Nursing 1141- Pharmacology » Fall 2022 » Mastery EAQ Ch. 38

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Question #1
Which instruction would the nurse provide to a patient taking doxycycline daily for the treatment of acne to prevent complications?
A.   Brush teeth after taking drug, Take medication with antacids
B.   Brush teeth after taking drug, Take medication with antacids, Avoid midday sun
C.   Brush teeth after taking drug, Take medication with antacids
D.   Avoid midday sun, Consume yogurt daily, Use an alternate form of birth control.
Question #2
Which question would the nurse ask the patient to determine the cause of an unimproved infection after a patient has completed a course of tetracycline?
A.   "Did you take the drug with a full glass of water?"
B.   "Did you take the prescribed dosage of the drug?"
C.   "Were you using iron supplements while taking the drug?"
D.   "Did you take the drug with spicy food?"
Question #3
Which condition occurs when the normal flora are disturbed during antibiotic therapy?
A.   Organ toxicity
B.   Hypersensitivity
C.   Rebound toxicity
D.   Superinfection
Question #4
Which mechanism of action describes how penicillin destroys bacteria?
A.   It binds irreversibly to the cell wall.
B.   It interrupts bacterial DNA processes.
C.   It interrupts bacterial RNA processes.
D.   It interferes with cell wall synthesis.
Question #5
Which type of antibiotic treatment is the patient likely receiving when administered intravenous ceftriaxone before an open cholecystectomy?
A.   Empiric
B.   Definitive
C.   Colonization
D.   Prophylactic
Question #6
Which statement describes how superinfections occur?
A.   When the patient has a gram-positive bacterial infection
B.   When the patient has a gram-negative bacterial infection
C.   When the serum level of an antibiotic is too high
D.   When the antibiotic eliminates the normal bacterial flora
Question #7
Which condition may the patient have when reporting flushing, itching, hives, anxiety, and throat and tongue swelling after taking an antibiotic?
A.   An allergic anaphylactic reaction
B.   Clostridium difficile bacterial infection
C.   Tolerance to the antibiotic drugs
D.   Glucose-6-phosphate dehydrogenase (G6PD) deficiency
Question #8
Which medication is added to enhance the effectiveness of the ampicillin?
A.   Carbamazepine
B.   Acetaminophen
C.   Clavulanic acid
D.   Calcium citrate
Question #9
Which condition is the principal indication for sulfamethoxazole-trimethoprim (SMZ-TMP)?
A.   Urinary tract infection
B.   Meningeal infection
C.   Bacterial endocarditis
D.   Bacterial pneumonia
Question #10
Which medication may sometimes be overlooked when considering penicillin allergies in patients?
A.   Ampicillin (Totacillin)
B.   Amoxicillin (Amoxil)
C.   Penicillin V potassium (V-Cillin K)
D.   Piperacillin/tazobactam (Zosyn)
Question #11
Which drug does the nurse anticipate the health care provider will order for a patient diagnosed with Legionnaires’ disease?
A.   Daptomycin
B.   Erythromycin
C.   Aztreonam
D.   Lincomycin
Question #12
Which statement by the nurse explains the mechanism of bacteriostatic action of tetracycline?
A.   "Tetracycline degrades the bacterial cell wall."
B.   "Tetracycline binds to magnesium ions."
C.   "Tetracycline inhibits protein synthesis."
D.   "Tetracycline blocks RNA synthesis."
Question #13
Which time range is the elimination half-life of amoxicillin?
A.   0.5 to 1 hour
B.   1 to 1.5 hours
C.   6 to 8 hours
D.   1 to 2 hours
Question #14
Which antibiotic will the nurse expect to administer to this patient as empiric therapy for a serious intra-abdominal infection?
A.   Penicillin V potassium
B.   Amoxicillin-clavulanic acid
C.   Ticarcillin-clavulanic acid
D.   Ampicillin
Question #15
Which nursing assessment is most important for a patient who has been prescribed cefazolin sodium?
