Quizzes for Exam 3

What is the expected length of treatment for a client being treated with amphotericin B for a severe fungal infection? a. 4 to 12 weeks b. 3 to 6 weeks c. 15 to 18 weeks d. 1 to 2 weeks

a. 4 to 12 weeks

What is the rationale for not administering tetracycline to children under the age of 8 years? a. It will interfere with enamel development. b. It will increase the risk for future infections. c. It will increase the risk of heart failure. d. It will not treat the infection effectively.

a. It will interfere with enamel development.

A client, being treated in the intensive care unit, has been diagnosed with ventilator-associated pneumonia. Culture and sensitivity testing of the client's sputum indicates that erythromycin is a treatment option. Which nursing assess is most appropriate to rule out contraindications for this medication therapy? a. Review lab results to confirm normal liver function. b. Confirm the ability to safely swallow oral medication. c. Question the client about any history of gastrointestinal upset. d. Review the medical for a history of nephrotoxic signs or symptoms.

a. Review lab results to confirm normal liver function.

A client, diagnosed with a genitourinary infection, is being treated with a fluoroquinolone. What is the advantage of a fluoroquinolone over an aminoglycoside? a. The fluoroquinolone can be given orally. b. The fluoroquinolone does not have adverse effects. c. The fluoroquinolone has a nearly immediate peak. d. The fluoroquinolone has a broader spectrum.

a. The fluoroquinolone can be given orally.

A client is prescribed isoniazid (INH) for a diagnosis of tuberculosis (TB). Which adverse effect will result in discontinuation of the medication? a. jaundice b. arthralgia c. fever d. weight gain

a. jaundice

A client is to receive imipenem-cilastatin IM to treat P. aeruginosa. What should it be mixed with prior to administering IM? a. lidocaine b. epinephrine c. gentamicin d. meropenem

a. lidocaine

A client, prescribed isoniazid (INH) for a diagnosis of tuberculosis (TB), has a yellow color in the sclera of the eye. What other finding would lead the nurse to suspect that hepatotoxicity has developed? a. light-colored stools b. diminished vision c. numbness d. diarrhea

a. light-colored stools

Which medication will be administered to treat the diarrhea and abdominal distention associated with giardiasis? a. metronidazole b. sulfasalazine c. trimethoprim-sulfamethoxazole d. doxycycline

a. metronidazole

A young adult client's acne has responded well to treatment with tetracycline. However, the client has now returned to the clinical 6 weeks later with signs and symptoms of oral candidiasis. The nurse should recognize that this client's current health problem is likely attributable to which occurrence? a. superinfection following the eradication of normal oral flora b. a delayed (type IV) hypersensitivity reaction c. a type I hypersensitivity reaction d. the fact that the client may have chewed the capsules prior to swallowing them

a. superinfection following the eradication of normal oral flora

What is the antidote for acetaminophen poisoning? a. ketorolac b. acetylcysteine c. diclofenac sodium d. allopurinol

acetylcysteine

A client diagnosed with a tumor of the spinal cord is prescribed a corticosteroid. What statement by the client demonstrates an accurate understanding of this tx? a. "This drug will stop my cancer cells from growing further" b. "This drug won't cure my cancer, but it may help me feel better." c. "This drug will decrease my chance of infection and meningitis" d. "This drug will cause my tumor to be more susceptible to treatment"

b. "This drug won't cure my cancer, but it may help me feel better."

What type of insulin is Humulin N (NPH)? a. Short Acting b. Intermediate Acting c. Long Acting d. Rapid Acting

b. Intermediate Acting

An older adult client with a creatinine level of 4.0 mg/dL and a diagnosis of herpes simplex is prescribed cyclovir. When preparing to administer this medication parenterally, what would the nurse expect in regard to medication dosage? a. The dose is higher in treating if treating genital herpes. b. The dose is smaller based on the client's kidney function. c. The dose is smaller due to the herpes simplex. d. The dose is higher if the creatinine is above 4.0 mg/dL.

b. The dose is smaller based on the client's kidney function.

