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, Avoid midday sun
B.   Brush teeth after taking drug, Take medication with antacids
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 spicy food?"
B.   "Did you take the drug with a full glass of water?"
C.   "Were you using iron supplements while taking the drug?"
D.   "Did you take the prescribed dosage of the drug?"
Question #3
Which condition occurs when the normal flora are disturbed during antibiotic therapy?
A.   Rebound toxicity
B.   Organ toxicity
C.   Superinfection
D.   Hypersensitivity
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.   Definitive
B.   Prophylactic
C.   Empiric
D.   Colonization
Question #6
Which statement describes how superinfections occur?
A.   When the patient has a gram-negative bacterial infection
B.   When the patient has a gram-positive 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.   Glucose-6-phosphate dehydrogenase (G6PD) deficiency
B.   An allergic anaphylactic reaction
C.   Tolerance to the antibiotic drugs
D.   Clostridium difficile bacterial infection
Question #8
Which medication is added to enhance the effectiveness of the ampicillin?
A.   Clavulanic acid
B.   Acetaminophen
C.   Calcium citrate
D.   Carbamazepine
Question #9
Which condition is the principal indication for sulfamethoxazole-trimethoprim (SMZ-TMP)?
A.   Urinary tract infection
B.   Meningeal infection
C.   Bacterial pneumonia
D.   Bacterial endocarditis
Question #10
Which medication may sometimes be overlooked when considering penicillin allergies in patients?
A.   Piperacillin/tazobactam (Zosyn)
B.   Ampicillin (Totacillin)
C.   Penicillin V potassium (V-Cillin K)
D.   Amoxicillin (Amoxil)
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.   Lincomycin
D.   Aztreonam
Question #12
Which statement by the nurse explains the mechanism of bacteriostatic action of tetracycline?
A.   "Tetracycline inhibits protein synthesis."
B.   "Tetracycline blocks RNA synthesis."
C.   "Tetracycline degrades the bacterial cell wall."
D.   "Tetracycline binds to magnesium ions."
Question #13
Which time range is the elimination half-life of amoxicillin?
A.   6 to 8 hours
B.   0.5 to 1 hour
C.   1 to 2 hours
D.   1 to 1.5 hours
Question #14
Which antibiotic will the nurse expect to administer to this patient as empiric therapy for a serious intra-abdominal infection?
A.   Ampicillin
B.   Amoxicillin-clavulanic acid
C.   Ticarcillin-clavulanic acid
D.   Penicillin V potassium
Question #15
Which nursing assessment is most important for a patient who has been prescribed cefazolin sodium?
A.   Cardiac assessment
B.   Neurologic assessment
C.   History, including allergies
D.   History of immunizations
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.   Insert a Foley catheter for accurate input and output measurement.
C.   Encourage a diet that causes an alkaline ash.
D.   Encourage liquids that produce acidic urine.
Question #17
Which instruction does the nurse give to the patient to prevent complications associated with sulfamethoxazole/trimethoprim SMZ-TMP?
A.   "Avoid exposure to sunlight."
B.   "Limit your fluid intake."
C.   "Limit your intake of milk products."
D.   "Avoid eating citrus fruits."
Question #18
Which instruction does the nurse give to the patient to ensure safe and effective administration of demeclocycline?
A.   "Avoid the consumption of dairy products."
B.   "Avoid eating high-calorie foods."
C.   "Avoid eating high-protein foods."
D.   "Avoid eating low-carbohydrate foods."
Question #19
The nurse would question the prescription of tetracycline for which patient?
A.   A 6-year old patient with Haemophilus influenza
B.   A 60-year-old patient with hypertension
C.   A 45-year-old patient with diabetes mellitus
D.   A 40-year-old patient diagnosed with a rickettsial infection
Question #20
Which drug allergy may indicate the need for change of a new prescription for cefuroxime?
A.   Aztreonam
B.   Imipenem/cilastatin
C.   Penicillin V potassium
D.   Sulfamethoxazole/trimethoprim
Question #21
Which action can cause a reduction in the therapeutic effect of doxycycline?
A.   The patient took the medication with a glass of milk.
B.   The patient took the medication with salt crackers.
C.   The patient refrained from going out in the sunlight.
D.   The patient refrained from taking antacids along with the medication.
Question #22
Which test would the nurse anticipate for a patient recently treated with antibiotics who has developed watery diarrhea?
A.   Sputum test
B.   Culture and sensitivity test
C.   Clostridium difficile test
D.   Acinetobacter test
Question #23
Which statement describes the nurse’s primary intervention for a patient prescribed sulfamethoxazole/trimethoprim (SMZ-TMP)?
A.   Instruct the patient to increase fluid intake.
B.   Assess the patient’s urine before and after treatment.
C.   Instruct the patient to take the medication for 14 days.
D.   Ensure the patient does not eat anything when taking the medication.
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.   Penicillins
D.   Sulfonamides
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.   Inform the patient about possible superinfections.
