Lifespan Final Exam with Accurate
Solutions.
A client is taking an antibiotic that can cause hepatoxicity. What education does the nurse
provide regarding this adverse effect. - Answer Report any signs and symptoms of jaundice
(yellow skin and eyes). Notify if you develop dark urine, clay colored stool, weakness, or malaise
to healthcare provider.
If a patient with G6PD deficiency takes antibiotics, what can occur? - Answer Decreased hct
and hgl causing pallor and weakness.
A client is taking an antibiotic that can cause crystaluria. What education does the nurse provide
regarding this adverse effect? - Answer Encourage patient to drink at least 1.5 L daily. If
patient is taking a sulfonamides, advise patient to avoid acidic drinks b/c it can increase risk of
cyrstaluria.
What are the two most common superinfections? - Answer C. Diff and Candidiasis
A client is taking an antibiotic that can cause photosensitivity. What education should the nurse
provide regarding this adverse effect. - Answer Avoid tanning beds and prolonged sunlight
exposure.
People of what ancestry are at risk for G6PD deficiency ? - Answer Mediterranean, African,
and Middle Eastern
A client is taking an antibiotic that can cause disulfiram-like reactions. What education should
the nurse provide regarding this adverse effect? - Answer Teach patient to abstain from
alcohol or alcohol based products.
What test is administered to screen for tuberculosis? - Answer The tuberculin purified
protein derivative (PPD)
How is the tuberculosis PPD administered? - Answer Intradermally. It is given just under the
top layer of skin, making a small bubble.
How long does a client have to wait to get their PPD test read? - Answer 48-72 hours
, What indicates a positive PPD test? - Answer Induration (palpable thickening or hardening of
the skin)
If a patient develops peripheral neuropathy during INH therapy for TB. What medication are
they most likely omitting from their regimen? - Answer Pyridoxine (Vitamin B6)
What is a common side effect when taking rifampin? - Answer red-orange secretions
If a patient is taking medication that can turn their secretions a red-orange color. What should
the nurse educate the patient about regarding their contact lenses? - Answer They can stain
your lenses
A patient comes back to get their PPD read. The injection site has massive erythema. Is this an
indiction of positive or negative test results? - Answer Negative.
What do antiviral drugs do? - Answer Speed up remission and reduce symptoms.
Antiviral drugs can NOT... - Answer cure viral illnesses. This is because killing viruses can
cause harm to the host.
Patients on antivirals can develop bone marrow suppression. Causing decreased platelets,
erythrocytes, and leukocytes. What term can be used to describe this? - Answer blood
dyscrasias
How to decrease gastric distress when taking antivirals? - Answer Take with meals
With most antivirals one's fluid intake should increase to how much a day? - Answer 3000
mL
IV Acyclovir should be prepared within how many hours of administration? - Answer 12
Can IV acyclovir be refrigerated? - Answer No
IV acyclovir should NOT be infused rapidly. It should be given over at least an ____ . - Answer
hour
Who should not administer aerosolixed teratogenic antivirals? - Answer Pregnant nurses
because there risk of second hand inhalation.