A client is being treated for a urinary tract infection with trimethoprim- sulfamethoxazole. What assessment should the nurse make prior to the administration of the medication? a. assess for HTN b. assess for renal insufficiency c. assess for diabetes mellitus d. assess for the presence of asthma

b. assess for renal insufficiency

A client is prescribed acyclovir for the treatment of genital herpes. What is the expected outcome of this medication? a. decreased bacterial replication b. decreased viral shedding c. decreased libido d. decreased testosterone production

b. decreased viral shedding

A client is admitted to the emergency department with a suspected overdose of acetaminophen. What adverse effects is the most common in acute or chronic overdose of acetaminophen? a. pulmonary insufficiency b. hepatotoxicity c. pancreatitis d. nephrotoxicity

b. hepatotoxicity

A client has been prescribed phenazopyridine for urinary tract symptoms R/T the infection. The client asks why she is taking this medication. What is the most appropriate response by the nurse? a. "This medication will stop the blood in your urine" b. "This medication is used to treat urinary retention" c. "This medication will decrease the pain of your infection" d. "This medication will prevent hesitancy when you're passing urine"

c. "This medication will decrease the pain of your infection"

A client is prescribed isoniazid and rifampin for the treatment of active tuberculosis (TB). The client's medication education should stress that initial symptom improvement is likely to take how long? a. 4 to 6 weeks b. 48 hours c. 2 to 3 weeks d. a week to 10 days

c. 2 to 3 weeks

A client, diagnosed with Trichomonas vaginalis, is being treated with metronidazole orally. What instruction is most important for the nurse to provide this client to minimize the spread of this infection? a. Instruct her to drink red wine. b. Instruct her on safe sex. c. Instruct her to have her partner treated. d. Instruct her to take two tablets if a dose is missed.

c. Instruct her to have her partner treated.

What type of insulin is determir (Levemir)? a. Intermediate Actiing b. Short Acting c. Long Acting d. Rapid Acting

c. Long Acting

A client is prescribed rifampin. What information should the nurse include in the client's medication education? a. It has an increased serum half-life, so it is more effective than rifabutin. b. When taking it with warfarin, an increased anticoagulant effect occurs. c. The urine, tears, sweat, and other body fluids will be a discolored red-orange. d. It decreases hepatic enzymes and decreases metabolism of drugs.

c. The urine, tears, sweat, and other body fluids will be a discolored red-orange.

A client has been prescribed doxycycline. Which teaching instruction is a priority with this medication? a. avoid unprotected sexual activity b. chew the tablets c. avoid sun exposure d. administer with an antacid

c. avoid sun exposure

An elderly client has taken ibphrofen 800 mg two times per day for the past 3 years. Which laboratory test is the priority assessment? a. complete blood count b. 24-hour urine for microalbumin c. blood urea nitrogen and serum creatinine d. renin and aldosterone levels

c. blood urea nitrogen and serum creatinine

A client is to be started on an antibiotic. Which factor is most important to take into consideration before beginning the antibiotic regimen? a. the client's hydration status b. duration of symtpoms c. culture and sensitivity d. the client's age and weight

c. culture and sensitivity

A client is prescribed penicillin V orally for strep throat. What is the mechanism of action of this medication? a. it lowers the pH of cellular contents b. it inhibits protein synthesis c. it inhibits cell wall synthesis d. it causes mutations

c. it inhibits cell wall synthesis

A client is hospitalized due to nonadherence to an antitubercular drug treatment for a diagnosis of tuberculosis (TB). Which intervention is most important for the nurse to implement? a. counting the number of tablets in the bottle daily b. instructing the family on the medication regime c. observing the client taking the medications d. administering the medications parenterally

c. observing the client taking the medications

What organ system is responsible for the excretion of cefotaxime sodium from the body? a. respiratory b. gastrointestinal c. renal d. hepatic

c. renal

A 69-year-old responded well to inclient tx with a 3rd generation cephalosporin. After being largely symptom free for 48 hours, the woman has developed a fever of 38.6 C and an elevated WBC count. What phenomenon may account for this client's current clinical presentation? a. the client is experiencing a delayed (type IV) hypersensitivity reaction to the cephalosporin b. the client may be developing glomerulonephritis secondary to the nephrotoxic cephalosporin c. the client may be infected with microorganisms that were resistant to the cephalosporin d. the cephalosporin may have initially caused leukopenia and made the client susceptible to secondary infection

c. the client may be infected with microorganisms that were resistant to the cephalosporin

