quiz 3 study questions (1) (2)

8/17/2019 Quiz 3 Study Questions (1) (2)

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1. A nurse needs to administer a cephalosporin to a patient. The patient informs thenurse that he is allergic to penicillin. Which of the following actions is the nursemost likely to take in such a situation?

a) Inform the primary health care provider.

b) uggest kidney function tests.c) !btain patient"s occupational history.d) Administer an antipyretic drug.

#. The physician has ordered penicillin $ for your patient. Which of the followingshould you instruct the patient to take with the medication?

a) A full glass of orange %uiceb) An antacidc) A full glass of waterd) A diuretic

&. 'enicillins may trigger an anaphylactic reaction in some patients. (uring whatperiod following in%ection of a penicillin is anaphyla is most likely to occur?

a) * hoursb) 1# hoursc) # hoursd) &+ minutes

,. -ephalosporins are structurally and chemically related to which classes ofantibiotics? -hoose one)

a) Tetracyclinesb) Aminoglycosides

c) 'enicillinsd) /luoro0uinolones

. A nurse is preparing the medical history report of a patient with a urinary tractinfection. Which of the following conditions should the nurse identify as one in whichthe use of cephalosporins is restricted?


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a) 2eadacheb) Abdominal crampsc) 3enal diseased) Aplastic anemia

4. 5our client is being treated for streptococcal pharyngitis and is 6'!. 2er healthcare provider has ordered 'enicillin 7 to be given I8. he wants to know why shecannot take her medications via an oral route. 5our best response is9

a) 'enicillin 7 is inactivated by gastric acid: therefore it is only given I8 or I$.b) 'enicillin 7 is inactivated by gastric acid: therefore it is only given I8.c) 'enicillin 7 is no longer used for this problem.d) 'enicillin 7 can be given orally but re0uires higher doses.

;. 5ou are doing patient teaching prior to discharging a patient home. The patient istaking cipro


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a) Administer the dose and document the observation in the nursing notes.b) Administer the dose and report this information to the oncoming nurse at shiftchange.c) 2old the dose and notify the physician immediately.d) Administer the dose and then notify the physician.

1+. 5ou are a critical care nurse caring for a patient taking aminoglycosides. Whichof the following should you monitor closely to determine whether dosagead%ustment is re0uired?

a) -ardiac functionb) 3enal functionc) >ung functiond) Intestinal function

11. When administering aminoglycosides: the nurse must be aware of which of thefollowing adverse reactions?

a) 7laucoma and renal failureb) 2ypoglycemia and hyperglycemiac) !toto icity and nephroto icityd) >iver necrosis: or hepatic failure

1#. The nurse should advise the client which of the following in regards to theadministration of


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a) Ac0uired resistanceb) -rossBsensitivityc) uperinfectiond) 'rimary infection

1,. A client is receiving levoeva0uin) I$. (uring an infusion: the clientcomplains of pain and the nurse notes a reddened area along the vein. What doesthe nurse suspect?

a) = travasationb) 'hlebitisc) Allergic reactiond) Adverse reaction

1 . The nurse knows that pseudomembranous colitis is a superinfection of


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1;. The client has been taking her antibiotic for Dve days. he tells the nurse thatshe is now e periencing vaginal itching and discharge. The nurse suspects what hasoccurred?

a) The client has developed a superinfection.

b) The client is not taking her medications.c) The client is e periencing an adverse reaction.d) The client has developed sepsis.

1*. A ;#ByearBold female clinic patient is started on trimethoprimBsulfametho a olefor treatment of a urinary tract infection. 'rior to administering this drug: the nurseshould assess the patient for which of the following conditions?

a) (iabetes mellitusb) 3enal impairmentc) 2ypertensiond) Asthma

1 . A patient has been prescribed a tetracycline drug for 3ocky 8ountain spottedfever. The patient also takes antacids. Which of the following e@ects is likely tooccur due to an interaction between the two drugs?

a) Increased action of neuromuscularBblocking drugsb) Increased profound respiratory depressionc) Increased risk of bleedingd) (ecreased absorption of tetracycline

#+. 5our client developed a pressure area on her hip which has become infected. Ifthe wound culture reveals methicillinBresistant Staphylococcus aureus : which of thefollowing medications will you e pect to be ordered?

a) 'enicillin

b) =rythromycinc) $ancomycind) /lagyl

#1. 5ou are administering erythromycin to one of your patients. /or what commonside e@ects should you monitor the patient?


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a) hortness of breathb) Erticaria and colitisc) 2eadache: fever: and itchingd) 6ausea: vomiting: and diarrhea

##. A ;*ByearBold female: who lives alone and is forgetful: is being seen by herhome health nurse. In reviewing the patient"s medication the nurse discovers thatthe patient is taking A ithromycin Fithroma ) for urethritis. Why would this be agood choice of antibiotics for this patient?

a) It is taken only once a day.b) It has very few adverse [email protected]) The halfBlife of the drug is & to ; hours.d) It can be given without consideration to drugBdrugB interactions.

