PHARMACOLOGY EXAM 2 STUDY GUIDE ACTUAL EXAM ALL QUESTIONS AND WELL ELABORATED ANSWERS TOP RATED VERSION FOR ALREADY A+ GRADED HIGHLY RECOMMENDED |NEW AND REVISED

PHARMACOLOGY EXAM 2 STUDY
GUIDE ACTUAL EXAM ALL
QUESTIONS AND WELL
ELABORATED ANSWERS TOP RATED
VERSION FOR ALREADY A+ GRADED
HIGHLY RECOMMENDED |NEW AND
REVISED
Whenmreviewingmthemallergymhistorymofmampatient,mthemnursemnotesmthatmthempatientmismallergicmt
ompenicillin.mBasedmonmthismfinding,mthemnursemwouldmquestionmanmordermformwhichmclassmofmanti
biotics?

a.Tetracyclines

b.Sulfonamides

c.Cephalosporins

d.Quinolonesm-mCORRECTmANSWERmANS:mCephalosporins



Allergymtompenicillinmmaymalsomresultminmhypersensitivitymtomcephalosporins.mThemothermoptionsma
remincorrect

Allergymtompenicillinmmaymalsomresultminmhypersensitivitymtomcephalosporins.mThemothermoptionsma
remincorrect



Themnursemismprovidingmteachingmtomampatientmtakingmanmoralmtetracyclinemantibiotic.mWhichmstat
ementmbymthemnursemismcorrect?m-
mCORRECTmANSWERmANS:m"Avoidmdirectmsunlightmandmtanningmbedsmwhilemonmthismmedication."




Drug-
relatedmphotosensitivitymoccursmwhenmpatientsmtakemtetracyclines,mandmitmmaymcontinuemformseve
ralmdaysmaftermtherapy.mMilkmandmcheesemproductsmresultminmdecreasedmlevelsmofmtetracyclinemwh
enmthemtwomaremtakenmtogether.mAntacidsmalsominterferemwithmabsorptionmandmshouldmnotmbemtak

,enmwithmtetracycline.mCounselmpatientsmtomtakemthementiremcoursemofmprescribedmantibioticmdrugs
,mevenmifmtheymfeelmthatmtheymaremnomlongermill



Whenmreviewingmthemmedicationmordersmformampatientmwhomismtakingmpenicillin,mthemnursemnotes
mthatmthempatientmismalsomtakingmthemoralmanticoagulantmwarfarinm(Coumadin).mWhatmpossiblemeff


ectmmaymoccurmasmthemresultmofmanminteractionmbetweenmthesemdrugs?m-
mCORRECTmANSWERmANS:mThempenicillinmwillmcausemanmenhancedmanticoagulantmeffectmofmthemw


arfarin.



AdministeringmpenicillinmreducesmthemvitaminmKminmthemgutm(intestines);mtherefore,menhancedman
ticoagulantmeffectsmofmwarfarinmmaymoccur.



Ampatientmismreceivingmhismthirdmintravenousmdosemofmampenicillinmdrug.mHemcallsmthemnursemtomre
portmthatmhemismfeelingm"anxious"mandmismhavingmtroublembreathing.mWhatmwillmthemnursemdomfirst
?m-mCORRECTmANSWERmANS:mStopmthemantibioticminfusion.



Hypersensitivitymreactionsmaremcharacterizedmbymwheezing;mshortnessmofmbreath;mswellingmofmthe
mface,mtongue,mormhands;mitching;mormrash.mThemnursemshouldmimmediatelymstopmthemantibioticmin


fusion,mhavemsomeonemnotifymthemprescriber,mandmstaymwithmthempatientmtommonitormthempatient'
smvitalmsignsmandmcondition.mCheckingmformallergiesmshouldmhavembeenmdonembeforemtheminfusion



Ampatientmismadmittedmwithmamfevermofm102.8°mFm(39.3°mC),moriginmunknown.mAssessmentmrevealsm
cloudy,mfoul-
smellingmurinemthatmismdarkmamberminmcolor.mOrdersmhavemjustmbeenmwrittenmtomobtainmstatmurine
mandmbloodmculturesmandmtomadministermanmantibioticmintravenously.mThemnursemwillmcompletemth


esemordersminmwhichmsequence?m-
mCORRECTmANSWERmANS:mBloodmandmurinemcultures,mantibioticmdose




Culturemspecimensmshouldmbemobtainedmbeforeminitiatingmantibioticmdrugmtherapy;motherwise,mth
empresencemofmantibioticsminmthemtissuesmmaymresultminmmisleadingmculturemandmsensitivitymresult
s.

, Themnursemismprovidingmteachingmtomampatientmtakingmanmoralmtetracyclinemantibiotic.mWhichmstat
ementmbymthemnursemismcorrect?

a."Avoidmdirectmsunlightmandmtanningmbedsmwhilemonmthismmedication."

b."Milkmandmcheesemproductsmresultminmincreasedmlevelsmofmtetracycline."

c."Antacidsmtakenmwithmthemmedicationmhelpmtomreducemgastrointestinalmdistress."

d."Takemthemmedicationmuntilmyoumaremfeelingmbetter.m-
mCORRECTmANSWERmANS:mA:m"Avoidmdirectmsunlightmandmtanningmbedsmwhilemonmthismmedicatio


n."



Drug-
relatedmphotosensitivitymoccursmwhenmpatientsmtakemtetracyclines,mandmitmmaymcontinuemformseve
ralmdaysmaftermtherapy.mMilkmandmcheesemproductsmresultminmdecreasedmlevelsmofmtetracyclinemwh
enmthemtwomaremtakenmtogether.mAntacidsmalsominterferemwithmabsorptionmandmshouldmnotmbemtak
enmwithmtetracycline.mCounselmpatientsmtomtakemthementiremcoursemofmprescribedmantibioticmdrugs
,mevenmifmtheymfeelmthatmtheymaremnomlongermill



Duringmdrugmtherapymwithmamtetracyclinemantibiotic,mampatientmcomplainsmofmsomemnauseamandmd
ecreasedmappetite.mWhichmstatementmismthemnurse'smbestmadvicemtomthempatient?

a."Takemitmwithmcheesemandmcrackersmormyoghurt."

b."Takemeachmdosemwithmamglassmofmmilk."

c."Takemanmantacidmwithmeachmdosemasmneeded."

d.m"Drinkmamfullmglassmofmwatermwithmeachmdose."m-
mCORRECTmANSWERmANS:mD:m"Drinkmamfullmglassmofmwatermwithmeachmdose."




Oralmdosesmshouldmbemgivenmwithmatmleastm8mouncesmofmfluidsmandmfoodmtomminimizemgastrointest
inalmupset;mhowever,mantacidsmandmdairymproductsmwillmbindmwithmthemtetracyclinemandmmakemitmi
nactive



Themnursemismmonitoringmampatientmwhomhasmbeenmonmantibioticmtherapymform2mweeks.mTodaymth
empatientmtellsmthemnursemthatmhemhasmhadmwaterymdiarrheamsincemthemdaymbeforemandmismhavingm