A client prescribed metronidazole to treat Clostridium difficile is also prescribed which medication orally to assist in restructuring the flora of the intestinal tract? a. rifaximin b. spectinomycin c. vancomycin d. quinupristin-dalfopristin

c. vancomycin

A client has been taking antibiotics at home for the tx of a respiratory infection for the past 6 days, and there is no evident improvement in the infection. Which nursing assessment is most appropriate? a. assess the client's home hygiene b. assess client's understanding of his or her illness c. assess client's use of herbal or alternative remedies d. assess the client's adherence to the medicine regimen

d. Assess the client's adherence to the medication regimen

A client is to be discharged with a prescription for prednisone to be administered every other day at 09:00 AM. When implementing discharge teaching, what should the nurse explain as the rationale for giving the medication every other day? a. it prevents steroid tolerance b. it increases effectiveness c. it prolongs therapeutic effects d. it reduces adverse effects

d. It reduces adverse effects

An adult client has been prescribed oral prednisone for the tx of an acute dermatological condition. When teaching this client about this course of tx, what teaching point should the nurse emphasize? a. the need to supplement prednisone with high doses of vit D b. the importance to matching each day's dose to the severity of symptoms c. the need to avoid drinking grapefruit juice for the duration of treatment d. the importance of gradually reducing rather than abruptly stopping the drug

d. The importance of gradually reducing rather than abruptly stopping the drug

A child has symptoms of influenza, including a fever. Which medication should not be administered to the child because of the risk of Reye's syndrome? a. acorbic acid b. acetaminophen c. ibphrophen d. acetylsalicylic acid

d. acetysalicylic acid

A client, seen in the clinic for symptoms of persistent cough, fever, and night sweats, has recently entered the United States from India. What is the most plausible explanation for the client's condition? a. bacterial pneumonia b. latent tuberculosis c. emphysema d. active tuberculosis

d. active tuberculosis

A client diagnosed with infective endocarditis would be most effectively treated with which medication? a. nafcillin b. oxacillin c. dicloxacillin d. ampicillin

d. ampicillin

Which miscellaneous antibacterial drug is administered topically in the treatment of acne? a. daptomycin b. tigecycline c. chloramphenicol d. clindamycin

d. clindamycin

A client is allergic to penicillin and has been diagnosed with a genitourinary infection caused by Chlamydia trachomatis. Which medication will most likely be prescribed? a. acamprosate calcium b. atazanavir c. flumazenil d. erythromycin

d. erythromycin

Which medication is the drug of choice for Legionnaires disease? a. meclizine b. loxapine hydrochloride c. pravastatin d. erythromycin

d. erythromycin

A client has been prescribed chloramphenicol for vancomycin-resistant enterococci. How is this medication eliminated from the body? a. exhaled through the lungs b. through the liver c. excreted in the bile d. excreted in the urine

d. excreted in the urine

The nurse is preparing to administer gentamycin when the client mentions having experienced diminished hearing. What action should the nurse take based on this statement? a. hold the dosage and document the finding in the nurses' notes b. administer the dosage and notify the HCP of the alteration in hearing c. administer the dosage and report the alteration in hearing to the audiologist d. hold the dosage and notify the HPC of the alteration in hearing

d. hold the dosage and notify the HPC of the alteration in hearing

A client has started aminoglycoside therapy. It is time for a client's next dose of an aminoglycoside. What action should the nurse take when learning the client's creatinine level is 3.9 mg/dL? a. administer the medication with 100 mL of fluids b. administer the medication and report the creatine level c. hold the dose until another creatinine level is assessed d. hold the medication and assess the urine output

d. hold the medication and assess the urine output

A client is diagnosed with a gram-negative infection and is prescribed an aminoglycoside. What is the action of an aminoglycoside? a. it blocks the process of DNA replication b. it destroys the integrity of the cell wall structure c. it increases the white blood cell viability d. it blocks protein synthesis of the cell wall

d. it blocks protein synthesis of the cell wall

A client burns has developed a wound infection. This client is experiencing what type of wound infection? a. food-borne infection b. fungal infection c. nosocomial infection d. opportunistic infection

d. opportunistic infection

A client is prescribed ciprofloxacin. Which nursing intervention will best prevent the possible development of crystalluria? a. the nurse should limit oral fluids to 500 mL/d b. the nurse should insert a urinary catheter c. the nurse should administer phenazopyridine d. the nurse should administer 2000 mL of oral fluids per day

d. the nurse should administer 2000 mL of oral fluids per day

A client, who sustained a burn from a gas grill, has been prescribed a sulfonamide to prevent a burn infection. What route is preferred in the prevention of a burn infection? a. intrathecal b. parenteral c. oral d. topical

d. topical

A hospital nurse is aware that nosocomial infections pose a significant threat to many client's health status. In order to reduce the spread of nosocomial infections, the nurse should prioritize which action? a. use of disinfectants when providing client hygiene b. client education on the causes of infection c. increased use of empiric antibiotic therapy d. vigilant and thorough hand hygiene

d. vigilant and thorough hand hygiene