#&. A patient is diagnosed with peptic ulcer disease. 2e has been prescribedclarithromycin Gia in). Which of the following organisms is this medication used totreat?

a) Haemophilus infuenzae b) Helicobacter pylori c) Mycobacterium avium compled) Streptococcus pneumoniae

#,. 5our client states that she has fre0uent sinus infections: for which she takes amedication for & days. The most likely medication she takes is9

a) Tetracycline.b) 'yridium.

c) A ithromycin.d) Gactrim.

# . The nursing instructor is discussing the administration of a ithromycin: amacrolide: with her clinical group. The instructor asks her students to identify themedication that will decrease the e@ects of a ithromycin when administered


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concurrently. Which of the following medications would the students identify?

a) -alciumBchannel blockersb) GetaBadrenergic blockersc) Antacids

d) Antidepressants

#4. 2ow is tuberculosis transmitted from person to person? -hoose +ne)

a) Inhalation of infected aerosoli ed dropletsb) -ontact with infected bloodc) /ecal oral transmissiond) -ontact with sweat

#;. 8edical treatment for tuberculosis TG) consists of a combination of drugs to getthe best results. This statement is9

a) /alseb) True

#*. A patient is taking rifampin 3ifadin) for active TG. When discussing this drugwith the patient: the nurse should stress that

a) the drug usually causes cardiac arrhythmias.b) body


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&+. The client is taking isonia id I62). It is important that the client understand I62can a@ect which vitamin?

a) Gb) G1c) G4d) G#

&1. A patient is hospitali ed due to noncompliance with an antitubercular drugtreatment. Which of the following is most important for the nurse to do?

a) Instruct the family on the medication regimeb) -ount the number of tablets in the bottle dailyc) !bserve the patient taking the medicationsd) Administer the medications parenterally

. A patient for whom antiretroviral therapy has been prescribed informs the nursethat she is taking oral contraceptives. Which of the following should the nurseinform the patient is one of the e@ects of combining birth control pills withantiretroviral therapy?

a) (ecreases e@ectiveness of birth control pillsb) (ecreases e@ectiveness of antiviral therapyc) Increases serum level of the antiretrovirald) Increases risk of vaginal bleeding

&&. The nursing instructor is giving memory aids to the students to help them to

better remember the di@erent drug classiDcations. Which of the following syllableswould the nurse instruct the students to look for when learning the antivirals?

a) Bvirb) B


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&,. The nurse is reviewing the medication instruction for the patient takingacyclovir. Which of the following would indicate the need for additional teaching?

a) HI need to contact my physician if the lesion turns red.Hb) HThis medication will cure my disease.Hc) HI need to complete the full course of therapy as prescribed.Hd) HI need to report any rash or itching while taking the medication.H

& . Which drug is most commonly used orally to treat infections caused by -andidaalbicans?

a) Acrisorcin Akrinol)b) /lucona ole (i


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prevent recurrent infections. Which of the following is the best method to preventreinfection?

a) 2and washingb) Washing undergarments

c) Washing bed linensd) -hanging bed linens

& . Amphotericin G is given by which route?

a) I$b) Kc) I8d) '!

,+. 5ou are caring a client who has been prescribed an oral suspension of nystatinfor treatment of mouth lesions. 2ow would you e plain selfBadministration of themedication to the client?

a) H wallow the medication.Hb) H wish the medication around in your mouth and then swallow it.Hc) H(ilute the medication in a glass of water and then swallow it.Hd) 6one of the above statements accurately describe selfBadministration of themedication.

,1. A patient comes to the clinic and is diagnosed with a vaginal fungal infection. The nurse provides patient information for self administration of a vaginal antifungalmedication. What will the nurse include in her instructions?

a) Insert low into the opening of the vagina

b) Ese a tampon to avoid staining undergarmentsc) (iscontinue use during menstruationd) 3emain recumbent for at least 1 minutes after insertion

,#. 5our client has a history of deep vein thrombosis: for which he is taking-oumadin. When providing patient education for this client: who is now taking


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b) 2ookwormc) 'inwormd) Threadworm

,;. 5ou are conducting patient teaching with a patient has %ust been prescribedlansopra ole 'revacid). What statement would indicate that the patient correctlyunderstands the action of this medication?

a) The medication inhibits acid secretions.Jb) The medication will repair my ulcer.Jc) The medication is an analgesic.Jd) The medication is an antibiotic.J

,*. A patient has been prescribed esomepra ole 6e uim). What statement by thepatient indicates that he has a good understanding of his newly prescribed drug?

a) I should open the capsules and crush the drug into applesauce.Jb) It is important that I take the drug after each meal.Jc) I need to swallow the drug whole and not chew the capsules.Jd) I should always take the drug with an antacid.J

, . A patient"s 7I discomfort is prescribed antacids. 6ursing interventionsassociated with this prescription should include what?

a) 2ave the patient swallow the antacid whole and do not crush or chew the tabletb) Administer this drug with other drugs or foodc) Administer the antacid 1 hour before or # hours after other oral medicationsd) >imit


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d) Assure ade0uate protein intake

. 5our patient is being sent home with orders for a la ative '36. 5ou are doing

patient teaching on the use of a la ative. What will you inform the patient is one ofthe most common adverse e@ects of a la ative?

a) Abdominal crampingb) 2eadachec) Weaknessd) (i iness

4. Which of the following is the correct rationale for why the nurse wouldadminister a la ative at a separate time from the client"s other medications?

a) !ften la atives make the client nauseated: which interferes with the ability totake medications.b) >a atives may reduce absorption of other drugs present in the 7I tract.c) They often taste bad and clients are less likely to take other medications.d) Gecause a la ative may stimulate a bowel movement: it can interfere withmedication administration.

