WGU D116 Unit 8 OA Review Exam QUESTIONS AND ANSWERS
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A nursing student asks for clarification on the differences between the mechanisms of
spontaneous mutation and conjugation in acquired resistance of microbes.
Which statement is correct?
Spontaneous mutation leads to resistance to only one antimicrobial agent
A patient receiving a cephalosporin develops a secondary intestinal infection caused by
Clostridium difficile.
What is an appropriate treatment for this patient?
Discontinuing the cephalosporin and beginning flagyl
A patient is diagnosed with a lung infection caused by Pseudomonas aeruginosa. The culture
and sensitivity report shows sensitivity to all aminoglycosides. The provider knows that the rate
of resistance to gentamicin is common in this hospital.
Which medication should the provider be expected to order?
Amikacin
When resistance to gentamicin and tobramycin is common, amikacin is the drug of choice for
the initial treatment of aminoglycoside-sensitive infections
, A child with otitis media has had three ear infections in the past year. The child has just
completed a ten-day course of amoxicillin with no improvement. The parent asks the provider
why this drug is not working because it has worked in the past.
What should the provider tell the patient?
"The bacteria have synthesized penicillinase"
Beta-lactamases are enzymes that cleave the beta-lactam ring and render the PCN inactive
(amoxicillin)
Pt will need to start augmentin
A patient who is taking acetaminophen for pain wants to know why it does not cause
gastrointestinal upset as other over-the-counter pain medications do.
Which property of acetaminophen is the most likely explanation for this?
It has minimal effects at peripheral sites
Tylenol central effects
NSAIDs peripheral effects
A patient who has arthritis has been taking ibuprofen and a glucocorticoid medication. The
patient reports having tarry stools but denies gastric pain.
Which action by the provider is correct?
Prescribing an antiulcer medication
RECENT AND COMPREHENSIVE VERSION WITH VERIFIED ANSWERS
GUARANTEED PASS WITH INSTANT PDF DOWNLOAD.
A nursing student asks for clarification on the differences between the mechanisms of
spontaneous mutation and conjugation in acquired resistance of microbes.
Which statement is correct?
Spontaneous mutation leads to resistance to only one antimicrobial agent
A patient receiving a cephalosporin develops a secondary intestinal infection caused by
Clostridium difficile.
What is an appropriate treatment for this patient?
Discontinuing the cephalosporin and beginning flagyl
A patient is diagnosed with a lung infection caused by Pseudomonas aeruginosa. The culture
and sensitivity report shows sensitivity to all aminoglycosides. The provider knows that the rate
of resistance to gentamicin is common in this hospital.
Which medication should the provider be expected to order?
Amikacin
When resistance to gentamicin and tobramycin is common, amikacin is the drug of choice for
the initial treatment of aminoglycoside-sensitive infections
, A child with otitis media has had three ear infections in the past year. The child has just
completed a ten-day course of amoxicillin with no improvement. The parent asks the provider
why this drug is not working because it has worked in the past.
What should the provider tell the patient?
"The bacteria have synthesized penicillinase"
Beta-lactamases are enzymes that cleave the beta-lactam ring and render the PCN inactive
(amoxicillin)
Pt will need to start augmentin
A patient who is taking acetaminophen for pain wants to know why it does not cause
gastrointestinal upset as other over-the-counter pain medications do.
Which property of acetaminophen is the most likely explanation for this?
It has minimal effects at peripheral sites
Tylenol central effects
NSAIDs peripheral effects
A patient who has arthritis has been taking ibuprofen and a glucocorticoid medication. The
patient reports having tarry stools but denies gastric pain.
Which action by the provider is correct?
Prescribing an antiulcer medication
