Pharm Final (Immune)
The nurse is reviewing discharge instructions with a client who has been prescribed ciprofloxacin following a minor burn injury. Which statement by the client requires additional teaching? A "I will protect my skin from the sun with sunscreen and clothing." B "I will not take ciprofloxacin prior to sun exposure." C "After healing, I should have no scarring from this burn." D "I can take ibuprofen for the pain related to this burn."
"I will not take ciprofloxacin prior to sun exposure." • Wear Sunscreen
The nurse teaches a teenage client about the administration of levofloxacin to treat a sinus infection. The nurse concludes the teaching is effective when the client makes which statement? 'I should take the medication at mealtime.' 'I should take the medication just before a meal.' 'I should take the medication 1 hour before a meal.' 'I should take the medication 30 minutes after a meal.'
'I should take the medication 1 hour before a meal.'
How would the nurse reply when a client prescribed a tetracycline class medication asks why milk and antacids should be avoided before and after dosing? 'Taking these together can lead to kidney impairment.' 'The pairing of these substances leads to tooth staining.' 'Severe diarrhea can occur when taking these substances together.' 'This can lead to decreased absorption of the medication you need.'
'This can lead to decreased absorption of the medication you need.' • Taking Minerals (calcium, iron, mag)? Then take your anti-bx 1-2 hour before (Oh, wear Sunscreen too)
The nurse is educating an older adult client about newly prescribed levofloxacin for the treatment of pneumonia. The nurse should teach the client that which side effect is a priority for the client to report to the provider? A Joint tenderness B Diarrhea C Dizziness D Difficulty sleeping
A Joint tenderness *Ruptured Tendon Risk* (watch for joint tenderness)
The nurse is educating a client prescribed metronidazole. Which of the following findings should the nurse include in the education as reportable to the healthcare provider? A Pinpoint red spots on the skin B Nausea after beginning the medication C Metallic taste D Occasional diarrhea
A Pinpoint red spots on the skin • Watch for pinpoint red spots = thrombocytopenia
The nurse is providing medication teaching for a client who has been prescribed tetracycline. The client regularly takes calcium supplements to prevent osteoporosis. Which statement is appropriate for the nurse to make? A Take your calcium two hours before you take the antibiotic B You can take the calcium with the antibiotic to decrease an upset stomach C Try taking the antibiotic and calcium with orange juice DI t is best to take the antibiotic and calcium on an empty stomach
A Take your calcium two hours before you take the antibiotic
Which statement indicates that a female client who is receiving rifampin for tuberculosis understands the teaching? Select all that apply. One, some, or all responses may be . A "This medication may be hard on my liver, so I must avoid alcoholic drinks while taking it." B "This medication may reduce the effectiveness of the oral contraceptive I am taking." C "I cannot take an antacid within 2 hours before taking my medicine." D "My health care provider must be called immediately if my eyes and skin become yellow."
A, B, D • BAD for liver - a) watch for dark amber urine b) yellow sclera/skin, no alcohol, regular hepatic labs. • Decrease Oral Contraceptive effectiveness • Orange Urine & Sweat is OK side effect
Which instruction should the nurse give to a female client who just received a prescription for oral metronidazole (Flagyl) for treatment of trichomonas vaginalis? (Select all that apply.) A. Increase fluid intake, especially cranberry juice. B. Do not abruptly discontinue the medication; taper use. C. Check blood pressure daily to detect hypertension. D. Avoid drinking alcohol while taking this medication. E. Use condoms until treatment is completed. F. Ensure that all sexual partners are treated at the same time.
A, D, F • No alcohol! Get flushing, psychosis, tachycardia
The health care provider has prescribed tetracycline for a 28-year-old female client with severe acne. When teaching the client about this medication, which information is important for the nurse to include? A It may cause staining of the teeth. B It may decrease the effectiveness of oral contraceptives. C It should be taken with food or milk. D It may cause hearing loss.
B It may decrease the effectiveness of oral contraceptives. • Can Damage Fetus, take pregnancy test before giving • Focus: Decreases Oral Contraceptives Effectiveness
A client diagnosed with tuberculosis is prescribed rifampin and isoniazid. Which information should the nurse include when reinforcing information about these medications? A "You can take the medication with food." B "You may experience an increase in appetite." C "You may notice an orange-red color to your urine." D "You may have occasional problems sleeping."
C "You may notice an orange-red color to your urine." • Orange Urine & Sweat is OK side effect
The nurse is assessing a client who is taking rifampin for the treatment of tuberculosis. Which finding reported by the client should the nurse immediately report to the healthcare provider? A Blurred vision B Orange-tinged tears C Dark amber urine D Diarrhea
C Dark amber urine • BAD for liver - a) watch for dark amber urine b) yellow sclera/skin, no alcohol, regular hepatic labs.
The nurse in the urgent-care clinic is reviewing discharge instructions with a client who is prescribed doxycycline. Which statement by the client indicates understanding of the instructions? A "I will not wear my contact lenses while taking this medication." B "I will carry glucose tablets with me in case I experience low blood sugar." C "I will take this medication with an antacid to prevent an upset stomach." D "I will apply sunscreen when outside to prevent a sunburn."
D "I will apply sunscreen when outside to prevent a sunburn." Very important; all tetracyclines cause sensitivity to the sun...
A client who had an organ transplant is receiving cyclosporine. The nurse would monitor for which serious adverse effect of cyclosporine? Hirsutism Constipation Dysrhythmias Increased creatinine level
Increased creatinine level • Damages Kidneys Immune Suppress
Which class is contraindicated in clients who take rifampin? Loop diuretics Oral contraceptives Proton pump inhibitor Intermediate-acting insulin
Oral contraceptives • Decrease Oral Contraceptive effectiveness
Which effect has resulted in the avoidance of tetracycline use in children under 8 years old? Birth defects Allergic responses Severe nausea and vomiting Permanent tooth discoloration
Permanent tooth discoloration • Stains Teeth in Pediatrics (turns teeth YELLOW)
The nurse is caring for a client who is receiving azathioprine, cyclosporine, and prednisone before receiving a kidney transplant. Which medication action would the nurse identify as the purpose of these medications? Stimulate leukocytosis Provide passive immunity Prevent iatrogenic infection Reduce antibody production
Reduce antibody production • Immune Suppress (cyclosporin) Depresses Bone Marrow
A child is prescribed tetracycline. The nurse understands which possible medication-related reaction is associated with this medication? Kernicterus Gray syndrome Reye syndrome Staining of teeth
Staining of teeth
Levofloxacin is prescribed for a woman who has been experiencing urinary frequency and burning for the past 24 hours. The nurse concludes the teaching has been effective when the client states she will make which change in her routine? Limit her fluid intake. Strain her urine for calculi. Monitor her urine output. Take mineral supplements 2 hours before or after levofloxacin.
Take mineral supplements 2 hours before or after levofloxacin. • Take Before Meals, and like Minerals above
A 5-year-old child is given fluoroquinolones. Which potential adverse effect unique to pediatric clients would the nurse anticipate? Tendon rupture Cartilage erosion Staining of developing teeth Central nervous system toxicity
Tendon rupture