;. 5ou are a home health nurse caring for a ;#ByearBold male in his home. 2ecomplains to you about diarrhea on an almost daily basis. What would you e plainto this patient is a common cause of diarrhea in older adults?

a) (iabetesb) 2ypertensive medicationsc) >a ative overused) 7laucoma

*. Which of the following patients are at highest risk for alteration in bowelelimination?

a) Triathleteb) (iabeticc) 'araplegic


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d) 2ypertensive patient

. The nurse may advise a patient to get which of the following after a myocardial

infarction to prevent straining during defecation? -hoose one)

a) >actulose -ephulac)b) >ubiprostone Amiti a)c) (ocusate -olace)d) 'syllium 8etamucil)

4+. 5ou are preparing to administer a saline cathartic when the patient mentionsthat they have -2/. 5ou know that saline cathartics are contraindicated for clientswith congestive heart failure due to what adverse e@ect?

a) 2ypomagnesemiab) 2yperphosphatemiac) 2ypochloremiad) 2ypernatremia

41. It is determined that a patient: who is in a hepatic coma: needs a la ative.>actulose is prescribed. Which of the following should the nurse monitor to assessthe eCcacy of the lactulose therapy?

a) !ncotic pressure in the colonb) 3elief from symptomsc) Glood ammonia levelsd) Water levels in the colon

4#. A ;4ByearBold woman who resides in a longBterm care facility is your newestadmission: presenting with dehydration: e plosive diarrhea: abdominal pain:elevated temperature: and dementia. he %ust completed a course of antibiotics fora lower respiratory infection. What do you think is causing her diarrhea?

a) 3otavirusb) Clostridium di cilec) In


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d) Irritable bowel syndrome

4&. A patient develops diarrhea secondary to antibiotic therapy. 2e is to receive two

tablets of dipheno ylate 2-l with atropine sulfate >omotil) orally as needed foreach loose stool. The nurse should inform him that he may e perience

a) increase in appetite.b) di iness.c) muscle aches.d) bradycardia.

4,. The nurse is about to administer dipheno ylate >omotil) to a client for the Drsttime. Which of the following side e@ects should be included in the teaching aboutthis medication?

a) HThis medication may make you feel lightheaded or drowsy.Hb) H5ou can e pect to feel an increase in energy on this medication.Hc) H'erianal irritation is a side e@ect of this medication.Hd) HThis medication has few side e@ects so you may not notice any.H

4 . Which of the following drugs must the nurse 0uestion when it is given with anantiBdiarrheal medication: because it can lead to a hypertensive crisis?

a) An anti


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4;. A nurse administers dronabinol to a patient %ust prior to starting an infusion ofchemotherapy drugs. Gefore allowing the patient to leave the facility: what shouldthe nurse instruct the patient to avoid?

a) /luidsb) leepingc) (rivingd) All the above

4*. A patient is administered an antihistamine for nausea. Which of the following isan adverse e@ect of this classiDcation of medication?

a) Erinary incontinenceb) Inverted T wavec) 'rolonged K3 compled) Erinary retention

4 . (i@erent medications are used to treat the di@ering causes of nausea andvomiting. Antihistamines may be e@ective in the treatment of nausea and vomitingcreated by9

a) urgery.b) 3adiation therapy.c) 8otion sickness.d) (rugs.

;+. 5our ,ByearBold client: who is preparing to go on an ocean cruise: asks for amedication to relieve the symptoms of seasickness. What medication would a

physician most likely prescribe?

a) 'alonosetronb) !dansetronc) copolamined) (ronabinol


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;1. A ,ByearBold patient is going on an ocean cruise. What medication would bemost e@ective for motion sickness?

a) 2ydro y ine Atara )

b) 8ecli ine Antivert)c) 8etoclopramide 3eglan)d) (iphenhydramine Genadryl)

;#. Which of the following would increase the risk of sedation in a patient receivingmecli ine? elect all that apply.

a) -a@eineb) Alcoholc) -odeined) (ia epame) 2ydrocodone

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11. c1#. b1&. c1,. b1 . c14. d1;. a1*. b


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1 . d#+. c#1. d##. a#&. b

#,. c# . c#4. a#;. b#*. b# . a&+. c&1. c. a&&. a&,. b& . b&4. b&;. c&*. a& . a,+. b,1. d,#. a,&. b,,. a, . a,4. c,;. a,*. c, . c

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4&. b4,. a4 . c44. a4;. c

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quiz 3 study questions (1) (2)

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