Pharm Ch.9

A patient receiving isoniazid (INH) and rifampin (Rifadin) has a decreased urinary output and peripheral neuropathy. Which laboratory values should be assessed? a) Hematocrit and hemoglobin b) ALT/AST and creatinine c) Urine culture and sensitivity d) Erythrocyte count and differential

ALT, AST, and Creatinine

The physician is preparing to order rifampin and pyrazinamide for a female client with active tuberculosis. What question should the physician ask this client before confirming this order? a) "Are you pregnant?" b) "Do you have a family history of diabetes?" c) "Are you allergic to penicillin?" d) "Are you allergic to aspirin?"

Are you pregnant?

A client with a positive sputum culture for TB has been started on streptomycin antitubercular therapy. Upon review of the laboratory results, the nurse notes that the client may be experiencing toxicity if which of the following results is abnormal? a) Sodium and potassium b) Amylase and lipase c) BUN and creatinine d) Red blood cells and white blood cells

BUN and Creatinine

Drugs that slow or retard the multiplication of bacteria are known as which of the following? (Choose one) a) Bacteriostationary b) Bacteriostatic c) Bacteriocidal d) Bacteriophage

Bacteriostatic

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: a) can cause kidney damage in patients who are allergic to penicillins. b) are ineffective in patients who are allergic to penicillins. c) are derived from penicillin. d) can cause allergic reactions in patients who are allergic to penicillins.

Can cause allergic reactions in patients who are allergic to penicillins

A patient has been prescribed a tetracycline drug for Rocky Mountain spotted fever. The patient also takes antacids. Which of the following effects is likely to occur due to an interaction between the two drugs? a) Increased risk of bleeding b) Decreased absorption of tetracycline c) Increased action of neuromuscular-blocking drugs d) Increased profound respiratory depression

Decreased absorption of tetracycline

An 87-year-old resident of a long-term care facility has been prescribed oral clindamycin for the treatment of an infected pressure ulcer. The care providers at the facility should be instructed to monitor the resident closely for what potential adverse effect of clindamycin? a) Diarrhea b) Hematuria c) Respiratory depression d) Altered cognition

Diarrhea

The client has been prescribed a fluoroquinolone. The nurse knows that nursing interventions for clients taking fluoroquinolones include which of the following? a) Increase food intake. b) Restrict fluid intake. c) Increase fluid intake. d) Restrict food intake.

Increase fluid intake

How is tuberculosis transmitted from person to person? (Choose 0ne) a) Inhalation of infected aerosolized droplets b) Contact with sweat c) Fecal oral transmission d) Contact with infected blood

Inhalation of infected aerosolized droplets

Which of the following represents the mechanism of action of fluoroquinolones? (Choose one) a) Interference with the synthesis of bacterial DNA. b) Blockage of attachment of bacteria to host cell c) Interference of glucose metabolism inside the bacteria d) Interference with bacterial cell wall synthesis

Interference with the synthesis of bacterial DNA

A client is prescribed cefazolin for a sinus infection. After administration of the first dose of the medication, the client reports itching. The nursing assessment reveals a rash over the client's torso; the client has a history of allergic reaction to penicillin. The client: a) is having an anaphylactic reaction and needs to be transferred to the ICU. b) is experiencing an allergic reaction caused by a cross-sensitivity reaction. c) is experiencing a side effect from the medication. d) should be watched carefully during the next dose of the medication to ensure the symptoms do not become more severe.

Is experiencing an allergic reaction cause by a cross-sensitivity reaction

A patient being treated for tuberculosis is determined to be drug resistant. Which of the following medications will the patient be resistant to in the treatment of the tuberculosis? a) Dextroamphetamine (Dexedrine) and doxapram (Dopram) b) Propranolol (Inderal) and sotalol (Betapace) c) Isoniazid (INH) and rifampin d) Carbamazepine (Tegretol) and phenytoin (Dilantin)

Isoniazid and rifampin

A patient with septicemia is administered cefotaxime sodium (Claforan). How is this medication excreted? a) It is excreted by the liver. b) It is excreted by the lungs. c) It is excreted through the skin. d) It is excreted by the kidneys.

It is excreted by the Kidneys

A nurse in an extended care facility has instilled medicated ear drops into a resident's left ear as ordered. What instruction should the nurse provide after administering this medication? a) "Gently massage your ear until you can hear normally." b) "Let's put your hearing aid back in place." c) "Keep lying on your right side for the next 20 minutes or so." d) "Try to avoid touching your left ear for the next hour."