A.   History, including allergies
B.   Neurologic assessment
C.   History of immunizations
D.   Cardiac assessment
Question #16
Which intervention would be included when planning care for a patient receiving a sulfonamide antibiotic?
A.   Force fluids to at least 2000 mL/day.
B.   Encourage liquids that produce acidic urine.
C.   Insert a Foley catheter for accurate input and output measurement.
D.   Encourage a diet that causes an alkaline ash.
Question #17
Which instruction does the nurse give to the patient to prevent complications associated with sulfamethoxazole/trimethoprim SMZ-TMP?
A.   "Limit your fluid intake."
B.   "Avoid eating citrus fruits."
C.   "Limit your intake of milk products."
D.   "Avoid exposure to sunlight."
Question #18
Which instruction does the nurse give to the patient to ensure safe and effective administration of demeclocycline?
A.   "Avoid eating low-carbohydrate foods."
B.   "Avoid eating high-calorie foods."
C.   "Avoid eating high-protein foods."
D.   "Avoid the consumption of dairy products."
Question #19
The nurse would question the prescription of tetracycline for which patient?
A.   A 40-year-old patient diagnosed with a rickettsial infection
B.   A 60-year-old patient with hypertension
C.   A 6-year old patient with Haemophilus influenza
D.   A 45-year-old patient with diabetes mellitus
Question #20
Which drug allergy may indicate the need for change of a new prescription for cefuroxime?
A.   Penicillin V potassium
B.   Imipenem/cilastatin
C.   Aztreonam
D.   Sulfamethoxazole/trimethoprim
Question #21
Which action can cause a reduction in the therapeutic effect of doxycycline?
A.   The patient took the medication with salt crackers.
B.   The patient took the medication with a glass of milk.
C.   The patient refrained from taking antacids along with the medication.
D.   The patient refrained from going out in the sunlight.
Question #22
Which test would the nurse anticipate for a patient recently treated with antibiotics who has developed watery diarrhea?
A.   Acinetobacter test
B.   Culture and sensitivity test
C.   Sputum test
D.   Clostridium difficile test
Question #23
Which statement describes the nurse’s primary intervention for a patient prescribed sulfamethoxazole/trimethoprim (SMZ-TMP)?
A.   Instruct the patient to take the medication for 14 days.
B.   Ensure the patient does not eat anything when taking the medication.
C.   Assess the patient’s urine before and after treatment.
D.   Instruct the patient to increase fluid intake.
Question #24
Which group of antibiotics would require the patient to use sunscreen and wear a hat to avoid the sun between 10:00 a.m. and 4:00 p.m.?
A.   Second-generation cephalosporins
B.   First-generation cephalosporins
C.   Sulfonamides
D.   Penicillins
Question #25
Which intervention is important for the nurse to perform for a female patient who has been prescribed amoxicillin?
A.   Instruct the patient to not take the medication before meals.
B.   Assess whether the patient is on oral contraceptives.
C.   Obtain a baseline complete blood count.
D.   Inform the patient about possible superinfections.
Question #26
Which over-the-counter drugs will the nurse advise a patient to avoid while the patient is taking doxycycline?
A.   Potassium chloride, Acetaminophen
B.   Naproxen sodium, Potassium chloride
C.   Calcium citrate, Magnesium citrate
D.   Acetaminophen, Naproxen sodium
Question #27
Which condition is an adverse effect of sulfonamide antibiotics?
A.   Hepatotoxicity, Polyuria, Constipation
B.   Polyuria, Constipation, Urticaria
C.   Urticaria, Pancreatitis, Hepatotoxicity
D.   Pancreatitis, Polyuria, Constipation
Question #28
Which nursing intervention is a necessary priority for a patient with type 2 diabetes mellitus who is started on sulfamethoxazole/trimethoprim?
