug administration. Administer the prescribed dose and notify the physician. Hold the drug, record the assessment, and recheck in 1 hour.
Notify the physician and delay drug administration.
A patient is receiving gabapentin (Neurontin), an anticonvulsant, but has no history of seizures. The nurse expects that the patient is receiving this drug for which condition? Inflammation pain Pain associated with peripheral neuropathy Depression associated with chronic pain Prevention of seizures
Pain associated with peripheral neuropathy
Bacterial resistance to antibiotics can occur with which situations? (Select all that apply.) Patients stop taking an antibiotic once they feel better. New organisms arrive from foreign countries. Antibiotics are prescribed according to culture and sensitivity reports. Antibiotics are prescribed to treat a viral infection.
Patients stop taking an antibiotic once they feel better. Antibiotics are prescribed to treat a viral infection.
A patient who has been taking isoniazid (INH) has a new prescription for pyridoxine(Vitamin B6). She is wondering why she needs this medication. The nurse explains that pyridoxine is often given concurrently with the isoniazid to prevent which condition? Hair loss Renal failure Peripheral neuropathy Heart failure
Peripheral neuropathy
Which adverse effect can result if tetracycline is administered to children under 8 years of age? Delayed achievement of developmental milestones Neurotoxicity Gastrointestinal bleeding Permanent discoloration of the teeth
Permanent discoloration of the teeth
The nurse would question an order to administer misoprostol (Cytotec) to a patient with which condition? Chronic obstructive pulmonary disease Gastroesophageal reflux disease Pregnancy Peptic ulcer
Pregnancy
What is the most important action for the nurse to complete before administration of intravenous amphotericin B? Administer the drug along with potassium aliquots to prevent hypokalemia. Premedicate the patient with an antipyretic, antihistamine, and antiemetic as prescribed. Administer insulin as prescribed to prevent severe hyperglycemia. Administer intravenous dextrose as prescribed to prevent severe hypoglycemia
Premedicate the patient with an antipyretic, antihistamine, and antiemetic as prescribed.
A patient with a known heart condition is scheduled to have dental surgery and is prescribed antibiotics before the dental surgery. What type of therapy is this considered? Empiric therapy Definitive therapy Prophylactic therapy Supportive therapy
Prophylactic therapy
Which is a complication of vancomycin infusions? Cardiomyopathy Angioedema Red man syndrome Neurotoxicity
Red man syndrome
The health care provider has ordered ciprofloxacin/dexamethasone (Ciprodex) otic drops for a patient with otitis externa. The nurse knows the combination medication has both antibacterial medication and topical steroid medication. What is the purpose of the steroid in this medication? Relieve pain Reduce inflammation Treat infection Decrease the amount of earwax
Reduce inflammation
During assessment of a patient with osteoarthritis pain, the nurse knows that which condition is a contraindication to the use of nonsteroidal antiinflammatory drugs (NSAIDs)? Renal disease Diabetes mellitus Headaches Rheumatoid arthritis
Renal disease
When assessing for the most serious adverse reaction to a narcotic analgesic, what does the nurse monitor for in the patient? Respiratory rate Heart rate Blood pressure Mental status
Respiratory rate
A healthy adult client has been taking a laxative 3 days per week for 9 months. What primary risk should the nurse address in a teaching plan with this client? Risk for drug dependence Risk for electrolyte imbalance Risk for fluid imbalance Risk for inadequate nutritional status
Risk for drug dependence
The nurse is caring for a patient who is on isotretenoin treatment. Which cautionary factor does the nurse warn the patient about while using this medication? Alteration in skin pigmentation Skin swelling Risk to the fetus in pregnancy Skin oiliness
Risk to the fetus in pregnancy
A patient has a urinary tract infection. The nurse knows that which class of drugs is especially useful for such infections? Macrolides Carbapenems Sulfonamides Tetracyclines
Sulfonamides
When providing education to a patient undergoing antineoplastic drug therapy, the nurse would teach the patient that which signs and symptoms indicate an oncologic emergency that requires immediate notification of the health care provider? (Select all that apply.) Swollen tongue Bleeding gums Difficulty sleeping New and persistent cough Nausea on the day of treatment Blood in urine
Swollen tongue Bleeding gums New and persistent cough Blood in urine
A 79-year-old patient is receiving ciprofloxin a quinolone as treatment for a complicated incision infection. The nurse will monitor for which adverse effect that is associated with these drugs? Neuralgia Double vision Hypotension Tendonitis and tendon rupture
Tendonitis and tendon rupture
A patient has been taking tolterodine (Detrol), which is an Anticholenergic medication. Which side effect would be expected? Excessive saliva urinary bleeding h narrow-angle glaucoma. The incidence of dry mouth
The incidence of dry mouth
When administering a bulk-forming laxative, the nurse instructs the patient to drink the medication mixed in a full 8-ounce glass of water. Which statement best explains the rationale for this instruction? The water acts to stimulate bowel movements. The water will help to reduce the bulk of the intestinal contents. These laxatives may cause esophageal obstruction if taken with insufficient water. The water acts as a lubricant to produce bowel movements.
