Nursing 1141- Pharmacology » Fall 2022 » Mastery EAQ Ch. 39
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Question #1
Which information would the nurse provide to a patient beginning ciprofloxacin 400 mg PO every 12 hours about adverse effects to immediately report?
A.
Abnormal heart rhythm, Nausea, Dizziness
B.
Nausea, Dizziness, Tendon pain
C.
Tendon pain, Abnormal heart rhythm, Yellowish hue of the skin
D.
Nausea, Yellowish hue of the skin, Dizziness
Question #2
Which function is measured by a patient’s serum creatinine level before starting antibiotic therapy?
A.
Cardiac
B.
Liver
C.
Renal
D.
Neurologic
Question #3
Which interaction is caused by administering divalent minerals such as a calcium supplement within an hour of a quinolone such as levofloxacin?
A.
Altered intestinal flora
B.
Reduced antibacterial activity of levofloxacin
C.
Impaired levofloxacin absorption
D.
Increased serum concentration of levofloxacin
Question #4
Which laboratory reports would the nurse evaluate if the patient is administered vancomycin and tobramycin?
A.
Serum creatinine
B.
Serum electrolytes
C.
Prothrombin time
D.
Serum glucose
Question #5
Which instruction would the nurse give a patient about administering topical clindamycin?
A.
"Apply a thin layer to the affected area after it has been cleansed."
B.
"Refrigerate the reconstituted medication between uses."
C.
"Squeeze the tube of medication into the vagina."
D.
"Cleanse the skin with an exfoliating agent before application."
Question #6
Which foods will the nurse instruct the patient to avoid during levofloxacin therapy?
A.
Fiber-rich foods
B.
Dairy products
C.
Sugary foods
D.
Protein-rich foods
Question #7
Which instruction would the nurse give a patient about allergic reactions to an antibacterial drug?
A.
"An allergic reaction will only occur after the first dose of medication."
B.
"Stop taking the medication immediately at the first sign of an allergic reaction."
C.
"Allergic reactions always manifest as urticaria or pruritus."
D.
"Any adverse effect of an antibacterial is considered an allergic reaction."
Question #8
Which adverse drug effect would the nurse need to monitor for a patient with a tobramycin serum drug concentration greater than 2 mcg/mL?
A.
Heartburn
B.
Metallic taste
C.
Red man syndrome
D.
Hearing impairment
Question #9
Which antibiotic binds to 30S ribosomes to prevent protein synthesis in bacteria?
A.
Gentamicin
B.
Ciprofloxacin
C.
Nitrofurantoin
D.
Clindamycin
Question #10
Which microbe is included in the spectrum of antimicrobial activity for the drug amikacin?
A.
Citrobacter species
B.
Yersinia pestis
C.
Salmonella species
D.
Escherichia coli
Question #11
Which antibiotic is used in patients who have infections of the eyes, ears, or skin and for suppressing bowel flora before bowel surgery?
A.
Neomycin
B.
Tobramycin
C.
Amikacin
D.
Gentamicin
Question #12
Which antibiotic is the drug of choice for the treatment of anthrax?
A.
Vancomycin
B.
Gentamicin
C.
Daptomycin
D.
Ciprofloxacin
Question #13
Which solution would the nurse administer with quinupristin?
A.
5% heparin solution
B.
5% dextrose in water (D5W)
C.
10% heparin solution
D.
5% saline solution
Question #14
Which parameter will the nurse assess in the patient receiving vancomycin to ensure safe administration of the drug?
A.
Skin integrity
B.
Red blood cell count
C.
Renal function
D.
Blood glucose concentration
Question #15
Which nursing action is suitable for a patient scheduled for an appendectomy who has a new prescription for neomycin?
A.
Topical administration of neomycin after the surgery
B.
Oral administration of neomycin after the surgery
C.
Oral administration of neomycin before the surgery
D.
Topical administration of neomycin before the surgery
Question #16
Which parameter would the nurse assess for a patient receiving amikacin after a computed tomography (CT) scan?
A.
Blood glucose
B.
Serum thyroxine
C.
Serum creatinine
D.
Blood ammonia
Question #17
Which parameter would the nurse check before administering neomycin to a patient?
A.
Glomerular filtration rate (GFR)
B.
Adrenaline concentration
C.
Thyroxine concentration
D.
Glucose concentration in urine
Question #18
Which information would the nurse include in the teaching plan for a patient who is prescribed ciprofloxacin and is also taking an antacid?
A.
"Take both drugs simultaneously."
B.
"Take the antacid every alternate day."
C.
"Take the antacid 2 hours before the drug."
D.
"Take the drug on an empty stomach."
