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.
Tendon pain, Abnormal heart rhythm, Yellowish hue of the skin
B.
Nausea, Yellowish hue of the skin, Dizziness
C.
Abnormal heart rhythm, Nausea, Dizziness
D.
Nausea, Dizziness, Tendon pain
Question #2
Which function is measured by a patient’s serum creatinine level before starting antibiotic therapy?
A.
Neurologic
B.
Renal
C.
Liver
D.
Cardiac
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.
Increased serum concentration of levofloxacin
B.
Reduced antibacterial activity of levofloxacin
C.
Impaired levofloxacin absorption
D.
Altered intestinal flora
Question #4
Which laboratory reports would the nurse evaluate if the patient is administered vancomycin and tobramycin?
A.
Prothrombin time
B.
Serum creatinine
C.
Serum electrolytes
D.
Serum glucose
Question #5
Which instruction would the nurse give a patient about administering topical clindamycin?
A.
"Cleanse the skin with an exfoliating agent before application."
B.
"Apply a thin layer to the affected area after it has been cleansed."
C.
"Squeeze the tube of medication into the vagina."
D.
"Refrigerate the reconstituted medication between uses."
Question #6
Which foods will the nurse instruct the patient to avoid during levofloxacin therapy?
A.
Sugary foods
B.
Protein-rich foods
C.
Fiber-rich foods
D.
Dairy products
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.
"Any adverse effect of an antibacterial is considered an allergic reaction."
C.
"Allergic reactions always manifest as urticaria or pruritus."
D.
"Stop taking the medication immediately at the first sign of 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.
Hearing impairment
B.
Red man syndrome
C.
Heartburn
D.
Metallic taste
Question #9
Which antibiotic binds to 30S ribosomes to prevent protein synthesis in bacteria?
A.
Nitrofurantoin
B.
Gentamicin
C.
Clindamycin
D.
Ciprofloxacin
Question #10
Which microbe is included in the spectrum of antimicrobial activity for the drug amikacin?
A.
Citrobacter species
B.
Salmonella species
C.
Escherichia coli
D.
Yersinia pestis
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.
Amikacin
C.
Gentamicin
D.
Tobramycin
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.
10% heparin solution
B.
5% heparin solution
C.
5% dextrose in water (D5W)
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.
Blood glucose concentration
B.
Renal function
C.
Skin integrity
D.
Red blood cell count
Question #15
Which nursing action is suitable for a patient scheduled for an appendectomy who has a new prescription for neomycin?
A.
Oral administration of neomycin after the surgery
B.
Topical administration of neomycin before the surgery
C.
Oral administration of neomycin before the surgery
D.
Topical administration of neomycin after 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.
Blood ammonia
D.
Serum creatinine
Question #17
Which parameter would the nurse check before administering neomycin to a patient?
A.
Adrenaline concentration
B.
Glucose concentration in urine
C.
Glomerular filtration rate (GFR)
D.
Thyroxine concentration
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 the antacid every alternate day."
B.
"Take the antacid 2 hours before the drug."
C.
"Take both drugs simultaneously."
D.
"Take the drug on an empty stomach."
Question #19
Which antibiotic can be used against several anaerobic organisms?
A.
Quinupristin
B.
Daptomycin
C.
Clindamycin
D.
Nitrofurantoin
Question #20
Which infection is treated with metronidazole?
A.
Escherichia coli, Clostridium, Bacteroides, Streptococcus
B.
Protozoans, Clostridium, Bacteroides, Escherichia coli
C.
Protozoans, Clostridium, Bacteroides, Streptococcus
D.
Protozoans, Escherichia coli, Bacteroides, Streptococcus
Question #21
Which amount of time is the minimum period that vancomycin may be infused?
A.
30 minutes
B.
120 minutes
C.
90 minutes
D.
60 minutes
Question #22
Which advice would the nurse provide to a patient taking neomycin to prevent drug-induced superinfections?
A.
"Eat eggs daily."
B.
"Eat green, leafy vegetables."
C.
"Eat yogurt."
D.
"Drink milk."
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.
Rub the patient’s foot continuously.
B.
Assess the patient’s respiratory rate.
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.
Platelet count
B.
Hemoglobin level
C.
Renal function
D.
Liver function
Question #25
Which action will the nurse implement when administering colistimethate sodium via inhalation?
A.
Ensure that emergency equipment is near the patient.
B.
Administer diphenhydramine initially.
C.
