NCLEX questions for chapter 86

A patient who has a vancomycin-resistant enterococci (VRE) infection is receiving linezolid [Zyvox]. Which laboratory result indicates that the patient is having an adverse effect? 1.White blood cell (WBC) count of 1200 units/L 2.Hemoglobin (Hgb) level of 18 g/dL 3. Potassium level of 3.0 mEq/dL 4.Glucose level of 200 mg/dL

1.

The nurse identifies which drug as a short-acting tetracycline? 1. Tetracycline (generic) 2.Declomycin 3.Vibramycin 4.Minocin

1.

The nurse should include which instructions when teaching a patient about tigecycline therapy? (Select all that apply.) 1. "Use sunscreen when you are outside." 2. "If you have diarrhea more than five times a day, notify your healthcare provider." 3. "Avoid using this drug if you are pregnant." 4. "Stop taking the drug if you experience nausea." 5. "Stop taking the drug if you experience vomiting."

1.2.3.

What does the nurse identify as an adverse effect of clindamycin [Cleocin] therapy? 1. Cyanosis and gray discoloration of the skin. 2. Frequent loose, watery stools with mucus and blood. 3. Reduction in all blood cells produced in the bone marrow. 4. Elevated bilirubin, with dark urine and jaundice.

2.

Which cardiovascular finding does the nurse identify as a possible adverse effect of erythromycin [Ery-Tab] therapy? 1. Heart rate of 52 beats/min 2. Prolonged QT interval 3. Jugular vein distention 4. Grade III diastolic murmur

2.

Which instruction should a nurse include in the discharge teaching for a patient who is to start taking tetracycline? 1. "You may stop taking the pills when you begin to feel better." 2. "Use sunscreen and protective clothing when outdoors." 3. "You'll have to come back to the clinic for a weekly blood work." 4."Take the medication with yogurt or milk so you won't have nausea."

2.

The nurse identifies tigecycline [Tygacil] as a derivative of what? 1.Penicillins 2.Cephalosporins 3.Tetracyclines 4.Macrolides

3.

Which statements about CDAD associated with clindamycin therapy does the nurse identify as true? (Select all that apply.) 1.Leukopenia commonly occurs. 2. It is a potentially fatal condition. 3. Patients usually experience abdominal pain. 4. Anticholinergics are effective in treating the diarrhea. 5.Clindamycin therapy should be discontinued and vancomycin started.

2.3.5.

A nurse assessing a patient who is 12 years old should associate which complication with the patient's receiving tetracycline as a younger child? 1.Delay in long bone growth 2. Early onset of puberty 3. Severe face and body acne 4. Discoloration of the teeth

4.

Which laboratory result should a nurse monitor more frequently when a patient is receiving clarithromycin [Biaxin] and warfarin [Coumadin]? 1. Activated partial thromboplastin time (aPTT) 2. Platelet count 3.Erythrocyte sedimentation rate (ESR) 4. International normalized ratio (INR)

4.