Question #19
Which antibiotic can be used against several anaerobic organisms?
A.
Quinupristin
B.
Daptomycin
C.
Nitrofurantoin
D.
Clindamycin
Question #20
Which infection is treated with metronidazole?
A.
Escherichia coli, Clostridium, Bacteroides, Streptococcus
B.
Protozoans, Escherichia coli, Bacteroides, Streptococcus
C.
Protozoans, Clostridium, Bacteroides, Escherichia coli
D.
Protozoans, Clostridium, Bacteroides, Streptococcus
Question #21
Which amount of time is the minimum period that vancomycin may be infused?
A.
60 minutes
B.
120 minutes
C.
90 minutes
D.
30 minutes
Question #22
Which advice would the nurse provide to a patient taking neomycin to prevent drug-induced superinfections?
A.
"Eat yogurt."
B.
"Drink milk."
C.
"Eat green, leafy vegetables."
D.
"Eat eggs daily."
Question #23
Which intervention would the nurse perform to ensure safety for a patient who has been prescribed clindamycin and is also taking vecuronium?
A.
Assess the patient’s respiratory rate.
B.
Rub the patient’s foot continuously.
C.
Provide support to the patient’s hip.
D.
Elevate the patient’s legs.
Question #24
Which parameter is most important to assess before administering vancomycin to a patient?
A.
Hemoglobin level
B.
Liver function
C.
Platelet count
D.
Renal function
Question #25
Which action will the nurse implement when administering colistimethate sodium via inhalation?
A.
Inform the patient that it will not taste bitter.
B.
Ensure that emergency equipment is near the patient.
C.
Monitor the patient for increased bruising or bleeding.
D.
Administer diphenhydramine initially.
Question #26
Which instruction to a patient prescribed nitrofurantoin is most important to facilitate adherence to the therapeutic regimen?
A.
"Watch for jaundice, itching, or rash."
B.
"Take the medication with meals or milk."
C.
"Take all pills in the prescription."
D.
"Report tingling and numbness."
Question #27
Which laboratory result will the nurse evaluate to ensure therapeutic effect for a patient who is prescribed neomycin for hepatic encephalopathy?
A.
Serum creatinine concentration
B.
Blood glucose concentration
C.
Blood cholesterol concentration
D.
Blood ammonia concentration
Question #28
Which adverse effect of aminoglycoside therapy would be prevented when the nurse continues to monitor the drug concentrations in the patient's blood?
A.
Neurotoxicity
B.
Cardiotoxicity
C.
Hepatotoxicity
D.
Nephrotoxicity
Question #29
Which laboratory result would warrant immediate health care provider notification for a patient receiving amikacin 375 mg IVPB every 8 hours?
A.
Potassium 3.5 mEq
B.
Creatinine 4.0 mg/dL
C.
Glucose 110 mg/dL
D.
Blood urea nitrogen 23 mg/dL
Question #30
After reviewing the medication profile for a patient newly prescribed linezolid for a methicillin-resistant Staphylococcus aureus (MRSA) infection, which drug noted would indicate this antibiotic is contraindicated? Medication Administration Record o Sertraline 50 mg PO daily o Fexofenadine 180 mg PO daily o Hydrochlorothiazide 25 mg PO daily o Metformin 500 mg PO BID
A.
Sertraline
B.
Hydrochlorothiazide
C.
Metformin
D.
Fexofenadine
Question #31
Which administration process will the nurse follow to administer prescribed amikacin and pennicillin to a patient?
A.
Administer both amikacin and penicillin simultaneously.
B.
Administer amikacin first and then penicillin.
C.
Administer penicillin followed by amikacin.
D.
Administer amikacin orally and penicillin intravenously.
Question #32
Which action does the nurse take for a patient who underwent heart transplantation and is receiving quinupristin, dalfopristin, and cyclosporine?
A.
Evaluating the serum cyclosporine level
B.
Monitoring the site of antibiotic infusion
C.
Preparing to adjust the cyclosporine dosage
D.
Checking the cardiac rhythm hourly
Question #33
Which instruction would the nurse provide to a patient who is prescribed lizenoid therapy?
A.
"Avoid eating smoked meat or fish while taking the drug."
B.
"Avoid eating citrus fruits before taking the drug."
C.
"Avoid eating food containing excess fiber while taking the drug."
D.
"Avoid eating yogurt before taking the drug."
Question #34
Which action would the nurse take for a patient who is prescribed intravenous gentamicin and has an elevated blood urea nitrogen (BUN).
A.
Hold the medication.
B.
Insert a Foley catheter.
C.
Monitor peak and trough levels.
D.
