Pharmacology Made Easy 4.0 Infection

A nurse in a provider's office receives a call from a client who has been taking penicillin V three times daily and reports abdominal cramping with bloody diarrhea for several days. Which of the following instructions should the nurse give the client? "Bring in a stool sample for testing" "Take the drug only twice daily" "Use an OTC anti-diarrheal medication" "Return to the clinic for bloodwork"

"Bring in a stool sample for testing"

A nurse is preparing to administer amphotericin B IV to a client who has a systemic fungal infection. Which of the following drugs should the nurse prepare to administer prior to the infusion to prevent of minimize adverse reactions? Aspirin Hydrocortisone Acetaminophen Diphenhydramine Ibuprofen

Acetaminophen and diphenhydramine

A nursing is caring for a client who has streptococcal pharyngitis and an allergy to penicillin. The nurse should recognize that which of the following drugs can be safely administered to the client? Nafcillin Azithromycin Cephalexin Amoxicillin/clavulanic acid

Azithromycin

A nurse is caring for a client who has new prescription for acyclovir to treat a herpes simplex infection. Which of the following laboratory values should the nurse monitor for this client? Prothrombin time Hct BUN Aspartate aminotransferase

BUN

A nurse is caring for a client who is taking warfarin and has new prescription for trimethoprim/sulfamethoxazole to treat for a urinary tract infection. The nurse should clarify the prescription with the provider because taking these two drugs concurrently can increase the client's risk for which of the following? Bleeding Thrombosis ECG changes Ototoxicity

Bleeding

A nurse in a provider's office receives a call from a client who is taking amoxicillin to treat a respiratory infection and reports a rash and wheezing. Which of the following instructions should the nurse give the client? Wait 1 hr and contact the provider if there is no improvement Skip today's dose of amoxicillin and resume taking the drug tomorrow Call emergency services immediately Take an NSAID to reduce skin and airway inflammation

Call emergency services immediately

When administering oral erythromycin to a client who has acute diphtheria, a nurse should monitor for which of the following adverse effects? Hypothermia Blurred vision Constipation Cardiac dysrhythmias

Cardiac dysrhythmias

A nurse is caring for a client who has a gynecologic infection and a history of alcohol use disorder. The nurse should identify that which of the following drugs can cause a reaction similar to disulfiram if the client drinks alcohol while taking it? Nitrofurantoin Amoxicillin Aztreonam Cefotetan Metronidazole

Cefotetan and Metronidazole

A nurse in a provider's office receives a call from a client who is taking tetracycline orally to treat a chlamydia infection and reports severe blood-tinged diarrhea. The nurse should suspect the client is experiencing which of the following? Hemorrhoids Clostridium difficile-associated diarrhea Diverticular disease Small bowel obstruction

Clostridium difficile-associated diarrhea

A nurse is caring for a client who is about to begin taking nitrofurantoin to treat a urinary tract infection. The nurse should tell the client to report which of the following adverse effects of the drug? Constipation Dark brown urine Cough Tremors

Cough

A nurse is caring for a client who is about to begin receiving acyclovir IV to treat a viral infection. The nurse should recognize that cautious use of the drug is essential if the client also has which of the following conditions? Heart failure Dehydration Asthma Tinnitus

Dehydration

A nurse is reviewing a client's prescriptions prior to administering gentamicin to the client to treat a systemic infection. The nurse should clarify the use of gentamicin with the provider if the client is taking which of the following drugs? Ethacrynic acid Diphenhydramine Acetaminophen Levothyroxine

Ethacrynic acid

A nurse is caring for a client who has a prescription for rifampin to treat tuberculosis. The nurse should expect the provider to prescribe which of the following drugs to the client to prevent possible resistance to rifampin? Gentamicin Vancomycin Isoniazid Metronidazole

Isoniazid

A nurse is caring for a client who is about to begin taking isoniazid to treat tuberculosis. The nurse should instruct the client to report which of the following adverse effects of the drug? Jaundice Numbness of the hands Dizziness Hearing loss Oral ulcers

Jaundice Numbness of the hands Dizziness

A nurse is caring for a client who has a new prescription for aztreonam to treat a respiratory tract infection. Which of the following findings in the client's medical record should the nurse recognize as requiring cautious use for this prescription and report to the provider? Glaucoma Closed-head injury Heart failure Renal impairment

Renal impairment

A nurse is caring for a client who is about to begin taking metronidazole to treat. an anaerobic intra-abdominal bacterial infection. The nurse should recognize that cautious use of the drug is indicated if the client also has which of the following conditions? Seizure disorder Hearing loss Asthma Anemia

Seizure disorder

A nurse is administering cefotetan IV to a client to treat bacterial meningitis. The nurse notes that the IV insertion site is warm, edematous, and painful to the touch. Which of the following actions should the nurse take? Decrease the rate of the cefotetan infusion Administer diphenhydramine to the client Request a prescription for another antibiotic Stop the cefotetan infusion

Stop the cefotetan infusion.

A nurse in a provider's office receives a call from a client who is taking imipenem to treat a bacterial infection and reports an inability to eat due to mouth pain. The nurse should identify that the client might be experiencing which of the following as an adverse effect of this drug? Malabsorption Superinfection Anorexia Dental caries

Superinfection

A nurse is caring for a client who is about to begin taking itraconazole to treat a fungal infection. The nurse should instruct the client to report which of the following adverse effects of the drug? Tingling in the hands and feet Joint pian Swelling of hands or feet Excessive sweating

Swelling of hands or feet

A nurse in a provider's office receives a call from a client who is taking ciprofloxacin to treat a respiratory tract infection and reports dyspepsia. Which of the following instructions should the nurse give the client? Take an antacid at least 2 hr before taking the drug Take the drug with ac cup of coffee Take an iron supplement with the drug Take the drug with 240mL of milk

Take an antacid at least 2 hr before taking the drug

A nurse is caring for a client who is taking ciprofloxacin to treat a urinary tract infection. The client also takes prednisolone to treat rheumatoid arthritis. Recognizing the adverse effects of ciprofloxacin, the nurse should instruct the client to report which of the following adverse effects? Tachycardia hair loss Insomnia Tendon pain

Tendon pain

A nurse is caring for a client who has a new diagnosis of bacterial meningitis. The nurse should expect the provider to prescribe a drug from which of the following classifications of antibiotics? First generation cephalosporins Third generation cephalosporins Monobactams Macrolides

Third generation cephalosporins

A nurse is caring for a client who is about to begin gentamicin therapy to treat an infection. The nurse should monitor the client for an alteration in which of the following? Bowel function Peripheral pulses Urine output Level of consciousness

Urine output

A nurse is providing teaching for a client who takes an oral contraceptive and is about to begin rifampin therapy to treat tuberculosis. Which of the following instructions should the nurse include? Increase the rifampin dose Increase the oral contraceptive dose Allow 2 hr between taking the two drugs Use a non-hormonal form of contraception

Use a non-hormonal form of contraception

A nurse is caring for a client who sputum culture results indicate methicillin-resistant staphylococcus aureus (MRSA). The nurse should recognize that which of the following medications will likely be administered to this client? Trimethoprim/sulfamethoxazole Tetracycline Cephalexin Vancomycin

Vancomycin