The patient has been started on stavudine (d4T). After taking the drug for 3 days, the
patient contacts the nurse to report the onset of muscle pain and weakness. What is
the nurse’s priority action?
a. Instruct the patient to self-medicate with an NSAID medication.
b. Reassure the patient that this is an expected side effect of the medication.
c. Reassure the patient that the symptom is time-limited and will resolve.
d. Instruct the patient to hold doses of the medication until further notice.
,Give this one a try later!
d. Instruct the patient to hold doses of the medication until further notice.
The patient should not take any more doses of the medication until the
health care provider can evaluate the patient. Muscle pain and weakness
may be related to lactic acidosis, a serious side effect of the medication.
The nurse's scope of practice does not allow for adjusting the patient's
medication regimen.
6. A 30-year-old woman presents with a recurrence of Trichomonas vaginalis
infection, and metronidazole is ordered. The patient’s history reveals which of the
following contraindications?
a. A recent pregnancy test is negative.
b. She previously took metronidazole and had no side effects.
c. She drinks a glass of wine before bedtime.
d. She takes an oral contraceptive.
Give this one a try later!
c. She drinks a glass of wine before bedtime.
5. A patient is to start on efavirenz. Which points are important for the nurse to include
in health teaching for this patient? (Select all that apply.)
a. The dose is given at bedtime to minimize central nervous system adverse effects.
b. Alcohol should be avoided because of adverse effects to the liver.
,c. The dose should be taken after breakfast to minimize central nervous system
adverse effects.
d. High-fat meals can increase absorption of the medication.
e. Hyperglycemia, jaundice, and diabetes mellitus are side effects.
Give this one a try later!
a. The dose is given at bedtime to minimize central nervous system adverse
effects.
b. Alcohol should be avoided because of adverse effects to the liver.
d. High-fat meals can increase absorption of the medication.
What is the mechanism of action of systemic antifungal medications?
a. Breaking apart the fungus nucleus
b. Interfering with fungus DNA production
c. Altering cell permeability of the fungus, leading to cell death
d. Preventing the fungus from absorbing needed nutrients
Give this one a try later!
c. Altering cell permeability of the fungus, leading to cell death
What is the priority assessment the nurse should make for a patient who is taking
ganciclovir sodium?
, a. Bowel elimination
b. Input and output
c. Complete blood count
d. Blood urea nitrogen
Give this one a try later!
c. Complete blood count
Bone marrow suppression is a dose-limiting toxicity of ganciclovir, and a
complete blood count should be monitored.
The nurse is working with a patient who will be traveling to a country where the
incidence of malaria is high. The nurse anticipates that the health care provider is most
likely to place the patient on which medication?
a. Artemether/lumefantrine
b. Atovaquone/proguanil
c. Amantadine HCl
d. Praziquantel
Give this one a try later!
b. Atovaquone/proguanil
Of the drugs listed, atovaquone/proguanil is the drug of choice for
prevention of malaria.
A patient taking amantadine complains of depression and dizziness. What intervention
will the nurse perform first?
a. Call the health care provider.
patient contacts the nurse to report the onset of muscle pain and weakness. What is
the nurse’s priority action?
a. Instruct the patient to self-medicate with an NSAID medication.
b. Reassure the patient that this is an expected side effect of the medication.
c. Reassure the patient that the symptom is time-limited and will resolve.
d. Instruct the patient to hold doses of the medication until further notice.
,Give this one a try later!
d. Instruct the patient to hold doses of the medication until further notice.
The patient should not take any more doses of the medication until the
health care provider can evaluate the patient. Muscle pain and weakness
may be related to lactic acidosis, a serious side effect of the medication.
The nurse's scope of practice does not allow for adjusting the patient's
medication regimen.
6. A 30-year-old woman presents with a recurrence of Trichomonas vaginalis
infection, and metronidazole is ordered. The patient’s history reveals which of the
following contraindications?
a. A recent pregnancy test is negative.
b. She previously took metronidazole and had no side effects.
c. She drinks a glass of wine before bedtime.
d. She takes an oral contraceptive.
Give this one a try later!
c. She drinks a glass of wine before bedtime.
5. A patient is to start on efavirenz. Which points are important for the nurse to include
in health teaching for this patient? (Select all that apply.)
a. The dose is given at bedtime to minimize central nervous system adverse effects.
b. Alcohol should be avoided because of adverse effects to the liver.
,c. The dose should be taken after breakfast to minimize central nervous system
adverse effects.
d. High-fat meals can increase absorption of the medication.
e. Hyperglycemia, jaundice, and diabetes mellitus are side effects.
Give this one a try later!
a. The dose is given at bedtime to minimize central nervous system adverse
effects.
b. Alcohol should be avoided because of adverse effects to the liver.
d. High-fat meals can increase absorption of the medication.
What is the mechanism of action of systemic antifungal medications?
a. Breaking apart the fungus nucleus
b. Interfering with fungus DNA production
c. Altering cell permeability of the fungus, leading to cell death
d. Preventing the fungus from absorbing needed nutrients
Give this one a try later!
c. Altering cell permeability of the fungus, leading to cell death
What is the priority assessment the nurse should make for a patient who is taking
ganciclovir sodium?
, a. Bowel elimination
b. Input and output
c. Complete blood count
d. Blood urea nitrogen
Give this one a try later!
c. Complete blood count
Bone marrow suppression is a dose-limiting toxicity of ganciclovir, and a
complete blood count should be monitored.
The nurse is working with a patient who will be traveling to a country where the
incidence of malaria is high. The nurse anticipates that the health care provider is most
likely to place the patient on which medication?
a. Artemether/lumefantrine
b. Atovaquone/proguanil
c. Amantadine HCl
d. Praziquantel
Give this one a try later!
b. Atovaquone/proguanil
Of the drugs listed, atovaquone/proguanil is the drug of choice for
prevention of malaria.
A patient taking amantadine complains of depression and dizziness. What intervention
will the nurse perform first?
a. Call the health care provider.