These laxatives may cause esophageal obstruction if taken with insufficient water.
The drug nalbuphine (Nubain) is an agonist-antagonist (partial agonist). The nurse understands that which is a characteristic of partial agonists? They have antiinflammatory effects. They are given to reverse the effects of opiates. They have a higher potency than agonists. They have a lower dependency potential than agonists.
They have a lower dependency potential than agonists.
A client has been started on medication therapy with nitrofurantion as chronic suppressive therapy for urinary tract infection. What statements should the nurse include when teaching the cliet about this? Select all that apply. -This medication causes harmless brown color to the urine -You should greatly increase your daily fluid intake to about 3 liters/day. -Monitor your urine for cloudiness or foul smell. -Promptly report muscle weakness, tingling, or numbness to the presciber. -Nausea can be a common side effect of this medication.
This medication causes harmless brown color to the urine Monitor your urine for cloudiness or foul smell. Promptly report muscle weakness, tingling, or numbness to the presciber. Nausea can be a common side effect of this medication.
A client has been started on medication therapy with nitrofurantion as chronic suppressive therapy for urinary tract infection. What statements should the nurse include when teaching the cliet about this? Select all that apply. This medication causes harmless brown color to the urine You should greatly increase your daily fluid intake to about 3 liters/day. Monitor your urine for cloudiness or foul smell. Promptly report muscle weakness, tingling, or numbness to the presciber. Nausea can be a common side effect of this medication.
This medication causes harmless brown color to the urine Monitor your urine for cloudiness or foul smell. Promptly report muscle weakness, tingling, or numbness to the presciber. Nausea can be a common side effect of this medication.
Which are general adverse effects of chemotherapy? (Select all that apply.) Leukocytosis Thrombocytopenia Alopecia Urinary retention Hypertension
Thrombocytopenia Alopecia
A teenage patient is taking tetracycline for severe acne. What education should be included? Use sunscreen or avoid exposure to sunlight. Take this medication with food Stop this medication when the acne is better Take this medication with antacids
Use sunscreen or avoid exposure to sunlight.
How is the effectiveness of antiviral drugs administered to treat HIV infection assessed and evaluated? Megakaryocytes Red blood cell counts Lymphocyte counts Viral load
Viral load
While admitting a patient for treatment of an acetaminophen overdose, the nurse prepares to administer which medication to prevent toxicity? naloxone (Narcan) acetylcysteine (Mucomyst) methylprednisolone (Solu-Medrol) vitamin K
acetylcysteine (Mucomyst)
The nurse is obtaining a medication history from an 18-year-old female patient who has been diagnosed with genital herpes. Which drug would the nurse expect this patient to be prescribed? amantadine (Symmetrel) acyclovir (Zovirax) zidovudine (Retrovir) ribavirin (Virazole)
acyclovir (Zovirax)
A priority assessment of a patient on antibiotic therapy includes questioning the patient about history of seizure activity. cardiac history. allergies. immunizations.
allergies.
The nurse will question the use of a floroquinolone antibiotic in a patient already prescribed which medication? amiodarone metoprolol furosemide omeprazole
amiodarone
A nurse needs to be aware that the antifungal drug with the most common adverse events is which drug? griseofulvin fluconazole ketoconazole amphotericin B
amphotericin B
Medications used to treat HIV infections are more specifically classified as antifungal drugs. antiviral drugs. antiretroviral drugs. antiparasitic drugs.
antiretroviral drugs.
