Questions from Study Guide

A patient contacts a clinic nurse to determine the proper action after she forgot to take her oral contraceptive [Ortho Tri-Cyclen] for the past 2 days during the first week of a 28-day regimen. Which response by the nurse is most appropriate? "Take the omitted two doses together with the next dose." "Take two doses per day on the following 2 days." "Stop taking the oral contraceptive until menstruation occurs." "Take a dose now and continue with the scheduled doses."

"Take two doses per day on the following 2 days."

The nurse teaches a patient about Camila. Which statement by the patient requires an intervention by the nurse? "I might have irregular bleeding while taking this pill." "These pills do not usually cause blood clots." "I should take this pill at the same time every day." "This pill works primarily by preventing ovulation."

"This pill works primarily by preventing ovulation."

Which patient would be at greatest risk of developing a venous thromboembolism (VTE) if a combination oral contraceptive were prescribed? A 25-year-old patient who drinks 3 to 4 alcoholic drinks a day A 45-year-old patient who has a family history of stroke A 22-year-old patient who smokes 2 packs of cigarettes a day A 29-year-old patient who has used birth control pills for 9 years

A 22-year-old patient who smokes 2 packs of cigarettes a day

A patient has used a topical glucocorticoid preparation daily for several years. It is most important for the nurse to assess the patient for which adverse effect of long-term topical glucocorticoid therapy? Shedding of dry scales Open and closed comedones Atrophy of dermal and epidermal layers Cancerous lesions

Atrophy of dermal and epidermal layers

Which patient does the nurse identify as most likely to need treatment with trimethoprim/sulfamethoxazole [Bactrim] for a period of 6 months? A.A female patient with acute pyelonephritis B.A male patient with acute prostatitis C.A female patient with recurring acute urinary tract infections D.A male patient with acute cystitis

B.A male patient with acute prostatitis

A patient who sustained second- and third-degree burns has been prescribed mafenide. Which statement about mafenide does the nurse identify as true? A.Use of mafenide can cause alkalosis. B.Mafenide is painful upon application. C.A blue-green to gray discoloration of the skin occurs with mafenide therapy. D.Mafenide exerts its therapeutic effect by the release of free silver.

B.Mafenide is painful upon application.

A patient who was taking sulfonamides develops Stevens-Johnson syndrome. Upon assessment, the nurse expects to find what? A.Hypotension B.Bronchospasm C.Temperature of 35.5°C D.Widespread skin lesions

D.Widespread skin lesions

Which drugs are common treatments of inflammatory skin conditions? Glucocorticoids Nonsteroidal antiinflammatory drugs (NSAIDs) Antihistamines Topical anesthetics

Glucocorticoids

A patient is diagnosed with C. difficile infection. The nurse anticipates administering which medication? Daptomycin Metronidazole Rifampin Rifaximin

Metronidazole

It is most important for the nurse to avoid administering oral ciprofloxacin to this patient with which food? Bananas Baked chicken Grapefruit juice Milk

Milk

The patient is being discharged with continued ciprofloxacin therapy. When providing discharge teaching, the nurse should advise the patient to call the healthcare provider immediately if what develops? Pain in the heel of the foot Nausea Diarrhea Headache

Pain in the heel of the foot

A patient is prescribed an antibiotic to treat a urinary tract infection. What statement by the patient indicates a need for further teaching? "I can stop the medication as soon as the symptoms have disappeared." "I will drink more fluids to help clear up the infection." "I will stop the medication and contact the doctor if I develop a rash." "I should immediately report vaginal itching or discharge."

"I can stop the medication as soon as the symptoms have disappeared."

The nurse instructs a patient in the use of combination oral contraceptives for birth control. The nurse determines that teaching is successful if the patient makes which statement? "I'll avoid herbal products such as St. John's wort." "Birth control pills don't have serious side effects." "I can continue taking birth control before elective surgeries." "I should take the pill with food to prevent an upset stomach."

"I'll avoid herbal products such as St. John's wort."