Have the patient increase fluid intake.
Question #35
Which drug interaction effect would the nurse monitor for after administering levofloxacin to a patient who is also taking prednisone?
A.
Abdominal pain
B.
Reduced appetite
C.
Joint pain
D.
Reduced respiratory rate
Question #36
Which clinical finding makes a patient a potential candidate for antibiotic therapy involving aminoglycoside?
A.
Increased serum creatinine levels
B.
Pseudomonas aeruginosa pneumonia
C.
Elevated serum alanine aminotransferase
D.
History of neuromuscular dysfunction
Question #37
Which additional laboratory result will the nurse check to ensure safe drug administration for a patient who is receiving amikacin therapy and has a serum drug concentration of 4 mcg/mL?
A.
Serum creatinine concentration
B.
Blood platelet count
C.
Serum thyroxine concentration
D.
Blood glucose concentration
Question #38
Which aminoglycoside can be prescribed if the culture of a patient with bacterial endocarditis reveals the presence of gram-positive cocci?
A.
Tobramycin
B.
Streptomycin
C.
Amikacin
D.
Gentamicin
Question #39
Which assessment finding in a patient who is taking tobramycin would require the nurse to immediately notify the health care provider?
A.
Vertigo, Skin turgor, Visual acuity
B.
Skin turgor, Visual acuity, Nausea
C.
Headache, Visual acuity, Skin turgor
D.
Nausea, Vertigo, Headache
Question #40
Which assessment would the nurse perform to prevent an adverse event for a patient who is taking linezolid?
A.
Hepatotoxicity
B.
Hemoglobin level
C.
Platelet count
D.
Serum creatinine level
Question #41
Which medication will the nurse expect the health care provider to prescribe for a patient with an Enterobacter aerogenes infection who has a history of infection that was resistant to gentamicin and tobramycin?
A.
Neomycin
B.
Amikacin
C.
Linezolid
D.
Streptomycin
Question #42
Which nursing action would be used to help prevent ototoxicity in a patient receiving gentamicin?
A.
Assess the peak level, Use a 0.9% NaCl solution for dilution of the medication, Prevent superinfection.
B.
Establish baseline renal function, Use a 0.9% NaCl solution for dilution of the medication, Prevent superinfection.
C.
Assess the peak level, Establish baseline hearing acuity, Prevent superinfection.
D.
Assess the trough level, Establish baseline renal function, Establish baseline hearing acuity
Question #43
Which assessment would be conducted by the nurse before administering antibacterial therapy to a patient?
A.
Fluid status, Cardiac history, Hypersensitivity, Neurologic abnormalities
B.
Baseline vital sign values, Fluid status, Hypersensitivity, Neurologic abnormalities
C.
Baseline vital sign values, Cardiac history, Fluid status, Neurologic abnormalities
D.
Baseline vital sign values, Cardiac history, Hypersensitivity, Neurologic abnormalities
Question #44
Which change will the nurse anticipate from the health care provider for a patient who is receiving vancomycin and has a serum drug concentration of 8 mcg/mL before the second dose is administered?
A.
Replace vancomycin with another antibiotic.
B.
Rapidly infuse the vancomycin.
C.
Increase the dose of vancomycin.
D.
Stop the administration of vancomycin.
Question #45
Which condition would the nurse suspect when a patient taking intravenous vancomycin reports frequent ringing in the ears?
A.
Probable convulsion
B.
Ineffective antibiotic therapy
C.
Early vestibular damage
D.
Red man syndrome
Question #46
Which patient receiving antibiotics will the nurse assess first?
A.
One taking amikacin with furosemide
B.
One taking clindamycin and has gastric upset
C.
One taking ciprofloxacin and is 18 years old
D.
One who just started azithromycin therapy and has a fever
Question #47
Which action would the nurse perform for a patient receiving intravenous vancomycin who complains of facial pruritus?
A.
Wrap the infusion in foil to protect it from light.
B.
Program the vancomycin to infuse at a slower rate.
C.
Give diphenhydramine with the infusion.
D.
Document that the patient has a hypersensitivity reaction.
Question #48
Which is the appropriate time for the nurse to draw the trough level for a patient on antibiotic therapy?
A.
Ten minutes before administration of the intravenous (IV) antibiotic
B.
Sixty minutes after completion of the IV antibiotic infusion
C.
Ninety minutes after the IV antibiotic is scheduled to be administered
D.
Thirty minutes after beginning administration of the IV antibiotic
Question #49
Which aminoglycoside can be administered by the rectal route for an enterococcal infection?
A.
Levofloxacin
B.
Amikacin
C.
Neomycin
D.
Ciprofloxacin
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