A patient who is allergic to penicillin is at increased risk for an allergy to which drug? tetracycline cefazolin sodium (Ancef) gentamicin (Garamycin) erythromycin
cefazolin sodium (Ancef)
A patient who is allergic to penicillin is at increased risk for an allergy to which drug? tetracycline cephalexin gentamicin erythromycin
cephalexin
A patient is seen in the clinic for signs and symptoms of malaria after a trip to South America. What drug would the nurse expect to be prescribed? chloroquine (Aralen) penicillin metronidazole (Flagyl) pentamidine (Pentam)
chloroquine (Aralen)
Which antifungal drug can be given intravenously to treat severe yeast infections as well as a one-time oral dose to treat vaginal yeast infections? nystatin (Mycostatin) caspofungin (Cancidas) voriconazole (Vfend) fluconazole (Diflucan)
fluconazole (Diflucan)
A patient is admitted to the emergency department with a severe overdose of a benzodiazepine. The nurse immediately prepares to administer which antidote from the emergency drug cart? naloxone (Narcan) naltrexone (ReVia) nalmefene (Revex) flumazenil (Romazicon)
flumazenil (Romazicon)
The nurse should assess a patient for nephrotoxicity and ototoxicity when administering which antimicrobial? cefazolin clindamycin gentamicin erythromycin
gentamicin
A patient receiving narcotic analgesics for chronic pain can minimize the gastrointestinal (GI) side effects by taking Lomotil with each dose. eating foods high in lactobacilli. taking the medication on an empty stomach. increasing fluid and fiber in the diet.
increasing fluid and fiber in the diet.
Most nonsteroidal antiinflammatory drugs (NSAIDs) work by enhancing pain perception. inhibiting prostaglandin production. increasing blood flow to painful areas. increasing the supply of natural endorphins.
inhibiting prostaglandin production.
Which NSAID would the nurse anticipate administering parenterally for the treatment of acute postoperative pain? allopurinol (Zyloprim) indomethacin (Indocin) ketorolac (Toradol) diclofenac (Cataflam)
ketorolac (Toradol)
During drug therapy for pneumonia, a female patient develops a vaginal superinfection. The nurse explains that this infection is caused by A.) large doses of antibiotics that kill normal flora. B.) the infection spreading from her lungs to the new site of infection. C.) resistance of the pneumonia-causing bacteria to the drugs. D.) an allergic reaction to the antibiotics.
large doses of antibiotics that kill normal flora.
A patient is admitted to the psychiatric unit for detoxification treatment of narcotic addiction. The nurse would anticipate administration of which medication? morphine methadone meperidine naloxone
methadone
Which medication is used to treat a patient suffering from severe adverse effects of a narcotic analgesic? naloxone (Narcan) acetylcysteine (Mucomyst) methylprednisolone (Solu-Medrol) flumazenil (Romazicon)
naloxone (Narcan)
What is the most common drug used to treat oropharyngeal candidiasis? nystatin (Mycostatin) oseltamivir (Tamiflu) amantadine (Symmetrel) griseofulvin (Fulvicin P/G)
nystatin (Mycostatin)
A client has a new prescription to take bisacodyl. To enhance a rapid medication effect, the nurse instructs the client to take the medication in which way. on an empty stomach with plenty of fluids with meals at bedtime
on an empty stomach
The nurse will teach patients taking rifampin and INH prophylactically secondary to tuberculosis exposure that these drugs will only need to be taken for 7 to 10 days. INH may decrease serum glucose in susceptible people. oral contraceptives become ineffective when given with rifampin. tanning beds may be used to counteract the pale skin tone caused by these medications.
oral contraceptives become ineffective when given with rifampin.
When providing health promotion teaching at a senior citizen center, the nurse would include information about which medication used to decrease the duration of influenza A and B? oseltamivir (Tamiflu) ganciclovir (Cytovene) enfuvirtide (Fuzeon) indinavir (Crixivan)
oseltamivir (Tamiflu)
The nurse plans pharmacologic therapy for a patient with pain based on the knowledge that narcotic analgesics should not be used for more than 24 hours secondary to the risk of addiction. analgesics should be administered as needed (prn) to minimize side effects. pain relief is best obtained by administering analgesics around the clock. patients should request analgesics when the pain level reaches a "6" on a scale of 1 to 10.
pain relief is best obtained by administering analgesics around the clock.
During antibiotic therapy, the nurse will assess the patient for a condition that may occur due to the disruption of normal flora. The nurse recognizes this as: organ toxicity. superinfection. hypersensitivity. allergic reaction.
superinfection
A patient visits the health care provider for treatment of tinea pedis (athlete's foot). Which medication would the nurse most likely instruct the patient on to treat this condition? terbinafine (Lamisil) voriconazole (Vfend) caspofungin (Cancidas) amphotericin B
terbinafine (Lamisil)
Nausea and vomiting are frequent adverse effects associated with antineoplastic therapy. Patients who are experiencing this unpleasant effect will be advised to avoid eating any food during chemotherapy. that nothing can be done for this effect and that it will pass with time. to try to maintain hydration and nutrition, which are very important during treatment. to use antacids to relieve the irritation to the stomach, which should stop the nausea.
to try to maintain hydration and nutrition, which are very important during treatment.