Which patient should receive prophylactic antibiotic therapy? A patient who is to have his teeth cleaned A patient who is scheduled for a hysterectomy A patient with a white blood cell count of 8000 cells/mm3 A patient with a high fever without an identifiable cause

A patient who is scheduled for a hysterectomy

The nurse identifies which medication as a first-line drug treatment of mild to moderate acne? Tetracycline Isotretinoin Tretinoin Benzoyl peroxide

Benzoyl peroxide

A patient who takes warfarin has been prescribed sulfadiazine. When teaching the patient about this drug, which statement will the nurse include? A."If you become pregnant, it is safe to take sulfadiazine." B."You should limit your fluid intake while taking sulfadiazine." C."Avoid prolonged exposure to sunlight, wear protective clothing, and apply a sunscreen to exposed skin." D."You will most likely need to have an increase in the dose of warfarin while taking sulfadiazine."

C."Avoid prolonged exposure to sunlight, wear protective clothing, and apply a sunscreen to exposed skin."

Which patient does the nurse identify as most likely to need treatment with trimethoprim/sulfamethoxazole [Bactrim] for a period of 6 months? A.A female patient with acute pyelonephritis B.A male patient with acute prostatitis C.A female patient with recurring acute urinary tract infections D.A male patient with acute cystitis

C.A female patient with recurring acute urinary tract infections

Which of the following is a symptom of chronic renal failure? Hypotension Hypokalemia Hypocalcemia Hypernatremia

Hypocalcemia

Which bacteria are often involved in hospital-acquired UTIs? (Select all that apply.) Klebsiella Proteus Enterobacter Streptococci

Klebsiella Proteus Enterobacter

A patient has been prescribed ciprofloxacin for treatment of a urinary tract infection with Escherichia coli. Before administering the drug, it is most important for the nurse to assess the patient for a history of what? Hypertension Diabetes mellitus Myasthenia gravis Seasonal allergies

Myasthenia gravis

A 22-year-old female patient is prescribed isotretinoin for severe acne vulgaris. What statement will the nurse include in patient teaching? Vitamin A supplements can be used with this medication. Pregnancy must be avoided while taking this medication. Oral contraceptives must not be used with this medication. The most common adverse effect of this medication is depression.

Pregnancy must be avoided while taking this medication.

Which statement about superinfections does the nurse identify as true? Superinfections are more common in patients treated with narrow-spectrum drugs. Superinfection is defined as a new infection that appears during the course of treatment for a primary infection. Superinfections are caused by viruses. Superinfections are easy to treat.

Superinfection is defined as a new infection that appears during the course of treatment for a primary infection.

Fluoroquinolones should be discontinued immediately if what happens? Nausea, vomiting, or diarrhea is experienced. Dizziness, headache, or confusion occurs. Tendon pain or inflammation develops. Theophylline is prescribed for asthma.

Tendon pain or inflammation develops.

The nurse identifies topical retinoids as derivatives of what? Vitamin A Vitamin D Salicylic acid Arachidonic acid

Vitamin A

A patient has been prescribed oral ciprofloxacin [Cipro] for a skin infection. When administering the medication, it is most important for the nurse to do what? Monitor for a decrease in the prothrombin time (PT) if the patient is also taking warfarin [Coumadin]. Withhold antacids and milk products for 6 hours before or 2 hours afterward. Inform the healthcare provider if the patient has a history of asthma. Assess the skin for Stevens-Johnson syndrome.

Withhold antacids and milk products for 6 hours before or 2 hours afterward.

Which drug does the nurse identify as a urinary tract antiseptic? A.Ciprofloxacin B.Ceftriaxone C.Nitrofurantoin D.Ceftazidime

C.Nitrofurantoin

A 30-year-old male is demonstrating hematuria with red blood cell casts and proteinuria exceeding 3-5 grams per day, with albumin being the major protein. The most probable diagnosis the nurse will see documented on the chart is: acute glomerulonephritis chronic pyelonephritis Cystitis renal calculi

acute glomerulonephritis