C.   Assess whether the patient is on oral contraceptives.
D.   Obtain a baseline complete blood count.
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.   Pancreatitis, Polyuria, Constipation
B.   Urticaria, Pancreatitis, Hepatotoxicity
C.   Hepatotoxicity, Polyuria, Constipation
D.   Polyuria, Constipation, Urticaria
Question #28
Which nursing intervention is a necessary priority for a patient with type 2 diabetes mellitus who is started on sulfamethoxazole/trimethoprim?
A.   Take blood pressure every 4 hours.
B.   Monitor platelet count.
C.   Assess blood sugar.
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 contacts the primary health care provider before administration of the drug.
B.   The nurse requests testing for Clostridium difficile.
C.   The nurse anticipates administering sulfadiazine in a higher dose to the patient.
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.   Demeclocycline
B.   Sulfasalazine
C.   Fidaxomicin
D.   Azithromycin
Question #31
Which action would the nurse take after a patient taking sulfonamides reports bruises on the legs and arms?
A.   Tell the patient to be more careful.
B.   Assess the patient’s platelet counts.
C.   Ask the patient if someone is abusing her.
D.   Administer vitamin K to the patient.
Question #32
Which action is the nurse’s highest priority when discovering a patient started on sulfamethoxazole/trimethoprim has a viral infection?
A.   Ensure that the information is documented in the chart.
B.   Contact the health care provider to discuss the medication.
C.   Administer the medication as ordered by the health care provider.
D.   Ask the patient if he knows how he contracted the infection.
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 with a full glass of fluid."
B.   "Take the medication on a full stomach."
C.   "Take the medication at regularly spaced intervals."
D.   "Take the medication on an empty 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.   Azithromycin
B.   Tetracycline
C.   Ranitidine
D.   Epinephrine
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 ranitidine 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 ethanol (alcohol) 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.   Complete blood count
B.   Lipid panel
C.   Liver function tests
D.   Serum electrolytes
Question #37
Which information would the nurse include about the adverse effects when educating a patient who is newly prescribed erythromycin for an ear infection?
A.   Agranulocytosis, Anemia, Nausea and vomiting
B.   Jaundice, Palpitations, 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.   Jaundice, Excessive fatigue, Elevated temperature
D.   Elevated temperature, Mild nausea, Occasional loose stools
Question #39
Which action would the nurse take for a patient who is being administered oral sulfamethoxazole/trimethoprim four times per day?
A.   Call the health care provider to discuss changing the frequency of the dose.
B.   Schedule the medication before meals and at bedtime.
C.   Instruct the patient not to drink milk with the medication.
D.   Instruct the patient about potential constipation.
Question #40
Which patient would the nurse monitor for atypical signs of infection?
A.   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
B.   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
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 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
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, Shortness of breath
B.   Yellowish eyes, Change in the color of the sputum, Diarrhea
C.   Diarrhea, Blood in the urine, Shortness of breath
D.   Blood in the urine, Yellowish eyes, Change in the color of the sputum
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.   Celecoxib
B.   Furosemide
C.   Glimepiride
D.   Hydrochlorothiazide
Question #43
Which parameter needs to be assessed to ensure safe drug administration of azithromycin?
A.   Skin turgor, Liver function, Visual acuity
B.   Baseline cardiac function, Visual acuity, Skin turgor
C.   Liver function, Baseline hearing status, Baseline cardiac function
D.   Skin turgor, Visual acuity, Baseline hearing status
Question #44
Which time frame is recommended for alcohol avoidance for a patient taking cefotetan?
A.   During drug therapy and for 14 days afterward
B.   During drug therapy and for 3 days afterward
C.   No avoidance of alcohol warranted
D.   During drug therapy and for 7 days afterward
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 maintain the fluid and electrolyte balance in the body
B.   To prevent mucosal irritation and dryness of the mouth
C.   To prevent drug-related crystalluria
D.   To prevent hypotension
Question #46
Which instruction does the nurse give to the patient before the administration of sulfamethoxazole/trimethoprim (SMZ-TMP)?
A.   "Avoid consumption of dairy products."
B.   "Avoid eating high-calorie foods."
C.   "Use any method other than oral contraception for birth control."
D.   "Eat more high-protein foods."
Question #47
Which antibiotic is used for prophylaxis against infection in surgical patients?
A.   Ceftriaxone
B.   Cefepime
C.   Cefazolin
D.   Cefoxitin
Question #48
Which drug is contraindicated for a patient who is receiving erythromycin therapy?
A.   Digoxin
B.   Estrogen-containing contraceptive
C.   Tetracycline
D.   Warfarin
Question #49
Which biochemical parameter does the nurse assess before administering sulfamethoxazole/trimethoprim (SMZ-TMP)?
A.   Creatinine clearance
B.   Red blood cell count
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.   "You need this medication and will need to tolerate the nausea."
C.   "I will ask the doctor for a prescription for an antiemetic for possible nausea."
D.   "This drug is like erythromycin but has less severe gastrointestinal side effects."
Question #51
Which antibiotic may cause hemolysis in a patient who has glucose-6-phosphate dehydrogenase (G6PD) deficiency?
A.   Quinolone
B.   Sulfonamide
C.   Tetracycline
D.   Penicillin

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