A.   Assess blood sugar.
B.   Monitor platelet count.
C.   Take blood pressure every 4 hours.
D.   Assess hemoglobin and hematocrit.
Question #29
Which response is indicated when the nurse learns a patient taking sulfadiazine has glucose-6-phosphate dehydrogenase (G6PD) deficiency?
A.   The nurse anticipates administering sulfadiazine in a higher dose to the patient.
B.   The nurse contacts the primary health care provider before administration of the drug.
C.   The nurse requests testing for Clostridium difficile.
D.   The nurse requests culture and sensitivity testing for the patient.
Question #30
Which medication does the nurse expect will be prescribed for a patient on long-term antibiotic therapy who complains of watery diarrhea, abdominal pain, and has a body temperature of 39.0°C (102.2°F)?
A.   Fidaxomicin
B.   Demeclocycline
C.   Sulfasalazine
D.   Azithromycin
Question #31
Which action would the nurse take after a patient taking sulfonamides reports bruises on the legs and arms?
A.   Ask the patient if someone is abusing her.
B.   Tell the patient to be more careful.
C.   Administer vitamin K to the patient.
D.   Assess the patient’s platelet counts.
Question #32
Which action is the nurse’s highest priority when discovering a patient started on sulfamethoxazole/trimethoprim has a viral infection?
A.   Administer the medication as ordered by the health care provider.
B.   Ensure that the information is documented in the chart.
C.   Ask the patient if he knows how he contracted the infection.
D.   Contact the health care provider to discuss the medication.
Question #33
Which statement is the priority instruction for the nurse to give to a patient with a history of kidney stones who has just been prescribed sulfamethoxazole/trimethoprim?
A.   "Take the medication on an empty stomach."
B.   "Take the medication at regularly spaced intervals."
C.   "Take the medication with a full glass of fluid."
D.   "Take the medication on a full stomach."
Question #34
Which medication would the nurse anticipate for a patient who is taking amoxicillin and develops wheezing, difficuty breathing, swelling of the throat and has a fast, irregular pulse on assessment?
A.   Tetracycline
B.   Ranitidine
C.   Epinephrine
D.   Azithromycin
Question #35
Which statement describes what the nurse would interpret from a patient on cefotetan therapy who reports stomach cramps, vomiting, diaphoresis, itching, headache, and who has hypotension on assessment?
A.   The patient had taken ethanol (alcohol) in addition to the cefotetan.
B.   The patient had taken probenecid in addition to the cefotetan.
C.   The patient had taken methotrexate in addition to the cefotetan.
D.   The patient had taken ranitidine in addition to the cefotetan.
Question #36
Which parameter would the nurse monitor in a patient taking sulfamethoxazole with trimethoprim (SMX-TMP) for a urinary tract infection to prevent complications?
A.   Lipid panel
B.   Complete blood count
C.   Liver function tests
D.   Serum electrolytes
Question #37
  
A.   Jaundice, Palpitations, Nausea and vomiting
B.   Agranulocytosis, Anemia, Nausea and vomiting
C.   Anemia, Jaundice, Agranulocytosis
D.   Palpitations, Anemia, Agranulocytosis
Question #38
Which finding in the patient who has been taking antibiotics for a week would indicate the need for referral to the primary health care provider?
A.   Mild nausea, Occasional loose stools, Jaundice
B.   Excessive fatigue, Mild nausea, Occasional loose stools
C.   Elevated temperature, Mild nausea, Occasional loose stools
D.   Jaundice, Excessive fatigue, Elevated temperature
Question #39
Which action would the nurse take for a patient who is being administered oral sulfamethoxazole/trimethoprim four times per day?
A.   Instruct the patient not to drink milk with the medication.
B.   Instruct the patient about potential constipation.
C.   Call the health care provider to discuss changing the frequency of the dose.
D.   Schedule the medication before meals and at bedtime.
Question #40
Which patient would the nurse monitor for atypical signs of infection?