Inform the patient that it will not taste bitter.
D.
Monitor the patient for increased bruising or bleeding.
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 all pills in the prescription."
C.
"Take the medication with meals or milk."
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.
Blood ammonia concentration
B.
Serum creatinine concentration
C.
Blood glucose concentration
D.
Blood cholesterol 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.
Nephrotoxicity
D.
Hepatotoxicity
Question #29
Which laboratory result would warrant immediate health care provider notification for a patient receiving amikacin 375 mg IVPB every 8 hours?
A.
Creatinine 4.0 mg/dL
B.
Potassium 3.5 mEq
C.
Blood urea nitrogen 23 mg/dL
D.
Glucose 110 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.
Hydrochlorothiazide
B.
Metformin
C.
Sertraline
D.
Fexofenadine
Question #31
Which administration process will the nurse follow to administer prescribed amikacin and pennicillin to a patient?
A.
Administer amikacin first and then penicillin.
B.
Administer penicillin followed by amikacin.
C.
Administer both amikacin and penicillin simultaneously.
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.
Monitoring the site of antibiotic infusion
B.
Preparing to adjust the cyclosporine dosage
C.
Checking the cardiac rhythm hourly
D.
Evaluating the serum cyclosporine level
Question #33
Which instruction would the nurse provide to a patient who is prescribed lizenoid therapy?
A.
"Avoid eating yogurt before 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 smoked meat or fish while 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.
Insert a Foley catheter.
B.
Hold the medication.
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.
Joint pain
B.
Reduced appetite
C.
Abdominal pain
D.
Reduced respiratory rate
Question #36
Which clinical finding makes a patient a potential candidate for antibiotic therapy involving aminoglycoside?
A.
Elevated serum alanine aminotransferase
B.
Pseudomonas aeruginosa pneumonia
C.
Increased serum creatinine levels
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
A.
Tobramycin
B.
Amikacin
C.
Streptomycin
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.
Skin turgor, Visual acuity, Nausea
B.
Headache, Visual acuity, Skin turgor
C.
Nausea, Vertigo, Headache
D.
Vertigo, Skin turgor, Visual acuity
Question #40
Which assessment would the nurse perform to prevent an adverse event for a patient who is taking linezolid?
A.
Serum creatinine level
B.
Platelet count
C.
Hemoglobin level
D.
Hepatotoxicity
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.
Amikacin
B.
Neomycin
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.
Assess the peak level, Establish baseline hearing acuity, Prevent superinfection.
C.
Assess the trough level, Establish baseline renal function, Establish baseline hearing acuity
D.
Establish baseline renal function, Use a 0.9% NaCl solution for dilution of the medication, Prevent superinfection.
Question #43
Which assessment would be conducted by the nurse before administering antibacterial therapy to a patient?
A.
Baseline vital sign values, Cardiac history, Hypersensitivity, Neurologic abnormalities
B.
Fluid status, Cardiac history, Hypersensitivity, Neurologic abnormalities
C.
Baseline vital sign values, Fluid status, Hypersensitivity, Neurologic abnormalities
D.
Baseline vital sign values, Cardiac history, Fluid status, 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.
Increase the dose of vancomycin.
C.
Stop the administration of vancomycin.
D.
Rapidly infuse the vancomycin.
Question #45
Which condition would the nurse suspect when a patient taking intravenous vancomycin reports frequent ringing in the ears?
A.
Red man syndrome
B.
Probable convulsion
C.
Ineffective antibiotic therapy
D.
Early vestibular damage
Question #46
Which patient receiving antibiotics will the nurse assess first?
A.
One taking clindamycin and has gastric upset
B.
One taking amikacin with furosemide
C.
One who just started azithromycin therapy and has a fever
D.
One taking ciprofloxacin and is 18 years old
Question #47
Which action would the nurse perform for a patient receiving intravenous vancomycin who complains of facial pruritus?
A.
Give diphenhydramine with the infusion.
B.
Document that the patient has a hypersensitivity reaction.
C.
Wrap the infusion in foil to protect it from light.
D.
Program the vancomycin to infuse at a slower rate.
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.
Thirty minutes after beginning administration of the IV antibiotic
D.
Ninety minutes after the IV antibiotic is scheduled to be administered
Question #49
Which aminoglycoside can be administered by the rectal route for an enterococcal infection?
A.
Amikacin
B.
Neomycin
C.
Ciprofloxacin
D.
Levofloxacin
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