Pharm Exam 3
A nurse is caring for a client who has a fungal infection and has a new prescription for amphotericin B. Which of the following laboratory values should the nurse report to the provider before initiating the medication?
BUN 55mg/dL
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?
"Crushing the medication may cause you to have a stomachache or indigestion."
Indication for Vancomycin:
"Hard to Kill Bugs"- C. diff and MRSA
A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching?
"I will store the medication at room temperature"
A nurse is teaching a client who has a new prescription for erythromycin. Which of the following information should the nurse include?
"Monitor for ringing in your ears."
Red Man's Syndrome s/s
- Hypotension - Flushing and pruritis - Red rash on face, neck, chest, and extremities
Aminoglycoside:
- Tobramycin, Gentamicin, and Neomycin
Gentamicin Therapeutic Range:
0.5-2.0
Therapeutic Range for Vancomycin:
10-20
A nurse is caring for a client who has sepsis and a prescription for vancomycin 1g in 250 mL Dextrose 5% (D5W) over 2 hours by IV intermittent bolus. The nurse should set the IV pump to deliver how many mL/hour?
125 mL/hour
A nurse is caring for a client who is allergic to penicillin. The nurse should verify which of following prescriptions with the provider?
Amoxicillin-clavulanate
What is the best action for the nurse to take when preparing to administer amoxicillin to a patient with allergies to levofloxacin and ceftriaxone?
Ask the patient about the type of reaction they have to ceftriaxone.
A nurse is assessing a client after administering IV Vancomycin. Which of the following findings is the nurses priority to report to the provider?
Audible inspiratory stridor
A nurse is teaching a client who has a new prescription of aspirin for rheumatoid arthritis. The nurse should include to monitor for which of the following adverse effects of this medication?
Bleeding
A nurse is caring for a client who has active TB and is to be started on intravenous rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse effects?
Body secretions turning a red-orange color.
A nurse is preparing to administer cephalexin oral suspension to an older adult client who has difficulty swallowing pills. Which of the following actions should the nurse take?
Check the client for a penicillin allergy.
Adverse effect of Clindamycin:
Deadly colitis and c. diff
A nurse is assessing a client who is receiving IV Vancomycin. A nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take?
Decrease the infusion rate on the IV
A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching?
I will store the medication at room temperature.
Vancomycin Administration:
Infuse slowly over at least 60 minutes
The Beta-Lactam class includes...
Penicillins, Cephalosporins, Carbapenems, Monobactams
A nurse manager is providing an educational program on antibiotic sensitivity to bacterial infections. The nurse should include in the teaching that vancomycin is indicated for which of the following infections?
MRSA
Inhibit Protein Synthesis (Bacteriostatic):
Macrolides, Tetracyclines
A nurse is teaching a client who is taking metronidazole. Which of the following sense alterations should the nurse include as an adverse effect of metronidazole?
Metallic Taste
Adverse side effect of Vancomycin:
Red Mans Syndrome
A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent Iv Bolus. 10 minutes into the infusion of the third dose, the client reports that the IV site itches and that he feels dizzy and short of breath. Which of the following actions should the nurse take first?
Stop the Infusion.
A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent IV bolus. 10 minutes into the infusion of the third dose, the client reports that the IV site itches and that he feels dizzy and short of breath. Which of the following actions should the nurse take first?
Stop the infusion.
A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The patient states that he had to increase the dose of morphine this week to obtain pain relief. What is an explanation for this?
The client developed a tolerance to the medication?
A nurse is reviewing the medication administration records of four clients who have a prescription for morphine PRN. Which of the following findings should the nurse identify as a contraindication to this medication?
The client has a paralytic ileus.
A nurse is caring for a client who is taking aspirin for arthritis. Which of the following should the nurse identify as an adverse effect of this medication?
Tinnitus
Glycopeptide:
Vancomycin
Vancomycin burns the....
Veins (Thrombophlebitis)
A nurse is providing teaching to a client who has skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide?
Wash the affected area with soap and water before applying cream.
A nurse is teaching a client who has a new prescription for cyclobenzaprine. Which of the following information should the nurse include in the teaching?
You cannot drive until effects of the medication are known
A nurse is teaching a client who has a urinary tract infection and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client?
You should report any tendon discomfort you experience while taking this medication.
A nurse is caring for a client who has a bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of this medication?
Monitor the serum medication levels
A nurse manager is providing an educational program on antibiotic sensitivity to bacterial infections. The nurse should include in the teaching that metronidazole is indicated for which of the following infections?
Trichomoniasis Vaginalis (STI treatment)
A nurse is caring for a client who is hospitalized with active pulmonary tuberculosis and is started on ethambutol therapy. The nurse should understand that which of the following should be monitored?
Visual Acuity (Optic Neuritis)
A nurse is monitoring a client who took an overdose of acetaminophen 72 hours ago. The nurse should identify which of the following findings as a manifestation of acetaminophen poisoning?
Vomiting
Which antibiotics cannot be mixed?
penicillins and cephalosporins