Keep lying on your right side for the next 20 minutes or so

A college student has a TB test prior to starting college. The tuberculin test site is noted with a reddened, raised area. What condition will the student be diagnosed with if the chest radioagraph is negative? a) Active tuberculosis b) Latent tuberculosis c) Primary infection d) Transmission

Latent TB

A 35-year-old man is being treated with isoniazid (INH) for exposure to TB. He has the following medical history: diabetes mellitus type 2, hypertension, hyperlipidemia, and coronary artery disease. He drinks one to two glasses of wine on the weekend and smokes two packs of cigarettes per day. Which adverse reaction should the nurse alert the client to report to his physician right away? a) numbness and tingling in his feet b) a slight decrease in his blood glucose levels c) changes in his bowel elimination pattern d) a persistent cough since starting the medication

Numbness and tingling in his feet

A 25-year-old woman is being treated with penicillin G as prophylaxis to prevent bacterial endocarditis prior to a dental procedure. The nurse should question the patient concerning her the use of a) alcohol. b) oral contraceptives. c) fats in her diet. d) nicotine.

Oral contraceptives

A young lifeguard has been prescribed moxifloxacin (Avelox). The nurse focuses education on which adverse reaction? a) Photosensitivity b) Nausea c) Abdominal pain d) Diarrhea

Photosensitivity

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? a) Pyrazinamide and dapsone b) Rifampin and isoniazid c) Dapsone and isoniazid d) Rifampin and Pyrazinamide

Rifampin and Isoniazid

A 43-year-old man has been diagnosed with active TB. He is prescribed a multiple drug therapy, including INH and rifampin. A priority assessment by the nurse will be to monitor which combination of laboratory test results? a) Thyroid-stimulating hormone, thyroxine, and triiodothyronine levels b) Red blood count, white blood count, and differential c) Fasting blood sugar and 2-hour postprandial blood sugar d) Serum alanine transaminase, aspartate transaminase, and bilirubin

Serum alanine transaminase, aspartate transaminase, and bilirubin

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? a) "Otic medications are contraindicated during pregnancy. Do not take it." b) "If the infection seems the same, then you could try using the same prescription." c) "Ofloxacin drops are used in children, so it is probably okay to use when pregnant." d) "Some medications are contraindicated in pregnancy, and ofloxacin is one of these medications."

Some medications are contraindicated in pregnancy and Ofloxacin is one of these medications

The nurse has administered a client's first scheduled dose of amoxicillin after the client was diagnosed with acute otitis media. What subsequent assessment finding should prompt the nurse to discontinue the use of this drug? a) The client states having a frontal lobe headache. b) The client reports acid reflux. c) The client feels nauseous. d) The client reports shortness of breath.

The client reports SOB

A nurse is caring for a patient with HIV who is suspected to also have tuberculosis (TB). Which of the following is true about patients with HIV and TB? a) A patient with HIV has an immune system usually resistant to TB. b) The skin test may not show a reaction even though the disease is present. c) It is not difficult to diagnose TB in a patient with HIV. d) Patients with HIV are not at risk for TB.

The skin test might not show a reaction even though the disease is present

A client is taking penicillin for an upper respiratory infection. The client calls the office after 2 days of therapy reporting nausea and abdominal pain. Which would be the best instruction for the nurse to give the client? a) Stop the medication and the physician will order you a different antibiotic. b) These are normal side effects, but if they increase in severity or frequency, you need to contact the office again. c) Continue to take the medication as prescribed; these are expected side effects from the medication. d) Stop the medication immediately and go to the emergency room; these could be signs of a life-threatening reaction.

These are normal side effects, but if they increase in severity or frequency you need to contact the office again

As a nurse, you understand the main primary drugs used to treat latent, active, and drug-resistant TB infection include isoniazid, rifampin, and pyrazinamide. Isoniazid's mechanism of action is: a) Unknown. b) To inhibit cell wall formation. c) To inhibit synthesis of DNA. d) To inhibit synthesis of RNA.

To inhibit cell wall formation

A client asks the purpose for using three medications in combination to treat his tuberculosis. The nurse informs the client that multiple medications are given for which of the following reasons? a) To prevent resistance b) To decrease allergic response of medications c) To decrease length of drug therapy d) To prevent adverse reactions

To prevent resistance

A client's risk for ototoxicity, nephrotoxicity, and neurotoxicity increases dramatically if he or she receives an aminoglycoside in conjunction with a potent diuretic. a) True b) False

True

The nurse is giving discharge instructions to a woman who will be taking amoxicillin for treatment of acute otitis media. The nurse teaches the client that which symptom indicates the development of a superinfection and should be reported to the physician? a) Nausea b) Swelling and itching of the throat c) Abdominal pain d) Vaginal itching and discharge

Vaginal itching and discharge

While caring for a client who is being treated with antitubercular drugs, you observe that the client's sclerae are yellow. You report this observation to the physician as a possible indicator of hepatotoxicity related to drug therapy. What other signs might indicate hepatotoxicity in this client? a) Photosensitivity b) Vomiting and abdominal pain c) Changes in vision d) Numbness and tingling

Vomiting and abdominal pain