A.   A 55-year-old patient who received radiation therapy for lung cancer, A 40-year-old patient with coronary artery disease, A 30-year-old patient with fractured tibia
B.   A 78-year-old patient with urinary incontinence, A 35-year-old patient who underwent a renal transplant, A 55-year-old patient who received radiation therapy for lung cancer
C.   A 30-year-old patient with fractured tibia, A 40-year-old patient with coronary artery disease, A 78-year-old patient with urinary incontinence
D.   A 30-year-old patient with fractured tibia, A 35-year-old patient who underwent a renal transplant, A 40-year-old patient with coronary artery disease
Question #41
Which finding does the nurse report to the primary health care provider to prevent complications from taking sulfamethoxazole/trimethoprim (SMZ-TMP)?
A.   Yellowish eyes, Change in the color of the sputum, Diarrhea
B.   Blood in the urine, Yellowish eyes, Change in the color of the sputum
C.   Diarrhea, Blood in the urine, Shortness of breath
D.   Yellowish eyes, Change in the color of the sputum, Shortness of breath
Question #42
A patient with pain and urinary tract infection develops fever, chills, and sores on the tongue. In the chart, the nurse finds an allergy to sulfonamides. Which drug does the nurse suspect is responsible for the patient’s reaction?
A.   Hydrochlorothiazide
B.   Furosemide
C.   Glimepiride
D.   Celecoxib
Question #43
Which parameter needs to be assessed to ensure safe drug administration of azithromycin?
A.   Skin turgor, Visual acuity, Baseline hearing status
B.   Liver function, Baseline hearing status, Baseline cardiac function
C.   Skin turgor, Liver function, Visual acuity
D.   Baseline cardiac function, Visual acuity, Skin turgor
Question #44
Which time frame is recommended for alcohol avoidance for a patient taking cefotetan?
A.   During drug therapy and for 7 days afterward
B.   During drug therapy and for 14 days afterward
C.   During drug therapy and for 3 days afterward
D.   No avoidance of alcohol warranted
Question #45
Which reason explains why fluid intake should be increased up to 3000 mL per day for a patient taking sulfamethoxazole/trimethoprim (SMZ-TMP)?
A.   To prevent hypotension
B.   To prevent drug-related crystalluria
C.   To maintain the fluid and electrolyte balance in the body
D.   To prevent mucosal irritation and dryness of the mouth
Question #46
Which instruction does the nurse give to the patient before the administration of sulfamethoxazole/trimethoprim (SMZ-TMP)?
A.   "Eat more high-protein foods."
B.   "Use any method other than oral contraception for birth control."
C.   "Avoid eating high-calorie foods."
D.   "Avoid consumption of dairy products."
Question #47
Which antibiotic is used for prophylaxis against infection in surgical patients?
A.   Cefepime
B.   Ceftriaxone
C.   Cefoxitin
D.   Cefazolin
Question #48
Which drug is contraindicated for a patient who is receiving erythromycin therapy?
A.   Warfarin
B.   Digoxin
C.   Tetracycline
D.   Estrogen-containing contraceptive
Question #49
Which biochemical parameter does the nurse assess before administering sulfamethoxazole/trimethoprim (SMZ-TMP)?
A.   Red blood cell count
B.   Creatinine clearance
C.   Uric acid baseline level
D.   Liver enzymes
Question #50
Which statement will the nurse make to a patient prescribed azithromycin who expresses concern regarding potential gastrointestinal upset similar to that previously experienced when taking erythromycin?
A.   "I will call the doctor and ask for a different antibiotic."
B.   "This drug is like erythromycin but has less severe gastrointestinal side effects."
C.   "I will ask the doctor for a prescription for an antiemetic for possible nausea."
D.   "You need this medication and will need to tolerate the nausea."
Question #51
Which antibiotic may cause hemolysis in a patient who has glucose-6-phosphate dehydrogenase (G6PD) deficiency?
A.   Penicillin
B.   Tetracycline
C.   Sulfonamide
D.   Quinolone

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